scholarly journals Structural vulnerability: migration and health in social context

2021 ◽  
Vol 6 (Suppl 1) ◽  
pp. e005109
Author(s):  
Lauren Carruth ◽  
Carlos Martinez ◽  
Lahra Smith ◽  
Katharine Donato ◽  
Carlos Piñones-Rivera ◽  
...  

Based on the authors’ work in Latin America and Africa, this article describes and applies the concept ‘structural vulnerability’ to the challenges of clinical care and healthcare advocacy for migrants. This concept helps consider how specific social, economic and political hierarchies and policies produce and pattern poor health in two case studies: one at the USA–Mexico border and another in Djibouti. Migrants’ and providers’ various entanglements within inequitable and sometimes violent global migration systems can produce shared structural vulnerabilities that then differentially affect health and other outcomes. In response, we argue providers require specialised training and support; professional associations, healthcare institutions, universities and humanitarian organisations should work to end the criminalisation of medical and humanitarian assistance to migrants; migrants should help lead efforts to reform medical and humanitarian interventions; and alternative care models in Global South to address the structural vulnerabilities inherent to migration and asylum should be supported.

2003 ◽  
Vol 1 (1) ◽  
pp. 49-59
Author(s):  
Mark Tomita

The Global Health Disparities CD-ROM Project reaffirmed the value of professional associations partnering with academic institutions to build capacity of the USA public health education workforce to meet the challenges of primary prevention services. The Society for Public Health Education (SOPHE) partnered with the California State University, Chico to produce a CD-ROM that would advocate for global populations that are affected by health disparities while providing primary resources for public health educators to use in programming and professional development. The CD-ROM development process is discussed


2003 ◽  
Vol 1 (1) ◽  
pp. 49-59
Author(s):  
Mark Tomita

The Global Health Disparities CD-ROM Project reaffirmed the value of professional associations partnering with academic institutions to build capacity of the USA public health education workforce to meet the challenges of primary prevention services. The Society for Public Health Education (SOPHE) partnered with the California State University, Chico to produce a CD-ROM that would advocate for global populations that are affected by health disparities while providing primary resources for public health educators to use in programming and professional development. The CD-ROM development process is discussed.


Oryx ◽  
2021 ◽  
pp. 1-12
Author(s):  
Eric W. Sanderson ◽  
Kim Fisher ◽  
Rob Peters ◽  
Jon P. Beckmann ◽  
Bryan Bird ◽  
...  

Abstract In April 2019, the U.S. Fish and Wildlife Service (USFWS) released its recovery plan for the jaguar Panthera onca after several decades of discussion, litigation and controversy about the status of the species in the USA. The USFWS estimated that potential habitat, south of the Interstate-10 highway in Arizona and New Mexico, had a carrying capacity of c. six jaguars, and so focused its recovery programme on areas south of the USA–Mexico border. Here we present a systematic review of the modelling and assessment efforts over the last 25 years, with a focus on areas north of Interstate-10 in Arizona and New Mexico, outside the recovery unit considered by the USFWS. Despite differences in data inputs, methods, and analytical extent, the nine previous studies found support for potential suitable jaguar habitat in the central mountain ranges of Arizona and New Mexico. Applying slightly modified versions of the USFWS model and recalculating an Arizona-focused model over both states provided additional confirmation. Extending the area of consideration also substantially raised the carrying capacity of habitats in Arizona and New Mexico, from six to 90 or 151 adult jaguars, using the modified USFWS models. This review demonstrates the crucial ways in which choosing the extent of analysis influences the conclusions of a conservation plan. More importantly, it opens a new opportunity for jaguar conservation in North America that could help address threats from habitat losses, climate change and border infrastructure.


SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A309-A310
Author(s):  
A Okuagu ◽  
K Granados ◽  
P Alfonso-Miller ◽  
O Buxton ◽  
S Patel ◽  
...  

Author(s):  
L. M. Sintserov

The article deals with international migration during the last decades of the 20th and at the beginning of the 21st centuries and its economic-geographical analysis. The paper provides an overview of opinions about the dating of the contemporary era of global migration. It is shown that only after completion of spatial restructuring of migration processes and with the transition to sustainable growth of the share of international migrants in the world population, the modern increase of migration begins. On the basis of the UN statistics the main sources of migrants to the countries of Western Europe have been determined as well as shifts in the geographical structure of migrant population of the region that have taken place in the last quarter of a century. Two migration waves directed to the core of the European region from its southern and then from the eastern periphery are determined. The transformation of the USA population structure caused by the migration inflow from Latin America and Asia is described. The ratio of the main directions of global migration is shown: South-South, South-North, etc. At the same time, it is noted that a rather limited part of international migrations is associated with the asynchrony of demographic processes in the regions of the world. The article also discusses the remittances of migrants from developing countries to their homeland, forming powerful financial flows, which are second only to foreign direct investment. They play an especially important role in the economies of developing countries. The calculations show that the contribution of international migrants to the world economy far exceeds their share in the world population.


2018 ◽  
Vol 81 (4) ◽  
pp. 670-684 ◽  
Author(s):  
Maxxine Rattner

While relieving suffering is palliative care’s primary aim, how palliative care providers navigate patients’ nonphysical suffering in their day-to-day work and the impact of working with nonphysical suffering on the clinician have been understudied. This exploratory study aims to begin to fill this gap in the literature. Results revealed that palliative care clinicians face several challenges in their efforts to navigate patients’ nonphysical suffering in their day-to-day work, including (a) the intangible nature of nonphysical suffering, (b) systemic barriers (e.g., lack of time and adequate resources), (c) clinician helplessness or suffering, and (d) a lack of education, training, and support for clinicians specific to their work with patients’ nonphysical suffering. Study outcomes have the potential to improve frontline clinical care with patients and support and education for clinicians.


2019 ◽  
Vol 121 (5) ◽  
pp. 1101-1115 ◽  
Author(s):  
Djamel Toudert ◽  
Nora L. Bringas-Rábago

PurposeThe purpose of this paper is to examine the impact of cognitive destination food image in food expectation, satisfaction and visit outcomes within a local context of the USA–Mexico border. The differences between tourists and excursionists were also assessed for their possible implications in strengthening an active market strategy in the framework of the same objective.Design/methodology/approachFour hypotheses were examined through Squares SEM techniques. The model validation was carried out assessing the measurement and structural model. Additionally a multi-group analysis was performed to test the tourists and excursionists moderation effect. The study used 518 questionnaires completed by US visitors in three important gastronomic regions of the coast of Baja California, Mexico.FindingsThe results suggest that tourists and excursionists obey different dimensions when structuring cognitive destination food image which showed a significant impact on visitor satisfaction and future intentions.Originality/valueThe moderation function of tourists and excursionists in the causal relationships of the research model was analyzed as one of the first explorations in food tourism marketing. In conjunction with other findings, this paper offers specific theoretical and practical implications on how to stimulate gastronomic consumption in these two segments of visitors.


2020 ◽  
Vol 12 (7) ◽  
pp. 643-647 ◽  
Author(s):  
Aditya S Pandey ◽  
Andrew J Ringer ◽  
Ansaar T Rai ◽  
Peter Kan ◽  
Pascal Jabbour ◽  
...  

BackgroundInfection from the SARS-CoV-2 virus has led to the COVID-19 pandemic. Given the large number of patients affected, healthcare personnel and facility resources are stretched to the limit; however, the need for urgent and emergent neurosurgical care continues. This article describes best practices when performing neurosurgical procedures on patients with COVID-19 based on multi-institutional experiences.MethodsWe assembled neurosurgical practitioners from 13 different health systems from across the USA, including those in hot spots, to describe their practices in managing neurosurgical emergencies within the COVID-19 environment.ResultsPatients presenting with neurosurgical emergencies should be considered as persons under investigation (PUI) and thus maximal personal protective equipment (PPE) should be donned during interaction and transfer. Intubations and extubations should be done with only anesthesia staff donning maximal PPE in a negative pressure environment. Operating room (OR) staff should enter the room once the air has been cleared of particulate matter. Certain OR suites should be designated as covid ORs, thus allowing for all neurosurgical cases on covid/PUI patients to be performed in these rooms, which will require a terminal clean post procedure. Each COVID OR suite should be attached to an anteroom which is a negative pressure room with a HEPA filter, thus allowing for donning and doffing of PPE without risking contamination of clean areas.ConclusionBased on a multi-institutional collaborative effort, we describe best practices when providing neurosurgical treatment for patients with COVID-19 in order to optimize clinical care and minimize the exposure of patients and staff.


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