The impact of refugees on the health status and health services of host communities: Compounding bad with worse?

Although there have been a number of recent developments in our understanding of refugee health problems that have influenced policies and action, the effects of refugees on the health status and services of host communities remain relatively neglected. This article sets out to explain why this is an important issue with implications for policy, planning surveillance and evaluation, training and research.
The first sections outline some of the problems facing host governments and communities in Africa and discuss the changing rhetoric between the first and second International Conferences for Assistance to Refugees in Africa. A number of possible ways in which refugees could affect the individual, agent and environmental causes of disease are considered, as are the characteristics of the refugees, the host communities and the response which may all modify this impact.
Policy implications of the impact of the refugees, both negative and positive, are discussed, and detailed consideration is given to the pros and cons of integrated and parallel approaches to health care provision. The need to monitor carefully the health status and services of host communities is emphasized and recommendations are made for this and other essential developments relating to training and research.     

Training refugees as primary health care workers: Past imperfect, future conditional

Many problems have been encountered in the planning and implementation of health care in refugee camps, and more specifically in the training of refugees as primary health care workers. A review of the published literature and a "survey" of the opinions and experiences of refugee, national and international health personnel regarding training has therefore been undertaken to provide an overview of what has been done and to make recommendations for future work.
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance.     

Evaluation and selection strategy for green supply chain using interval-valued q-rung orthopair fuzzy combinative distance-based assessment

Environment, Development and Sustainability - Environmental deterioration and global warming has created a substantial impact on international companies to incorporate eco-friendly, green supply...     

SWOT analysis of renewable energy sector in Mazowieckie Voivodeship (Poland): current progress,prospects and policy implications

Environment, Development and Sustainability - Renewable energy (RE) plays an increasingly important role in the economy of almost every country in the world. In order to examine the state of...     

GIS-based mapping of water-level fluctuations (WLF) and its impact on groundwater in an Agrarian District in Tamil Nadu,India

Environment, Development and Sustainability - This study describes the results of groundwater table variation in Thanjavur District before and after the monsoon seasons. Groundwater-level data...     

The Arbuscules Formation Intensity Decreased in Mycorrhizal Alien Plants of Belarusian Polesia

Russian Journal of Ecology - Abstract—We tested a hypothesis about the different abilities of alien and native plants to form arbuscular mycorrhizae. The studies were carried out in the...     

Rate-temperature responses in scyphozoan medusae and polyps

The effects of temperature on oxygen consumption and spontaneous rhythmic activity have been investigated in various stages of the life histories of 3 species of jellyfish from the Chesapeake Bay, USA. All 3 species clearly show the ability to acclimate positively to temperature change. Thermal sensitivity of metabolism in the winter medusa Cyanea capillata fulva is fairly low at temperature intervals which are experienced in nature. Polyps of the two summer medusae, Chrysaora quinquecirrha and Aurelia aurita, show reduced metabolic sensitivity at temperatures normally accompanying high developmental activity and the onset of strobilation.