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https://www.readbyqxmd.com/read/29790462/negligible-import-of-enteric-pathogens-by-newly-arrived-asylum-seekers-and-no-impact-on-incidence-of-notified-salmonella-and-shigella-infections-and-outbreaks-in-rhineland-palatinate-germany-january-2015-to-may-2016
#1
Lutz Ehlkes, Maja George, Donald Knautz, Florian Burckhardt, Klaus Jahn, Manfred Vogt, Philipp Zanger
IntroductionThe 2015 refugee crisis raised concerns about an import of infectious diseases affecting the German population. Aims: To evaluate public and individual health benefits of stool screening, and explore whether importation of enteric pathogens by newly-arrived asylum seekers impacts on the host population. Methods : We used data from mandatory stool screening to determine the overall, age, sex, and country-specific prevalence of enteric bacteria and helminths. We used surveillance data to assess whether the number of incoming asylum seekers influenced notifications of salmonellosis and shigellosis in Rhineland-Palatinate...
May 2018: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/29772813/the-rights-of-children-on-the-move-and-the-budapest-declaration
#2
Charles Oberg
It has been estimated that more than 50,000,000 children and youth have migrated across borders or been forcibly displaced within their own country. They consist of refugees, asylum seekers, internally displaced persons (IDP), economic migrants, and exploited trafficked children. They are virtually "stateless", children deprived of the protective structures of state and family that they need and deserve and unrecognized by either their country of origin or the international community. This opinion piece starts with the personal reflections of its author on his recent work in Middle East refugee camps...
May 17, 2018: Children
https://www.readbyqxmd.com/read/29757209/immunization-offer-targeting-migrants-policies-and-practices-in-italy
#3
Teresa Dalla Zuanna, Martina Del Manso, Cristina Giambi, Flavia Riccardo, Antonino Bella, Maria Grazia Caporali, Maria Grazia Dente, Silvia Declich
The unprecedented flow of migrants over the last three years places Italy in front of new issues regarding medical care from the rescue phase up to the integration into the national health services, including preventive actions. We used online questionnaires to investigate the Italian national and regional policies for immunization offer targeting asylum seekers, refugees, irregular migrants and unaccompanied minors. Another questionnaire was used to assess how these policies are translated into practice in migrant reception centres and community health services...
May 12, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29743059/enhanced-surveillance-for-tuberculosis-among-foreign-born-persons-finland-2014-2016
#4
Pirre E Räisänen, Hanna Soini, Pirjo Turtiainen, Tuula Vasankari, Petri Ruutu, J Pekka Nuorti, Outi Lyytikäinen
BACKGROUND: Tuberculosis (TB) in foreign-born residents is increasing in many European countries including Finland. We conducted enhanced TB surveillance to collect supplementary information on TB cases among recent immigrants and their children to provide data for revising TB control policies in Finland to take into account the decrease in native cases and increase in foreign-born cases. METHODS: TB cases were identified from the National Infectious Diseases Register...
May 9, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29675644/pediatrician-experienced-barriers-in-the-medical-care-for-refugee-children-in-the-netherlands
#5
A Baauw, S Rosiek, B Slattery, M Chinapaw, M Boele van Hensbroek, J B van Goudoever, J Kist-van Holthe
Pediatricians in the Netherlands have been confronted with high numbers of refugee children in their daily practice. Refugee children have been recognized as an at-risk population because they may have an increased burden of physical and mental health conditions, and their caretakers may experience barriers in gaining access to the Dutch health care system. The aim of the study was to gain insight into the barriers in the health care for refugee children perceived by pediatricians by analyzing logistical problems reported through the Dutch Pediatric Surveillance Unit, an online system where pediatricians can report predefined conditions...
April 20, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29605224/pediatric-burns-in-israeli-natives-versus-asylum-seekers-living-in-israel-lessons-learned
#6
Sivan Zissman, Matan Orgil, Oded Ben-Amotz, Eyal Gur, Ehud Arad, David Leshem
BACKGROUND: Burn injuries are one of the leading causes of morbidity and mortality in the pediatric population. In early childhood, burns have a wide range of adverse long-term consequences ranging from functional impairment to psychological implications. Children from low-income and middle-income countries are at a higher risk of suffering from burn injuries. In the last 10 years the population of asylum seekers from low-income countries in Israel has increased dramatically. About 25,000 or 60% of asylum seekers are living in the Tel Aviv area, making up roughly 6% of the city's total population (about 405,000)...
March 28, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29589578/universal-screening-for-latent-and-active-tuberculosis-tb-in-asylum-seeking-children-bochum-and-hamburg-germany-september-2015-to-november-2016
#7
Maya Mueller-Hermelink, Robin Kobbe, Benedikt Methling, Cornelius Rau, Ulf Schulze-Sturm, Isa Auer, Frank Ahrens, Folke Brinkmann
BackgroundIn Germany, the incidence of tuberculosis (TB) in children has been on the rise since 2009. High numbers of foreign-born asylum seekers have contributed considerably to the disease burden. Therefore, effective screening strategies for latent TB infection (LTBI) and active TB in asylum seeking children are needed. Aim: Our aim was to investigate the prevalence of LTBI and active TB in asylum seeking children up to 15 years of age in two geographic regions in Germany. Methods: Screening for TB was performed in children in asylum seeker reception centres by tuberculin skin test (TST) or interferon gamma release assay (IGRA)...
March 2018: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/29495563/food-insecurity-in-homeless-families-in-the-paris-region-france-results-from-the-enfams-survey
#8
Judith Martin-Fernandez, Sandrine Lioret, Cécile Vuillermoz, Pierre Chauvin, Stéphanie Vandentorren
The number of families living in shelters in the Paris region (France) has increased by a factor of three in 10 years. In 2013, a survey was performed on homeless families in order to characterize their living conditions, their health needs, and the developmental problems in children. This probability survey was conducted in 17 languages among 801 homeless families sheltered in emergency centers for asylum-seekers, emergency housing centers, social rehabilitation centers, and social hotels in the Paris region...
February 28, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29454516/immunity-against-measles-mumps-rubella-varicella-diphtheria-tetanus-polio-hepatitis-a-and-hepatitis-b-among-adult-asylum-seekers-in-the-netherlands-2016
#9
Gudrun S Freidl, Alma Tostmann, Moud Curvers, Wilhelmina L M Ruijs, Gaby Smits, Rutger Schepp, Erwin Duizer, Greet Boland, Hester de Melker, Fiona R M van der Klis, Jeannine L A Hautvast, Irene K Veldhuijzen
Asylum seekers are a vulnerable population for contracting infectious diseases. Outbreaks occur among children and adults. In the Netherlands, asylum seeker children are offered vaccination according to the National Immunization Program. Little is known about protection against vaccine-preventable diseases (VPD) in adult asylum seekers. In this 2016 study, we assessed the immunity of adult asylum seekers against nine VPD to identify groups that might benefit from additional vaccinations. We invited asylum seekers from Syria, Iran, Iraq, Afghanistan, Eritrea and Ethiopia to participate in a serosurvey...
March 14, 2018: Vaccine
https://www.readbyqxmd.com/read/29426661/national-immunization-strategies-targeting-migrants-in-six-european-countries
#10
Cristina Giambi, Martina Del Manso, Teresa Dalla Zuanna, Flavia Riccardo, Antonino Bella, Maria Grazia Caporali, Agoritsa Baka, Nuska Caks-Jager, Tanya Melillo, Ricardo Mexia, Goranka Petrović, Silvia Declich
Over the last three years an unprecedented flow of migrants arrived in Europe. There is evidence that vaccine preventable diseases have caused outbreaks in migrant holding centres. These outbreaks can be favored by a combination of factors including low immunization coverage, bad conditions that migrants face during their exhausting journey and overcrowding within holding facilities. In 2017, we conducted an online survey in Croatia, Greece, Italy, Malta, Portugal and Slovenia to explore the national immunization strategies targeting irregular migrants, refugees and asylum seekers...
February 6, 2018: Vaccine
https://www.readbyqxmd.com/read/29384742/comparisons-between-skeletal-and-dental-age-assessment-in-unaccompanied-asylum-seeking-children
#11
COMPARATIVE STUDY
S I Kvaal, M Haugen
BACKGROUND: For children with disputed date of birth, age assessments based on skeletal and dental development are recommended. AIM: The aim of this retrospective study was to compare and contrast the results of age assessments from these two methods performed on unaccompanied asylum seeking children in Norway. In addition the aim of the analysis was to see if the skeletal age assessment from hand-wrist was operator sensitive. MATERIALS AND METHODS: Age assessments performed from January 2010 to December 2014 were analysed...
December 1, 2017: Journal of Forensic Odonto-stomatology
https://www.readbyqxmd.com/read/29384740/periodontal-ligament-visibility-plv-validation-of-plv-to-determine-adult-status
#12
V S Lucas, F McDonald, M Andiappan, G Roberts
BACKGROUND: Gradual obliteration of the Periodontal Ligament Visibility (PLV) of lower third molars indicates increasing age. This is used to help determine whether or not an age disputed subject is above or below the 18 year threshold. AIM: The main focus was to determine, in test subjects of known age, whether the PLV system used 'blind' is able to reliably indicate whether the subject was a child (age < 18 years) or adult (age > 18). MATERIALS AND METHODS: A total of 250 normal subjects in the age range 16 to 26 years, from the archives of Guy's Hospital in London, UK, were used to validate the system of PLV...
December 1, 2017: Journal of Forensic Odonto-stomatology
https://www.readbyqxmd.com/read/29297206/no-jab-no-record-catch-up-vaccination-of-children-in-immigration-detention
#13
Karen M Kiang, Sonja Elia, Georgia A Paxton
International Health and Medical Services (IHMS) are contracted to provide health services, including catch-up vaccination, for individuals in immigration detention. Our audit of catch-up vaccination in asylum seeker children who spent time in held detention demonstrates inadequate and suboptimal vaccine delivery in this setting, and no evidence that IHMS recorded vaccines on the Australian Childhood Immunisation Register at the time. We also found substantial shortfalls in vaccination for these children after they were released from detention...
April 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29286012/hepatitis-a-b-c-and-hiv-seroprevalence-among-syrian-refugee-children-admitted-to-outpatient-clinics
#14
Şükran Köse, Ilker Ödemiş, Didem Çelik, Bengü Gireniz Tatar, Ilkay Akbulut, Dilek Yilmaz Çiftdoğan
Viral hepatitis is the most common cause of serious health problems such as liver cirrhosis and hepatocellular carcinoma (HCC). Leading to immunodeficiency disorders through different mechanisms, Human Immunodeficiency Virus (HIV) causes the development of severe secondary infections. Hepatitis A (HAV) is thought to spread by the faecal-oral route, while Hepatitis B (HBV), Hepatitis C (HCV) and HIV are mostly transmitted vertically during childhood. In our study, we aimed to determine the seroprevalence of HAV, HBV, HCV and HIV among Syrian refugee children who were admitted to outpatient clinics...
December 1, 2017: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29260597/a-review-of-adolescent-autobiographical-memory-and-the-implications-for-assessment-of-unaccompanied-minors-refugee-determinations
#15
Zoe Given-Wilson, Matthew Hodes, Jane Herlihy
The number of unaccompanied asylum-seeking children (UASC) is increasing, and unlike those who arrive with their parents, UASC are subject to interview to determine refugee status. The limited amount of objective evidence available in most asylum claims means that the UASC's account of their experiences often becomes key in deciding whether or not the young person is granted protection. Research indicates that assumptions about human memory influence decision-makers' views on asylum seekers' accounts; however, these do not necessarily appear to fit with the published research on autobiographical memory and may lead to an unfair decision...
April 2018: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/29260574/ghosts-tigers-and-landmines-in-the-nursery-attachment-narratives-of-loss-in-tamil-refugee-children-with-dead-or-missing-fathers
#16
Lux Ratnamohan, Sarah Mares, Derrick Silove
OBJECTIVE: To build an account of how bereaved Tamil refugee and asylum seeker children, resettled in Australia, had processed the loss of their dead or missing fathers. METHOD: Phenomenological and discourse analysis was applied to attachment narratives of nine children (aged 11-17 years) and their surviving mothers in families that lost fathers in war-related circumstances. The narratives were analysed through the lens of Crittenden's Dynamic-Maturational Model of Attachment and Adaptation (DMM) and Klass' cross-cultural model of grief...
April 2018: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/29141614/differences-in-the-prevalence-of-hospitalizations-and-utilization-of-emergency-outpatient-services-for-ambulatory-care-sensitive-conditions-between-asylum-seeking-children-and-children-of-the-general-population-a-cross-sectional-medical-records-study-2015
#17
Célina Lichtl, Thomas Lutz, Joachim Szecsenyi, Kayvan Bozorgmehr
BACKGROUND: Hospitalizations for ambulatory care sensitive (ACS) conditions are established indicators for the availability and quality of ambulatory care. We aimed to assess the differences between asylum-seeking children and children of the general population in a German city with respect to (i) the prevalence of ACS hospitalizations, and (ii) the utilization of emergency outpatient services for ACS conditions. METHODS: Using anonymous account data, all children admitted to the University Hospital Heidelberg in 2015 were included in our study...
November 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29129020/ethical-aspects-of-medical-age-assessment-in-the-asylum-process-a-swedish-perspective
#18
Erik Malmqvist, Elisabeth Furberg, Lars Sandman
According to European regulations and the legislations of individual member states, children who seek asylum have a different set of rights than adults in a similar position. To protect these rights and ensure rule of law, migration authorities are commonly required to assess the age of asylum seekers who lack reliable documentation, including through various medical methods. However, many healthcare professionals and other commentators consider medical age assessment to be ethically problematic. This paper presents a simplified and amended account of the main findings of a recent ethical analysis of medical age assessment in the asylum process commissioned by the Swedish National Board of Health and Welfare...
November 11, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29126342/-tuberculosis-among-refugees-and-asylum-seekers-tuberculosis-screening-on-arrival-and-case-management
#19
Martin Priwitzer
The statement of the Federal Association of Physicians of Public Health Services provides recommendations concerning tuberculosis screening of refugees and asylum seekers on arrival specific to different groups of persons (adults, children, pregnant women, unaccompanied minors), taking into account the legal background and the current recommendations of the Robert Koch Institute as well as of the German Society for Pediatric Infectiology. In addition, recommendations are given to ensure treatment success in refugees and asylum seekers with tuberculosis, to carry out contact investigations and for preventive treatment of latent tuberculosis infection among refugees and asylum seekers...
November 10, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29072182/social-challenges-of-contemporary-psychiatry
#20
N Bouras
Psychiatry and society are interrelated and the biopsychosocial model continues to dominate the clinical psychiatric practice. Some doubts have been expressed in recent years about the value and the wide acceptance of the biopsychosocial model. Ghaemi (2009)1 considers it to be anti-humanistic and advocates the use of less eclectic, less generic, and less vague alternatives. The fundamental changes that have been witnessed in our times across the spectrum of biology, psychology and sociology have made necessary that a conceptual clarity should prevail...
July 2017: Psychiatrikē, Psychiatriki
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