Addressing the challenges of refugee health: Experiences from the University of Louisville interprofessional refugee immunization clinic

Carrico, Ruth; Bosson, Rahel; Koch, Jennifer; Raghuram, Anupama; Peyrani, Paula; Ford, Rebecca; Pauly, Allison; Rivera, Katherine Contreras; Abdulmogith, Taghreed; Johnson, William; Heiden, Sarah C. Van; Balcom, Dawn; Smith, Montray; Wiemken, Timothy; Ramirez, Julio A.

doi:10.5430/jnep.v5n12p88

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…Historically, the UL-GHC has planned and implemented a number of non-traditional approaches to community mass vaccination including drive-through programs and large scale on-site vaccination events [Carrico, 2002;Carrico, McKinney, Watson, Wiemken, Myers, 2012;Carrico, Bosson, Koch, Raghuram, Peyrani, Ford, Pauly, et al, 2015]. Success for this project hinged upon those skills including: 1) identifying and engaging immediately available and competent workers capable of assessing patients, administering vaccine, and providing patient and community education, and 2) engaging the support of a recognized and trusted resource who could link with the food service community.…”

Section: Available and Competent Staff To Administer Vaccinementioning

confidence: 99%

Multistate Hepatitis A Outbreak: Vaccination of Food Service Workers as Part of the Kentucky Outbreak Response

Carrico¹,

Balcom²,

Mason³

et al. 2019

RGH

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In August 2017, a local outbreak of Hepatitis A was identified among homeless individuals in Louisville, Kentucky. This marked the first cases in what has now become recognized as the largest Hepatitis A outbreak in the US [Warren, 2018]. In the midst of the changing epidemiology of this disease, Kentucky joins a growing number of other states in a larger nationwide public health concern [KDPH, 2018]. Cornerstones in disruption of this outbreak include immunization and education regarding the disease and its transmission opportunities for all at risk. Hepatitis A is a communicable disease transmitted via ingestion of the organism that is found in feces of an infected individual. Hepatitis A impacts the liver and as the virus replicates, it is shed in the stool. Risk factors for both acquisition and transmission of infection include those who are homeless or housing insecure, persons who use drugs, men who have sex with men, or those who have close contact with these persons described [CDC, 2018a]. Due to various social determinants of care in populations facing homelessness and substance abuse, challenges exist in engaging those at risk to provide vaccination and education regarding transmission and prevention of infectious diseases. The first confirmed cases of Hepatitis A infection in Kentucky were reported in Louisville, and initial vaccination efforts targeted the homeless and persons who use drugs, but as the outbreak progressed the vaccination outreach efforts broadened. In December, 2017 the first case of Hepatitis A was reported in an individual working in the food service industry in Louisville [KDPH, 2018]. This case highlighted the importance of considering food as a source of transmission as well as those

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Section: Available and Competent Staff To Administer Vaccinementioning

confidence: 99%

Multistate Hepatitis A Outbreak: Vaccination of Food Service Workers as Part of the Kentucky Outbreak Response

Carrico¹,

Balcom²,

Mason³

et al. 2019

RGH

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“…Several published studies have focused on the data gathered in the ARIVE system [25,26], including vaccine effectiveness in refugee populations [27], the role of refugees in nursing and physician resident curriculum [28], and refugee utilization of emergency room services [29]. Collaborators continue to make use of the ARIVE data to investigate research questions regarding refugee health in Kentucky.…”

Section: Reporting and Analysismentioning

confidence: 99%

Designing the Arriving Refugee Informatics Surveillance and Epidemiology (ARIVE) System: A Web-based Electronic Database for Epidemiological Surveillance

Mattingly¹

2019

RGH

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Objectives: This article discusses the design and implementation of the Arriving Refugee Informatics surVeillance and Epidemiology (ARIVE) system. The system seeks to improve the health of refugees undergoing resettlement and enhance existing health surveillance networks. Methods: Using the REDCap™ Electronic Data Capture (EDC) software as a basis we create a refugee health database incorporating data from the Centers for Disease Control and Prevention's Electronic Disease Notification (EDN) system and domestic screening data from refugee health care providers. Results: Domestic screening and EDN refugee health data have been integrated for 16,739 refugees resettled from 35 different countries into the state of Kentucky from the years 2013-2016. Discussion: The ARIVE system is a flexible software system that implements the core of a health surveillance network in a way that is sustainable and cost-effective, and its data dictionary provides an easy way to share and improve the database structure of a health surveillance network.

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“…During these clinics, held at the resettlement agency sites, immunization may be provided for 150 or more refugees during a single session. Up to five vaccines for each individual may be administered in a mass immunization setting (Carrico et al 2015). Ensuring provision of these vaccines in a safe manner with emphasis on an error-proof system was critical.…”

Section: Seven Core Components Of Rcmh Care Modelmentioning

confidence: 99%

Refugee-Centered Medical Home: A New Approach To Care at the University of Louisville Global Health Center

Bosson¹,

Carrico²,

Raghuram³

et al. 2017

rgh

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Refugees arrive to the United States with a full spectrum of health conditions, many of which involve intense case management requiring significant financial investments and use of healthcare resources. Kentucky receives more than 3,000 new refugees each year and ranked 10th in the nation for numbers of new arrivals resettled during 2015. These refugees arrive from diverse countries representing different cultures and speaking different languages. In addition, they arrive with diverse health conditions and medical needs. The aims of this paper are to share experiences from the University of Louisville Global Health Center regarding conceptualization, implementation and evaluation of a new care model. This model focuses on the complexities of caring for refugees from diverse populations and backgrounds. The foundation for this model aligns with the patientcentered medical home approach outlined by the Agency for Healthcare Research and Quality. Recognizing the need for a new paradigm for care, a refugee-centered medical home model was designed and implemented as an ideal approach.

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Addressing the challenges of refugee health: Experiences from the University of Louisville interprofessional refugee immunization clinic

Cited by 3 publications

References 2 publications

Multistate Hepatitis A Outbreak: Vaccination of Food Service Workers as Part of the Kentucky Outbreak Response

Multistate Hepatitis A Outbreak: Vaccination of Food Service Workers as Part of the Kentucky Outbreak Response

Designing the Arriving Refugee Informatics Surveillance and Epidemiology (ARIVE) System: A Web-based Electronic Database for Epidemiological Surveillance

Refugee-Centered Medical Home: A New Approach To Care at the University of Louisville Global Health Center

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