Public health issues and health rendezvous for migrants from conflict zones in Ukraine: A French practice guideline - 17/06/22
Highlights |
• | Migrants fleeing Ukraine may be affected or exposed to infectious diseases, mental health disorders and chronic diseases. |
• | First, initial health and social care reception must be set up to provide emergency care and to assess immediate needs. |
• | Second, and as soon as feasible, priority measures should be ensured: vaccination catch-up, screening for post-traumatic stress disorder, tuberculosis screening, and access to health insurance coverage and care. |
• | Third, a complete “health rendezvous” must be organized within 4 months and health insurance coverage and care guaranteed beyond the initial period. |
Abstract |
Given the number of people leaving the war zone in Ukraine and arriving in France, the French high council for public health (HCSP) has drawn up a number of recommendations. The experts have taken into account the vulnerability of migrant populations, which is exacerbated by (a) promiscuity that increases the risk of exposure to infectious agents; (b) the psychological consequences of conflict, family separation and exile; (c) prevalence in Ukraine of communicable diseases such as (possibly multi-resistant) tuberculosis, HIV and HCV; (d) low vaccination coverage (risk of circulation of poliovirus) and (e) the risk of spreading infectious diseases (Covid-19, measles…). Consequently, experts recommend that priority be given to: (i) Initial (immediate) reception, which will help to provide emergency care and to assess immediate needs (psychological disorders, risk of medication breakdown and risk of infection); (ii) Other priority measures (vaccination catch-up, including vaccination against SARS-CoV-2 and mandatory vaccination for children's entry into school, screening for post-traumatic stress disorder and tuberculosis) must be implemented as soon as feasible. At this stage, it is imperative: To ensure coordination and access to information throughout the country, by providing medico-social support (opening of social rights and access to care); To digitize medical data for the purposes of traceability; To use professional interpreting and/or health facilitators, or else, if necessary, digital translation tools. (iii) Finally, experts stress the need for vigilance in terms of management, conservation of social rights and continuity of care after the initial period, and organization of a “health rendezvous” within four months of a migrant's entering the country.
Le texte complet de cet article est disponible en PDF.Keywords : Ukraine, Migrants, Screening, Vaccination, Mental health
Plan
Vol 52 - N° 4
P. 193-201 - juin 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.