Skin Disorders In Migrants

This richly illustrated book is a comprehensive guide to the dermatologic disorders that may be encountered in refugees and other migrants. It will equip readers to diagnose and treat a diverse range of skin diseases and conditions, including, but not limited to, infections caused by bacteria, viruses, fungi, and parasites, dermatologic manifestations of sexually transmitted diseases, dermatoses associated with malnutrition, pigmentary disorders, bullous diseases, connective tissue diseases, and benign and malignant cutaneous neoplasias. Attention is drawn to various neglected tropical skin diseases and to the characteristic signs of torture and genital mutilations. Helpful information is also provided on the significance of skin color and the relevance of ethnic and genetic factors. The clinical chapters are complemented by discussion of the circumstances that give rise to migration, such as poverty, war, and environmental conditions. This enables the reader to gain a more rounded understanding of patients’ circumstances that in turn will positively impact on patient care. This book will be of wide interest to dermatologists, whether experienced or in training, as well as to general physicians and researchers.

This richly illustrated book is a comprehensive guide to the dermatologic disorders that may be encountered in refugees and other migrants. It will equip readers to diagnose and treat a diverse range of skin diseases and conditions, including, but not limited to, infections caused by bacteria, viruses, fungi, and parasites, dermatologic manifestations of sexually transmitted diseases, dermatoses associated with malnutrition, pigmentary disorders, bullous diseases, connective tissue diseases, and benign and malignant cutaneous neoplasias. Attention is drawn to various neglected tropical skin diseases and to the characteristic signs of torture and genital mutilations. Helpful information is also provided on the significance of skin color and the relevance of ethnic and genetic factors. The clinical chapters are complemented by discussion of the circumstances that give rise to migration, such as poverty, war, and environmental conditions. This enables the reader to gain a more rounded understanding of patients circumstances that in turn will positively impact on patient care. This book will be of wide interest to dermatologists, whether experienced or in training, as well as to general physicians and researchers.

Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.

The past few years have seen considerable advances in our understanding of the molecular basis underlying cutaneous cell adhesion mechanisms. Co-authored by a number of leading experts in the field ^Cell Adhesion and Migration in Skin Disease provides a comprehensive overview of the critical role played by cell adhesion in determining the structure and function of both healthy and diseased human skin. The book is divided into three main sections, with each one addressing a principal function of adhesion molecules. The first part focuses on the epidermis, which as the skin's outermost layer, acts as the human body's primary barrier of defence. Roles played by cytoskeletal intermediate filaments and junctional complexes in cutaneous cell adhesion are emphasised with descriptions of blistering skin diseases that can arise if these molecules malfunction. The second part describes the macromolecular interactions responsible for the anchorage of cells to the underlying extracellular basement membrane. The experimental approaches detailed in the text not only reveal how the molecular components of the dermal-epidermal junction have been elucidated, but also highlight how mutations in the genes which encode these molecules are responsible for many heritable skin diseases. Leukocytes continually infiltrate the skin and patrol it for potentially harmful pathogens. Control of leukocyte adhesion to resident cells within the skin and to the extracellular matrix plays a key role in controlling these processes. These mechanisms constitute the primary focus of the final section. The pivotal role of leukocytes is examined in conjunction with the chronic inflammatory diseases which arise when components of the skin's finely tuned defence strategy go awry and the potential for these anomalies to be pinpointed as important immunotherapeutic targets for skin diseases.

THE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel has never been greater. For both international travelers and the health professionals who care for them, the CDC Yellow Book 2018: Health Information for International Travel is the definitive guide to staying safe and healthy anywhere in the world. The fully revised and updated 2018 edition codifies the U.S. government's most current health guidelines and information for international travelers, including pretravel vaccine recommendations, destination-specific health advice, and easy-to-reference maps, tables, and charts. The 2018 Yellow Book also addresses the needs of specific types of travelers, with dedicated sections on: · Precautions for pregnant travelers, immunocompromised travelers, and travelers with disabilities · Special considerations for newly arrived adoptees, immigrants, and refugees · Practical tips for last-minute or resource-limited travelers · Advice for air crews, humanitarian workers, missionaries, and others who provide care and support overseas Authored by a team of the world's most esteemed travel medicine experts, the Yellow Book is an essential resource for travelers -- and the clinicians overseeing their care -- at home and abroad.

This issue of Dermatologic Clinics, guest edited by Drs. Victoria Williams and Carrie Kovarik, will cover a number of important topics in Global Dermatology and Telemedicine. This issue is one of four each year selected by long-time series Consulting Editor, Dr. Bruce Thiers. Topics discussion include, but are not limited to: Patterns of Skin Disease in the Context of a High Prevalence HIV Population in Botswana; Telemedicine and Community Health Projects in Asia; Utilizing Technology for Dermatology Care in Tajikistan: A Health Systems Perspective; Community Outreach Projects to Increase Dermatology Education and Access to Care in Argentina; Challenges and Successes of Dermatology Training Programs in Africa; Developing an Electronic Platform for Global Dermatology Mentorship and Collaboration; Novel Diagnostics for Kaposi Sarcoma and Other Skin Diseases in Resource Poor Settings; Implementing a Locally Made Low-Cost Intervention for Wound and Lymphedema Care in Western Kenya; Challenges of Managing Skin Disease in Migrants and Refugees; Factors Affecting Quality of Life for People Living with Albinism in Botswana; and Integration of Management Strategies for Neglected Tropical Diseases Affecting the Skin

Worldwide, more people are on the move now than ever before, yet many refugees and migrants face poorer health outcomes than the host populations. Addressing their health needs is, therefore, a global health priority and integral to the principle of the right to health for all. The key is to strengthen and maintain health systems by ensuring that they are refugee- and migrant-sensitive and inclusive. Health outcomes are influenced by a whole host of determinants. However, refugees and migrants face additional determinants such as precarious legal status; discrimination; social, cultural, linguistic, administrative and financial barriers; lack of information about health entitlements; low health literacy; and fear of detention and deportation. This groundbreaking publication outlines current and future opportunities and challenges and provides several strategies to improve the health and well-being of refugees and migrants. It is an advocacy tool for national and international policy-makers involved in health and migration. Evidence on the health of refugees and migrants remains fragmented – comparable data across countries and over time are urgently needed to track progress towards the health-related United Nations Sustainable Development Goals. With only 8 years until the 2030 target date to transform our world, the time to act is now.

There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.