Northern Kosovo Research Articles

Survivors of war in the Northern Kosovo (II): baseline clinical and functional assessment and lasting effects on the health of a vulnerable population.

BackgroundThis study documents torture and injury experience and investigates emotional well-being of victims of massive violence identified during a household survey in Mitrovicë district in Kosovo. Their physical health indicators such as body mass index (BMI), handgrip strength and standing balance were also measured. A further aim is to suggest approaches for developing and monitoring rehabilitation programmes.MethodsA detailed assessment was carried out on 63 male and 62 female victims. Interviews and physical examination provided information about traumatic exposure, injuries, and intensity and frequency of pain. Emotional well-being was assessed using the "WHO-5 Well-Being" score. Height, weight, handgrip strength and standing balance performance were measured.ResultsAround 50% of victims had experienced at least two types of torture methods and reported at least two injury locations; 70% had moderate or severe pain and 92% reported constant or periodic pain within the previous two weeks. Only 10% of the victims were in paid employment. Nearly 90% of victims had experienced at least four types of emotional disturbances within the previous two weeks, and many had low scores for emotional well-being. This was found to be associated with severe pain, higher exposure to violence and human rights violations and with a low educational level, unemployment and the absence of political or social involvement.Over two thirds of victims were overweight or obese. They showed marked decline in handgrip strength and only 19 victims managed to maintain standing balance. Those who were employed or had a higher education level, who did not take anti-depressant or anxiety drugs and had better emotional well-being or no pain complaints showed better handgrip strength and standing balance.ConclusionsThe victims reported a high prevalence of severe pain and emotional disturbance. They showed high BMI and a reduced level of physical fitness. Education, employment, political and social participation were associated with emotional well-being. Interventions to promote physical activity and social participation are recommended. The results indicate that the rapid assessment procedure used here offers an adequate tool for collecting data for the monitoring of health interventions among the most vulnerable groups of a population exposed to violence.

Survivors of the war in the Northern Kosovo: violence exposure, risk factors and public health effects of an ethnic conflict.

BackgroundThe aim of this population-based study was to assess the long-lasting effects of ethnic conflict on health and well-being (with a focus on injury and persistent pain) at family and community level. We have also investigated possible risk factors for victimisation during the conflict and factors contributing to healing.MethodsWe conducted a district-level cross-sectional cluster survey of 1,115 households with a population of 6,845. Interviews were carried out in Mitrovicë district in Northern Kosovo from September to October 2008, using standardised questionnaire to collect lifetime violence exposure, lifestyle factors and health information on individual and household.ResultsEthnic Albanians made up 95% of the sample population. Crude mortality and under-five mortality rate was not high in 2008. Over 90% of families had been exposed to at least two categories of violence and human rights violations, and 493 individuals from 341 families reported torture experiences. During the two weeks before the survey, 20% of individuals had suffered physical or mental pain. There were differences in pain complaints according to gender and age, and whether people had been injured within 12 months, had lifetime exposure to violence-related injury, or had been tortured. Patterns of social and political participation in a family could affect the proportion of family members complaining of pain. The proportion of family members with pain complaints was related to a decline in the household income (coef = 9.31, 95% CI = 6.16-12.46, P < 0.001) and the fact of borrowing money (coef = 6.11, 95% CI = 2.91-9.30, P < 0.001) because of an injured person in the household. Families that were affiliated with the Kosovo Liberation Army, or had participated in a protest before or during the war, were likely to be targeted by Serbian paramilitary and law enforcement agencies.ConclusionsMitrovicë district is currently characterised by a low level of violence, but the effects of ethnic conflict on health and well-being have not gone. The level of lifetime exposure to violence, the proportion of family members reporting pain and lifetime violence-related injury, and family's financial burden were found to be inter-correlated. The sample confined to one ethnic group in one district limits the generalizability of the findings.

Serbia's Choice

Elections in Serbia in 2008 produced the first clearly pro-European government there since the murder of Prime Minister Zoran Djindic in 2003. The odd-couple coalition of Djindjic's Democratic Party and the remnants of Slobodan Milosevic's Socialist Party puts high priority on attaining EU membership. It rejects Kosovo's declaration of independence of February 2008, but it has renounced any use of force to restore Serbian sovereignty over Kosovo. The new Serbian government finally allowed the EU rule-of-law teams that are advising independent Kosovo to deploy in Serb-majority northern Kosovo in December 2008 and is working with them to squeeze out old ultranationalist party bosses and smugglers. Its actions suggest a fallback of seeking de facto partition of northern Kosovo from Albanian-majority heartland Kosovo. Belgrade is barred from EU membership until find finds and arrests Ratko Mladic, commander of Serb troops at the Srebrenica massacre of almost 8,000 unarmed Bosniak men and boys in 1995.

Dickite and kaolinite in the Pb-Zn-Ag sulphide deposits of northern Kosovo (Trepča and Crnac)

AbstractAlteration minerals dickite and kaolinite were detected in two hydrothermal Pb-Zn-Ag sulphide deposits in the northern Kosovo region. Dickite is associated with skarn mineralization in the Trepča (Stari Trg) deposit and kaolinite occurs in vein sulphide parageneses in the Crnac deposit. The mineralogical characteristics of dickite and kaolinite were determined by X-ray powder diffraction, Raman spectroscopy and scanning electron microscopy with EDS detector. Fluid-inclusion microthermometry and ion chromatography of leachates provided information on theP-T-Xconditions of the genesis of dickite at Trepča. It was formed at temperatures between 290 and 330ºC and pressures between 12 and 60 MPa from a fluid with salinity in the range 6–8.5 wt.% NaCl eq. and pH &lt;5.5. Kaolinite was deposited from a fluid with minimum temperatures between 210 and 250ºC, minimum pressure of 1.7 to 3.7 MPa, and salinity between 4.6 and 5.1 wt.% NaCl eq. Both dickite and kaolinite are related to the acidic pre-mineralization phase in the deposits.

The high contents of lead in soils of northern Kosovo

A soil-based geochemical survey was carried out in an area of about 350 km 2 in northern Kosovo around the Zvečan Pb-Zn smelter. The concentrations of As, Cd, Co, Cr, Cu, Ni, Pb, Sb, Tl, Th, U, Zn were determined in 452 topsoil and 82 subsoil samples. High contents of Pb, Cd, As, Sb, Zn and Cu were found in topsoil over a vast area including the Ibar and Sitnica river valleys. The highest concentrations were usually measured close to the Zvečan smelter. In some zones, the lead contents in surface soils exceeded 5000 mg/kg. Arsenic and antimony levels were usually more than 200 and 50 mg/kg, respectively, while cadmium contents were in the range 5-20 mg/kg. South of the Zvečan area, lead, antimony and cadmium pollution was strong in the densely populated urban area of Kosovska Mitrovica and along the agricultural alluvial plain of the Sitnica River. Depending on the chemical element, the pollution extended 15-22 km north and south of the Zvečan smelter. There was a progressive decrease of heavy element concentrations with increasing distance from the smelting plant. The contents of Pb, Zn, Cu, As, Cd, Sb significantly decreased with soil depth; in fact, the pollution only affected the upper 50 cm of soil. Crops were affected by soil pollution and many food-stuffs exceeded the EU standards. Suggestions for soil remediation are given.

Moral Agency and Moral Responsibility in Humanitarian Intervention

This paper sets out a preliminary taxonomy of potential collective moral agents in humanitarian intervention, based on six recent cases involving international organisations.The settings for the cases are Northern Iraq, Somalia, Bosnia-Herzegovina,Haiti, Rwanda, and Kosovo. Attributing moral responsibility to a group actor requires first discovering whether its characteristics are enough like an individual moral agent's to support an analogy. Groups in humanitarian intervention that appear to choose between one course of action and another, and have a clear structure of leadership and a capacity to control their collective activities, meet criteria that characterise individual moral agents. If they can also distinguish between policies using the language of morality we can call them collective moral agents, and hence subject to some moral responsibilities.