1 / 28

Syrian Refugees: Clinical and Policy Update

Stay informed about the health systems, challenges, and policy changes affecting Syrian refugees. Get updates on access to healthcare, immunization rates, mental health support, and more.

ckeener
Download Presentation

Syrian Refugees: Clinical and Policy Update

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Syrian refugeesClinical and policy updateRefugee Health Fellow ProgramMay 2017 – do not use after April 2018

  2. http://data.unhcr.org/syrianrefugees/regional.php

  3. http://www.abc.net.au/news/2015-03-13/magnitude-of-syrian-conflict-will-impact-world/6311090http://www.abc.net.au/news/2015-03-13/magnitude-of-syrian-conflict-will-impact-world/6311090

  4. http://static.businessinsider.com/image/55f2f958bd86ef1c008b9ab9/image.jpghttp://static.businessinsider.com/image/55f2f958bd86ef1c008b9ab9/image.jpg

  5. http://www.unhcr.org/pages/49c3646c25d/gallery-503f73856.htmlhttp://www.unhcr.org/pages/49c3646c25d/gallery-503f73856.html

  6. http://www.nytimes.com/2015/09/02/world/europe/keleti-train-station-budapest-migrant-crisis.htmlhttp://www.nytimes.com/2015/09/02/world/europe/keleti-train-station-budapest-migrant-crisis.html

  7. http://www.telegraph.co.uk/news/worldnews/europe/germany/11861966/Germany-to-reinstate-border-controls-as-country-struggles-with-influx-of-refugees-live.htmlhttp://www.telegraph.co.uk/news/worldnews/europe/germany/11861966/Germany-to-reinstate-border-controls-as-country-struggles-with-influx-of-refugees-live.html

  8. http://edition.cnn.com/2014/03/14/sport/football/zaatari-refugee-camp/http://edition.cnn.com/2014/03/14/sport/football/zaatari-refugee-camp/

  9. http://ngm.nationalgeographic.com/2015/03/syrian-refugees/stanmeyer-photography#/16-rain-over-refugee-camp-670.jpghttp://ngm.nationalgeographic.com/2015/03/syrian-refugees/stanmeyer-photography#/16-rain-over-refugee-camp-670.jpg

  10. Syrian health systems • 64% public hospitals out of service • 60-70% reduction pharmaceutical production • >50% doctors have left (>70% in parts) • Immunisation • 95% 2010 -> 41% in 2015 • FASSTT organisations – mental health poor

  11. Polio

  12. Chemical weapons & Attacks on hospitals

  13. http://blog.id.com.au/2015/population/australian-demographic-trends/the-syrian-community-in-australia/http://blog.id.com.au/2015/population/australian-demographic-trends/the-syrian-community-in-australia/

  14. Syrian arrivals 2011-2015

  15. REFUGEE APPLICANT OFFSHORE ORPHAN RELATIVE ONSHORE 837 OFFSHORE 117 ONSHORE HUMANITARIAN ENTRANT ASYLUM SEEKER AIR ARRIVALS* ‘ILLEGAL’/UNAUTHORISED/IRREGULAR MARITIME ARRIVALS

  16. REFUGEE APPLICANT OFFSHORE ORPHAN RELATIVE ONSHORE 837 OFFSHORE 117 ONSHORE ASYLUM SEEKER HUMANITARIAN ENTRANT 1) IME (MANDATED) 2) DHC (VOLUNTARY) 3) POST-ARRIVAL (VOL) 1) IME OFFSHORE 2) POST-ARRIVAL -NO PROCESS 1) DETENTION HEALTH 2) POST-RELEASE (VOL) 3) IME AT VISA GRANT

  17. Pre-departure health screen (offshore) Immigration Medical Exam - all (Compulsory, 3–12 m prior to travel) Hx/Exam TB screen 2-10y CXR ≥ 11y HIV ≥ 15y FWTU ≥ 5 yrs HBsAg (preg/URM/HCW) HCV (HCW) Syphilis (Humanitarian) ly) DHC - Humanitarian (Voluntary – 3 d prior to travel) Exam, parasite check Malaria RDT and Rx if positive (location) CXR and HIV if PHx TB Albendazole ≥ 1 y MMR 9m – 54y +/- YF vaccine +/- Polio vaccine Ax local conditions +/- Repeat IME Syrian cohorts Combined IME and DHC Hx/Exam TB screen 2-10 y CXR ≥ 11 y HIV ≥ 15 y HBsAg FWTU ≥ 5 y Albendazole Full 1st dose catch-up immunisations Mental health screen Development screen (<5 y) Character requirement AUSCO Outcomes +/- Visa Alert (Red. General) Health Undertaking +/- delay travel Outcomes Fitness to fly assessment Alert (Red, General) +/- Health Undertaking Australia Post arrival health screening Voluntary

  18. Key points • Major changes – asylum and offshore space • Changes – offshore and onshore screening • Access to health care varies depending on pathway • Vic policy - equity • Do not assume screening or follow-up • Large numbers of new arrivals • Combination of SHEVs and Syrian cohorts • Refugee health = regional issue • Complex physical and mental health issues • Uncertainty and trauma = key drivers • Child health = key

More Related