ENHANCING THE OVERSEAS HEALTH ASSESSMENT AND MANAGEMENT OF U.S.-BOUND REFUGEES

在过去的5年里，国际移民组织一直与美国疾病控制和预防中心(CDC)合作 在不同地点为前往美国的难民提供公共卫生干预。这些 除美国《外国人技术说明》外，还将实施干预措施，并在 亚洲和非洲地区。 鉴于其以往的经验，并利用其全球存在的优势，国际移民组织提议实施 在未来5年内，在有主要难民前往美国的地点开展的一系列公共卫生活动 亚洲和非洲(例如泰国、马来西亚、尼泊尔、东非、伊拉克、约旦)的人口。这些活动 旨在防止移民活动中断，保护美国公共卫生免受输入 减少传染病的传播，减轻美国卫生系统的财政负担。这些目标将通过在营地地点的流行病学监测和应对活动、加强实验室 诊断能力，提供更好的疫苗接种时间表，改善健康教育和 提高认识，提供推定治疗，改进从国际移民组织到疾控中心的健康数据传输。

Over the past 5 years, IOM has been collaborating with the U.S. Centers for Disease Control and Prevention (CDC) in the provision of public health interventions for U.S.-bound refugees in a variety of locations. These interventions are implemented in addition to the U.S. Technical Instructions for Aliens, and are carried out in Asia and Africa regions. In light of its previous experience and taking advantage of its global presence, IOM proposes to implement a range of public health activities over the next 5 year period in locations with major U.S.-bound refugee populations in both Asia and Africa (e.g. Thailand, Malaysia, Nepal, East Africa, Iraq, Jordan). These activities aim to prevent the disruption of resettlement activities, protect public health in the US against the importation and spread of communicable diseases and reduce the financial burden on the U.S. health system. These aims will be achieved through epidemiological surveillance and response activities in camp locations, enhanced laboratory capacity for diagnostics, provision of an enhanced schedule of vaccinations, improved health education and awareness, provision of presumptive treatment and improvement in the transmission of health data from IOM to CDC.