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      Editorial: The Public Health Implications for the Refugee Population, Particularly in Poland, Due to the War in Ukraine

      editorial

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          Abstract

          On February 24, 2022, the Russian Federation initiated a military invasion of Ukraine, resulting in a significant armed conflict in Europe. Large numbers of refugees and asylum-seekers have left Ukraine. As of March 29, more than 4 million refugees, including over 1.5 million children, have left Ukraine, while about 7 million individuals have become displaced within Ukraine. Most refugees have gone to bordering countries, with 60% coming to Poland. This large number of refugees in such a short time requires urgent public health measures to ensure their health and safety. Refugees to Poland must receive access to healthcare, social care, and education. Those who have chronic disease and malignancy must continue to receive treatment. Medical students’ continued education and training in their host countries should be prioritized to provide needed healthcare resources. Epidemiological disease surveillance and disease prevention are required at this time. The continuation of the current conflict in Ukraine also poses a potentially severe risk to the global environment and long-term food security. This editorial aims to highlight the public health implications for the refugee population, particularly in Poland, due to the current war in Ukraine.

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          Health and illness in migrants and refugees arriving in Europe: analysis of the electronic Personal Health Record system

          Abstract Background The electronic Personal Health Record (ePHR) is a health information system that registers health data on newly arriving migrants and was implemented in eight European countries (Bulgaria, Croatia, Cyprus, Greece, Italy, Romania, Serbia and Slovenia). This is a cross-sectional study aimed to describe the health problems and health status of all migrants attended at health clinics as part of the health assessment programme established in the reception centres (2016–2019). Methods Data were collected on demographics, clinical and laboratory findings and diagnostics performed, including medical records. We classified all diseases using pre-specified algorithms according to information on pre-specified variables from the ePHR questionnaire, ICD-10 codes, positive laboratory findings or review of medical records. Crude proportions were calculated and odds ratios (OR) estimated using logistic regression modelling. Results The ePHR dataset contained a total of 19 564 clinical episodes in 14 436 individuals, recorded between January 2016 and October 2019. Most individuals (75%) were refugees or asylum seekers (22%) from 92 different nationalities. There were 2531/19 564 (12.9%) infectious diseases episodes reported during the study period, being 1283/2531 (50.7%) of them pharyngo-tonsillitis, 529 (20.9%) scabies, 158 (6.2%) viral hepatitis and 156(6.1%) lower respiratory infections. There were 2462 (17.1%) individuals with non-communicable diseases reported; including 821 (5.7%) cardiovascular diseases, 1183 (8.2%) neurological condition, 644 (4.5%) Diabetes mellitus and 212 (1.5%) kidney disease cases. Having Diabetes Mellitus (adjusted OR, aOR 3.3, [95% confidence interval, CI 2.7–4.1], P < 0.001), and neurological disorders (aOR 1.8, [95% CI 1.4–2.2], P < 0.001) were associated with cardiovascular disorders in the multivariable logistic regression model. Mental health problems were reported in 641/14 436 (4.4%) individuals and were associated with increasing age. Furthermore, 610 episodes of acute injuries were reported among 585/14 436 (4.1%) people, 517 (88.4%) of them in men (P < 0.001). Conclusions The ePHR is a valuable tool to efficiently collect health-related data to better address migrant health issues. We described a mostly healthy population with many acute infectious disease episodes particularly in children, but also with significant number of chronic conditions and less frequent injuries or mental health problems.
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            Impact of ammunition and military explosives on human health and the environment.

            To review the literature concerning the risks associated with the main xenobiotics contained in military ammunition and explosive residues and damage to human and environmental health. Using "ammunition", "military", "environmental", "health", "explosive", "metal", "TNT", "RDX", "pollution", and "contamination" as search terms, a large database, namely ISI Web of Knowledge and PubMed, was searched for studies on military ammunition and explosive residues from 1989 to 2010. Other sources used to conduct the search included the library of the Toxicology Laboratory of the Center for Workers' Health and Human Ecology (CESTEH) at the National School of Public Health. In total, 15 different combinations were used with the search words above and 708 papers were found. Among them, 76 papers concerned this review. More than 12 references of interest were discovered in the library of the CESTEH. The results were organized into metals, dinitrotoluene, trinitrotoluene (TNT), and royal demolition explosive (RDX), showing their main uses, occurrence in the environment, the current toxic effects to human and environmental health, and remediation possibilities. Because military activities can cause the acute and chronic exposure of human beings, the public administration must aim politics towards suitable environmental management.
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              Operational public health considerations for the prevention and control of infectious diseases in the context of Russia’s aggression towards Ukraine

              (20222022)
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                Author and article information

                Journal
                Med Sci Monit
                Med Sci Monit
                Medical Science Monitor
                Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
                International Scientific Literature, Inc.
                1234-1010
                1643-3750
                2022
                01 April 2022
                01 April 2022
                : 28
                : e936808-1-e936808-4
                Affiliations
                [1 ]School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
                [2 ]Department of Public Health, Medical University of Warsaw, Warsaw, Poland
                [3 ]Deputy Editor-in-Chief, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA
                Author notes
                Corresponding Author: Mateusz Jankowski, MD, PhD, e-mail: mjankowski@ 123456cmkp.edu.pl
                Article
                936808
                10.12659/MSM.936808
                8982099
                35363668
                cffbacc5-a25c-439b-bc9f-a00b1b570c94
                © Med Sci Monit, 2022

                This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International ( CC BY-NC-ND 4.0)

                History
                : 30 March 2022
                : 30 March 2022
                Categories
                Editorial

                editorial,public health,refugees,armed conflicts,poland,ukraine
                editorial, public health, refugees, armed conflicts, poland, ukraine

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