Dr Nedret EmirogluDirector, Division of Communicable Diseases and Health Security

WHO Regional Office for Europe

Public health aspects of migration Communicable diseases, preparedness and

surveillance

Demystifying the misconceptions

Context to be prepared!

Assessing communicable disease risks;• Diverse epidemiology of diseases in the

country of origin• Diverse socio economic status• Population on the move; increased

vulnerability• Language and cultural barriers

Misconceptions about communicable diseases

X Communicable diseases are common among the refugees and migrantsX Refugees and migrants pose communicable disease threat to the host populationX Outbreaks cannot be predicted, prevented and controlled

Guiding principles for prevention and control of communicable diseases

• Informed decision for prioritized public health policies and action based on the risk analysis and evidence

• Adequate public health capacity for preparedness and response• Strengthened disease surveillance systems• Providing equitable and migrant-sensitive health services;

ensuring continuum of care• Ensuring access to comprehensive health promotion and

prevention

Prioritization matrix for communicable disease

Key public health messages on communicable disease

• Region is well equipped to detect and manage public health threats • Risk of transmission of vaccine preventable diseases is low (WHO,

UNICEF, UNHCR joint statement)• Risk of importation of highly infectious agents is extremely low• Refugees are more vulnerable to food and waterborne diseases• Influenza and respiratory infections rates expected to raise during

winter• Universal access to prevention, diagnosis and treatment for TB and

HIV/AIDS is essential

WHO will continue to support• Provide evidence and epidemiologic

information through its networks at global, regional and country level

• Advise on policy options and evidence-based interventions, support development of national preparedness plans

• Facilitate exchange of know-how among countries and capacity building

• Provide operational and logistical support and medical supplies

Thank you very much for your attention