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Abstract
RÉSUMÉ
L’attaque du 23 mars 2019 du village de Ogossagou a été à l’origine de massacres de population et d’un afflux massif à l’hôpital régional de Mopti. La levée des corps a montré les limites de l’exercice de la médecine légale dans notre contexte. La mise en application précoce du plan blanc a permis d’éviter un afflux massif saturant. Le seul hôpital de référence étant situé à près de 144 kms des lieux du sinistre, il s’avère nécessaire d’améliorer les conditions de prise en charge dans les postes avancés et centres de santé communautaires.
ABSTRACT
The March 23, 2019 attack on the village of Ogossagou was the cause of population massacres and a massive influx to the Mopti regional hospital. The removal of the bodies showed the limits of forensic medicine in our context. The early implementation of the white plan prevented a massive influx that would have saturated the hospital. As the only referral hospital is located almost 144 km from the disaster site, it is necessary to improve conditions of care in outposts and community health centers.
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References
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References
Moro A. Understanding the dynamics of violent political revolutions in an agent-based framework. PLOS ose. 2016 Apr 22 ;11(4) :e0154175. https://doi.org/10.1371/journal.pone.0154175 PMID:27104855
Ahmad J, Ahmad A, Ahmad MM, Ahmad N. Mapping displaced populations with reference to social vulnerabilities for post-disaster public health management. Geospatial health. 2017 Nov 27 ;12(2).
GBD 2015 Mortality and causes of death collaborators. Global, regional and national life expectancy, all-cause mortality, and cause-sepcific mortality for 249 causes of death, 1980-2015 : a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016 ;388(10053) : 1459-1544. https://doi.org/10.1016/S0140-6736(16)31012-1 PMID : 27733281
WHO Global Consultation on Violence and Health. Violence : a public health priority. Genève (Suisse), Organisation mondiale de la Santé, 1996 (document non publié WHO/EHA/SPI.POA.2).
Chol C, Negin J, Garcia-Basteiro A, Gebrehiwot TG, Debru B, Chimpolo M, et al.2018. Health system reforms in five sub-Saharan African countries that experienced major armed conflicts (wars) during 1990-2015 : a literature review. Global health action, 11(1), p.1517931. https://doi.org/10.1080/16549716.2018.1517931 PMID: 30270772
Courbil LJ, Houdelette P. Chirurgie d’urgence en situation précaire. Int Rev Armed Forces Med Serv 1996;69:363.
Daw MA, El-Bouzedi AH, Dau AA. Trends and patterns of deaths, injuries and intentional disabilities within the Libyan armed conflict: 2012-2017. PLoS ONE 14(5): e0216061. https://doi.org/10.1371/journal.pone.0216061
Aboutanos MB, Baker S. Wartime civilian injuries: epidemiology and intervention strategies. J Trauma. 1997; 43:719–726. PMID: 9356079
Mokdad AH, Forouzanfar MH, Daoud F, El Bcheraoui C, Moradi-Lakeh M, Khalil I, et al. Health in times of uncertainty in the eastern Mediterranean region, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Glob Health 2016; 4: e704–13. https://doi.org/10.1016/S2214-109X(16)30168-1 PMID: 27568068
Li SJ, Flaxman A, Lafta R, Galway L, Takaro TK, Burnham G, et al. A Novel method for verifying war mortality while estimating Iraqi deaths for the Iran-Iraq war through operation Desert Storm (1980–1993). PloS one. 2016 Oct 21; 11(10):e0164709. https://doi.org/10.1371/journal.pone.0164709 PMID: 27768730