Paediatric refugees from Ukraine : guidance for health care providers

Article Article scientifique Article Paediatric refugees from Ukraine : guidance for health care providers eng 2022-05-31 2022-05-23 author Jaeger Fabienne N Migrant Health Reference Group of Paediatrics Switzerland.,Swiss Tropical and Public Health Institute, Allschwil, Switzerland.,University of Basel, Basel, Switzerland.,Hausarztpraxis Muttenz, Muttenz, Switzerland. author Berger Christoph Paediatric Infectious Disease Group Switzerland (PIGS).,University Children's Hospital Zürich, Zürich, Switzerland. author Buettcher Michael Paediatric Infectious Disease Group Switzerland (PIGS).,Department of Paediatrics and Paediatric Infectious Diseases, Children's Hospital, Lucerne Cantonal Hospital, Lucerne, Switzerland.,Department of Paediatric Pharmacology and Pharmacometrics, University of Basel Children's Hospital, Basel, Switzerland. author Depallens Sarah Migrant Health Reference Group of Paediatrics Switzerland.,Department of Paediatrics, Children's Hospital, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. author Heininger Ulrich Paediatric Infectious Disease Group Switzerland (PIGS).,Paediatric Infectious Diseases and Vaccinology, University of Basel Children's Hospital, Basel, Switzerland. author Heller Yvon Migrant Health Reference Group of Paediatrics Switzerland. author Kohns Vasconcelos Malte Paediatric Infectious Disease Group Switzerland (PIGS).,Paediatric Infectious Diseases and Vaccinology, University of Basel Children's Hospital, Basel, Switzerland. author Leforestier Bodil Migrant Health Reference Group of Paediatrics Switzerland.,Kinderarztpraxis Rorschach, Rorschach, Switzerland. author Pellaud Nicole Migrant Health Reference Group of Paediatrics Switzerland. author Relly Christa Paediatric Infectious Disease Group Switzerland (PIGS).,University Children's Hospital Zürich, Zürich, Switzerland. author Trück Johannes Paediatric Infectious Disease Group Switzerland (PIGS).,University Children's Hospital Zürich, Zürich, Switzerland. author Von Overbeck Saskia Santé Mentale Enfant-Ado Migrants et Ethnopsychanalyse (MEME), Geneva University Hospital, Switzerland. 51671 author Wagner Noémie Migrant Health Reference Group of Paediatrics Switzerland.,Paediatric Infectious Diseases Unit, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland. 512044 author Ritz Nicole Migrant Health Reference Group of Paediatrics Switzerland.,Paediatric Infectious Disease Group Switzerland (PIGS).,Department of Paediatrics and Paediatric Infectious Diseases, Children's Hospital, Lucerne Cantonal Hospital, Lucerne, Switzerland.,Mycobacterial and Migrant Health Research Group, University of Basel Children's Hospital Basel, Switzerland.,Department of Clinical Research, University of Basel, Switzerland. w30200 10.4414/smw.2022.w30200 35633650 1424-3997 Background: With the invasion of Ukraine by the Russian Army in February 2022, refugees, the majority of whom are women and children, started fleeing the war to neighbouring countries. Even before the current escalation, the conflict in the eastern part of Ukraine has led to the internal displacement of more than 200,000 children, and many others have experienced attacks, e.g. on schools. This inevitably leads to limitations in health care delivery. During transit, overcrowding, poor shelter and vulnerability may further put refugees at increased risk for infectious diseases. This consensus document aims to provide information and guidance regarding health issues that paediatricians and general practitioners may face when caring for Ukrainian children. Methods: Members of the Migrant Health Reference Group of Paediatrics Switzerland and the Paediatric Infectious Disease Group in Switzerland developed this recommendation between March and April 2022 in a modified Delphi process. Results: A total of 50 recommendations were agreed on with a ≥80% consensus. These include the following topics: i) general aspects, including interpreter services, urgent health needs, personal history and general check-ups; ii) mental health, including how to search for signs of psychological distress without going into traumatic details; iii) vaccinations, including recommendations for evaluation and catch-up; iv) screening for tuberculosis, human immunodeficiency virus, and hepatitis B and C; and v) providing age-appropriate preventive and health service information. Conclusion: This document provides current evidence and guidance when caring for paediatric refugees from Ukraine. The recommendations focus on Switzerland but may well be used in other countries. These are based on current evidence and may need to be adapted to individual situations and once further evidence becomes available. Child Communicable Diseases Female Health Personnel Health Services Humans Male Pediatrics Refugees Ukraine Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false 515 Recherche en infectiologie pédiatrique et en pédiatrie générale 853 Swiss medical weekly 152 476c542f-764c-4237-8616-cb63f7367d18 Article (Published version) Public Article-scientifique-from-unpaywall.pdf 1410391 application/pdf CC BY-NC-SA-4.0 7428efba2fbd965cc0ac715c8d529011ef64fda7b889fa825a472ea40559aacb openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

Title	Published in	Year	Views	Downloads

Paediatric refugees from Ukraine : guidance for health care providers	Swiss medical weekly	2022	91	569
Jeunes avant tout: travail en réseau avec les jeunes migrants récemment arrivés	Revue médicale suisse	2012	643	4

Archive ouverte UNIGE

Von Overbeck, Saskia