East Africa

The movement of multidrug-resistant tuberculosis across borders in East Africa needs a regional and global solution

Summary Points
• Multidrug-resistant tuberculosis (MDR TB) and other deadly infectious diseases commonly occur in states suffering from political turmoil and armed conflict.
• The same conditions that promote MDR TB and other diseases often diminish the capacity of the public health system to address these needs, leading patients to seek care in other countries.
• In East Africa, a large number of patients from Somalia with MDR TB crossed the border to Kenya seeking treatment. While the diagnostic capacity for MDR TB exists in Somalia, treatment capacity does not. 

Notes from the Field: Splenomegaly of Unknown Etiology in Congolese Refugees Applying for Resettlement to the United States - Uganda, 2015

Approximately 70,000-90,000 refugees are resettled to the United States each year, and during the next 5 years, 50,000 Congolese refugees are expected to arrive in the United States. The International Organization for Migration (IOM) performs refugee medical examinations overseas for the U.S. Refugee Resettlement Program. In 2014, IOM reported that a large number of U.S.-bound Congolese refugees from Uganda had spleens that were enlarged on examination.

Tuberculosis in migrants moving from high-incidence to low-incidence countries: a population-based cohort study of 519 955 migrants screened before entry to England, Wales, and Northern Ireland

BACKGROUND: Tuberculosis elimination in countries with a low incidence of the disease necessitates multiple interventions, including innovations in migrant screening. We examined a cohort of migrants screened for tuberculosis before entry to England, Wales, and Northern Ireland and tracked the development of disease in this group after arrival.

Improving National Preparedness and Information Management for Ebola Virus Disease Surveillance at Ugandan Points of Entry

Through IOM’s response to the West Africa EVD outbreak, the Organization developed its Health, Border and Mobility Management (HBMM) framework for empowering governments and communities to prevent, detect and respond to potential health threats along the mobility continuum (at points of origin, transit, destination and return).

Provision of Life-Saving Emergency Integrated Primary Health Care and Outbreak Response Services through Static and Mobile Clinics, and Rapid Response Teams

This project will provide life-saving emergency integrated primary health care (PHC) and outbreak response services through IOM static and mobile clinics, as well as through rapid response teams (RRT). Using SSHF support, three primary health care units (PHCU), two primary health-care centres (PHCC) and four mobile units will continue to provide the basic package of health and nutrition services to internally displaced persons (IDPs) and conflict-affected host communities in Bentiu and Wau Protection of Civilian (PoC) sites, serving a total catchment population of 90,680 beneficiaries.

Supporting HIV Testing and Treatment Services in South Sudan

Awareness raising: IOM will conduct peer to peer outreach sessions. • HIV testing and treatment: IOM will continue to provide HIV testing and treatment services through the prevention of mother to child treatment (PMTCT) programme and comprehensive HIV testing and treatment. • Integration of GBV messaging: IOM also intends to continue integrated GBV and mental health and psychosocial support (MHPSS) messages within the HIV/AIDS outreach sessions.

Ebola Virus Disease (EVD) Screening and Infection Prevention and Control (IPC) Activities

The program aims to save lives and preserve the dignity of vulnerable populations including displaced people and host communities through increased access to safe, equitable and adequate Water, Sanitation and Hygiene Promotion (WASH) services and by responding to and preventing Gender-Based Violence (GBV).

Screening and Prevention Activities to Support EVD Preparedness in South Sudan

IOM will continue to contribute towards South Sudan's preparedness for potential transmissions of EVD through screening of arrivals at POE, immediate management and reporting of suspected cases of EVD, and implementing the minimum IPC interventions in the identified priority areas. The project will contribute towards EVD preparedness efforts in South Sudan through screening and prevention activities at key POE.