Epidemiology of Genocide: An Example from the Former Yugoslavia

There are multiple factors for the advent of war, and in the former Yugoslavia and Rwanda nationalistic goals and political control were used to justify the genocide of thousands of individuals, mainly males of battle age, between sixteen to sixty years of age. War and genocide have detrimental effects on population health due to population displacement, food shortages, and the decline of health services. The skeletal remains of victims from Srebrenica, Bosnia, were analyzed for pathological conditions to assess general health and were compared with other countries that have experienced genocide to evaluate health issues in various parts of the world. Approximately 35% of the skeletal sample shows evidence of congenital and pathological conditions that may be population specific, which indicates that declining health was prevalent before the war, especially prenatal requirements for expectant mothers. In addition, data on general health from Rwandan and former Yugoslavian refugees showed a prevalence of acquired pathologies, mainly AIDS, while Bosnian and Herzegovinian refugees showed an increase in tuberculosis and heart diseases after the war. The skeletal and clinical research details the health problems that existed before and after the wars/genocide, and shed light on the current health problems that still need to be addressed. Marginalized and vulnerable groups, such as victims of genocide, need immediate action to prevent morbidity and mortality in the future. This study may be the first to outline the health status of victims of genocide and identify group marginalization as a path to genocide.