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Health assessment for migrants and asylum seekers upon arrival and while hosted in reception centres: Italian guidelines.
Tosti, Maria Elena; Marceca, Maurizio; Eugeni, Erica; D'Angelo, Franca; Geraci, Salvatore; Declich, Silvia; Della Seta, Maurella; Ferrigno, Luigina; Marrone, Rosalia; Pajno, Chiara; Pizzarelli, Scilla; Rosso, Annalisa; De Ponte, Giulia; Mirisola, Concetta; Baglio, Giovanni.
Afiliación
  • Tosti ME; National Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), Rome, Italy. Electronic address: mariaelena.tosti@iss.it.
  • Marceca M; Italian Society of Migration Medicine (Società Italiana di Medicina delle Migrazioni - SIMM), Italy; Department of Public Health and Infectious Diseases (Dipartimento di Sanità Pubblica e Malattie Infettive DSPMI), University of Rome "La Sapienza", Rome, Italy. Electronic address: maurizio.marceca@u
  • Eugeni E; National Institute for Health, Migration and Poverty (Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà INMP), Rome, Italy. Electronic address: erica.eugeni@inmp.it.
  • D'Angelo F; National Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), Rome, Italy. Electronic address: franca.dangelo@iss.it.
  • Geraci S; Italian Society of Migration Medicine (Società Italiana di Medicina delle Migrazioni - SIMM), Italy. Electronic address: s.geraci@areasanitaria.it.
  • Declich S; National Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), Rome, Italy. Electronic address: silvia.declich@iss.it.
  • Della Seta M; Knowledge Service, Documentation and Library, National Institute of Health (Istituto Superiore di Sanità ISS), Rome, Italy. Electronic address: maurella.dellaseta@iss.it.
  • Ferrigno L; National Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), Rome, Italy. Electronic address: luigina.ferrigno@iss.it.
  • Marrone R; National Institute for Health, Migration and Poverty (Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà INMP), Rome, Italy. Electronic address: rosalia.marrone@inmp.it.
  • Pajno C; National Institute for Health, Migration and Poverty (Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà INMP), Rome, Italy. Electronic address: chiara.pajno@inmp.it.
  • Pizzarelli S; Knowledge Service, Documentation and Library, National Institute of Health (Istituto Superiore di Sanità ISS), Rome, Italy. Electronic address: scilla.pizzarelli@iss.it.
  • Rosso A; Department of Public Health and Infectious Diseases (Dipartimento di Sanità Pubblica e Malattie Infettive DSPMI), University of Rome "La Sapienza", Rome, Italy; Local Health Unit Roma 2, Rome, Italy. Electronic address: annalisa.rosso@aslroma2.it.
  • De Ponte G; National Center for Global Health, National Institute of Health (Istituto Superiore di Sanità ISS), Rome, Italy. Electronic address: giulia.deponte@iss.it.
  • Mirisola C; National Institute for Health, Migration and Poverty (Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà INMP), Rome, Italy. Electronic address: concetta.mirisola@inmp.it.
  • Baglio G; National Institute for Health, Migration and Poverty (Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà INMP), Rome, Italy. Electronic address: giovanni.baglio@inmp.it.
Health Policy ; 125(3): 393-405, 2021 03.
Article en En | MEDLINE | ID: mdl-33461797
BACKGROUND: During 2016-17, national guidelines were developed in order to provide evidence-based recommendations on health assessments for migrants and asylum seekers upon their arrival in Italy. METHODS: Scientific literature published between 2005 and 2016 was searched in different databases. A free search was also performed on international organizations' websites in order to identify additional relevant documents. A multidisciplinary panel discussed the resulting evidence and formulated recommendations. RESULTS: Evidence-based recommendations were formulated: signs and symptoms of specific diseases should to be actively searched for active TB, malaria, STI, intestinal parasites, diabetes, anaemia. In case of other health conditions (latent TB, HIV, HBV, HCV, STI, strongyloides, schistosoma, diabetes), testing should be offered to asymptomatic subjects coming from endemic areas or exposed to risk factors. Mass screening is recommended for anaemia and hypertension; a pregnancy test should be considered, while inclusion in cervical cancer screening and vaccination programs is recommended. A modulated, progressive approach was developed, covering an initial evaluation during rescue operations, a full medical examination at first line reception stage and the referral to national health services during second line reception. CONCLUSIONS: It is important to produce and periodically update guidelines on these issues and local peculiarities should be taken into account in their design and implementation. Guidelines can not only support economic sustainability, but also counteract stigmatization dynamics.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Refugiados / Migrantes / Neoplasias del Cuello Uterino Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Health Policy Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2021 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Refugiados / Migrantes / Neoplasias del Cuello Uterino Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Health Policy Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SAUDE PUBLICA Año: 2021 Tipo del documento: Article Pais de publicación: Irlanda