Migration and Disease: What impact do immigrants have on health care? 2

Migration and Disease: What impact do immigrants have on health care?

"We must learn again, think globally, and get out of the healing world." This is what famous doctor Wittenberg says as a summary of events whose subject is related to fears: migration medicine is related to the question: What is the effect of migration? to our health system?

At the initiative of Campus Wittenberg, Protestant Academy and Paula Gerhard Diakonie-Akademie, several doctors will answer that question on Wednesday night.

Think about the disease

Among others, Professor Peter Jehle, Medical Director of the Paul Gerhardt Stift Hospital. The drug faces illnesses that are considered to be virtually extinct, he says. For example: tuberculosis. Jehle called for the test results for unaccompanied minors in Berlin.

Accordingly, 14 percent are ill. "These are people from countries where tuberculosis is a problem, like ours in the 1920s. We have to remember to bring such diseases."

The Internist also describes the case of a woman from Syria who complained of severe muscular and limb pain. It turned out to be a calcium and vitamin D deficiency. Last but not least, it has to do with the lack of sun and light: "In the countries they come from, they sit outside in the sun, in our apartments on the path of friendship among peoples."

Since vitamin D and tuberculosis are related, Jehle is advocating for state-dependent vitamin D. This is also important for heart health and overall life expectancy.

Psychiatrist Nicolaus Särchen, medical director of the Bosse Clinic, is dedicated to the migration night in his discipline. His Conclusion: Mental Disease is more common among migrants, but will be treated less frequently. By the way, migration is ancient. "Migration is also when she comes to Wittenberg."

As an example, Särchen leads the people from Russia, who came to Germany in the 1990s. In three groups: late returnees, Russians who wanted to leave their country and people of Jewish faith. The highest integrative ability rejected the latter. The biggest difficulties would be late returnees. "The question is: with what purpose do I go to a new company?"

Less educated migrants have fewer difficulties. For example, Ihab Ali, a doctor in further education at the Stift. But he points out that the differences are significant. Example: health insurance. They are available in Germany. In Syria every treatment is paid. "Sometimes patients have syringes and cannulae with them." What emphasizes is that the language is alpha and omega.

"If the patient does not understand me or understand it, treatment can not be." Difficulties with language also apply to pediatrician Beate Wetzel, sometimes translators should have some help. It also mentions cultural differences in issues of accuracy, for example, which can lead to conflict. Another problem is the lack of physicians, which makes it difficult for a meeting or a family doctor to attend.

As soon as possible

And of course, there is fear of contagious diseases. Jehle clearly says, "We must take this seriously, so the mood does not overturn and do everything to recognize the disease as soon as possible." Beate Wetzel refers to mandatory initial exams and provides an example of tuberculosis. By the way, migrants are more susceptible to diseases because they are often weakened and "not so vaccinated".

Ihab Ali says, "The world has become small. The German family, flying to Thailand, can also bring one or another infectious disease.

Finally, at the request of the public, she played the role and money. Are not migrants facing a disproportionate burden on the health system? Peter Jehle does not think so. "99 percent of the cost explosion is for us." However, the professor sees an urgent need for reform: "In the Wittenberg area there are several heart catheterization laboratories across Scotland." There were enormous amounts in the healthcare system: "We can not afford it forever".

Especially because the Scots would be old as the Germans. The medical director from Wittenberg complains too much of a "repair drug". It works too fast and too: "This is not the future."

Refugee tuberculosis: infected in a home

The fact that the number of cases of tuberculosis has increased in Germany is generally confirmed. Ärzteblatt, for example, states: "In 2015, there was a sharp increase of 29 percent (from 4,533 to 5,865 new diagnoses), an increase due to the migration wave 2014/15."

However, it also states: "The threat to the indigenous population caused by tuberculosis of an asylum seeker is currently unclear. The number of illnesses among people born in Germany declined from 3,630 in 2001 to 1,427 in 2016.

Most tuberculosis diseases are caused by people infected with their homeland and eventually become active in Germany. "(Mz)