Int J Environ Res Public Health
June 2021
Varying dimensions of social, environmental, and economic vulnerability can lead to drastically different health outcomes. The novel coronavirus (SARS-CoV-19) pandemic exposes how the intersection of these vulnerabilities with individual behavior, healthcare access, and pre-existing conditions can lead to disproportionate risks of morbidity and mortality from the virus-induced illness, COVID-19. The available data shows that those who are black, indigenous, and people of color (BIPOC) bear the brunt of this risk; however, missing data on race/ethnicity from federal, state, and local agencies impedes nuanced understanding of health disparities.
View Article and Find Full Text PDFJ Health Care Poor Underserved
November 2019
Liberation Medicine is the conscious, conscientious use of health to promote social justice and human dignity. The new United States of America government policy of separating children from their families at the border has galvanized action on the part of health professionals and their professional organizations. The impact of Hurricane Maria's devastation on 16 September 2017 in Puerto Rico has reverberated throughout the entire United States, and-like other examples globally-reminds us of our responsibility as clinicians to understand and influence social well-being in our patients' lives.
View Article and Find Full Text PDFBackground: Half a million immigrants enter the United States annually. Clinical providers generally lack training in immigrant health.
Description: We developed a curriculum with didactic, clinical, and analytic components to advance residents' skills in immigrant and travel health.
A significant number of asylum seekers who largely survived torture live in the United States. Asylum seekers have complex social and medical problems with significant barriers to health care access. When evaluating and providing care for survivors, health providers face important challenges regarding medical ethics and professional codes.
View Article and Find Full Text PDFData on health status of immigrants and practice recommendations for providers are scarce. We evaluated 99 recent immigrants from developing nations in an immigrant clinic in New York City to assess epidemiology of diseases and to recommend potential screening. Providers received ongoing training.
View Article and Find Full Text PDFIntroduction: Despite the 1984 United Nations's Convention Against Torture calling to train doctors to work with torture survivors, many physicians are unaware of their obligation and few are taught the requisite clinical skills.
Aim: To describe the development, implementation, and evaluation of a curriculum to teach residents to work with torture survivors.
Participants: Medicine residents in New York City
Program Description: A 2-component curriculum consisting of a series of workshops and clinical experiences, which provide content, skills, and practices regarding the medical, psychological, ethical, and legal aspects of evaluating and caring for torture survivors.
Primary care providers who evaluate torture survivors often lack formal training to identify and address their specific needs. We assessed 89 asylum seekers from 30 countries to evaluate the pattern, spectrum, and presentation of abuses and the outcomes of the medico-legal process of seeking asylum. Commonly reported reasons for abuse were political opinion/activity (59%), ethnicity (42%), and religion (32%).
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