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https://www.readbyqxmd.com/read/28511638/screening-for-tuberculosis-in-an-urban-shelter-for-homeless-in-switzerland-a-prospective-study
#1
Jean-Paul Janssens, Timothee Wuillemin, Dan Adler, Yves Jackson
BACKGROUND: Whereas high risk groups such as asylum seekers are systematically screened for active tuberculosis (TB) upon entry in Switzerland, this strategy does not apply to homeless persons despite a reported high risk. Geneva health and social authorities implemented an intersectoral project to screen for active TB in homeless persons. We aimed to assess acceptability of this program and prevalence of active TB in this group. METHODS: This prospective study targeted all homeless adults registering for shelter accommodation in Geneva during winter 2015...
May 16, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28507893/delayed-diagnosis-of-severe-tuberculous-spondylodiscitis-in-an-asylum-seeker-patient-or-doctors-delay
#2
Kristina Langholz Kristensen, Daria Podlekareva, Pernille Ravn
The still increasing global migration affects the epidemiology of tuberculosis (TB) in European countries. We present the case of an asylum seeker from a TB high-endemic country, who presented with severe TB spondylodiscitis and need for emergency surgery. The patient had a history of recurrent sterile axillary and perianal abscesses for years, but TB was never properly ruled out. The patient underwent surgery, responded well to antibiotics and regained the ability to walk. After 6 month of treatment the patient was lost to follow-up...
2017: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/28501717/assisting-asylum-seekers-in-a-time-of-global-forced-displacement-five%C3%A2-clinical-cases
#3
Katherine C McKenzie, Arielle Thomas
According to the United Nations High Commissioner on Refugees, over 65 million people were displaced from their homes due to conflict and persecution in 2015. Many physicians express an interest in human rights and a desire to assist this group of refugees and asylum seekers. Physicians are able to use their unique skills by performing medical forensic evaluations of individuals seeking asylum. Some asylum seekers have psychological or physical scars or functional abnormalities relating to injuries or ill-treatment they experience due to persecution...
April 25, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28492419/seroprevalence-of-antibodies-and-antigens-against-hepatitis-a-e-viruses-in-refugees-and-asylum-seekers-in-germany-in-2015
#4
Alexandra Jablonka, Philipp Solbach, Michael Wöbse, Michael P Manns, Reinhold E Schmidt, Heiner Wedemeyer, Markus Cornberg, Georg M N Behrens, Svenja Hardtke
BACKGROUND: Migration because of miscellaneous political crises in countries in the Middle East and Africa is a global challenge for whole Europe from an economic, social, and public health view. There is an urgent need to generate comprehensive, evidence-based data to expedite further screening and vaccination strategies. METHODS: A total of 604 individuals ranging in age from 2 to 68 years who enrolled at a single reception center were tested for the prevalence of serologic markers for hepatitis virus types A, B, C, D, and E (HAV, HBV, HCV, HDV, HEV), respectively...
May 10, 2017: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28487305/a-rohingya-refugee-s-journey-in-australia-and-the-barriers-to-accessing-healthcare
#5
Manasi Jiwrajka, Ahmad Mahmoud, Maneeta Uppal
Australia's processing of some asylum seekers on offshore detention centres has recently been brought to light by human rights organisation. While the internal politics of resettling refugees may be complex, Australia remains in the top five countries for resettlement per capita. However, these refugees remain a vulnerable patient population after immigrating. Refugee women, an understudied group, in particular experience higher adverse health outcomes.In this case report, we follow the medical journey of KB, a 38-year-old Rohingya refugee diagnosed with type 2 diabetes mellitus-the crux of all her health issues...
May 9, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28485908/-the-written-nursing-reports-of-the-asylum-paolo-pini-of-milan-from-1944-to-1947
#6
Marina Negri, Vanna Marchesini, Silvio De Valerio, Emiliana Soro
INTRODUCTION: The work provides the analysis of the nursing reports written by the nursing staff on duty at the asylum "Paolo Pini" from 1944 to 1947. OBJECTIVE: description of the nursing report evolution, analyses of the quantitative and qualitative matters. Study of the evolution of the records: enhancement of the description of the patient, integration between medical and nursing assistance, assumption of responsi- bility (for instance through the signature)...
January 2017: Professioni Infermieristiche
https://www.readbyqxmd.com/read/28485636/a-systematic-review-of-psychosocial-interventions-for-adult-refugees-and-asylum-seekers
#7
Rachel H Tribe, Kyra-Verena Sendt, Derek K Tracy
BACKGROUND: Europe is in the midst of the largest refugee migration since the Second World War; there is an urgent need to provide an updated systematic review of the current best evidence for managing mental distress in refugee populations. AIMS: The aim of this review is to provide an exhaustive summary of the current literature on psychosocial interventions, both trauma- and non-trauma-focused, for refugee populations experiencing post-traumatic stress disorder (PTSD), depressive or anxiety symptoms...
May 9, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28482956/tuberculosis-in-migrants-in-low-incidence-countries-epidemiology-and-intervention-entry-points
#8
K Lönnroth, Z Mor, C Erkens, J Bruchfeld, R R Nathavitharana, M J van der Werf, C Lange
As tuberculosis (TB) rates continue to decline in native populations in most low TB incidence countries, the proportion of TB patients born outside their country of residence ('foreign-born') increases. Some low-incidence countries have experienced a substantial increase in TB rates related to recent increases in the number of asylum seekers and other migrants from TB-endemic countries. However, average TB rates among the foreign-born in low-incidence countries declined moderately in 2009-2015. TB in foreign-born individuals is commonly the result of reactivation of latent infection with Mycobacterium tuberculosis acquired outside the host country...
June 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28468544/-shrouded-in-a-dark-fog-comparison-of-the-diagnosis-of-pellagra-in-venice-and-general-paralysis-of-the-insane-in-the-united-kingdom-1840-1900
#9
Egidio Priani
The debate on the causes and the nature of pellagra in Italy during the nineteenth century resembles and evokes the similar debate on General Paralysis of the Insane (GPI) that was growing at the same time in the United Kingdom. Pellagra and GPI had a massive and virulent impact on the populations of Italy and the UK, respectively, and contributed to a great extent to the increase and overcrowding of the asylum populations in these countries. This article compares the two illnesses by examining the features of their nosographic positioning, aetiology and pathogenesis...
June 2017: History of Psychiatry
https://www.readbyqxmd.com/read/28464706/intentional-strengths-interviewing-in-occupational-justice-research
#10
Emma Crawford, Merrill June Turpin
BACKGROUND: Occupational justice research can generate knowledge about societal conditions that support participation in meaningful occupations. This is useful because occupational therapy's human rights goal is to create societal conditions that are conducive to occupational engagement. Participants in this research field are likely to be vulnerable and need special ethical considerations. However, no model exists to support ethical considerations for vulnerable participants in occupational justice research...
May 2, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28452652/health-equity-and-migrants-in-the-greater-mekong-subregion
#11
Celia McMichael, Judith Healy
BACKGROUND: Migrant health is receiving increasing international attention, reflecting recognition of the health inequities experienced among many migrant populations and the need for health systems to adapt to diverse migrant populations. In the Greater Mekong Subregion (GMS) there is increasing migration associated with uneven economic integration and growth, socio-economic vulnerabilities, and disparities between countries. There has been limited progress, however, in improving migrant access to health services in the Subregion...
2017: Global Health Action
https://www.readbyqxmd.com/read/28451440/microbiological-screenings-for-infection-control-in-unaccompanied-minor-refugees-the-german-armed-forces-medical-service-s-experience
#12
Winfried Maaßen, Dorothea Wiemer, Claudia Frey, Christina Kreuzberg, Egbert Tannich, Rebecca Hinz, Andreas Wille, Andreas Fritsch, Ralf Matthias Hagen, Hagen Frickmann
BACKGROUND: The German Military Medical Service contributed to the medical screening of unaccompanied minor refugees (UMRs) coming to Germany in 2014 and 2015. In this study, a broad range of diagnostic procedures was applied to identify microorganisms with clinical or public health significance. Previously, those tests had only been used to screen soldiers returning from tropical deployments. This instance is the first time the approach has been studied in a humanitarian context. METHODS: The offered screenings included blood cell counts, hepatitis B serology and microscopy of the stool to look for protozoa and worm eggs as well as PCR from stool samples targeting pathogenic bacteria, protozoa and helminths...
2017: Military Medical Research
https://www.readbyqxmd.com/read/28444629/stress-measured-by-allostatic-load-score-varies-by-reason-for-immigration-the-africans-in-america-study
#13
Jean N Utumatwishima, Rafeal L Baker, Brianna A Bingham, Stephanie T Chung, David Berrigan, Anne E Sumner
OBJECTIVE: Reason for immigration as a biological stress has not been studied in Africans. Our goal was to determine in African immigrants, if biological stress measured by allostatic load score (ALS) varies by reason for immigration. METHODS: Using an ALS which had been previously developed with the National Health and Nutrition Examination Survey (NHANES) data to assess stress due to racism and nativity, ALS was calculated in 85 African immigrants (67% male, age 42 ± 10 years)...
April 25, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28442750/hepatitis-a-virus-infections-and-outbreaks-in-asylum-seekers-arriving-to-germany-september-2015-to-march-2016
#14
Kai Michaelis, Jürgen J Wenzel, Klaus Stark, Mirko Faber
From September 2015 to March 2016, hepatitis A notifications in Germany increased by 45% to 699 cases compared to 482 cases in the same period of the previous year. Children aged five to nine years were predominantly affected (22% of all cases in this period). We hypothesized that this increase could be explained by the marked influx of asylum seekers in this time period. We analysed national surveillance data and estimated the number of imported and autochthonous hepatitis A cases in asylum seekers. We also investigated molecular signatures of hepatitis A viruses sampled from asylum seekers to identify chains of transmission...
April 26, 2017: Emerging Microbes & Infections
https://www.readbyqxmd.com/read/28441421/high-prevalence-of-mrsa-and-esbl-among-asylum-seekers-in-the-netherlands
#15
Sofanne J Ravensbergen, Matthijs Berends, Ymkje Stienstra, Alewijn Ott
Migration is one of the risk factors for the spread of multidrug-resistant organisms (MDRO). The increasing influx of migrants challenges local health care systems. To provide evidence for both hospital hygiene measure and empirical antibiotic therapy, we analysed all cultures performed in asylum seekers between January 1st 2014 and December 31st 2015 for methicillin resistant Staphylococcus aureus (MRSA) and for multidrug-resistant Enterobacteriaceae (MDRE). We compared these with cultures from the Dutch patient population with risk factors for carriage of MDRO...
2017: PloS One
https://www.readbyqxmd.com/read/28441361/immunization-strategies-targeting-newly-arrived-migrants-in-non-eu-countries-of-the-mediterranean-basin-and-black-sea
#16
Cristina Giambi, Martina Del Manso, Maria Grazia Dente, Christian Napoli, Carmen Montaño-Remacha, Flavia Riccardo, Silvia Declich, Network For The Control Of Cross-Border Health Threats In The Mediterranean Basin And Black Sea For The ProVacMed Project
Background: The World Health Organization recommends that host countries ensure appropriate vaccinations to refugees, asylum seekers and migrants. However, information on vaccination strategies targeting migrants in host countries is limited. Methods: In 2015-2016 we carried out a survey among national experts from governmental bodies of 15 non-EU countries of the Mediterranean and Black Sea in order to document and share national vaccination strategies targeting newly arrived migrants. Results: Four countries reported having regulations/procedures supporting the immunization of migrants at national level, one at sub-national level and three only targeting specific population groups...
April 25, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28425000/medical-care-screening-and-regularization-of-sub-saharan-irregular-migrants-affected-by-hepatitis-b-in-france-and-italy
#17
Cecilia Santilli
Both in France and in Italy hepatitis B is present mostly among the migrant population coming from sub-Saharan Africa and mainly among those migrants having a poor socio-economic background. This article is aimed at assaying the impact of public policies adopted by France and Italy for migrants' health on the treatment of migrants with HBV. The article is based on semi-structured interviews conducted with 30 immigrant adults taken into care by two associations dealing with medical, psychological and social issues of immigrants applying for a residence permit, mainly asylum seekers...
April 20, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28415921/intimate-strangers-eritrean-male-asylum-seekers-perceptions-of-marriage-and-sexuality
#18
Lior Birger, Einat Peled
This study examined perceptions of marriage and sexuality among male asylum seekers from Eritrea. Semi-structured in-depth interviews were conducted with 14 men living in Israel. Their perceptions of marriage and sexuality were found to be influenced by their life as asylum seekers, and particularly by their encounter with a different culture, by their lack of legal status, and by the marked numerical imbalance between women and men within their community. Changes in their perceptions occurred after their arrival in Israel, and included greater relaxing of social codes and the transition from a relatively 'closed' sexual mindset to a more 'open' one...
April 18, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28412641/the-gap-between-entitlement-and-access-to-healthcare-an-analysis-of-candidacy-in-the-help-seeking-trajectories-of-asylum-seekers-in-montreal
#19
Liana E Chase, Janet Cleveland, Jesse Beatson, Cécile Rousseau
In 2012 the Canadian government made significant cuts to its historically strong federal refugee health coverage plan. While this policy had negligible effects on the level of coverage provided to asylum seekers in Quebec, there is evidence that this group nonetheless experienced reduced healthcare access during the period of polarized national debate that ensued. This study engaged the "candidacy" model of healthcare access to illuminate factors contributing to the observed gap between entitlement and access...
June 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28403765/the-australasian-society-for-infectious-diseases-and-refugee-health-network-of-australia-recommendations-for-health-assessment-for-people-from-refugee-like-backgrounds-an-abridged-outline
#20
Nadia J Chaves, Georgia A Paxton, Beverley-Ann Biggs, Aesen Thambiran, Joanne Gardiner, Jan Williams, Mitchell M Smith, Joshua S Davis
In 2009, the Australasian Society of Infectious Diseases published guidelines on the post-arrival health assessment of recently arrived refugees. Since then, the number of refugees and asylum seekers reaching Australia has increased substantially (17 555 refugees in 2015-16) and the countries of origin have changed. These groups are likely to have had poor access to health care pre-arrival and, consequently, are at risk of a range of chronic and infectious diseases. We established an advisory group that included infectious diseases physicians, general practitioners, public health specialists, paediatricians and refugee health nurses to update the 2009 guidelines...
April 17, 2017: Medical Journal of Australia
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