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PA refugee resettlement PROGRAM Consultation Conference June 13 - 14, 2012. PA Refugee health program Asresu Misikir, Dr.Ph., MPH Epidemiologist & Refugee Health Program Coo. - PowerPoint PPT Presentation
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PA REFUGEE RESETTLEMENT PROGRAM CONSULTATION CONFERENCE
JUNE 13 - 14, 2012
PA REFUGEE HEALTH PROGRAM
Asresu Misikir, Dr.Ph., MPH Epidemiologist & Refugee Health Program Coo. Bureau of Epidemiology Division of Infectious Disease Epidemiology, Refugee Health Program Section
PRESENTATION POINTS :
I. PA REFUGEE HEALTH PROGRAM (PA RHP) OVERVIEW
II. STATISTICAL INFORMATION
III. ACCOMPLISHMENTS
IV. FUTURE PLAN
PA RHP_AM 2012
Program Objectives:
To assess the current health status of all newly arriving refugees and identify health problems not identified during or developing after overseas medical exam
To ensure follow-up of refugees with conditions identified during the overseas medical exam or subsequently and provide treatment and referral
PA RHP_AM, 2012
Program Tasks: Coordination of care Training and Health Education Develop Electronic Reporting System
and Provide Technical Supports Collaborations Increase Public Awareness Site Monitoring Identify of Potential health risks Documentations & Produce Reports
PA RHP_AM 2012
Refugee Health Assessment (RHA) Primary Components:
Medical history and physical exam Immunization (children and adult) Tuberculosis (TB) Screening Sexually Transmitted Infection (STI)/HIV Screening Hepatitis B Screening Intestinal Parasite & Malaria Screening Mental Health Screening Childhood Blood lead Test Referral of Chronic diseases
PA RHP_AM 2011PA RHP_AM 2012
Refugee Population Served by RHP
PA RHP_AM 2012
Refugees Asylees Parolee/Cuban/Haitian Entrants Amerasians Victims of Human Trafficking Unaccompanied Alien Children Survivors of Torture
Health Care Providers By Region
Erie
ElkForest
Crawford
McKeanWarren
MercerVenango
LawrenceButler
Clarion
Beaver
Allegheny
Armstrong
Potter Tioga Bradford
CameronLycoming
Jefferson
Clearfield
Clinton
Centre
Indiana
WestmorelandWashington
CambriaBlair
Union
Snyder
Susquehanna
WyomingSullivan
Luzerne
Wayne
Lackawanna
Northumberland
Montour
Columbia
Carbon
Monroe
Pike
SchuylkillNorthampton
LehighMifflin
Juniata
DauphinPerry BerksBucks
Montgomery
Chester
Lebanon
Lancaster
Huntingdon
Bedford
Franklin Adams
Cumberland
York
Fulton
Delaware
SomersetGreene
Fayette
Health CARE Providers (20)
Philadelphia
PA RHP_AM 2011PA RHP_AM 2012
Active Health Care Providers
II. STATISTICAL INFORMATION
Notifications of Arrival
Health Screening Status
PA RHP_AM 2011PA RHP_AM 2012
Figure 1 Total Newly Arriving Refugees by States in 2011
PA RHP_AM 2012
Source: ORR annual refugee arrivals report, 2011. These data excludes secondary migrants
N=56,419
Figure 2 Trends of Newly Arriving Refugees in PA from 2009 - 2011
Sources: CDC EDN Data (2008-2011) http://www.acf.hhs.gov/program/orr/data/state_profiles.htm. Date includes secondary migrants
PA RHP_AM 2012
Figure 3 Newly Arriving Refugees in PA by Country of Origin, 2011
Note: Refugees came from 59 different countries; Source – CDC EDN, 2011PA_RHP_AM, 2012
N=3303
Figure 4 Percent of Newly Arriving Refugees in PA by Country of Origin(Region) in PA 2011
PA_RHP_AM, 2012
Note: Among refugees who came from East-South Asia Region, 46% came from Bhutan, 24% from Nepal, and 7% from Myanmar.
Figure 5 Percent of Newly Arriving Refugees by Sex and Age Group in PA, 2010 and 2011
Sex
PA RHP_AM 2012
Figure 6 Newly Arriving Refugees by County in PA 2011
Erie
ElkForest
Crawford
McKeanWarren
MercerVenango
LawrenceButler
Clarion
Beaver
Allegheny
Armstrong
Potter Tioga Bradford
CameronLycoming
Jefferson
Clearfield
Clinton
Centre
Indiana
WestmorelandWashington
CambriaBlair
Union
Snyder
Susquehanna
WyomingSullivan
Luzerne
Wayne
Lackawanna
Northumberland
Montour
Columbia
Carbon
Monroe
Pike
SchuylkillNorthampton
LehighMifflin
Juniata
DauphinPerry BerksBucks
Montgomery
Chester
Lebanon
Lancaster
Huntingdon
Bedford
Franklin Adams
Cumberland
York
Fulton
Delaware
SomersetGreene
FayettePhiladelphia
Legend: <10 Refugees 11- 50 Refugees >51 - 100 Refugees >101 Refugees
Note: Refugees and Eligible Immigrants reside in 36 counties in PA, 2011
Figure 7 Refugees Who were Diagnosed with TB Conditions Overseas and
Resettled in PA from 2009 - 2011
PA RHP_AM 2012
Figure 8 Refugees Who Completed Health Screening in PA, 2010 and 2011
PA RHP_AM 2012
Note: Refugees who reside in Philadelphia are excluded since reports were not received .
Figure. 9 Percent of Refugees Who Completed Health Screening by Type of Services in PA 2011
PA RHP_AM 2012
N= 1,733
Figure 12 Type of Languages Used during Health Screening
PA RHP_AM 2012
Type of language # of Refugees
Arabic 27
Bhutan (Druk Yul) 91
Burma 29
China 1
Karen 23
Nepali 635
Russian 2
Somali 7
Spanish 33
Swahili 5
III. Accomplishments in 2011Coordination of Health Care:
Increased number of HCP from 5 to 10
Increased health screening rate by 32%
Integrated mental health screening
Deployed two Refugee Case Mangers
Obtained Refugee Preventive Health Grant
PA RHP_AM 2011PA RHP_AM 2012
Cont.: Electronic Reporting System of PA RH
eSHARE development process continues
Training and Public Awareness 300 Educational materials on refugee health distributed 4 conference calls with HCP were conducted Produced Annual report 2011 made available at ARHC website to the Public at the national level
Site monitoring Protocol Developed. One site monitoring was done
PA RHP_AM 2012
Cont.:
Participated in 4 Regional Refugee Resettlement Collaborative meetings
Developed good communication and working Relationship with HCP and Local VOLAGS
PA RHP_AM 2012
IV. Future Plans Enhance Coordination of Health Care
Epidemiological Refugees Tracking system development and make it access to all concerns
Provide Technical support and Immigration Legal Update
Training and Health Promotion
PA RHP_AM 2012
Develop link with academic Institutes
Identify and study potential health risk among refugees
Continue active collaborative work with Key Partners
Conduct Site Monitoring
Documentation and Producing Reports
Cont., Future Plans
PA RHP_AM 2012
PA, Department of Public Welfare, Refugee Resettlement Program (RRP)http://www.state.pa.us
PA, Department of Health Bureau of Epidemiology, Division of Infectious Disease Epidemiology, Refugee Health Program Section. http://www.dpw.state.pa.us/
CDC, Division of Global Migration and Quarantine: http://www.cdc.gov/ncidod/dg/refugee/fag/fag.htm
Department of State Human Health service, Office of Refugee Resettlement: http://www.acf.hhs.gov/program/orr
United States Citizenship and Immigration Services (USCIS) http://www.uscis.gov
Public Health Services Act: http://www.os.dhhs.gov/about/opdivs/phs.html and http://www.usphs.gov/AboutUs/mission.aspx).
PA RHP_AM 2012
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