Holguin Fernando, Moughrabieh M Anas, Ojeda Victoria, Patel Sanjay R, Peyrani Paula, Pinedo Miguel, Celedón Juan C, Douglas Ivor S, Upson Dona J, Roman Jesse
1 Pulmonary Sciences, Department of Medicine, University of Colorado, Denver, Colorado.
2 Division of Pulmonary and Critical Care, Department of Medicine, Wayne State University, Detroit, Michigan.
Ann Am Thorac Soc. 2017 Feb;14(2):153-159. doi: 10.1513/AnnalsATS.201608-592PS.
The crisis in the Middle East has raised awareness about the challenges encountered by migrant populations, in particular, health-care access and delivery. Similar challenges are encountered by migrant populations around the world, including those entering the United States as refugees and/or survivors of torture as well as Mexicans and other Latin Americans crossing the border. During the 2016 International American Thoracic Society Meeting held in San Francisco, California, a group of researchers and health-care providers discussed these challenges at a minisymposium devoted to the respiratory health of migrants. The discussion focused on the increased incidence of airway diseases among individuals migrating to more developed countries, the problems created by sleep disorders and their implications for cardiovascular and mental health, the challenges inherent in the control of infections in refugee populations, and the problems resulting from deportation. The group also discussed the potential impact of novel strategies made available by Internet-based technologies and how these strategies could be deployed to support worldwide efforts in assisting migrants and refugees, even in countries that find themselves in the direst circumstances. These presentations are summarized in this document, which is not meant to be exhaustive, but to improve awareness about the challenges confronted by migrants and their host nations regarding respiratory health-care access and delivery, and about the need for adequate investment of resources to better define these challenges through research and for the development of efficient strategies for intervention.
中东危机提高了人们对移民群体所面临挑战的认识，尤其是在医疗保健获取和提供方面。世界各地的移民群体都面临着类似的挑战，包括那些作为难民和/或酷刑幸存者进入美国的人，以及穿越边境的墨西哥人和其他拉丁美洲人。在2016年于加利福尼亚州旧金山举行的国际美国胸科学会会议期间，一群研究人员和医疗保健提供者在一个专门讨论移民呼吸健康的小型研讨会上探讨了这些挑战。讨论的重点包括：移民到更发达国家的人群中气道疾病发病率的上升、睡眠障碍所带来的问题及其对心血管和心理健康的影响、难民群体感染控制方面固有的挑战以及驱逐出境所导致的问题。该小组还讨论了基于互联网技术的新策略的潜在影响，以及如何部署这些策略来支持全球范围内协助移民和难民的努力，即使是在处于最严峻形势的国家。本文档总结了这些报告，其目的并非详尽无遗，而是为了提高人们对移民及其所在国在呼吸保健获取和提供方面所面临挑战的认识，以及对通过研究充分投入资源以更好地界定这些挑战并制定有效干预策略的必要性的认识。
