Page 72 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
P. 72
vanni Delli Zotti
of each patient in a year, once identified for each patient a referral hospital-
ization, from that date one should add to the clinical history of that patient
all the possible hospitalizations occurred in the six months before and after.
Similarly, extending the observation period to two years, starting from the
‘central’ admission date, the observation should be extended to the previ-
ous and following 365 days.
Conclusions
The Italian Parliamentary Commission of Inquiry into the System of Recep-
tion, Identification and Expulsion, as Well as the Conditions for the Detention
of Migrants and Public Resources Committed, approved a Report on the Pro-
tection of the Health of Migrants and of the Resident Population on 8 November
2017 (Camera dei Deputati, 2017) which includes an analysis of the ‘epidemio-
logical situation’ with which the conditions are laid for improving the health
system in relation to the situation of subjective vulnerability of the migrants.
Quite interesting, for the purposes of this work, is to cite the epidemiologi-
cal analysis, stating that: ‘Salgari Syndrome, i.e. the stereotype of the migrant
“infector,” a dangerous source of diseases, namely of infectious type, is sup-
ported today by no scientific evidence derived from formal epidemiologi-
cal studies or from health surveillance. [. . .] On the contrary, the data on the
health of migrants derived from studies and surveillance experiences unex-
pectedly outline a population exposed to the dangers of marginality. It deals
of the so-called “exhausted migrant effect,” which implies the more or less
rapid depletion of the health patrimony of migrants, regardless the situation
on their arrival, because of the continuous exposure to risk factors, due to the
conditions of poverty in which they live’ (Camera dei Deputati, 2017, p. 28).
The Report explicitly refers to the Strategy and Action Plan for Refugee and
Migrant Health in the WHO European Region and to the homonymous reso-
lution, approved on December 15, 2016. As for some aspects relevant to the
INTEGRA project, the WHO document underlined that migrant women may
often wish to be treated by female doctors, based on a principle of greater
closeness, cultural sensitivity and gender equity. The document also speaks
of an important effort of ‘promotion of health literacy’ (Camera dei Deputati,
2016, p. 40).
The Conclusions of the Report state: ‘Among the priorities to be addressed
is also that of a selection of the categories most in need of assistance. If it
is true that migrants are in themselves a weak category, it is also true that
there are categories in greater difficulty, the weak among the weak. These
are those that the legislator defines “vulnerable categories.” From the point of
70
of each patient in a year, once identified for each patient a referral hospital-
ization, from that date one should add to the clinical history of that patient
all the possible hospitalizations occurred in the six months before and after.
Similarly, extending the observation period to two years, starting from the
‘central’ admission date, the observation should be extended to the previ-
ous and following 365 days.
Conclusions
The Italian Parliamentary Commission of Inquiry into the System of Recep-
tion, Identification and Expulsion, as Well as the Conditions for the Detention
of Migrants and Public Resources Committed, approved a Report on the Pro-
tection of the Health of Migrants and of the Resident Population on 8 November
2017 (Camera dei Deputati, 2017) which includes an analysis of the ‘epidemio-
logical situation’ with which the conditions are laid for improving the health
system in relation to the situation of subjective vulnerability of the migrants.
Quite interesting, for the purposes of this work, is to cite the epidemiologi-
cal analysis, stating that: ‘Salgari Syndrome, i.e. the stereotype of the migrant
“infector,” a dangerous source of diseases, namely of infectious type, is sup-
ported today by no scientific evidence derived from formal epidemiologi-
cal studies or from health surveillance. [. . .] On the contrary, the data on the
health of migrants derived from studies and surveillance experiences unex-
pectedly outline a population exposed to the dangers of marginality. It deals
of the so-called “exhausted migrant effect,” which implies the more or less
rapid depletion of the health patrimony of migrants, regardless the situation
on their arrival, because of the continuous exposure to risk factors, due to the
conditions of poverty in which they live’ (Camera dei Deputati, 2017, p. 28).
The Report explicitly refers to the Strategy and Action Plan for Refugee and
Migrant Health in the WHO European Region and to the homonymous reso-
lution, approved on December 15, 2016. As for some aspects relevant to the
INTEGRA project, the WHO document underlined that migrant women may
often wish to be treated by female doctors, based on a principle of greater
closeness, cultural sensitivity and gender equity. The document also speaks
of an important effort of ‘promotion of health literacy’ (Camera dei Deputati,
2016, p. 40).
The Conclusions of the Report state: ‘Among the priorities to be addressed
is also that of a selection of the categories most in need of assistance. If it
is true that migrants are in themselves a weak category, it is also true that
there are categories in greater difficulty, the weak among the weak. These
are those that the legislator defines “vulnerable categories.” From the point of
70
