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Screening for Infectious Diseases among Newly Arrived Migrants: Experiences and Practices in Non-EU Countries of the Mediterranean Basin and Black Sea

Author

Listed:
  • Christian Napoli

    (National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena 299, Rome 00161, Italy)

  • Maria Grazia Dente

    (National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena 299, Rome 00161, Italy)

  • Tommi Kärki

    (National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena 299, Rome 00161, Italy
    European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Tomtebodavägen 11a, Stockholm 17183, Sweden)

  • Flavia Riccardo

    (National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena 299, Rome 00161, Italy)

  • Pasqualino Rossi

    (DG Communication and European and International Relations—Italian Ministry of Health, Lungotevere Ripa 1, Rome 00153, Italy)

  • Silvia Declich

    (National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena 299, Rome 00161, Italy)

  • Network For The Control Of Cross-border Health Threats In The Mediterranean Basin And Black Sea

    (Network for the Control of Cross-border Health Threats in the Mediterranean Basin and Black Sea—Coordination Centre, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena 299, Rome 00161, Italy)

Abstract

Changing migration dynamics in the Mediterranean Sea and differences in infectious diseases (ID) burden between the countries of origin have raised questions whether public health actions are needed to avoid the transmission of ID. Screening newly arrived migrants for ID is one health monitoring option, offering opportunities for prevention, early detection and treatment. The authors conducted a survey among country experts in non-European Union countries of the Mediterranean and Black Sea, in order to explore current ID screening practices and policies for newly arrived migrants. The association between the existence of guidelines and the proportion of refugees in the population was also estimated. Eighteen country experts responded (90%) out of the 20 invited. Eleven countries (61%) implemented screening programmes and six (38%) had national guidelines. Screening was performed most often for tuberculosis at the holding level. A higher proportion of refugees in the population was associated with the existence of guidelines for screening ( p = 0.05). Fourteen experts (88%) considered screening among migrants useful. The results show that screening for ID in newly arrived migrants is relevant for non-EU countries of the Mediterranean and Black Sea. Common guidelines could be promoted focusing on both individual and public health benefits of screening programmes.

Suggested Citation

  • Christian Napoli & Maria Grazia Dente & Tommi Kärki & Flavia Riccardo & Pasqualino Rossi & Silvia Declich & Network For The Control Of Cross-border Health Threats In The Mediterranean Basin And Black , 2015. "Screening for Infectious Diseases among Newly Arrived Migrants: Experiences and Practices in Non-EU Countries of the Mediterranean Basin and Black Sea," IJERPH, MDPI, vol. 12(12), pages 1-9, December.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:12:p:15002-15558:d:60179
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    References listed on IDEAS

    as
    1. Christian Napoli & Flavia Riccardo & Silvia Declich & Maria Grazia Dente & Maria Grazia Pompa & Caterina Rizzo & Maria Cristina Rota & Antonino Bella & The National Working Group, 2014. "An Early Warning System Based on Syndromic Surveillance to Detect Potential Health Emergencies among Migrants: Results of a Two-Year Experience in Italy," IJERPH, MDPI, vol. 11(8), pages 1-13, August.
    2. Tommi Kärki & Christian Napoli & Flavia Riccardo & Massimo Fabiani & Maria Grazia Dente & Manuel Carballo & Teymur Noori & Silvia Declich, 2014. "Screening for Infectious Diseases among Newly Arrived Migrants in EU/EEA Countries—Varying Practices but Consensus on the Utility of Screening," IJERPH, MDPI, vol. 11(10), pages 1-11, October.
    3. Riccardo, Flavia & Dente, Maria Grazia & Kojouharova, Mira & Fabiani, Massimo & Alfonsi, Valeria & Kurchatova, Anna & Vladimirova, Nadezhda & Declich, Silvia, 2012. "Migrant's access to immunization in Mediterranean Countries," Health Policy, Elsevier, vol. 105(1), pages 17-24.
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