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Health Concerns in
  Refugee Camps
 By Katherine MacGregor, Rachel Ding, Rachel
            Rodrigo, and Jill Rankin
Communicable
Diseases in Refugee
 Camps in East
      Africa
      By Jill Rankin
Acute Respiratory
         Infections (ARI)
• At risk because of overcrowding, suboptimal living
  conditions, and malnutrition.

• High infection rate among children under 5

• Viral infections can cause chronic asthma

• Respiratory syncytial virus (RSV) and adenovirus ( Adv)

• Pneumonia

• People in camps more at risk because of the camp
  system.
Malaria
• Caused by infected mosquitos who carry a
  parasite called Plasmodium and bite the host.
• Two thirds of worlds refugees are living in
  malaria endemic regions
• Women and children most at risk
• Significant cause of mortality and morbidity
  among refugees
• Solution- prevent infection by use of mosquito
  nets and mosquito repellent with deet.
Diarrheal diseases
• Cholera
• Dysentery
• Result from?
• Accounted for 40% of deaths in acute phase of
  emergency in these camps.
• Source of infection: polluted water
  sources, contamination of water during transport and
  storage, scarcity of soap, shared cooking
  pots, contaminated foods.
• 60% from Cholera and 40% caused by shigella
  dysentery.
Measles
• Often endemics occur because of emergencies

• Overcrowding causes fast transmission

• Frequency of severe measles higher in
  malnourished children

• Blindness occurs because of vitamin A deficiency
Non-Communicable
Diseases in Refugee
      Camps
      By Rachel Rodrigo
School of Thought
• Change in Global Understanding
  • View and treatment

• Change in Global Health Regulation
  • Adjust World Health Organization
  • United Nations Policy
  • What are the limitations of this policy?
    • Why?
    • How can they change?
Chronic Disease
• Lack of knowledge
      • Heavy usage of tobacco

• Lack of treatment options (resources)

• Types
  •   PPD
  •   Hepatitis B
  •   Heart Disease
  •   New disease spreading with ‘globalization’ and
      ‘development’
Plan of Action
• Education
  • For both recipients & doctors
    • Severity
    • Treatment
    • Precautions

• Change in Global View
  • Policy Changes
  • Health Changes
Psychosocial/Ment
al Health Concerns
 in Refugee Camps
      By Rachel Ding
Why Address Mental Health?

• National indicators & Personal accounts
  • Attest to the significance of mental health
    issues

• Psychosocial needs
  • Basic emotional and relational needs
• Mental health’s relation to physical health
  • Psychiatric distress affects physical well-
    being
Underlying Causes & Effects
    of Mental Health Issues
• Causes
  • War trauma, Post-traumatic stress, Depression
  • Struggle to process memories of
    war, violence, family tragedies, etc.
  • Psychiatric distress especially among youth

• Effects
  • Intra- and inter-community conflicts
  • Stagnation
    • From the individual to community level
Gaps & Limitations in
 Mental Healthcare Delivery
• Scant availability of services
  • Scarcity of mental health workers available for aid

• Limited uptake of services
  • Due to social stigmas associated with mental illness

• Predetermined coping strategies
  • Silence, stoicism and suppression
  • Keep many in stagnation
Approaches to
      Addressing Mental
           Illness
• Contextualizing mental issues
  • Socially & Culturally

• Performing psychosocial needs assessments
  • Ex. Cairo, Egypt

• Classroom-based group intervention programs
  • Ex. Trauma Center based out of Boston, MA
Solutions to Health
Concerns in Refugee
      Camps
     By Katherine MacGregor
Structural Issues
• Education
  • Teaching good habits etc.
  • Making people aware of health threats

• Sanitation and hygiene
  • Keeping disease from spreading
  • Access to clean water

• Malnutrition, malnourishment, dehydration
  • Building habitants’ immunity so they can avoid and
    combat disease
Immunization
• Proactivity to problems
  • Getting people immunized before disease
    impacts habitants of camp

• Reactivity to problem
  • Immunizations in the face on oncoming
    epidemic

• Issue: Patient health records
  • Tracking who has been immunized and who
    hasn’t been (and against what)
Distribution of Resources
• Equity issues
  • Who should be given health aid?
  • Who get immunized?
  • How to make sure everyone who needs aid is
    getting it (i.e. marginalized groups)

• Logistics
  • Difference between emergency situations and long
    term situations
  • How to distribute aid amongst a group of transient
    people?
The End
 Thank-you!

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Health concerns in refugee camps group one presentation

  • 1. Health Concerns in Refugee Camps By Katherine MacGregor, Rachel Ding, Rachel Rodrigo, and Jill Rankin
  • 2. Communicable Diseases in Refugee Camps in East Africa By Jill Rankin
  • 3. Acute Respiratory Infections (ARI) • At risk because of overcrowding, suboptimal living conditions, and malnutrition. • High infection rate among children under 5 • Viral infections can cause chronic asthma • Respiratory syncytial virus (RSV) and adenovirus ( Adv) • Pneumonia • People in camps more at risk because of the camp system.
  • 4. Malaria • Caused by infected mosquitos who carry a parasite called Plasmodium and bite the host. • Two thirds of worlds refugees are living in malaria endemic regions • Women and children most at risk • Significant cause of mortality and morbidity among refugees • Solution- prevent infection by use of mosquito nets and mosquito repellent with deet.
  • 5. Diarrheal diseases • Cholera • Dysentery • Result from? • Accounted for 40% of deaths in acute phase of emergency in these camps. • Source of infection: polluted water sources, contamination of water during transport and storage, scarcity of soap, shared cooking pots, contaminated foods. • 60% from Cholera and 40% caused by shigella dysentery.
  • 6. Measles • Often endemics occur because of emergencies • Overcrowding causes fast transmission • Frequency of severe measles higher in malnourished children • Blindness occurs because of vitamin A deficiency
  • 7. Non-Communicable Diseases in Refugee Camps By Rachel Rodrigo
  • 8. School of Thought • Change in Global Understanding • View and treatment • Change in Global Health Regulation • Adjust World Health Organization • United Nations Policy • What are the limitations of this policy? • Why? • How can they change?
  • 9. Chronic Disease • Lack of knowledge • Heavy usage of tobacco • Lack of treatment options (resources) • Types • PPD • Hepatitis B • Heart Disease • New disease spreading with ‘globalization’ and ‘development’
  • 10. Plan of Action • Education • For both recipients & doctors • Severity • Treatment • Precautions • Change in Global View • Policy Changes • Health Changes
  • 11. Psychosocial/Ment al Health Concerns in Refugee Camps By Rachel Ding
  • 12. Why Address Mental Health? • National indicators & Personal accounts • Attest to the significance of mental health issues • Psychosocial needs • Basic emotional and relational needs • Mental health’s relation to physical health • Psychiatric distress affects physical well- being
  • 13. Underlying Causes & Effects of Mental Health Issues • Causes • War trauma, Post-traumatic stress, Depression • Struggle to process memories of war, violence, family tragedies, etc. • Psychiatric distress especially among youth • Effects • Intra- and inter-community conflicts • Stagnation • From the individual to community level
  • 14. Gaps & Limitations in Mental Healthcare Delivery • Scant availability of services • Scarcity of mental health workers available for aid • Limited uptake of services • Due to social stigmas associated with mental illness • Predetermined coping strategies • Silence, stoicism and suppression • Keep many in stagnation
  • 15. Approaches to Addressing Mental Illness • Contextualizing mental issues • Socially & Culturally • Performing psychosocial needs assessments • Ex. Cairo, Egypt • Classroom-based group intervention programs • Ex. Trauma Center based out of Boston, MA
  • 16. Solutions to Health Concerns in Refugee Camps By Katherine MacGregor
  • 17. Structural Issues • Education • Teaching good habits etc. • Making people aware of health threats • Sanitation and hygiene • Keeping disease from spreading • Access to clean water • Malnutrition, malnourishment, dehydration • Building habitants’ immunity so they can avoid and combat disease
  • 18. Immunization • Proactivity to problems • Getting people immunized before disease impacts habitants of camp • Reactivity to problem • Immunizations in the face on oncoming epidemic • Issue: Patient health records • Tracking who has been immunized and who hasn’t been (and against what)
  • 19. Distribution of Resources • Equity issues • Who should be given health aid? • Who get immunized? • How to make sure everyone who needs aid is getting it (i.e. marginalized groups) • Logistics • Difference between emergency situations and long term situations • How to distribute aid amongst a group of transient people?

Notes de l'éditeur

  1. The camp system of registration, food, water, and fire- wood distribution encourages crowding of large groups in small, confined spaces. In addition, malnutrition, high population density and poor shelter conditions may con- tribute to the elevated rates seen in this population.
  2. Results from inadequate quality and quantity of water, substandard and insufficient sanitation facilities, overcrowding.\\, poor hygiene, and scarcity of soap.