Globalization of infectious diseases: The impact of migration
Globalization of infectious diseases: The impact of migration
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DOI：
10.1086/421268
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发表时间：
2004-06-15
影响因子：
11.8
通讯作者：
MacPherson, DW
中科院分区：
文献类型：
--
作者：
Gushulak, BD;MacPherson, DW
由于世界上有2%的人口生活在出生国以外，人口流动对健康和对移民东道国卫生服务使用的潜在影响越来越重要。流动性的驱动因素、国际流动的过程以及在不同风险环境之间的来回转换对移民接收地区的传染病管理具有重要意义。管理问题是广泛的，高层次的，跨领域的，包括管理移民过程的政策决定，熟练劳动力的要求，人口的人口统计和生物特征，家庭团聚;规划问题，包括卫生保健专业教育，培训和能力的维护;公共卫生意义的全球事件的通信;制定管理准则，特别是针对非地方性疾病的管理准则;为外来或罕见的临床表现提供诊断和治疗干预措施;监测移徙者和当地人口使用保健服务的情况和健康结果。
With up to 2% of the world's population living outside of their country of birth, the potential impact of population mobility on health and on use of health services of migrant host nations is increasing in its importance. The drivers of mobility, the process of the international movement, and the back-and-forth transitioning between differential risk environments has significance for the management of infectious diseases in migrant receiving areas. The management issues are broad, high-level, and cross-cutting, including policy decisions on managing the migration process for skilled-labor requirements, population demographic and biometric characteristics, and family reunification; to program issues encompassing health care professional education, training, and maintenance of competence; communication of global events of public health significance; development of management guidelines, particularly for nonendemic diseases; access to diagnostic and therapeutic interventions for exotic or rare clinical presentations; and monitoring of health service use and health outcomes in both the migrant and local populations.