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De opkomst en neergang van de gezondheidszorgsystemen in het Midden-Oosten

SEATTLE – Een groot deel van de vooruitgang in de Arabische landen van het Midden-Oosten en Noord-Afrika van de afgelopen decennia lijkt te zijn teruggedraaid door de politieke onrust en de burgeroorlogen waardoor de regio is getroffen. Deze terugslag is vooral zichtbaar in de gezondheidszorgsystemen van Egypte, Jordanië, Libië, Syrië, Tunesië en Jemen, die voorheen juist steeds beter aan het worden waren.

Vóór 2010 was de levensverwachting in deze landen gestaag gestegen, en waren infectieziekten en kinder- en moedersterfte op de terugtocht. Vandaag hebben ontwrichtingen van hun gezondheidszorgsystemen de trauma's en de ellende echter erger gemaakt die zijn voortgekomen uit de vele conflicten in deze regio.

Dit wordt duidelijk uit een recent onderzoek voor The Lancet, waarvan ik mede-auteur was en waarin data uit de Global Burden of Disease Study 2013 werden onderzocht om de gevolgen van de verslechtering van de gezondheidszorgsystemen in de landen in het oostelijke deel van het Middellandse Zee-gebied in kaart te brengen.

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