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Women's oral and dental health aspects in humanitarian missions and disasters: Jordanian experience

Leena Smadi, BDS, MDentSci, FDS RCSEd, Aiman Al Sumadi, MD, FRCOG

Abstract


Objective: The study aimed to review oral and dental health aspects in female patients presented to Jordanian Royal Medical Services (RMS) international humanitarian missions over a 3-year period.

Design and Method: Analysis of humanitarian missions of RMS data and records over a 3-year period (2011-2013) in regard to women's oral and dental health issues was done. The data were analyzed in regard to the number of women seen, the presenting conditions, and the prevalence of oral and dental diseases and procedures in these cases.

Results: During the 3-year period, 72 missions were deployed in four locations (Gaza, Ram Allah—West Bank, Jeneen—West Bank, and Iraq). The total number of females seen in this period was 86,436 women, accounting for 56 percent of adult patients seen by RMS humanitarian missions. Dental Clinics were deployed to only two missions (Iraq and Gaza), during which they received 13,629 visits; of these, 41 percent were females (5,588 patients), 29 percent were males, and 30 percent were in the pediatric age group. Trauma accounts for only 7 percent of the cases, while nonacute dental problems (caries and gingivitis) were responsible for the majority of cases (31.6 and 28.7 percent, respectively).

Conclusion: RMS dental services during humanitarian mission deployment are a vital part of comprehensive healthcare. Women usually seek more dental care than men, with the majority of treatments for nonacute conditions. RMS experiences demonstrate the tremendous need for a well-defined preparedness plan for deployment of humanitarian missions that considers the contributions of all types of health professionals, the appropriate mobile technology to respond to emergent health risks, and a competent workforce ready and able to respond. Such preparation will require our dental education programs to develop disaster preparedness competencies to achieve the desired level of understanding.


Keywords


disaster preparedness, first responders, humanitarian missions, military medicine, women's dental health

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References


Peterson K: Reaching out to women when disaster strikes. Soroptimist International of the Americas White Paper: Disasters, 2006. Available at https://www.soroptimist.org/whitepapers/whitepaperdocs/wpreachingwomendisaster.pdf. Accessed July 24, 2016.

Ikeda K: Gender differences in human loss and vulnerability in natural disasters: A case study from Bangladesh’. Indian J Gender Stud. 1995; 2: 171-193.

Pirard P, Vandentorren S, Pascal M, et al.: Summary of the mortality impact assessment of the 2003 heat wave in France. Euro Surveillance. 2005; 10(7): 554.

Barbara G, Hartmann H, Jones-DeWeever A, et al.: The Women of New Orleans and the Gulf Coast: Multiple Disadvantages and Key Assets for Recovery. Part 1. Poverty, Race, Gender, and Class. Washington, DC: Institute for Women's Policy Research, 2005. Available at http://www.iwpr.org/pdf/D464.pdf. Accessed July 24, 2016.

Janssen JA, Lampiris LN: Disaster response in Illinois: The role for dentists and dental hygienists. Dent Clin North Am. 2007; 51(4): 779-784.

Mosca NG 1, Finn E, Joskow R: Dental care as a vital service response for disaster victims. J Health Care Poor Underserved. 2007; 18(2): 262-270.

Al-Odwan F, Wreikat S: Women's health aspect in humanitarian missions and disasters: Jordanian Royal Medical Services Experience. Middle East J Family Med. 2015; 13(1): 20-23.

Singh G, Singh S, Sharma S, et al.: Role of dentists in disaster response-A brief review. Int J Contemp Dent. 2011; 2(3): 46-50.

Palmer I: ABC of conflict and disaster. Psychological aspects of providing medical humanitarian aid. BMJ. 2005; 331: 152-154.

Chaffin J 1, Spadaro S, Pirofsky T: The army goes rolling along…. Maximizing care through dental assistant expanded functions in a humanitarian mission. Dent Assist. 2003; 72(3): 28-33.

Halpern LR, Kaste LM, Briggs C, et al.: Women's oral health: Growing evidence for enhancing perspectives. Dent Clin. 2013; 57(2): xv-xxviii.

Lukacs JR: Gender differences in oral health in South Asia: Metadata imply multifactorial biological and cultural causes. Am J Hum Biol. 2011; 23(3): 398-411.

Kent JA, Patel V, Varela NA: Gender disparities in health care. Mt Sinai J Med. 2012; 79(5): 555-559.

Wang L, Wei JH, He LS, et al.: Dentist's role in treating facial injuries sustained in the 2008 earthquake in China, How Dental professionals can contribute to emergency response. J Am Dent Assoc. 2009; 140(5): 543-549.

More FG, Phelan J, Boylan R, et al.: Predoctoral dental school curriculum for catastrophe preparedness. J Dent Educ. 2004; 68: 851-858.

Glotzer DL, More FG, Phelan J, et al.: Introducing a senior course on catastrophe preparedness into the dental school curriculum. J Dent Educ. 2006; 70(3): 225-230.

Hermsen K, Johnson J: A model for forensic dental education in the predoctoral dental school curriculum. J Dent Educ. 2012; 76(5): 553-561.

Psoter WJ, Herman NG, More FG, et al.: Proposed educational objectives for hospital-based dentists during catastrophic events and disaster response. J Dent Educ. 2006; 70(8): 835-843.




DOI: https://doi.org/10.5055/ajdm.2016.0223

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