Abstract Ref Number = APCP138
Prevent and Control Communicable Disease by “one health approach”
Health of Children Refugee
Turkish National Pediatric Society
Since the Syrian war started in March 2011 more than 6 million people have been displaced. About half of this is children. More than 5 million displaced Syrians live in neighboring countries in the Middle East and North Africa. About 1 million displaced Syrians have moved to Europe as asylum seekers or refugees since the conflict began, About 100,000 displaced Syrians live outside Europe, Africa and the Middle East, primarily in North America.
Due to low life standards and high environmental risks before, during and after the move, refugee children can encounter important health problems. The most common ones areinfections, injury, malnutrition, reproductive and newborn health, chronic diseases and mental health problems.
Turkey is currently hosting more than 3.4 million Syrain refugee whom half are children. So during this speech I will be explining the situation in Turkey.
In Turkey after the surge of Syrian due to “open door” policy all registered refugees gain the right to reach to all health services free of charge in all Ministry of Health settings.
However due to several factors during move the risk of infectious diseases increase. The most important risk factors are crowded living, a carrier of a prevalent infection in home country, poor nutrition, poor hygiene,interruption of immunization, limited access to health care facilities and other physical or psychological stresors.
The most important infectious diseases for refugee are tuberculosis, HIV/AIDS, vaccine preventable diseases and parasitic diseases.
In 2013 a wild polio outbreak was detected and controlled in Syria. During this outbreak additional polio vaccination is given to all children living ner the border. The cutaneous Leishmaniasis cases has increased in Turkey during 2014.
During the border transit following vaccines are administered;
a) OPV (0-15 years ),
b) MMR (9 mo-15 years)
c) DTaP-İPV-Hib (<7 years),
d) dtap-İPV (7-12 years),
e) dt (15 – 49 years women)
All refugee children living in Turkey are also immunized according to their age and National İmmunization Program free of charge.
Besides infectious diseases mental health problems are olso very important
Turkish National Pediatric Society has conducted a research study on this subject in Osmaniye- CevdetiyeTemporary Protection Center and publishedit. It was found that scores for host lity and somatization scores were highest for adolescents who lived in the camp for more than 4 years.