Int J Clin Pediatr
International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
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Editorial

Volume 13, Number 2, June 2024, pages 39-40


The Devastating Impact of War on Children’s Health

Itzhak Brook

Department of Pediatric, Georgetown University School of Medicine, Washington, DC 20016, USA

Manuscript submitted June 1, 2024, accepted June 6, 2024, published online June 23, 2024
Short title: Impact of War on Children’s Health
doi: https://doi.org/10.14740/ijcp540

There are currently several active war zones around the world, each presenting a dire humanitarian crisis for children. Some of the most devastating conflicts are ongoing in Yemen, Syria, Afghanistan, Gaza, Israel, Ukraine, and the Democratic Republic of Congo.

War zones are environments of unimaginable trauma and hardship, where the most vulnerable members of society, children, bear the brunt of the consequences. The medical and psychological issues faced by children in these regions are severe and far-reaching, leaving lasting scars on their physical and mental well-being. As pediatricians, we have a moral and professional obligation to understand these challenges and take proactive steps to mitigate their impact.

These are some of the medical challenges:

1) Malnutrition and stunted growth: Conflict zones often experience disruptions in food supply chains, leading to widespread malnutrition among children. This can result in stunted growth, weakened immune systems, and increased susceptibility to infectious diseases [1].

2) Infectious diseases: Poor sanitation, lack of clean water, and overcrowded living conditions in refugee camps or war-torn areas create breeding grounds for infectious diseases like cholera, measles, and respiratory infections [2].

3) Injuries and disabilities: Children in war zones are at risk of sustaining life-altering injuries from explosions, gunshots, and other forms of violence. These injuries can lead to permanent disabilities, requiring long-term medical care and rehabilitation [3].

4) Lack of access to healthcare: Conflict often disrupts or destroys healthcare infrastructure, leaving children without access to essential medical services, vaccinations, and treatment for chronic conditions [4].

These are some of the psychological challenges:

1) Post-traumatic stress disorder (PTSD): Exposure to violence, loss of loved ones, and displacement can lead to PTSD in children, manifesting as nightmares, flashbacks, anxiety, and emotional detachment [5].

2) Depression and anxiety: The constant fear, uncertainty, and trauma experienced in war zones can contribute to the development of depression and anxiety disorders in children, impacting their emotional and cognitive development [6].

3) Developmental delays: The stress and disruption caused by war can hinder children’s cognitive, social, and emotional development, leading to delays in language acquisition, problem-solving skills, and emotional regulation [7].

4) Behavioral issues: Children exposed to war may exhibit aggressive behavior, attention deficits, and difficulties in forming healthy relationships, as a result of the trauma they have endured [8].

Pediatricians play a crucial role in addressing the medical and psychological needs of children in war zones. Here are some strategies they can employ:

1) Providing comprehensive healthcare: Pediatricians should prioritize the delivery of essential healthcare services, including vaccinations, nutritional support, and treatment for injuries and chronic conditions. Mobile clinics and outreach programs can help reach children in remote or conflict-affected areas.

2) Psychological support and trauma-informed care: Pediatricians should be trained in recognizing and addressing the psychological impact of war on children. Incorporating trauma-informed care practices, such as creating safe and supportive environments, can aid in the healing process [9].

3) Advocacy and awareness: Pediatricians can advocate for the protection of children’s rights and raise awareness about the devastating consequences of war on their health and well-being. Collaborating with humanitarian organizations and policymakers can help amplify their voices and influence decision-making processes.

4) Capacity building and training: Pediatricians can contribute to capacity-building efforts by training local healthcare workers and community members in providing basic medical care and psychological first aid to children in war zones.

5) Research and data collection: Conducting research and collecting data on the medical and psychological impacts of war on children can inform evidence-based interventions and policies. This information can also help in resource allocation and targeted support for affected communities.

In conclusion, the medical and psychological challenges faced by children in war zones are complex and multifaceted. Pediatricians can play a vital role in addressing these issues through comprehensive healthcare, psychological support, advocacy, capacity building, and research. By prioritizing the well-being of these vulnerable children, we can mitigate the long-term consequences of war and contribute to their resilience and recovery.

Acknowledgments

None to declare.

Financial Disclosure

None to declare.

Conflict of Interest

None to declare.

Data Availability

The author declares that data supporting the findings of this study are available within the article.


References▴Top 
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  2. Spiegel PB, Checchi F, Colombo S, Paik E. Health-care needs of people affected by conflict: future trends and changing frameworks. Lancet. 2010;375(9711):341-345.
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  3. Coppens CM, de Boer SF, Kooloos JG, Klinkert P, Vaandrager JM. Humanitarian aid and human injury patterns in armed conflicts. World Journal of Surgery. 2015;39(11):2683-2692.
  4. Haar RJ, Rubenstein LS, Ramatowski A, Amer S, Crew E, Li J, Burkle FM. Health in crisis-affected populations: practical lessons from the 15-year experience in the Syrian Arab Republic. The Lancet. 2013;382(9890):535-541.
  5. Attanayake V, McKay R, Joffres M, Singh S, Burkle F, Jr., Mills E. Prevalence of mental disorders among children exposed to war: a systematic review of 7,920 children. Med Confl Surviv. 2009;25(1):4-19.
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  6. Panter-Brick C, Dajani R, Eggerman M, Hermosilla S, Sancilio A, Ager A. Insecurity, distress and mental health: experimental and randomized controlled trials of a psychosocial intervention for youth affected by the Syrian crisis. J Child Psychol Psychiatry. 2018;59(5):523-541.
    doi pubmed pmc
  7. Punamaki RL, Qouta S, El Sarraj E. Prevalence and determinants of PTSD among Palestinian children exposed to military violence. European Child & Adolescent Psychiatry. 2015;24(6):645.
  8. Betancourt TS, Brennan RT, Rubin-Smith J, Fitzmaurice GM, Gilman SE. Sierra Leone's former child soldiers: a longitudinal study of risk, protective factors, and mental health. J Am Acad Child Adolesc Psychiatry. 2010;49(6):606-615.
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  9. Bartlett JD, Barto B, Griffin JL, Fraser JG, Hodgdon H, Bodian R. Trauma-informed care in the Massachusetts child trauma project. Child Maltreat. 2016;21(2):101-112.
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International Journal of Clinical Pediatrics, quarterly, ISSN 1927-1255 (print), 1927-1263 (online), published by Elmer Press Inc.                     
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