Economic breakdown within conflict-afflicted states makes some countries among the poorest in the world, with approximately a third being defined as low-income (gross national income per capita hope that the evidence laid out in the article will stimulate research and â more importantly â contribute to the discussion of the costs of war particularly in the longer-term in post-conflict situations in which interventions need to be sustained and adapted over many years.Ĭonflicts or wars, as defined by the World Health Organization a, are becoming increasingly complex and involve multiple state and non-state actors. We summarize many instances in which the effects of war can propagate across generations. We discuss the multiplicative effects of ongoing conflict when hostilities are prolonged. Conflict-driven harms are transmitted through a complex permissive environment that includes biological, cultural and economic factors, and feedback loops between sources of harm and weaknesses in individual and societal resilience to them. Looking first at the nature and effects of exposures during conflict, and then at the potential routes through which harm may propagate within families, we consider the intergenerational effects of four features of conflict: violence, challenges to mental health, infection and malnutrition. Less considered are its consequences across generations and potential harms to the health of children yet to be born. The short- and medium-term effects of conflict on population health are reasonably well documented.
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