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.     

Death and injury in earthquakes

The assumption that the ratio of mortality to morbidity will approximate 1:3 in earthquake disasters is investigated. When it occurs, a 1:3 ratio is most likely to coincide with a Richter magnitude in the range 6.5–7.4, but many other ratios of death to injuries may instead be probable. For each individual disaster the pattern of casualties is likely to be very heterogeneous, but it would be easier to discover regularities if a more standardized definition of 'injury' could be found.     

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...     

Reproductive Success of Marginal Populations of Dactylorhiza maculata (L.) Soó (Orchidaceae)

Russian Journal of Ecology - Populations at the border of ranges are considered more vulnerable than those in the center. However, some recent reviews contradict this hypothesis. We have studied...     

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...     

Drought effects on the Iranian economy: a computable general equilibrium approach

Environment, Development and Sustainability - In the last two decades, recurring drought becomes a challenge for Iran’s economy, which is located in a drought-prone area, and it has been...