South West Public Health Observatory

Migrant Workers and Health

South West Public Health Observatory

WHO definition

Well being - not just absence of disease

– Physical

– Psychological

– Social

South West Public Health Observatory

Outline

Refugee/migrant – EU expansion

Adults Health

Children’s Health

Actions needed

Health Sector Workers

South West Public Health Observatory

Refugee/Workers from expanded EU Language

Culture

Previous Health Status/Socioeconomic position

Previous experience of Health systems

Maltreatment

Housing

Work conditions

Initial poverty

Access to benefits

South West Public Health Observatory

Accommodation

Balanced diet

Sleep

Exercise

Moderate alcohol/Stop smoking

Safety at work

Stress

Social network for support

South West Public Health Observatory

Accomodation

Severe overcrowding

– Bed sharing

Limited access to kitchen/washing facilities

Not secure

Completely unfit accommodation

– Stables, garages, tents, lorries

South West Public Health Observatory

Life-style

Very low income

Nutrition

Stress

Poor sleep

Poor opportunities for exercise

Alcohol/smoking

South West Public Health Observatory

Health and Safety at work

Significant issues

South West Public Health Observatory

Personal Safety

Gang Masters

Muggings

Severe stress

Insecure accommodation

Road traffic accidents

‘Karolina’

South West Public Health Observatory

Women

Family planning

Obstetrics

South West Public Health Observatory

Mental Health

Stress

Prevalence of mental illness

South West Public Health Observatory

Children

Adaptation

Overcrowding

Nutrition – Free school meals ? Not entitled

Free time

Culture and access to free (additional) education in their own language.

Children with disability

Benefit system ??????

South West Public Health Observatory

Actions needed

English Language

Advice

– register with GP

– Who is eligible for NHS

Health phrase book

Advice on personal/Health at work safety

Support for children

South West Public Health Observatory

Health Sector Workers NHS recruitment

– Dentists ++, Doctors+/-

Lots of highly qualified individuals

– Nurses

– Midwives

– Ambulance Paramedics

– Physiotherapists

– Disability support staff/Education

– Psychologists

South West Public Health Observatory

Health Sector Workers

Language

Bureaucracy

Discrimination ??

Currently work in care homes or other non-skilled work