Medicine, conflict, and survival
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This article initially examines the moral dilemmas of war from personal and family experience, from the perspective of a family doctor trained to preserve life and a member of the peace movement. It then explores Just War from religious viewpoints and the challenges to pacifism from those living in war zones, and from human rights and human security perspectives. It concludes that the Responsibility to Protect reflects sound medical principles balancing the need to make war an extreme last resort with the responsibility of the international community to assist those unable to defend themselves.
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Research into the mental health needs of asylum seekers and refugees has revealed that they are likely to experience poorer mental health as well as higher levels of exclusion and vulnerability than native populations. This paper reports on data drawn from semi-structured interviews of 21 refugees and asylum seekers that describe the complexity experienced by those living in exile, and the necessity for a more integrated and holistic approach in the planning and delivery of services to support mental health. Incorporating a perspective from service users will encourage providers to take account of the multitude of practical, social, cultural, economic and legal difficulties that can influence the long-term mental health of this population. The implications highlight a need to shift from a simple biomedical model of the causes and effects of ill-health to a social model, which will require reorganisation not only in healthcare but in welfare, housing, employment and immigration policy.
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Medical education and health care in Iraqi Kurdistan were oppressed by the regime of Saddam Hussein for four decades. There have been efforts to revive them by Kurdish and non-Kurdish professionals in and outside Kurdistan with the assistance of various governmental and non-governmental organisations. However, the health care and medical education systems in Iraqi Kurdistan require ongoing international support. Recent global awareness of the war on terror and attempts to rebuild the health care system should not concentrate only on the immediate effects of the war, but they should also focus on the wide-ranging implications of the previous dictatorship regime.