Migration crisis emergency public health services delivery: Quality and effectiveness challenges and opportunities

摘要

Despite substantial progress emergency public health and medicine, there is no doubt that recent European Union (EU) migration crisis has provide a new dimension and complexity in public health and lives of millions are in peril, while international aid organizations are unable to effectively deal with associated emergencies. Health risks related to migration process associated with emergency or crises situations are not fully studied despite the growing number and intensity of such events. In globalization and health systems are increasingly becoming topical issues due to range of risks diseases vulnerability challenges irrespective of race, ethnic and gender across all levels of the society. The paper aimed at examining the quality of care and effectiveness of emergency public health services delivery in contemporary Mediterranean, Balkans and Africa to EU migration crisis. Our finding showed that the quality of care of migrants in emergency situations varied considerable from one entry points to another and limited optimal Emergency public health engagement and responsibility of EU members' countries. Barriers and challenges to quality care included limited health access to traveller preventive services such as vaccines, essential medicines, and basic health care, chaotic over-crowding, long queue of asylum claims, linguistics, social exclusion, limited emergency local and humanitarian staff availability, police barricades, detentions centers, culture and limited protection against pathogens dynamics, infectious diseases and importation vulnerability. In addition to decreased hygiene, unsanitary conditions, and exposure to disease vectors, increased risk of physical and sexual violence, mental distress, and scarcity of food and water. The quality care index was highly compromised particular methodological strengths and weaknesses in most camps and transitory shelters centers. In conclusion, practical and efficient evidence-based emergency public health policies, services delivery quality and effectiveness metrics in preventing human suffering are crucial in upholding the common moral imperatives and responsibility to global health security.