Future Trends in Migration and Health in Canada Seminar on Migration and Health Guatemala City, Oct. 19 & 20, 2004
Future Trends in Migration and Health in Canada Seminar on Migration and Health Guatemala City, Oct. 19 & 20, 2004.
Jan 03, 2016
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Future Trends in Migration and Health in Canada
Seminar on Migration and Health
Guatemala City, Oct. 19 & 20, 2004
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Migration health trends in Canada are influenced by three main events:
1. Changes in the nature of immigration to Canada
2. Changes in the speed, scope and availability of international travel
3. New infectious diseases emerge and old ones re-emerge
3
Canadian Immigrant Source Regions Past 40 Years(MacDonald BS Transatlantic Economic Issues and their Security Implications Atlantic Council Members Paper 03/02)
0
10
20
30
40
50
60
70
80
90
Europe Americas Asia Africa
1961 1971-80 1991-96 2000-01
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Top 10 Source Countries:
ChinaIndiaPhilippinesPakistanU.S.IranRomaniaU.K.Sri LankaColombia
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What are the health implications of this change in source countries?
Over the long term – changes in chronic disease epidemiology
Effects on the health care system
Current “medical inadmissibility” provisions do not guarantee a healthy incoming population
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Trend #1
Increasing awareness of the need to focus more on post-arrival health issues.
“Immigrant Health and Health Care Utilization in Canada” – HC and CIC
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Trend #2
Recognition that population mobility is the issue, not just “immigrant health”
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The term “migrants” can include...
Immigrants
Refugees
Asylum seekers
VFR travellers
Tourists
Students
Temporary workers
Smuggled and trafficked persons
Business travellers
Returning Canadians
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Trend #3
Realization that focussing our efforts at excluding ill persons at the border has diminished utility in the 21st century.
Health Canada is currently amending the Quarantine Act
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Trend #4
Increasing recognition of the need to involve all health stakeholders
Advisory committee for immigrant health study
Advisory committee for Interim Federal Health Program
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In 2002, the Canadian Government established…
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Migration Health Task Force
Joint HC/CIC initiative
2 year timeframe
Mandate:To examine the larger migration health issues and make recommendations to both depts.
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Moving a bit beyond my mandate…
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Important International Trends
Increasing awareness that health issues must be taken into consideration whenever international migration is being examined.
Example: The Global Commission on International Migration
And the RCM too !
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International Trends Continued…
Increasing recognition of the connection between health, security, trade and globalization.
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“ While globalization has been extensively studied and debated since the 1970s in a number of fields…it has only begun to be explored by health researchers and policy makers in the mid-1990s.”
Kelly Lee
“Globalisation and Health Policy”
2000
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Some recent articles:
Globalization, Communicable Disease and EquityGlobalisation and the Challenges to Health SystemsGlobalization and Health at the United States-Mexico Border (AJPH, Dec. 2003)Globalisation and Public HealthThe Global Threat of New and Reemerging Infectious Diseases: Reconciling U.S. National Security and Public Health Policy
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A Closing Thought…
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“It really boils down to this: that all life is interrelated. We are all caught in an inescapable network of mutuality… Whatever affects one directly, affects all directly.”
Martin Luther King, Jr. 1968
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