Produção Nacional
Revisado por pares
The UCL–Lancet Commission on Migration and Health: the health of a world on the move
2018; Elsevier BV; Volume: 392; Issue: 10164 Linguagem: Inglês
10.1016/s0140-6736(18)32114-7
ISSN1474-547X
AutoresIbrahim Abubakar, Robert W Aldridge, Delan Devakumar, Miriam Orcutt, Rachel Burns, Maurício L. Barreto, Poonam Dhavan, Fouad M. Fouad, Nora Groce, Yan Guo, Sally Hargreaves, Michael Knipper, J. Jaime Miranda, Nyovani Madise, Bernadette N. Kumar, Davide Mosca, Terry McGovern, Leonard Rubenstein, Peter Sammonds, Susan M. Sawyer, Kabir Sheikh, Stephen Tollman, Paul Spiegel, Cathy Zimmerman, Ibrahim Abubakar, Robert W Aldridge, Delan Devakumar, Miriam Orcutt, Rachel Burns, Maurício L. Barreto, Poonam Dhavan, Fouad M. Fouad, Nora Groce, Yan Guo, Sally Hargreaves, Michael Knipper, Jaime Miranda, Nyovani Madise, Bernadette N. Kumar, Davide Mosca, Terry McGovern, Leonard Rubenstein, Peter Sammonds, Susan M. Sawyer, Kabir Sheikh, Stephen Tollman, Paul Spiegel, Cathy Zimmerman, Mustafa M. El Abbas, Eleanor Acer, Ayesha Ahmad, Ṣẹ̀yẹ Abímbọ́lá, Karl Blanchet, Philippe Bocquier, Fiona Samuels, Olga Byrne, Sonia Haerizadeh, Rita Issa, Mark Collinson, Carren Ginsburg, Ilan Kelman, Alys McAlpine, Nicola S. Pocock, Barbara Olshansky, Dandara de Oliveira Ramos, Michael J. White, Suzanne Zhou,
Tópico(s)Global Security and Public Health
ResumoWith one billion people on the move or having moved in 2018, migration is a global reality, which has also become a political lightning rod. Although estimates indicate that the majority of global migration occurs within low-income and middle-income countries (LMICs), the most prominent dialogue focuses almost exclusively on migration from LMICs to high-income countries (HICs). Nowadays, populist discourse demonises the very same individuals who uphold economies, bolster social services, and contribute to health services in both origin and destination locations. Those in positions of political and economic power continue to restrict or publicly condemn migration to promote their own interests. Meanwhile nationalist movements assert so-called cultural sovereignty by delineating an us versus them rhetoric, creating a moral emergency. Opening up to migration and healthThe picture of migration seen by many people is a bleak one. Boatloads of migrants travelling across the Mediterranean Sea bound for an uncertain future. A million Syrian refugees in Lebanon caught between a brutal war at home and mounting pressure to leave their place of refuge. The defiant caravan of Hondurans seeking asylum in the USA despite cruel threats of retaliation. These images portray a fractured world on the move. They also show that while globalisation and mobility have allowed unprecedented connectedness over space and time, they have not united us. Full-Text PDF Historic global agreement on migrationAt a time when migration and migrants are considered unpopular at best and a threat at worst in many parts of the world, most UN member states decided to do what would have been unthinkable a mere few years ago and on July 13, 2018, came to an agreement on a Global Compact for Safe, Orderly and Regular Migration (GCM).1 This compact is a remarkable historic achievement and a nod to multilateralism, but, perhaps just as important, it is a collective acknowledgement of the need to better harness the undoubted benefits of migration and mitigate its complex and many challenges. Full-Text PDF Migration and health: human rights in the era of populismHistorically, the overall contribution of migrants to the economy and wealth of hosting countries has exceeded their costs. Migration helps address labour market imbalances, and migrants contribute more in taxes and social contributions than they receive in benefits.1 However, increasing opposition to migration is expressed in political rhetoric and social media. Xenophobia and racism are galvanised by populist discourse that serves domestic political interests. A climate of intolerance facilitates the passing of discriminatory laws and the introduction of measures against migrants that contradict fundamental human rights. Full-Text PDF Advancing health in migration governance, and migration in health governanceHealth is an essential factor to enable orderly, safe, regular, and humane migration. Yet health remains at the margins of decisions making in migration governance, with decision usually made within ministries of interior, foreign policy, and immigration. There is typically limited engagement from health authorities beyond issues concerning health security, quarantine, and border-health management. Thus, migration policies do not address the inherent social determinants of migration and health. Full-Text PDF The unmet needs of refugees and internally displaced peopleWe welcome the UCL–Lancet Commission1 that highlights migration as a key determinant of health, and rightly examines the discrimination and denial of access to health services faced by many migrants. The Commission emphasises the diversity of migrant experiences, sheds light on the record on migrant health, and draws attention to the positive economic impact of migration. Here we draw attention specifically to the health needs of refugees and the internally displaced people (IDP) who are forced to flee by conflict or disaster. Full-Text PDF Bernadette Nirmal Kumar: making migrant health mainstreamMigration has been a natural part of Bernadette Kumar's life, which, along with her diverse and sometimes extraordinary experiences as a former physician turned public health leader, gives her a unique perspective as an author on the UCL–Lancet Commission on Migration and Health, now published in The Lancet. “I've never lived in one place for more than 5 years at a time. Migration is just part of me; I see life as being all about exploration and expanding horizons”, she says. Full-Text PDF Louise Arbour: champion of international lawIn October, 1970, Canada was embroiled in what was arguably the worst political crisis in its history. Members of the radical Front de libération du Québec kidnapped British diplomat James Cross, then kidnapped and murdered Quebec cabinet minister Pierre Laporte. The federal government invoked the War Measures Act, sent armed troops on the streets, suspended civil liberties, and arrested hundreds of people, largely for their political views. At the time, Louise Arbour was a law student at the Université de Montréal, and what she saw profoundly shaped her legal and political philosophy. Full-Text PDF Health of migrants: simple questions can improve careThe UCL–Lancet Commission on Migration and Health by Ibrahim Abubakar and colleagues1 was dedicated to the complex relation between international migration and population health. This Commission updated the discussion on this complex relationship and illustrated, with real-world evidence, the positive effect of migration above and beyond possible limitations and pervasive myths.2,3 Full-Text PDF Health of migrants: simple questions can improve care – Authors' replyWe thank Baltica Cabieses for describing the importance of simple innovation in addressing some of the challenges reported in the UCL–Lancet Commission on Migration and Health,b particularly regarding clinical consultations and the operationalisation of care pathways for migrants. The examples cited are consistent with the approach proposed in the Commission report and with the Commission's recommendation about implementing evidence-based health interventions, alongside analysis of effect and effectiveness. Full-Text PDF Will the Qatar World Cup be good for health?Kicking off on Nov 20, the 2022 FIFA World Cup in Qatar has been hailed by Tedros Adhanom Ghebreyesus, WHO Director-General, as “a unique opportunity to show how sport can promote health”. WHO, the Qatar Ministry of Public Health, FIFA, and the organising committee hope to create a “Legacy for Sport and Health”, aiming to protect the health of all those involved, promote healthy lifestyles, and promote health at future mass gatherings. But will this World Cup really be good for health? Full-Text PDF Offshoring the asylum process: a dangerous move for healthDespite widespread condemnation of the UK's asylum partnership arrangement with Rwanda, the Home Office appears to be going ahead with its plans to relocate to east Africa people who it deems to have arrived illegally and who are therefore not eligible for asylum in the UK. The policy, formed in response to increasing arrivals of migrants in small boats (28 500 arrived to the UK in 2021), has been hailed by Prime Minister Boris Johnson as the “morally right thing to do”, and is designed to deter refugees from entering the country through “illegal, dangerous or unnecessary methods”. Full-Text PDF Standing up for migrationWHO issued a report on the health of refugees and migrants in the WHO European Region on Jan 21, 2019. The report aims to provide an overview of the current health situation for refugees and migrants across the 53 countries of the region, by providing an evidence base for the approximately 258 million migrants in the area. Full-Text PDF
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