migration health conference ottawa march 25-26, 2003 what are the “players” in migration? ronald...
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Migration Health ConferenceOttawa March 25-26, 2003
What are the “Players” in Migration?
Ronald K. St. John, Director General, Center for Emergency Preparedness and Response, Health Canada
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Acknowledgement
Contribution by:
Douglas W. MacPherson MD, FRCPC
McMaster University
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Travellers shy away from international travel
War, pneumonia outbreak, North Korea blamed for decline in Air
NZ bookings on key international routes Air New Zealand
21 March 2003
http://home.nzcity.co.nz/news/default.asp?id=29857&cat=976
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Migration Health Paradigm
Working at the National Level:
history
understanding the federal processes
impacts: local to international
does the paradigm work?
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Migration – history
Biblical: Oldest regulatory intervention was to prevent disease importation impact on local population.
“Inspection, detain, exclude”.
Gushulak, MacPherson Population mobility and infectious diseases: The diminishing impact of classical infectious diseases and new approaches for the 21st century. Clin Infect Dis 2000
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Migration – history
500 years ago: “Quarantine” – 40 days
“Inspection, detain, exclude”.
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Migration – history
1851: 12 European states met in Paris for 6 months, produced 131 sanitation regulations in response to the Asiatic Cholera outbreaks
- to regulate the “lazarettos & quarantene”.
“Inspection, detain, exclude”.
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Migration – history
2001: International Health Regulations
“Inspection, detain, exclude”.
To regulate the movement of goods, conveyances and people without unduly or adversely impacting on
freedom of movement or trade.
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Migration – history
International Health Regulations (WHO)
Provides the international regulatory framework for Quarantine Act and the medical screening provisions in the Immigrant and Refugee Protection Act (2001).
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Understanding the federal processes
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Migration Health – federal roles and responsibilities
Federal level
International levels
National levels
Provincial/territorial
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Migration Health – federal roles and responsibilities
CIC and HC
International levels – NGO – UNHCR,
WHO, WTO, WTO; other nations
National levels – other federal dept.
Provincial/territorial – public health, emergency measures, emergency social services
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Immigration – Federal Departments
Traditional
CIC Health Canada
New
DFAITSol Gen RCMP others
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Federal Departments
Interests: Public health Public safety Exclusive on
excessive demand (social and health)
Labour markets Trade
Interests: Economic Trade Population growth Human capital Humanitarian
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Citizenship Immigration Canada & Health Canada
CIC
• Programs and Operations
Health Canada
• Health advice and Health Policy
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CIC - HC
• Technical requirements for advice• Policy • FPT consultation• International liaison• Program development• Research
Create TWO inter-departmental groups
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CIC-HC Technical Working Group on Immigration Health
• Technical issues
• CIC – Medical Services Branch
• HC – Population and Public Health Branch
• Reports to the ADM level in CIC & HC
• Access via ADM to DM and Minister.
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Migration Health Task Force
• non -Technical issues
• CIC – Medical Services Branch• HC – Population and Public Health Branch• Reports to the ADM level in CIC & HC• Access via ADM to DM and Minister.
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Migration Health Task Force
• Non -Technical issues
• 2 year mandate (June 2001-June 2002)• Working papers• “Environmental” scan on FPT, processes,
consultations, communications . . .
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Federal Inter-departmental Mechanism
D irec to r
D irec to r G en era l
A ss is tan t D ep u ty M in is te r
D ep u ty M in is te r
M in is te r's O ffice
D irec to r
D irec to r G en era l
A ss is tan t D ep u ty M in is te r
D ep u ty M in is te r
M in is te r's O ffice
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Migration Health Paradigm & Impacts
Health Trade
Security
local
international
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Migration Health Paradigm & Impacts
Health Trade
Security
local
international
Globalization
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Migration Health Paradigm & Impacts
Health Trade
Security
local
international
Globalization: transportation, technology telecommunications,
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Migration Health Paradigm
Does the paradigm work?
OR
Can we work with the paradigm?
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Travellers shy away from international travel
War, pneumonia outbreak, North Korea blamed for decline in Air
NZ bookings on key international routes Air New Zealand
21 March 2003
http://home.nzcity.co.nz/news/default.asp?id=29857&cat=976