Cojocaru Elena, Cojocaru Cristian, Cojocaru Elena, Oancea Cristian Iulian
Morpho-Functional Sciences II Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, 700115, Romania.
Medical III Department, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, 700115, Romania.
Risk Manag Healthc Policy. 2022 Sep 22;15:1775-1781. doi: 10.2147/RMHP.S375021. eCollection 2022.
The unprecedented exodus in the history of the European Union of more than 6 million Ukrainian refugees (May 13, 2022) is a cause for concern and could lead to a new difficult situation in terms of infectious disease control. Following the SARS-CoV-2 pandemic, Europe is facing a new challenge that could lead to a new wave of COVID-19 and an increase in the number of cases of tuberculosis or eradicated diseases, such as polio.
The purpose of this analysis was to provide an overview of lung diseases and health risks that could be encountered in refugees from Ukraine and translated to European Union`countries.
A systematic review was conducted in PubMed, World Health Organization, the UN Refugee Agency and the government's websites. Selected publications investigated the health problems arising from Ukrainian population migration from conflict areas and their impact on the public health system in the adoptive countries. The main potentially contagious diseases in Ukraine have also been reviewed.
The population of Ukraine has serious public health problems such as SARS-CoV-2 infection, multidrug-resistant tuberculosis, high levels of drug resistance and difficulties with an effective vaccination program, so there are significant risks of developing epidemics in transit or host countries. The current crisis has major peculiarities because the migrants were not concentrated in the camps but there was a dispersion of them on large territories of European countries.
In order to meet the health needs of refugees, it is necessary to adapt health systems culturally and linguistically, to train health workers on the particularities of existing diseases in the countries of refugee origin, and to facilitate collection of medical data on migrants' health.
欧盟历史上前所未有的超过600万乌克兰难民外流(2022年5月13日)令人担忧,可能会在传染病控制方面导致新的困难局面。继新冠疫情之后,欧洲正面临一项新挑战,这可能导致新冠疫情出现新一波高峰,以及结核病或已根除疾病(如脊髓灰质炎)病例数增加。
本分析的目的是概述乌克兰难民可能遇到并传播到欧盟国家的肺部疾病和健康风险。
在PubMed、世界卫生组织、联合国难民署和各国政府网站上进行了系统综述。选定的出版物调查了乌克兰人口从冲突地区迁移所产生的健康问题及其对接收国公共卫生系统的影响。还对乌克兰主要的潜在传染病进行了综述。
乌克兰民众存在严重的公共卫生问题,如新冠病毒感染、耐多药结核病、高水平耐药性以及有效疫苗接种计划面临困难,因此在过境国或东道国存在出现疫情的重大风险。当前危机有一些主要特点,因为难民没有集中在难民营,而是分散在欧洲国家的大片领土上。
为满足难民的健康需求,有必要在文化和语言方面调整卫生系统,针对难民原籍国现有疾病的特点培训卫生工作者,并促进收集有关移民健康的医疗数据。