The impact of refugees on the health status and health services of host communities: Compounding bad with worse?

Although there have been a number of recent developments in our understanding of refugee health problems that have influenced policies and action, the effects of refugees on the health status and services of host communities remain relatively neglected. This article sets out to explain why this is an important issue with implications for policy, planning surveillance and evaluation, training and research.
The first sections outline some of the problems facing host governments and communities in Africa and discuss the changing rhetoric between the first and second International Conferences for Assistance to Refugees in Africa. A number of possible ways in which refugees could affect the individual, agent and environmental causes of disease are considered, as are the characteristics of the refugees, the host communities and the response which may all modify this impact.
Policy implications of the impact of the refugees, both negative and positive, are discussed, and detailed consideration is given to the pros and cons of integrated and parallel approaches to health care provision. The need to monitor carefully the health status and services of host communities is emphasized and recommendations are made for this and other essential developments relating to training and research.     

Emergency centers in Israel: A small community organizes to cope with war related crises*

This paper focuses on community-wide emergencies caused by war-related events in Lebanon at the beginning of June 1982. Mobilization for the "Peace for Galilee" campaign began on Friday, 4th June. Overnight, families were disrupted, husbands and sons were in danger, and within 24 hours there were notifications of casualities and deaths. Families in crisis became a widespread phenomenon. In Herzlia, as in many other communities, a new service - the Emergency Center - emerged under the auspices of the Ministry of Labor and Social Affairs and the Municipality. The authors describe this process of getting organized, the populations served, how the Center was staffed, the role of citizen volunteers, and the types of interventions used to help vulnerable families as well as soldiers home on leave. Stress is placed on the unique type of short-term co-operation achieved between social workers of the local Department of Social Welfare, the staff of the Department of Community Services (especially its Volunteer Bureau), the local liason officer of the Israel Defence Force, the municipal government, and public-spirited volunteers. Mention is made of conditions which made possible the activation of such a service within hours, of the Center's capacity to serve all segments of the population, and of how it was deactivated within a few weeks when the emergency ended. On the basis of lessons learned from this experience, the paper ends with a number of specific recommendations. The authors hope that such innovative forms of crisis-intervention will become part of the helping technology widely available at the community level in future years.     

A morphological approach for relating decapod crustacean cephalothorax shape with distribution in the water column

Cephalothorax profiles for individuals of 18 decapod crustacean species were obtained from pictures of specimens captured using various experimental bottom trawls in the Mediterranean basin, at depths ranging from 200 to 4000 m in 2000 and 2002. Profiles were compared using the shape (outline) of the entire cephalothorax (including and excluding the rostrum). Principal component analysis (PCA) of the profiles, rostrum included, yielded two large species groupings related to rostrum size, species having a long rostrum being clustered on the positive portion of the first axis and species having a short rostrum being clustered on the negative portion of this same axis (the F1 axis explained 72.17% of the total variance). The PCA separated pelagic and endobenthic animals (with short rostrums) from nektobenthic animals (with long rostrums). Only the two deepest-dwelling species (dwelling at depths below 2000 m) were distanced from their respective groups. The pelagic shrimp Acanthephyra pelagica was clearly grouped with the nektobenthic species despite being reported to have a pelagic habitat. The nektobenthic deep-sea species Nematocarcinus exilis has a relatively medium-size rostrum and was placed among the pelagic–endobenthic species. The endobenthic and pelagic groups remained stable even when rostral morphometrics were excluded from the PCA analysis. The hypothesis that predation and diet are the fundamental determining factors for all habitats throughout most of the lifetimes of individuals and hence that species will evolve specialised phenotypes to adapt to local environmental conditions is considered in the discussion.Communicated by O. Kinne, Oldendorf/Luhe     

Genomic erosion in a demographically recovered bird species during conservation rescue

The pink pigeon (Nesoenas mayeri) is an endemic species of Mauritius that has made a remarkable recovery after a severe population bottleneck in the 1970s to early 1990s. Prior to this bottleneck, an ex situ population was established from which captive-bred individuals were released into free-living subpopulations to increase population size and genetic variation. This conservation rescue led to rapid population recovery to 400–480 individuals, and the species was twice downlisted on the International Union for the Conservation of Nature (IUCN) Red List. We analyzed the impacts of the bottleneck and genetic rescue on neutral genetic variation during and after population recovery (1993–2008) with restriction site-associated sequencing, microsatellite analyses, and quantitative genetic analysis of studbook data of 1112 birds from zoos in Europe and the United States. We used computer simulations to study the predicted changes in genetic variation and population viability from the past into the future. Genetic variation declined rapidly, despite the population rebound, and the effective population size was approximately an order of magnitude smaller than census size. The species carried a high genetic load of circa 15 lethal equivalents for longevity. Our computer simulations predicted continued inbreeding will likely result in increased expression of deleterious mutations (i.e., a high realized load) and severe inbreeding depression. Without continued conservation actions, it is likely that the pink pigeon will go extinct in the wild within 100 years. Conservation rescue of the pink pigeon has been instrumental in the recovery of the free-living population. However, further genetic rescue with captive-bred birds from zoos is required to recover lost variation, reduce expression of harmful deleterious variation, and prevent extinction. The use of genomics and modeling data can inform IUCN assessments of the viability and extinction risk of species, and it helps in assessments of the conservation dependency of populations.     

Distribution of Juvenile,subadult and adult Scylla serrata (Crustacea: Portunidae) on tidal flats in Australia

In Deception Bay, northern Australia, during 1979–1981, a study was made of the distribution of Scylla serrata (Forskal) in an area having a broad intertidal zone. Juveniles (20 to 99 mm carapace width) were resident in the mangrove zone, remaining there during low tide. The majority of subadult crabs (100 to 149 mm) migrated into the intertidal zone to feed at high tide and retreated to subtidal waters at low tide. Adults (150 mm and larger) were caught mainly subtidally and only small numbers were captured in the intertidal at high tide. Few crabs were captured in the coolest months (May to August). Adults were captured on the flats mainly in the warmest months (January to April), but subadults could be captured over the entire summer (September to March). Juveniles were found in the upper intertidal throughout the year.     

Prenatal diagnosis of NADH:ubiquinone oxidoreductase deficiency

NADH:ubiquinone oxidoreductase (complex I of the mitochondrial respiratory chain) deficiency is a severe disorder with an often early fatal outcome. Prenatal diagnosis for complex I defects currently relies mainly on biochemical assays of complex I in fetal tissues such as chorionic villi (CV), and is only in a minority of cases possible by means of mutational analysis of nuclear-encoded genes of complex I. We report on our experience to date with prenatal diagnosis in pregnancies at risk for complex I deficiency. We measured complex I activity in native CV and/or cultured CV in 23 pregnancies in 15 families. In accordance with the results of the investigations in CV, 15 children were born clinically unaffected. Two prenatally diagnosed unaffected fetuses and two prenatally diagnosed affected fetuses were lost prematurely with spontaneous or provoked abortions, respectively. Two affected children were born (prenatally found to be affected). In two pregnancies a discrepancy between native and cultured cells was found. We conclude that prenatal diagnosis for complex I deficiency can be reliably performed. Pitfalls were encountered in using cultured CV as a result of maternal cell contamination (MCC). Future research on pathogenic nuclear mutations underlying complex I deficiency will extend the possibilities for prenatal diagnosis at the molecular level. Copyright © 2001 John Wiley & Sons, Ltd.     

Natural rain forest fires in Eastern Borneo during the Pleistocene and Holocene

We thank B. Zentgraf for his basic and constructive ideas and his field support, R. Andi Abdoerrachman for logistic and technical support and E. Shimokawa, Kagoshima University, for providing a charcoal sample from Kutai National Park. We thank P. Becker-Heidmann, Isotope Dating Laboratory, University of Hamburg, for his immediate ¹⁴C-dating by Liquid Scintillation Counting, and Chr. Goedicke, Rathgen Research Laboratory, Staatliche Museen Preussischer Kulturbesitz Berlin, for immediate TL dating. M. A. Gill, C.S.I.R.O. Canberra, has critically reviewed this paper. This research was sponsored by the Volkswagen Foundation.