{"id":45207,"date":"2019-07-25T11:20:01","date_gmt":"2019-07-25T10:20:01","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=45207"},"modified":"2019-08-05T17:41:52","modified_gmt":"2019-08-05T16:41:52","slug":"abi-rimmer-refugee-and-migrant-health-leaving-no-one-behind","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/07\/25\/abi-rimmer-refugee-and-migrant-health-leaving-no-one-behind\/","title":{"rendered":"Abi Rimmer: Refugee and migrant health\u2014leaving no one behind"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-35116\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/09\/abi_rimmer2.jpeg\" alt=\"\" width=\"153\" height=\"149\" \/><span style=\"font-weight: 400\">\u201cThere is no health without migrant health.\u201d It\u2019s a statement that most of us would probably agree with but in reality, in a country where the future of our national health service is a constant concern, how relevant is this to us?<br \/>\n<\/span><\/p>\n<p>Last week I attended the World Health Organisation Europe office\u2019s summer school on refugee and migrant health in \u00c7e\u015fme, Turkey. Before I went, I have to admit that I was woefully ignorant on the subject.<\/p>\n<p><span style=\"font-weight: 400\">The five-day event was kicked off by Santino Severoni, coordinator of the migration and health programme at the WHO regional office for Europe. He expressed a sentiment that was echoed throughout the rest of the week<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">when it comes to refugee and migrant health no one should be left behind.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\"><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/PHOTO-2019-07-18-17-19-41.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-45212\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/PHOTO-2019-07-18-17-19-41-300x213.jpg\" alt=\"\" width=\"300\" height=\"213\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/PHOTO-2019-07-18-17-19-41-300x213.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2019\/07\/PHOTO-2019-07-18-17-19-41.jpg 540w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>This was especially highlighted for me by one of the speakers<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">Ahmet Muselleti, a Syrian doctor who is now working in a refugee training centre in Gaziantep, Turkey.\u00a0<\/span><span style=\"font-weight: 400\">Muselleti spoke about how he worked as a surgical resident in an emergency department in Aleppo for a year before moving to Turkey. \u201cI provided health services for patients wounded by the bombings in the city,\u201d he said. \u201cI moved to Turkey because I was looking for a better future for my family.\u201d He has post-traumatic stress disorder due to his experiences.\u00a0<\/span><span style=\"font-weight: 400\">He was afraid of losing his clinical skills in Turkey, but Muselleti is now able to work looking after Syrian refugees thanks to a scheme set up by the Turkish health ministry and funded by the European Union.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We also heard from a range of speakers from across Europe and Turkey. There were a few lessons that really stood out for me from a UK perspective.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Rachel Burns, research associate at University College London, spoke about <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(18)32781-8\/fulltext\">how research has contradicted the common misconception<\/a> among the public that migrants place a burden on the health services of their host country. \u201cActually migrants bolster our health and social services,\u201d she said. \u201cThey provide a very positive impact on our economy. Part of our work is busting those myths.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Dominic Zenner, senior migration health advisor at the International Organisation for Migration, spoke about how excluding migrants from accessing regular health actually costs more in the long term. \u201cIf you let somebody with asthma end up in intensive care it&#8217;s very expensive. You want everyone to have timely access to primary care, it makes sense,\u201d he said.\u00a0<\/span><span style=\"font-weight: 400\">He also said that UK doctors sometimes don\u2019t offer the right care to migrants and refugees because they don\u2019t know what the rules are. He recommended reading <a href=\"https:\/\/www.gov.uk\/guidance\/nhs-entitlements-migrant-health-guide\">Public Health England\u2019s migrant health guide<\/a>.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Apostolos Veizis, director of the medical operational support unit for M\u00e9decins Sans Fronti\u00e8res (MSF) in Greece, spoke about how doctors need to be trained better to deal with migrants and refugees. \u201cWe need to start with the medical schools&#8230;teaching people how to approach another person coming from another culture,\u201d he said.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, Veizis was clear that nothing could be done to improve the situation for migrants and refugees without political will. \u201cIf we don\u2019t get political will we will not solve the problem,\u201d he said. \u201cWe need to ask our governments to keep to their word.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">So, what did I learn? I must say that I wasn\u2019t the target audience of this event. Most of the attendees were academics, NGOs, and representatives from Health Ministries across Europe. But I learnt so much.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I learnt that while many countries were ready to respond to an immediate crisis when the number of people migrating to Europe dramatically increased a few years ago, less thought has been given to the long term.<\/span><\/p>\n<p><span style=\"font-weight: 400\">I also learnt about transition countries\u2014those countries that migrants travel through, but don\u2019t intend to stay in\u2014and how they face their own unique challenges.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">But most of all I learnt how important it is for countries like the UK to provide the same level of healthcare for refugees and migrants as they do for everyone else. No one should be left behind.\u00a0<\/span><\/p>\n<p><em> <strong>Abi Rimmer<\/strong>\u00a0is BMJ Careers news reporter.<\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: The WHO paid for my flights and accommodation.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cThere is no health without migrant health.\u201d It\u2019s a statement that most of us would probably agree with but in reality, in a country where the future of our national [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/07\/25\/abi-rimmer-refugee-and-migrant-health-leaving-no-one-behind\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":45209,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263],"tags":[],"class_list":["post-45207","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-global-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Abi Rimmer: Refugee and migrant health\u2014leaving no one behind - The BMJ<\/title>\n<meta name=\"description\" content=\"\u201cThere is no health without migrant health.\u201d It\u2019s a statement that most of us would probably agree with but in reality, in a country where the future of our national health service is a constant concern, how relevant is this to us? 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