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Users' guides to the medical literature: how to use an article about mortality in a humanitarian emergency

Edward J Mills1 email, Francesco Checchi2 email, James J Orbinski3 email, Michael J Schull4 email, Frederick M Burkle Jr5 email, Chris Beyrer6 email, Curtis Cooper7 email, Colleen Hardy8 email, Sonal Singh9 email, Richard Garfield10 email, Bradley A Woodruff11 email and Gordon H Guyatt12 email

1Simon Fraser University, British Columbia, Canada

2Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK

3St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada

4Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario, Canada

5Harvard Humanitarian Initiative, Harvard University, Boston, USA

6Center for Public Health and Human Rights, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

7Division of Infectious Diseases, The Ottawa Hospital, Ontario, Canada

8International Rescue Committee, Atlanta, GA, USA

9Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

10National Center for Disaster Preparedness, Mailman School of Public Health, Columbia University, New York, USA

11Nutrition Branch, Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention (CDC) Atlanta, GA, USA

12Department of Clinical Epidemiology & Biostatistics, McMaster University, Ontario, Canada

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Conflict and Health 2008, 2:9doi:10.1186/1752-1505-2-9

Published: 30 September 2008

Abstract

The accurate interpretation of mortality surveys in humanitarian crises is useful for both public health responses and security responses. Recent examples suggest that few medical personnel and researchers can accurately interpret the validity of a mortality survey in these settings. Using an example of a mortality survey from the Democratic Republic of Congo (DRC), we demonstrate important methodological considerations that readers should keep in mind when reading a mortality survey to determine the validity of the study and the applicability of the findings to their settings.


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