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Forced Migration and Mortality PDF

160 Pages·2001·0.84 MB·English
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FORCED MIGRATION & MORTALITY Roundtable on the Demography of Forced Migration Committee on Population Holly E. Reed and Charles B. Keely, Editors Commission on Behavioral and Social Sciences and Education National Research Council National Academy Press Washington, D.C. NATIONAL ACADEMY PRESS 2101 Constitution Avenue, N.W. Washington, D.C. 20418 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by a grant to the National Academy of Sciences by the Andrew W. Mellon Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the organizations or agencies that provided support for the project. Suggested citation: National Research Council (2001) Forced Migration and Mortality. Roundtable on the Demography of Forced Migration. Committee on Population. Holly E. Reed and Charles B. Keely, eds. Commission on Behavioral and Social Sciences and Educa- tion. Washington, D.C.: National Academy Press. Library of Congress Cataloging-in-Publication Data Forced migration and mortality / Roundtable on the Demography of Forced Migration, Committee on Population ; Holly E. Reed and Charles B. Keely, editors ; Commission on Behavioral and Social Sciences and Education, National Research Council. p. cm. Chiefly papers presented at a workshop organized by the Roundtable on the Demography of Forced Migration, held in Nov. 1999 in Washington, D.C. Includes bibliographical references and index. ISBN 0-309-07334-0 (pbk.) 1. Refugees—Mortality—Congresses. 2. Forced migration—Congresses. I. Reed, Holly. II. Keely, Charles B. III. Roundtable on the Demography of Forced Migration. IV. National Research Council (U.S.). Committee on Population. V. National Research Council (U.S.). Commission on Behavioral and Social Sciences and Education HV640 .F57 2001 304.6′4—dc21 2001000942 Additional copies of this report are available from National Academy Press, 2101 Constitu- tion Avenue, N.W., Lockbox 285, Washington, D.C. 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu Printed in the United States of America Copyright 2001 by the National Academy of Sciences. All rights reserved. National Academy of Sciences National Academy of Engineering Institute of Medicine National Research Council The National Academy of Sciences is a private, nonprofit, self-perpetuating soci- ety of distinguished scholars engaged in scientific and engineering research, dedi- cated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce M. Alberts is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its mem- bers, sharing with the National Academy of Sciences the responsibility for advis- ing the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. William A. Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sci- ences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal gov- ernment. Functioning in accordance with general policies determined by the Acad- emy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering commu- nities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr. William A. Wulf are chairman and vice chairman, respectively, of the National Research Council. ROUNDTABLE ON THE DEMOGRAPHY OF FORCED MIGRATION CHARLES B. KEELY (Chair), Walsh School of Foreign Service, Georgetown University RICHARD BLACK, School of African and Asian Studies, University of Sussex BRENT BURKHOLDER,* South East Asia Regional Office, World Health Organization, and International Emergency and Refugee Health Program, Centers for Disease Control and Prevention, Atlanta, Georgia GILBERT BURNHAM, Center for Refugee and Disaster Studies, School of Public Health, Johns Hopkins University WILLIAM GARVELINK, U.S. Agency for International Development, Eritrea STEVEN HANSCH, Center for Disaster and Humanitarian Assistance Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland KENNETH HILL, Center for Refugee and Disaster Studies, School of Public Health, Johns Hopkins University BELA HOVY, Division of Operational Support, United Nations High Commissioner for Refugees, Geneva ALLAN JURY, Bureau of Population, Refugees, and Migration, U.S. Department of State JENNIFER LEANING, François-Xavier Bagnoud Center for Health and Human Rights, School of Public Health, Harvard University STEPHEN LUBKEMANN, Watson Institute for International Studies, Brown University CAROLYN MAKINSON, The Andrew W. Mellon Foundation, New York SUSAN FORBES MARTIN, Institute for the Study of International Migration, Georgetown University ERIC NOJI, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia W. COURTLAND ROBINSON, Center for Refugee and Disaster Studies, School of Public Health, Johns Hopkins University SHARON STANTON RUSSELL, Center for International Studies, Massachusetts Institute for Technology PAUL SPIEGEL,** International Emergency and Refugee Health Program, Centers for Disease Control and Prevention, Atlanta, Georgia BARRY STEIN, Department of Political Science, Michigan State University v DAVID TURTON, Refugee Studies Centre, University of Oxford RONALD WALDMAN, Mailman School of Public Health, Columbia University ANTHONY ZWI, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine *Through December 1999. **As of January 2000. vi COMMITTEE ON POPULATION JANE MENKEN (Chair), Institute of Behavioral Sciences, University of Colorado, Boulder CAROLINE H. BLEDSOE,* Department of Anthropology, Northwestern University JOHN BONGAARTS,** The Population Council, New York ELLEN BRENNAN-GALVIN, Population Division, United Nations, New York JOHN N. HOBCRAFT, Population Investigation Committee, London School of Economics F. THOMAS JUSTER, Institute for Social Research, University of Michigan, Ann Arbor CHARLES B. KEELY, Walsh School of Foreign Service, Georgetown University DAVID I. KERTZER, Department of Anthropology, Brown University DAVID A. LAM, Population Studies Center, University of Michigan, Ann Arbor LINDA G. MARTIN,* The Population Council, New York MARK R. MONTGOMERY,* The Population Council, New York, and Department of Economics, State University of New York, Stony Brook W. HENRY MOSLEY, Department of Population and Family Health Sciences, Johns Hopkins University ALBERTO PALLONI, Center for Demography and Ecology, University of Wisconsin, Madison JAMES P. SMITH,** RAND, Santa Monica, California BETH J. SOLDO,* Population Studies Center, University of Pennsylvania JAMES W. VAUPEL, Max Planck Institute for Demographic Research, Rostock, Germany KENNETH W. WACHTER, Department of Demography, University of California, Berkeley LINDA J. WAITE, Population Research Center, University of Chicago BARNEY COHEN, Director HOLLY E. REED, Research Associate BRIAN TOBACHNICK, Project Administrative Coordinator ELIZABETH WALLACE,** Committee Administrative Coordinator *Through October 1999. **Through October 2000. vii CONTRIBUTORS BRENT BURKHOLDER, South-East Asia Regional Office, World Health Organization, and International Emergency and Refugee Health Program, Centers for Disease Control and Prevention, Atlanta, Georgia GILBERT BURNHAM, Center for Refugee and Disaster Studies, School of Public Health, Johns Hopkins University MANUEL CARBALLO, International Centre for Migration and Health, Geneva, and Mailman School of Public Health, Columbia University STEVEN HANSCH, Center for Disaster and Humanitarian Assistance Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland PATRICK HEUVELINE, Population Research Center, National Opinion Research Center, and University of Chicago KENNETH HILL, Center for Refugee and Disaster Studies, School of Public Health, Johns Hopkins University CHARLES B. KEELY, Walsh School of Foreign Service, Georgetown University MYUNG KEN LEE, School of Public Health, Johns Hopkins University DOMINIQUE LEGROS, Epicentre/Médecins Sans Frontières, Paris PIERRE NABETH, Epicentre/Médecins Sans Frontières, Paris CHRISTOPHE PAQUET, Institut de Veille Sanitaire, Paris HOLLY E. REED, Committee on Population, Division on Behavioral and Social Sciences and Education, National Research Council W. COURTLAND ROBINSON, Center for Refugee and Disaster Studies, School of Public Health, Johns Hopkins University PETER SALAMA, International Emergency and Refugee Health Program, Centers for Disease Control and Prevention, Atlanta, Georgia PAUL SPIEGEL, International Emergency and Refugee Health Program, Centers for Disease Control and Prevention, Atlanta, Georgia RONALD J. WALDMAN, Mailman School of Public Health, Columbia University viii Preface Over the last few years, there has been a growing appreciation of the need for more information about complex humanitarian emergencies in order to develop understanding about and more effective reactions to such events. The number, frequency, magnitude, and sheer difficulty of forced migrations in recent history have contributed to the need for more data. In addition, operational personnel realize that cumulative knowl- edge does not simply emerge from repetitions of prior experience. In- sight, better protocols, and more effective reactions require analysis, com- parison, and testing new approaches. To accomplish this, the field needs systematic data collection to assess behaviors, to ask questions, and to formulate alternatives. Demographers and epidemiologists can provide some of these ser- vices. These population-related disciplines have long histories of applied work, based on the mathematical and statistical methods they have devel- oped. They have not built up a cumulative body of knowledge, however, about complex emergencies. In response to the need for more information about the measurement and estimation of displaced populations and their vital rates, the Com- mittee on Population held a workshop on the demography of forced mi- gration in 1998. The report of this workshop, published in 1999, summa- rized the field and suggested some potential directions for further research, as identified by participants. As there was an obvious need for a vehicle for further exploration of these topics and others, the Committee on Population, with support from ix

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