Immunisation status of UK-bound refugees between January, 2018, and October, 2019: a retrospective, population-based cross-sectional study
Author/s: Anna Deal, Sally E Hayward, Alison F Crawshaw, Lucy P Goldsmith, Charles Hui, Warren Dalal, Fatima Wurie, Mary-Ann Bautista, May Antonnette Lebanan, Sweetmavourneen Agan, Farah Amin Hassan, Kolitha Wickramage, Ines Campos-Matos, Sally Hargreaves
WHO’s new Immunization Agenda 2030 places a focus on ensuring migrants and other marginalised groups are offered catch-up vaccinations across the life-course. Yet, it is not known to what extent specific groups, such as refugees, are immunised according to host country schedules, and the implications for policy and practice. We aimed to assess the immunisation coverage of UK-bound refugees undergoing International Organization for…
Diagnostic accuracy of three computer-aided detection systems for detecting pulmonary tuberculosis on chest radiography when used for screening: analysis of an international, multicenter migrants screening study
Author/s: Sifrash Meseret Gelaw, Sandra V. Kik, Morten Ruhwald, Stefano Ongarello, Tesfa Semagne Egzertegegne, Olga Gorbacheva, Christopher Gilpin, Nina Marano, Scott Lee, Christina R. Phares, Victoria Medina, Bhaskar Amatya, Claudia M. Denkinger
The aim of this study was to independently evaluate the diagnostic accuracy of three artificial intelligence (AI)-based computer aided detection (CAD) systems for detecting pulmonary tuberculosis (TB) on global migrants screening chest x-ray (CXR) cases.
Retrospective clinical data and CXR images were collected from the International Organization for Migration (IOM) pre-migration health assessment TB screening global database for US-bound migrants. A total of 2,812 participants were…Read more
Health and illness in migrants and refugees arriving in Europe: analysis of the electronic Personal Health Record system
Author/s: Dominik Zenner, Ana Requena Méndez, Steffen Schillinger, Elena Val, Kolitha Wickramage
The electronic Personal Health Record (ePHR) is a health information system that registers health data on newly arriving migrants and was implemented in eight European countries (Bulgaria, Croatia, Cyprus, Greece, Italy, Romania, Serbia and Slovenia). This is a cross-sectional study aimed to describe the health problems and health status of all migrants attended at health clinics as part of the health assessment…
This report is an annual overview of activities led and implemented by the Migration Health Division of the International Organization for Migration (IOM) in 2020, in partnership with Member States, United Nations agencies and other partners in the international community, to respond to the COVID-19 pandemic, meet the operational challenges and advance understanding of migration health, encourage socioeconomic development through migration, and work towards ensuring respect of the human…Read more
This issue of the Bulletin features peer-reviewed articles, book chapters, reports, and commentaries focusing on some of IOM’s migration health programmes such as mental health and psychosocial support, vaccination, tuberculosis screening, and public health emergency management.
Two interviews are included in the current episode of the audio podcast: one on the vaccination programme for US-bound refugees globally and the other on migration health governance in Africa.
Restrictions on international travel, in-country movement limitations imposed by host governments, temporary cessation of visa application centers, and general safety considerations have resulted in the temporary suspension of many IOM's routine pre-migration health activities at the instruction of host governments or the recommendations of United Nations Resident Coordinators. As a result, IOM has begun adjusting its programming and engaging in discussions with its member states regarding…Read more
Prevalence of Malaria Parasite Infections among U.S.-Bound Congolese Refugees with and without Splenomegaly
Author/s: Moses Mwesigwa, Jessica L. Webster, Sam Lubwama Nsobya, Alexander Rowan, Mukunda Singh Basnet, Christina R. Phares, Michelle Weinberg, Alexander Klosovsky, Marwan Naoum, Philip J. Rosenthal, William Stauffer
All U.S.-bound refugees from sub-Saharan Africa receive presumptive antimalarial treatment before departing for the United States. Among U.S.-bound Congolese refugees, breakthrough malaria cases and persistent splenomegaly have been reported. In response, an enhanced malaria diagnostic program was instituted. Here, we report the prevalence of plasmodial infection among 803 U.S.-bound Congolese refugees who received enhanced diagnostics. Infections by either rapid…Read more
The Bulletin features recent publications stemming from IOM’s health-related programming globally – for instance, the migration health assessment programme and the mental health and psychosocial support program (MHPSS). Further, this issue showcases a number of publications and forums pertaining to COVID-19 at the nexus of research, health policy, and public health practice.
The audio podcast episode features an interview with IOM’s Dr. Olga Gorbacheva on the importance of following…Read more
Author/s: A Ohkado, P Douglas, D Zenner, L Kawatsu
As the proportion of foreign-born persons among TB notifications continues to rise, Japan is preparing to introduce pre-migration TB screening for those coming from selected countries, who are intending to stay for more than 90 days. It has announced that the programme will commence in 2020. In this review, the authors examine the experiences from two countries which already have years of experience in operating pre-migration TB screening, namely the United Kingdom…Read more
Clinical Sequelae Associated with Unresolved Tropical Splenomegaly in a Cohort of Recently Resettled Congolese Refugees in the United States—Multiple States, 2015–2018
Author/s: Laura Divens Zambrano, Emily Jentes, Christina Phares, Michelle Weinberg, S. Patrick Kachur, Mukunda Singh Basnet, Alexander Klosovsky, Moses Mwesigwa, Marwan Naoum, Samuel Lubwama Nsobya, Olivia Samson, Matthew Goers, Robert McDonald, Bozena Morawski, Henry Njuguna, Corey Peak, Rebecca Laws, Yasser Bakhsh, Sally Ann Iverson, Carla Bezold, Hayder Allkhenfr, Roberta Horth, Jun Yang, Susan Miller, Michael Kacka, Abby Davids, Margaret Mortimer, William Stauffer and Nina Marano
Abstract. Tropical splenomegaly is often associated with malaria and schistosomiasis. In 2014 and 2015, 145 Congolese refugees in western Uganda diagnosed with splenomegaly during pre-departure medical examinations underwent enhanced screening for various etiologies. After anecdotal reports of unresolved splenomegaly and complications after U.S. arrival, patients were reassessed to describe long-term clinical progression after arrival in the United States. Post-arrival medical information…Read more