Department of Health Sciences, University of Leicester, Leicester, UK.
Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Lancet Public Health. 2022 Oct;7(10):e876-e884. doi: 10.1016/S2468-2667(22)00174-8. Epub 2022 Aug 26.
Some subpopulations of migrants to Europe are generally healthier than the population of the country of settlement, but are at increased risk of key infectious diseases, including tuberculosis, HIV, and viral hepatitis, as well as under- immunisation. Infection screening programmes across Europe work in disease silos with a focus on individual diseases at the time of arrival. We argue that European health-care practitioners and policy makers would benefit from developing a framework of universal health care for migrants, which proactively offers early testing and vaccinations by delivering multi-disease testing and catch-up vaccination programmes integrated within existing health systems. Such interventions should be codeveloped with migrant populations to overcome barriers faced in accessing services. Aligning policies with the European Centre for Disease Prevention and Control guidance for health care for migrants, community-based preventive health-care programmes should be delivered as part of universal health care. However, effective implementation needs appropriate funding, and to be underpinned by high-quality evidence.
一些移民到欧洲的亚人群体通常比定居国的人口更健康，但他们面临着包括结核病、艾滋病病毒、病毒性肝炎以及免疫接种不足在内的主要传染病的更高风险。欧洲各地的传染病筛查计划在疾病的隔离状态下运作，重点关注到达时的个别疾病。我们认为，欧洲的医疗保健从业者和政策制定者将受益于为移民制定一个全民医疗保健框架，该框架通过在现有卫生系统内提供多疾病检测和补种疫苗计划，主动提供早期检测和疫苗接种。此类干预措施应与移民群体共同制定，以克服在获得服务方面面临的障碍。将政策与欧洲疾病预防控制中心为移民提供医疗保健的指南相协调，应将基于社区的预防性保健方案作为全民医疗保健的一部分来提供。然而，有效实施需要适当的资金，并以高质量的证据为支撑。
