Ministerial lunch: Migration and health in the WHO European Region - presentation delivered by Dr Zsuzsanna Jakab – WHO Regional Director for Europe, on 14 September 2015, at the 65th session of the WHO Regional Committee for Europe (Vilnius, Lithuania, 14–17 September 2015)
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Migration and health in the WHO European Region
1. Ministerial lunch: Migration and health
in the WHO European Region
Dr Zsuzsanna Jakab – WHO Regional Director for Europe
2. Context: Migration in the WHO European Region
77 millions of migrants are living in the WHO European Region, which represents 8% of its
population (European Heath Report 2012)
1 out of 12 residents is a migrant
• To date, over 350,000 refugees and migrants have reached European countries, adding to the almost 2 million in
Turkey.
• Over 2,600 people have lost their life trying to cross the Mediterranean Sea.
• The majority of people arriving to European countries are refugees fleeing armed conflict or persecution.
3. Public Health Aspects of Migration in the European Region
Migrant child in a temporary camp for refugees in Preševo, Serbia
• Population movement is a challenge for refugees and
migrants as well as for the receiving population.
• Responding to the challenges of people on the move
requires health system preparedness and capacity.
• However, high-quality care for refugee and migrant
groups cannot be addressed by health systems alone. A
cross sectoral response to migrant health is necessary to
address the social determinants of health that cut across
sectors such as education, employment, social security
and housing.
4. Public Health Aspects of Migration in the European Region
• Adequate standards of care for refugees and migrants into Europe
are not only important for population health but are fundamental
for protecting and promoting the human rights of refugees and
migrants as well as those of the host communities.
• This is fully in accordance with Health 2020 strategic objectives and
2008 World Health Assembly resolution WHA61.17 on migrants'
health.
• In 2011, thanks to the financial support of the Ministry of Heath of
Italy, the WHO Regional Office for Europe created the project ‘Public
Health Aspects of Migration in Europe’ (PHAME) Project.
5. Public Health Aspects of Migration in the European Region
NGO providing health care to a migrant in Lisbon, Portugal.
• In spite of a common perception that there is an
association between migration and the importation of
infectious diseases, there is no systematic association.
Communicable diseases are primarily associated with
poverty.
• We should focus on ensuring that each and every person
on the move has full access to a hospitable environment
and, when needed, to high-quality health care.
• We need to strengthen intersectoral coordination on
migrant health; implement life-saving interventions; and
improve the management of CDs and NCDs (such as
diabetes or hypertension).
6. Call for inter-country and inter-regional coordination
Painting drawn by a migrant child in a migration camp in the Greek
island of Samos.
1. The escalation of influx of refugees and
migrants calls for a comprehensive and
systematic response to their health needs,
which requires inter-country and inter-
regional coordination, as well as
collaboration among among sectors.
2. WHO/Europe is providing assistance to the
affected countries, including training and
delivery of emergency kits.
Hinweis der Redaktion
The topic of our lunch today is currently making front page news and is being discussed in meetings and summits all across the European Region: it is migration; and more specifically, the public health implications of large migration movements to European countries. In the session today, we would be eager to know, how we can best support you!
Around 77 million migrants are living today across the WHO European Region. This is 8% of our total population. Political unrest, armed conflicts, instability, environmental changes and poverty are among the factors leading to the current increase of migrant influxes arriving to our countries.
This situation has resulted in over 350,000 people crossing the Mediterranean so far in 2015 Furthermore, over 2,600 people have lost their lives while searching for a better future for themselves and their families. At the beginning, in 2011, it affected mainly Italy, Greece and Malta, but the migratory routes have changed over the last few months and most migrants arriving in Greece continue their journey through SEE (FYM, Serbia) reaching Hungary which is not their final destination but rather a transit country on their journey towards other MSs, like Germany, Nordics, UK. Turkey is one of the countries in the frontline of this phenomenon, where close to 2 million refugees and migrants have taken shelter.
Population movement is a challenge for both refugees and migrants, as well as for the receiving population. The situation requires the adequate preparedness and capacity of the European health care and public health systems, including robust epidemiological data and migration intelligence, careful planning and training. At the same time, the response cannot come from the health sector alone. Guaranteeing good standards of health for the migrant population such as for the resident population requires intersectoral action to address the social issues such as employment, social security and housing.
But, above all, the European public health response to the large arrivals of refugees and migrants must include adequate standards of health care for all, the protection and promotion of the human rights and the dignity of refugees, migrants, and host communities. Health 2020 asks for this approach. It is in situations as the current one when we most need to put in practice our shared goals and apply our commitments to protect the vulnerable populations. The migration crisis is, in this regard, an opportunity we cannot ignore.
At the World Health Assembly in 2008, Member States approved the Resolution WHA61.17 on the health of migrants, calling for a modern, 21st century approach to public health and migration. It is now the time to fully implement this resolution in the European Region. This resolution and H2020 is the spirit of our work on migration and health.
In 2011, many Member States asked the WHO Regional Office for Europe to support them in improving international cooperation and coordination on health issues related to the mass migration resulting from the crisis in northern Africa. As a result, and thanks to the financial support of the Ministry of Health of Italy, we created the project ‘Public Health Aspects of Migration in Europe’. This project has supported countries during the last three years to ensure that our health systems are adequately prepared to respond to the implications of large migration and you will hear more about it in a few minutes from its project coordinator Dr Santino Severoni.
Some myths surround the topic of migration and health. One of them is the perception that there is an association between migration and the importation of infectious diseases. However, such systematic association doesn’t exist. If we follow the disease profile of the countries of origin, as we do, with the other regions, we can anticipate what to expect. These are spelled out in our documents on our website, like my statement, FAQs, HEN publications, newsletters etc. which we plan to share more systematically with MSs. Ensuring access to a hospitable environment and good quality care is the best way to ensure good standards of health for both migrants as well as resident populations. Our efforts must be now on public health measures, like immunization for vaccine-preventable diseases as required; emergency care in case of injuries ; access to care during pregnancy and safe childbirth; access of children to medical care as they require in case of fever or childhood diseases; access to care and medication for those who have chronic conditions; psychosocial care etc.
As migration escalates and the migratory routes change, more European countries are interested. Today more than ever, this situation calls for a regional, comprehensive and systematic public health response. As refugees and migrants move, inter-country coordination must be strengthened across the European region, as well as with the countries of origin and transit. In this regard, our Regional Office is scaling-up collaboration with the Eastern Mediterranean Region. Today, we have the opportunity to discuss how European countries can best address this situation, and how our Regional Office can support you to protect the health of migrants and the population at large, making of our Region a better, safer and healthier place where solidarity prevails and a region that we can all be proud of. In my view it is important to meet and discuss these issues in more details at a conference later on in the year and agree on a common public health approach and key messages. WHO/EURO is happy to organize it with support of some MSs, if you think this is useful. Please also indicate, how you see our role in this important issue to best support you!
Thank You!