HSCI 431 Lecture Notes - Lecture 8: Well-Founded Relation, Community Areas In Chicago, Partner Notification
16 Jan 2019
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Possible to move between categories always changing. Focus on forced migration refugee claimants (asylum seekers) convention refugees (accepted) Forced migration: un high commissioner for refugees, gar source countries syria, congo, iran etc, refugee claimant source countries (afghanistan, iraq, mexico) Immigration medical exam (ime: designed to target danger to public health/safety. Excessive demand on canadian healthcare system: history and physical exam (5 min) Investigations: urinalysis, chest x-ray for active tb. Admissibility and hiv: not a danger to public health and safety. Exemptions: refugees, sponsored spouses, dependent children of pr. Recommendation: reproductive health counseling (contraception and pregnancy planning) offer to all reproductive-aged hiv+ individuals after hiv diagnosis and on an ongoing basis, only 50% have had a conversation about pregnancy and family planning. Health factors to consider in refugees: pre-migration, genetic or environmental exposures. Certain genetic diseases more common in regions: during migration. Exposure to war and trauma: post migration. Loneliness and social isolation change in diet, poverty, acculturation, loss of identity.
