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CONTENTS

Home (Key Points)

Chapter 1: Crises Pose Major Challenges for Reproductive Health Care

Box: Millions Need Care in Crises
Table 1. Persons of Concern to the UNHCR, January 1, 2005, by Region and by Status
Table 2. Estimates of Internally Displaced Persons (IDPs), by Region, January 1, 2005
Table 3. Natural Disasters and People Affected, January 2004 to September 2005

Box: Reducing Violence Against Women: Health Care Providers Can Help

Box: International Relief Agencies Provide Reproductive Health Care

Box: What To Do First in a Crisis

Chapter 2: Reproductive Health Care Providers Can Help
Table 4. Key Resources for Reproductive Health Care in Crisis Situations
Web Table 1. Additional Key Resources for Reproductive Health Care in Crisis Situations

Box: Minimum Initial Service Package Guides Crisis Care

Organizations with Web-Based Information on Reproductive Health Care in Crisis Situations

Bibliography

Credits

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Millions Need Care in Crises

Every year natural disasters such as earthquakes, floods, and tsunamis cost many millions of people their homes, property, means of making a living, and even their lives. Armed conflicts kill or displace millions more.1

Conflicts displace more than 40 million.
The United Nations High Commissioner for Refugees (UNHCR) estimates that, as of January 1, 2005, there were more than 19 million people “of concern to the UNHCR,” including over 9 million refugees, who had left their countries, and more than 9 million internally displaced persons, asylum seekers, returned refugees, and others (97) (see Table 1). Including Palestinian refugees and many internally displaced persons not formally categorized as “of concern to the UNHCR,” the estimated number of people dislocated by civil conflicts rises to more than 40 million (25, 86, 95) (see Table 2).

Table 1. Persons of Concern to the UNHCR, January 1, 2005, by Region and by Status

Region

Population of Concern

 

Status

Population of Concern

 

Africa
Asia
Europe
Latin America & Caribbean
North America
Oceania

4,861,000
6,900,000
4,430,000
2,071,000
853,000
82,000

 

Refugees
Asylum seekers
Returned refugees
Internally displaced persons
Others

9,237,000
839,000
1,495,000
5,426,000
2,201,000

 

Total

19,197,000

 

Total

19,197,000


Note: Totals may not equal sum due to rounding
Source: United Nations High Commissioner for Refugees 2005 (101)

Many of these people have been displaced for years. UNHCR estimated that, as of January 1, 2004, in developing countries there were 38 “protracted situations”–that is, crises involving 25,000 or more people in exile for five years or more (99).

Table 2. Estimates of Internally Displaced Persons (IDPs), by Region, January 1, 2005

Region

IDPs

Africa
Near East
Asia and the Pacific
Europe
Americas

13,200,000
2,100,000
3,300,000
3,000,000
3,700,000

Total

25,300,000


Source: Global IDP Project 2005 (25)


Table 3. Natural Disasters and People Affected, January 2004 to September 2005

Type of Disaster

Events

People Affected

Earthquakes
Wind storms
Floods
Volcanic eruptions
Tsunamis and tidal waves
Other

43
197
256
8
13
757

892,000
56,415,000
164,338,000
132,000
1,357,000
16,523,000

Total

1,274

239,657,000


Source: Center for Research on the Epidemiology of Disasters 2005 (15)

Natural disasters affect 200 million in 20 months.
From January 2004 to September 2005, natural disasters displaced, injured, or killed nearly 240 million people (see Table 3). The December 2004 tsunami alone devastated communities in 12 Asian countries and killed more than 225,000 people. Floods affected more than 33 million people in China, India, and Bangladesh during the period (15).


1) The United Nations High Commissioner for Refugees (UNHCR) provides estimates of the numbers of refugees and others displaced by conflict situations. Although no single institution has a similar role for natural disasters, the Centre for Research on the Epidemiology of Disasters (CRED) publishes data on victims of disasters obtained from a wide variety of sources (14). Data on the number of refugees are usually given in terms of prevalence–that is, the number as of a given date (often January 1st). Data on the number of victims of natural disasters are usually given in terms of incidence–that is, the total number affected in a given period, usually one year.


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