New Answers For Chronic Disease In Crisis Settings

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Jaslia Abbas lived with her husband in Marawi City for years, raising their five children and helping others as a midwife. Then in 2017, the siege of Marawi began. The armed conflict between government forces and militant groups lasted for five months – and changed Jaslia’s life forever.

"We stayed three days with no food and without sleeping, while bombs were exploding all around us," said Jaslia. During a break in the fighting, her family fled the devastated city – part of an exodus of more than 350,000 people seeking refuge in evacuation centers. They ended up in a tent city, and now live in a nearby transitory shelter.

Today, more than 80 million people like Jaslia are displaced from their homes by conflict, natural disasters and other emergencies, according to the United Nations. Many live in temporary shelters that provide food, water and other basic needs. However, the prevention and care of chronic diseases – also called noncommunicable diseases (NCDs) like diabetes and heart disease – is usually overlooked in these settings, according to the World Health Organization (WHO).

This is especially challenging when emergency situations turn into protracted crises like in Marawi, where three years after the siege, much of the health infrastructure has yet to be rebuilt and more than 120,000 people remain displaced. Despite the increasing impact of NCDs globally, little information exists on the prevalence and impact of chronic disease for people in crisis settings.

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