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Key Dimensions for the Prevention and Control of Communicable Diseases in Institutional Settings: A Scoping Review to Guide the Development of a Tool to Strengthen Preparedness at Migrant Holding Centres in the EU/EEA

1
European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Solna 169 73, Sweden
2
Istituto Superiore di Sanità, Rome 00161, Italy
3
European Centre for Disease Prevention and Control, (ECDC), Solna 169 73, Sweden
4
UCD School of Agriculture and Food Science, University College Dublin, Dublin D04 V1W8, Ireland
5
Department of Medical Surgical Sciences and Traslational Medicine, “Sapienza” University of Rome, Rome 00185, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(6), 1120; https://doi.org/10.3390/ijerph15061120
Received: 4 April 2018 / Revised: 18 May 2018 / Accepted: 29 May 2018 / Published: 30 May 2018
(This article belongs to the Special Issue Refugee, Migrant and Ethnic Minority Health)
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PDF [1975 KB, uploaded 30 May 2018]
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Abstract

Migrant centres, as other institutions hosting closed or semi-open communities, may face specific challenges in preventing and controlling communicable disease transmission, particularly during times of large sudden influx. However, there is dearth of evidence on how to prioritise investments in aspects such as human resources, medicines and vaccines, sanitation and disinfection, and physical infrastructures to prevent/control communicable disease outbreaks. We analysed frequent drivers of communicable disease transmission/issues for outbreak management in institutions hosting closed or semi-open communities, including migrant centres, and reviewed existing assessment tools to guide the development of a European Centre for Disease Prevention and Control (ECDC) checklist tool to strengthen preparedness against communicable disease outbreaks in migrant centres. Among articles/reports focusing specifically on migrant centres, outbreaks through multiple types of disease transmission were described as possible/occurred. Human resources and physical infrastructure were the dimensions most frequently identified as crucial for preventing and mitigating outbreaks. This review also recognised a lack of common agreed standards to guide and assess preparedness activities in migrant centres, thereby underscoring the need for a capacity-oriented ECDC preparedness checklist tool. View Full-Text
Keywords: migrant health; preparedness; communicable diseases migrant health; preparedness; communicable diseases
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Riccardo, F.; Suk, J.E.; Espinosa, L.; Bella, A.; Giambi, C.; Del Manso, M.; Napoli, C.; Dente, M.G.; Nacca, G.; Declich, S. Key Dimensions for the Prevention and Control of Communicable Diseases in Institutional Settings: A Scoping Review to Guide the Development of a Tool to Strengthen Preparedness at Migrant Holding Centres in the EU/EEA. Int. J. Environ. Res. Public Health 2018, 15, 1120.

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