Dr. who works at San Diego Immigrant Home. Kathleen Fisher is a little bit of everything.
“We see cool things, we see cove-ers, we see broken bones … someone with a blood sugar of 400, someone in the midst of cancer treatment,” he said.
Fisher is caring for patients in a hostel managed by the Jewish Family Services (JFSSD) in San Diego, a new people’s refuge in the United States since 2018.
The Washington Post reported that migration to the US has increased in recent months, with about 172,000 people detained in March. Viewing JFSSD Results. Kate Clarke, senior director of Samka Services for Immigration, saw about 400 immigrants in February this year, up from 3,000 in March.
“We continue to work and at this point, unfortunately, we are not able to deliver,” Clarke said.
When new people enter the country – in many cases, after a dangerous and tiring journey – some arrive without the need for health care.
Companies operating on the southern border are operating as needed. In many cases, they only have less time to take care of their patients before going to the end, meaning they will have to work “screened and steady” according to Fisher.
“We start balancing, or how much can we do here, or do we have to wait until there is an environment that supports them? ” He said.
“Not for the faint of heart”
A medical coordinator working on the southern border described a shelter filled with unfamiliar children around him. “In the first 48 hours, you hear a drop in that building,” he said. “” Children] nobody talks, you see fear in them.
With an emergency medical technician on staff, the shelter works to treat abdominal pain, lice and wounds and blisters.
Deliana Garcia, director of international programs and emerging issues of the Immigrant Physicians Network, said it was difficult to understand what the frontline health needs would be like. “It’s a kind of point next to the border. The population is different, the demand is different, the capacity is different,” he said, although he noted a number of issues surrounding infection control.
In particular, Garcia says she has seen significant numbers of women – so far, a network of immigrant doctors who manage more than 300 of them – in the late stages of pregnancy. It is difficult for many of them to arrange antenatal care. “I think there’s a lot of concern about high pregnancy,” she said.
In addition, the organization works to coordinate care for children with special health needs, such as cerebral palsy or spina bifida.
But Garcia said that those who take a difficult trip to the United States will generally be healthy in their release. “This is not about the dizzying of the heart and the generally healthy people striving for this journey,” he said.
Fisher Some people get injured or take chronic pain medicines from them while traveling, which can cause problems when they arrive.
To cope with various health needs, the JFSSD residential team developed comprehensive screening questions and standardized security for various health issues.
Mental health concerns
Some exist with mental health concerns, and will provide Fisher and his team with a link to inline care such as hotlines or other resources as needed. “I heard a lot of stories because we work with lawyers and try to get human parole,” he said.
But a narrow residence and limited resources make mental intervention difficult. If mental health problems do not naturally arise, the medical team decides not to screen them. “From our side, we don’t want to screen for mental health issues. As part of the trauma information observation, you shouldn’t screen if you can’t do anything about it,” Fisher said.
Staff at La Maestra Community Health Center have been working with immigrants since 2016, following the 2010 Haiti earthquake that began Haitian arrivals in the United States. Cynthia Kaiser, CEO of La Maestro’s community development programs, hopes to help with the current journey. “We put a lot of effort to re-declare our potential,” he said.
He said that immigrants often come with dehydration, malnutrition and dental or skin problems. But in particular, he is concerned about the mental state of the newcomers and is eager to provide them with the help they need.
People who have made this trip in the past, “They did a lot of trauma and a lot of abuse … We asked, ‘How are you, what do you need?’ you ask. “
This is the cow.
“We have changed our entire model,” Clarke said.
Individuals who are medically vulnerable, namely individual caregivers, should take care of their needs. “In an assembly system, we can track individuals. In fact, we have staff in the dormitory, caring for people,” Clarke said.
According to Clarke, hiring caregivers “is a huge expense, but we do not support those as options. We do not want to compromise on this from the point of view of safety and health.”
But Clarke clarified that these were necessary precautions, not the result of high government — 19 percent. Several migrants have been screened for Kovid-19 on behalf of Mexicans, typically “over-managed populations”, he said. Conversely, there are more people traveling from one port to another