RESUMO
Background: This study analyzes the current and evolving physical rehabilitation needs of BRICS nations (Brazil, Russian Federation, India, China, South Africa), a coalition of large emergent economies increasingly important for global health. Methods: Secondary, cross-national analyses of data on Years Lived with Disability (YLDs) were extracted from the Global Burden of Disease Study 2017. Total physical rehabilitation needs, and those stratified per major condition groups are analyzed for the year 2017 (current needs), and for every year since 1990 (evolution over time). ANOVAs are used to detect significant yearly changes. Results: Total physical rehabilitation needs have increased significantly from 1990 to 2017 in each of the BRICS nations, in every metric analyzed (YLD Counts, YLDs per 100,000 people, and percentage of YLDs relevant to physical rehabilitation; all p < 0.01). Musculoskeletal & pain conditions were leading cause of physical rehabilitation needs across the BRICS nations but to varying degrees: from 36% in South Africa to 60% in Brazil. Country-specific trends include: 25% of South African needs were from HIV-related conditions (no other BRICS nation had more than 1%); India had both absolute and relative growths of pediatric rehabilitation needs (p < 0.01); China had an exponential growth in the per-capita needs from neurological and neoplastic conditions (p < 0.01; r2 = 0.97); Brazil had a both absolute and relative growth of needs coming from musculoskeletal & pain conditions (p < 0.01); and the Russian Federation had the highest neurological rehabilitation needs per capita in 2017 (over than three times those of India, South Africa or Brazil). Conclusions: total physical rehabilitation needs have been increasing in each of the BRICS nations, both in absolute and relative values. Apart from the common growing trend, each of the BRICS nations had own patterns for the amount, typology, and evolution of their physical rehabilitation needs, which must be taken into account while planning for health and physical rehabilitation programs, policies and resources.
Assuntos
Carga Global da Doença , Brasil/epidemiologia , Criança , China/epidemiologia , Humanos , Índia , Federação Russa , África do Sul/epidemiologiaAssuntos
Desastres , Terremotos , Necessidades e Demandas de Serviços de Saúde/organização & administração , Socorro em Desastres/organização & administração , Ferimentos e Lesões/reabilitação , Altruísmo , Comorbidade , Terremotos/mortalidade , Haiti , Hospitais de Convalescentes , Humanos , Comunicação Interdisciplinar , Ontário , Trabalho de Resgate , Ferimentos e Lesões/complicaçõesRESUMO
The earthquake that occurred in Haiti on 12 January 2010 resulted in massive infrastructure damage, and created one of the largest single-day loss of life events in modern history. Despite the tragic mortality rates, many people with catastrophic injuries including spinal cord injuries and amputations survived due to swift emergency responses by local and international non-governmental organisations (NGOs). The outcome however is that Haiti now has a considerable cohort of people who live with important disabilities. In this 'perspectives in rehabilitation' we share our experiences of working in post-earthquake Haiti, and highlight that this event has raised awareness of the critical importance of providing rehabilitation services during and after a humanitarian crisis of this magnitude.