Gracey M
Unity of First People of Australia, Perth, Western Australia.
Acta Paediatr. 2004 Nov;93(11):1423-6. doi: 10.1080/08035250410033871.
Political turmoil, military conflicts and other international sociological upheavals are causing significant immigration of large numbers of people, including infants and children, in Europe. Many of these young migrants are refugees. These youngsters have significant health needs, and medical conditions (such as infectious diseases) and mental health problems due to their previous stressful situations and the difficulties that they often experience while settling, even temporarily, into their new environments. Government authorities must screen for transmissible diseases and ensure that vaccine-preventable infections are adequately covered. Paediatricians must give the best possible care for these children and act as their advocates. This can be enhanced by collaborating with national and international paediatric societies and with international non-government agencies. This problem is not confined to Europe; world-wide, it occurs on a massive scale and causes huge burdens for poorer countries that have serious difficulties in coping with the extra financial, personnel and infrastructure needs imposed by massive, uncontrolled migration of populations that are often unhealthy and inadequately nourished. However, this should not be used as a pretext to deny safe refuge to children and their families who need it.
Massive movements of infant and child immigrants and refugees across European borders over recent years have brought challenges to paediatricians because of the needs for the health and medical and mental health care of these young people. Paediatricians have an important role in their care and by acting, wherever possible, as their advocates. This is a massive problem, world-wide, in which paediatricians can have a potentially significant positive impact.
政治动荡、军事冲突及其他国际社会动荡正导致欧洲出现大量人口移民,其中包括婴幼儿和儿童。这些年轻移民中有许多是难民。这些青少年有重大的健康需求,由于他们之前经历的压力状况以及在融入新环境(即使是暂时融入)时经常遇到的困难,他们存在医疗状况(如传染病)和心理健康问题。政府当局必须筛查传染病,并确保疫苗可预防的感染得到充分防控。儿科医生必须为这些儿童提供尽可能好的护理,并充当他们的代言人。与国家和国际儿科协会以及国际非政府机构合作可以加强这一点。这个问题并不局限于欧洲;在全球范围内,它大规模发生,给较贫穷国家带来巨大负担,这些国家在应对大量不健康且营养不足的人口不受控制地大规模移民所带来的额外资金、人员和基础设施需求方面面临严重困难。然而,这不应用作拒绝为有需要的儿童及其家庭提供安全庇护的借口。
近年来,婴幼儿移民和难民大规模跨越欧洲边境,给儿科医生带来了挑战,因为这些年轻人需要健康、医疗和心理健康护理。儿科医生在照顾他们以及尽可能充当他们的代言人方面发挥着重要作用。这是一个全球性的重大问题,儿科医生在其中可能产生潜在的重大积极影响。