Publications Search

Use of Point-of-Care Handheld Ultrasound for Splenomegaly in United States-Bound Refugees: A Novel Technology with Far-Reaching Implications

Ultrasound (US) is an invaluable clinical tool. New point-of-care US technology holds great promise for hard-to-reach and mobile populations such as refugees. The implementation of US in unique and challenging settings has been hindered by cost, fragility of equipment, need for uninterrupted electricity, training, and difficulty in sharing data/image files impeding quality assurance. The recent development of more flexible, durable, high-quality, low-cost, handheld US technology has offered…

Immunisation status of UK-bound refugees between January, 2018, and October, 2019: a retrospective, population-based cross-sectional study

Summary

Background
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

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…

Diagnostic accuracy of chest X-ray interpretation for tuberculosis by three artificial intelligence-based software in a screening use-case: an individual patient meta-analysis of global data

Abstract

Background
Chest X-ray (CXR) screening is a useful diagnostic tool to test individuals at high risk of tuberculosis (TB), yet image interpretation requires trained human readers who are in short supply in many high TB burden countries. Therefore, CXR interpretation by computer-aided detection software (CAD) may overcome some of these challenges, but evidence of its accuracy is still limited.

We established a CXR library with images and metadata from…

Refugees, migrants, internally displaced people and COVID-19: protocol for an updated systematic review

The review protocol is in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Moher, Liberati, Tetzlaff, & Altman, 2009), and is essentially an update of the protocol (Hintermeier et al., 2020) of a previously published review on the topic (Hintermeier et al., 2021).

The search strategy is twofold. Firstly, we will use the database provided by the WHO of global literature on coronavirus disease (https://search.bvsalud.org/global-literature-on-…

Migrants on the Move and Food (In)security: A Call for Research

Abstract
Food insecurity contributes to negative outcomes for health and wellbeing, and its impact may be exacerbated during periods of vulnerability. While food insecurity is both a driver and a consequence of migration, anecdotal evidence indicates that it is also common during migration when people are ‘on the move’, although its prevalence and severity during these periods are largely undocumented. Food security monitoring is critical to ensuring the universal right to…

Adopting an ethical approach to migration health policy, practice and research

Abstract
Migration health is affected by decision-making at levels ranging from global to local, both within and beyond the health sector. These decisions impact seeking, entitlements, service delivery, policy-making, and knowledge production on migration health. It is key that ethical challenges faced by decision-makers are recognized and addressed in research and data, clinical practice, and policy making on migration health. An ethical approach can provide methods to…

Population movements, borders, and Chagas disease

Abstract

Currently, Chagas disease is a complex global health problem with local and global implications. In the present article, we approach this complexity from the perspective of human mobility and its effects on people's health in places of origin and in transit and destination. We raise key concepts such as human mobility-understood as a possible socio-structural and economic determination of health-, the associated social and institutional barriers, and the processes of social…

Migrant health is public health: a call for equitable access to COVID-19 vaccines

According to the International Organization for Migration (IOM) there are about 1 billion international and internal migrants worldwide, and the UN Refugee Agency (UNHCR) estimates that 80 million migrants are forcibly displaced. Inclusion of these populations in COVID-19 vaccination plans is essential. 

A new resource on artificial intelligence powered computer automated detection software products for tuberculosis programmes and implementers

Abstract

Recently, the number of artificial intelligence-powered computer-aided detection (CAD) products that detect tuberculosis (TB)-related abnormalities from chest X-rays (CXR) available on the market has increased. Although CXR is a relatively effective and inexpensive method for TB screening and triaging, a shortage of skilled radiologists in many high TB-burden countries limits its use. CAD technology offers a solution to this problem. Before adopting a CAD product,…