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Health Concerns in
Refugee Camps    By Katherine MacGregor, Rachel Ding,
                 Rachel Rodrigo, and Jill Rankin
+
    Why talk about Health Concerns in
    Refugee Camps?

     Disparity   in health care needs and
     provision

     Many    camps around Africa
        Refugees from war, famine etc.

     Population    density in camps
        Easily spread illness
+




Communicable Diseases in
Refugee Camps of 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 world’s 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
           Asthma
           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
+




Mental Health Concerns
in Refugee Camps         By Rachel Ding
+

    Why Address
    Mental Health?

        Geopolitical realities of refugee camps
          War/Torture trauma in post-conflict/conflict settings

        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, Struggle to process memories of war, violence, family
            tragedies, etc.
           Psychiatric distress especially among youth

       Effects
           PTSD, Depression, Schizophrenia,
            Bipolar disorder, Anxiety
           Vulnerability to Interpersonal                      conflicts, abuse,
            social fragmentation
           Stagnation
               Economic productivity
               Educational activity
+
    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, suppression

        Approaches to Solutions/Intervention
            Cross-cultural validity of health care
             interventions
+




    Solutions to
    Health Concerns    By Katherine MacGregor

    in Refugee Camps
+
    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?
+




    Thank You 

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Finalslides 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. + Why talk about Health Concerns in Refugee Camps?  Disparity in health care needs and provision  Many camps around Africa  Refugees from war, famine etc.  Population density in camps  Easily spread illness
  • 3. + Communicable Diseases in Refugee Camps of East Africa By Jill Rankin
  • 4. + 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.
  • 5. + Malaria  Caused by infected mosquitos who carry a parasite called Plasmodium and bite the host.  Two thirds of world’s 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
  • 6. + 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.
  • 7. + 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
  • 8. + Non-Communicable Diseases in Refugee Camps By Rachel Rodrigo
  • 9. + 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?
  • 10. + Chronic Disease  Lack of knowledge  Heavy usage of tobacco  Lack of treatment options (resources)  Types  Asthma  Hepatitis B  Heart Disease  New disease spreading with ‘globalization’ and ‘development’
  • 11. + Plan of Action  Education  For both recipients & doctors  Severity  Treatment  Precautions  Change in Global View  Policy Changes  Health Changes
  • 12. + Mental Health Concerns in Refugee Camps By Rachel Ding
  • 13. + Why Address Mental Health?  Geopolitical realities of refugee camps  War/Torture trauma in post-conflict/conflict settings  Psychosocial needs  Basic emotional and relational needs  Mental health’s relation to physical health  Psychiatric distress affects physical well-being
  • 14. + Underlying Causes & Effects of Mental Health Issues  Causes  War trauma, Struggle to process memories of war, violence, family tragedies, etc.  Psychiatric distress especially among youth  Effects  PTSD, Depression, Schizophrenia, Bipolar disorder, Anxiety  Vulnerability to Interpersonal conflicts, abuse, social fragmentation  Stagnation  Economic productivity  Educational activity
  • 15. + 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, suppression  Approaches to Solutions/Intervention  Cross-cultural validity of health care interventions
  • 16. + Solutions to Health Concerns By Katherine MacGregor in Refugee Camps
  • 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?
  • 20. + Thank You 

Editor's Notes

  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.
  3. Beyond the tendency to focus primarily on physical health concerns, a growing emphasis has been geared toward the significant mental health needs in refugee camps. In view of the geopolitical realities of post-conflict/conflict settings of refugee camps, it’s important to consider the relationship between psychosocial needs(i.e. emotional/relational) and physical well-being For instance, about half of the 400,000 refugees in Kenya's Dadaab camp have suffered from war or torture trauma, causing what some call an 'emotional death/hunger’.
  4. cause:The struggle to process memories of war, conflict, genocide, rape, political persecution, the loss of loved ones effect:mental illness can debilitate one's ability to engage in economically productive opportunities and educational activitiesIt is not uncommon to see refugees chained or imprisoned often by their own relatives in order to reduce their vulnerability to interpersonal conflict, abuse, and rape AND to keep them from harming themselves
  5. Stoic: endure pain or hardship without showing their feelings or complaining.In regards to solutions/approaches in addressing mental health of refugees, need to carefully assess the cross-cultural validity of mental health care and psychosocial interventionsFor instance, study showed that Westernized approaches tend to expect outcomes based on expressive emotional vulnerability, which ran counter to the natural coping strategies of Sudanese refugees often cope with their psychological war trauma in silence, stoicism and suppression