Ursula Trummer, PhD (August 25, 2020) This article examines the impact that COVID-19 has had on the movement of migrant healthcare workers throughout Europe. Dr. Trummer specifically focuses on how the shutting of borders (with a specific case study on the border between Romania… Continue Reading “European Borders, COVID-19, and the Economy of Home Care”
“Ensuring the integration of migrants and refugees in the response to COVID-19 requires knowing and understanding the existing scientific evidence. This mapping activity aims to identify and assess research publications on COVID-19 focusing on migration, migrants and human mobility; specifically mapping research productivity on COVID-19 in the context of migration health by author, country, institution/ organization, health theme, and migrant topic (i.e. migrant type and type of movement).
Results from this mapping activity will provide guidance to MHD colleagues and the public on concerns relevant to COVID-19 and migration health by making this available in the Migration Health Research Portal. The COVID-19 page in the portal will feature key publications.”
“Given the regional implications, countries in South Asia must “act in unison” to conceive public health for the entire region.  The Covid-19 Emergency Fund created by South Asian Association for Regional Cooperation (SAARC) is a promising step. However, an effective response requires greater regional cooperation, facilitating safe passage, and strong political commitment to universalise health and social protection, continue primary care and guarantee socio-economic rights. Ignoring poor migrants and those in informal economies nationally will not only erode lives but also impede national economic and social recovery from covid-19.”
“An inclusive approach to epidemic control requires detailed knowledge and information about all relevant population groups, including their demography, their cultural-linguistic and socio-economic needs and of course, their health and illness, including COVID-19. The benefits of ensuring that public health messages can be understood and help appropriately should be obvious for any public health campaign and are vital if COVID-19 is to be successfully controlled. It is also critical to understand potential benefits and costs of public health measures to all population groups, and to avoid inadvertently aggravating vulnerabilities, such as deterrence of health service access through police-enforced social distancing measures or separation of migrants from family and social support networks when being stranded due to border closures.
In many countries, rapidly applied and crude public health measures for COVID-19 are increasingly being fine-tuned in renewed efforts of deconfinement of populations. This phase will require detailed knowledge and information about the epidemic and active inclusion of all migrant population groups in healthcare and in epidemic control plans will not only be the right thing to do from a human rights perspective, but also vital to successful COVID-19 control going forward.”
“Of the 150 million international migrant workers (IMWs) worldwide, 95% reside in the five WHO regions in which cases of coronavirus disease 2019 (COVID-19) have been confirmed. The absence of a coordinated response for IMWs highlights a key deficiency in public health planning.”
“As the coronavirus disease 2019 (COVID-19) pandemic continues advancing globally, reporting of clinical outcomes and risk factors for intensive care unit admission and mortality are emerging. Early Chinese and Italian reports associated increasing age, male sex, smoking, and cardiometabolic comorbidity with adverse outcomes.1 Striking differences between Chinese and Italian mortality indicate ethnicity might affect disease outcome, but there is little to no data to support or refute this.”
“Clear evidence to confirm or rule out an association between ethnicity and outcome in covid-19 is important not only for the UK but also for other regions such as South Asia and Africa, where the pandemic is at an earlier stage. Efforts must be coordinated to collect an international data set that includes ethnicity. If an association is confirmed, further research will be needed to determine the causes.”
“ur analysis adds to the evidence that BAME people are at increased risk of death from COVID-19 even after adjusting for geographical region. We believe there is an urgent need to take action to reduce the risk of death for BAME groups and better understand why some ethnic groups experience greater risk. Actions that are likely to reduce these inequities include ensuring adequate income protection (so that low paid and zero-hours contract workers can afford to follow social distancing recommendations), reducing occupational risks (such as ensuring adequate personal protective equipment), reducing barriers in accessing healthcare and providing culturally and linguistically appropriate public health communications.”
“”Lancet Migration calls for migrants and refugees to be urgently included in responses to the coronavirus disease 2019 (COVID-19) pandemic. Many of these populations live, travel, and work in conditions where physical distancing and recommended hygiene measures are impossible because of poor living conditions and great economic precarity. This global public health emergency highlights the exclusion and multiple barriers to health care that are faced by migrants and refugees, among whom COVID-19 threatens to have rapid and devastating effects.”
“The strength of a health system is inseparable from broader social systems that surround it. Epidemics place increased demands on scarce resources and enormous stress on social and economic systems. Health protection relies not only on a well functioning health system with universal coverage, but also on social inclusion, justice, and solidarity. In the absence of these factors, inequalities are magnified and scapegoating persists, with discrimination remaining long after. Division and fear of others will lead to worse outcomes for all.”