Health Status of Asylum Seekers, Spain

Serre-Delcor, Núria; Ascaso, Carlos; Soriano‐Arandes, Antoni; Collazos-Sanchez, Francisco; Treviño-Maruri, Begoña; Sulleiro, Elena; Pou-Ciruelo, Diana; Bocanegra-Garcia, Cristina; Romero, Israel Molina

doi:10.4269/ajtmh.17-0438

Cited by 18 publications

(20 citation statements)

References 25 publications

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“…Eleven studies evaluated the presence of S. stercoralis infection only through the investigation of larvae in faeces (Table 1) [11][12][13][14][15][16][17][18][19][20][21]. The most frequently used microbiological techniques were microscopic examination of faeces by concentration techniques (the Ritchie method) and/or specific larvae culture (the Koga agar plate).…”

Section: Resultsmentioning

confidence: 99%

“…After duplicate articles were removed, 495 articles were screened for potential eligibility by title and abstract, and 48 articles were selected for full‐text review (see flow diagram in Figure ). Finally, 24 studies were included in the review and meta‐analysis, comprising 12 386 screened people . Main characteristics of the included studies are summarised in Tables and .…”

Section: Resultsmentioning

confidence: 99%

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Strongyloidiasis screening in migrants living in Spain: systematic review and meta‐analysis

Salvador

Treviño

Bosch-Nicolau

et al. 2019

Tropical Med Int Health

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Objectives To provide information regarding the prevalence of strongyloidiasis among migrants coming from Strongyloides stercoralis‐endemic areas who reside in Spain. Methods Systematic review of the literature and meta‐analysis of studies showing prevalence of S. stercoralis infection among migrants from Latin America, Africa, Eastern Europe, Asia and Oceania who reside in Spain. We included articles published until 30 April 2019 without language restriction. The keywords used for the search included ‘Strongyloides stercoralis’, ‘strongyloidiasis’, ‘Spain’, ‘screening’ and ‘migrants’. Results Twenty‐four studies were included in the review and meta‐analysis, comprising 12 386 screened people. Eleven studies (7020 patients) evaluated the presence of S. stercoralis infection only through investigation of larvae in faeces, showing an overall prevalence of 1% (95%CI 1–1%). Thirteen studies (5366 patients) used a serological test, showing an overall prevalence of 14% (95%CI 11–17%). Strongyloidiasis seroprevalence was 20% (95%CI 15–24%) among migrants from sub‐Saharan Africa, 14% (95%CI 10–18%) among those from Latin America and 8% (95%CI 5–11%) among migrants from North Africa. Conclusions Migrants coming from strongyloidiasis‐endemic areas living in Spain had a high S. stercoralis infection prevalence, particularly those from sub‐Saharan Africa and Latin America. This population should be screened using serology as the most sensitive test for S. stercoralis infection. This could be easily implemented at primary care level.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Strongyloidiasis screening in migrants living in Spain: systematic review and meta‐analysis

Salvador

Treviño

Bosch-Nicolau

et al. 2019

Tropical Med Int Health

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“…This may be due to the low mean age of our group; there is also the possibility that in a transit population, in which people prioritize basic needs, those with mild symptoms on board may not recount. In addition, the hardness of the migratory process in general, an particularly of this route, makes that the people who carry it out are generally healthy [29]. Management of these conditions in a mobile context is highly challenging, as discontinuation of chronic controls and medications may cause exacerbations of previously well controlled non communicable diseases [30], which globally account for 63% of deaths, including 14 million people of premature deaths [31].…”

Section: Discussionmentioning

confidence: 99%

Health status of rescued people by the NGO Open Arms in response to the refugee crisis in the Mediterranean Sea

Cañardo¹,

Gálvez²,

Jiménez³

et al. 2020

Confl Health

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Background: The migration over the Mediterranean has become one of the deadliest sea voyages in last few years. The NGO Open Arms works in the area since 2015, with the objectives of protecting and reporting human rights at sea. This paper aims to give an overview on characteristics and health conditions of rescued people by the NGO in the Central Mediterranean. Methods: A descriptive retrospective population study was conducted, including people who were rescued from distress at sea by the NGO Open Arms from 1st July 2016 to 31st December 2018. Results: In this period of time 22,234 people were rescued from sea. Among them 2234 (22.7%) were minors, and 177 (0.8%) pregnant women. The most frequent countries of origin were Nigeria (1278-13.1%), Eritrea (1215-12.3%) and Bangladesh (981-9.9%). Among all people rescued, 4516 (20.3%) reported symptoms. Scabies was the most frequent pathology, being suspected in 1817 (8.2%) people. Other infectious diseases were diagnosed in 91 (0.4%). Thirty-five (0.16%) patients suffered some complication from their chronic diseases. Acute injuries due to trauma, burns, aggressions, and bullet or bladed weapon wound were reported in 135 (0.6%) cases. Seventy-four corpses were recovered. Conclusions: Main diagnoses on board were directly related to the precarious living conditions through migratory route, violence and complications of chronic diseases due to lack of care. The large number of people rescued highlights the catastrophic effect on migrants' health of European policies, which overlap the desire to restrict migratory movements on the humanitarian and health issues. An integrated information system and a coordinated response are basic to improve the situation in the area. Background The migration over the Mediterranean has become one of the deadliest sea voyages in last few years. Since the beginning of 2015 the preferred route into Europe was through Turkey by road and onwards by boat to the Greek islands in the Turkish archipelago [1]. In 18th March 2016 a treaty between the European Union and Turkey was held [2], limiting the number of people using this route; since then, the route through Libya to Italy and Malta has been of greatest importance [3]. This route has increased substantially the serious risks immigrants take during their journeys. Reports from the UN refugee agency (UCHNUR) describe immigrants having survived the deadly desert crossing from Niger, kidnappings, torture, sexual abuse and detention in Libya [4], and the dangerous sea journey, in which 2.830 people are estimated to have died from January to June 2017 [5]; nevertheless the total number of deaths is not

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“…Administrative issues and stigma were also identified as important barriers in our study, although to a lesser degree (30%). These barriers could lead to delays in diagnosing and treating different diseases that carry not only individual, but important public health consequences such as tuberculosis, HIV, hypertension, diabetes, hepatitis B and C, schistosomiasis, strongyloidiasis, and Chagas ( 36 ). For example, in the previously mentioned study of migrants with HIV ( 35 ), 14–25% of migrants who reported barriers to healthcare access had been diagnosed with late HIV.…”

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Survey on Professionals to Assess Health Needs of Newly Arrived Migrants in Spain

Serre-Delcor

Oliveira

Moreno

et al. 2021

Front. Public Health

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Heightened conflicts and lack of safety due to reasons related to economic, social, ethnic, religious, sexual orientation, political, or nationality matters have increased migratory movements during the last, few decades. Unfortunately, when migrants arrive in new territories, they can face many barriers. For example, in Spain, some migrants have difficulties in accessing health services. The main objective of this study was to describe, from the perspective of social and healthcare professionals, health needs and barriers faced among migrants who recently arrived in Spain when accessing the health system. To accomplish this aim, we carried out a cross-sectional descriptive study using a newly created self-administered questionnaire. Statistical analysis was done using the SPSS 23.00® program. Survey collection was from April 2018 to October 2018, and the cohort comprised a total of 228 professionals. Most participants were females (76%), with an average age of 35 years [interquartile range (IQR) 29.8–43.0]. The most represented profession in the cohort was physician (48%), followed by social care professionals (32%), nursing (11%), and other (8%). Of these individuals, 61% stated having either little or limited knowledge of international migrant health rights, and 94% believed migrants must overcome barriers to receive health services. The four most reported barriers were as follows: language, cultural differences, administrative issues, and fear of being undocumented. Additionally, by order of importance, professionals viewed mental health disorders and infectious diseases as the most common contributors to disease burden in this group. The four most popular strategies implemented by professionals to improve healthcare access further for migrants included intercultural competency training for professionals; access to community health agents; access to translators; and development of health system navigation skills among those newly arrived. Study results suggest that governments should make greater efforts to provide social and healthcare professionals with more effective tools that overcome communication barriers and cultural competence training modules.

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Health Status of Asylum Seekers, Spain

Cited by 18 publications

References 25 publications

Strongyloidiasis screening in migrants living in Spain: systematic review and meta‐analysis

Strongyloidiasis screening in migrants living in Spain: systematic review and meta‐analysis

Health status of rescued people by the NGO Open Arms in response to the refugee crisis in the Mediterranean Sea

A Cross-Sectional Survey on Professionals to Assess Health Needs of Newly Arrived Migrants in Spain

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