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. 2018 May 30;15(6):1120.
doi: 10.3390/ijerph15061120.

Key Dimensions for the Prevention and Control of Communicable Diseases in Institutional Settings: A Scoping Review to Guide the Development of a Tool to Strengthen Preparedness at Migrant Holding Centres in the EU/EEA

Flavia Riccardo  1   2 , Jonathan E Suk  3 , Laura Espinosa  4   5 , Antonino Bella  6 , Cristina Giambi  7 , Martina Del Manso  8 , Christian Napoli  9   10 , Maria Grazia Dente  11 , Gloria Nacca  12 , Silvia Declich  13
Affiliations

Key Dimensions for the Prevention and Control of Communicable Diseases in Institutional Settings: A Scoping Review to Guide the Development of a Tool to Strengthen Preparedness at Migrant Holding Centres in the EU/EEA

Flavia Riccardo et al. Int J Environ Res Public Health. .

Abstract

Migrant centres, as other institutions hosting closed or semi-open communities, may face specific challenges in preventing and controlling communicable disease transmission, particularly during times of large sudden influx. However, there is dearth of evidence on how to prioritise investments in aspects such as human resources, medicines and vaccines, sanitation and disinfection, and physical infrastructures to prevent/control communicable disease outbreaks. We analysed frequent drivers of communicable disease transmission/issues for outbreak management in institutions hosting closed or semi-open communities, including migrant centres, and reviewed existing assessment tools to guide the development of a European Centre for Disease Prevention and Control (ECDC) checklist tool to strengthen preparedness against communicable disease outbreaks in migrant centres. Among articles/reports focusing specifically on migrant centres, outbreaks through multiple types of disease transmission were described as possible/occurred. Human resources and physical infrastructure were the dimensions most frequently identified as crucial for preventing and mitigating outbreaks. This review also recognised a lack of common agreed standards to guide and assess preparedness activities in migrant centres, thereby underscoring the need for a capacity-oriented ECDC preparedness checklist tool.

Keywords: communicable diseases; migrant health; preparedness.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Scientific literature search strategy diagram. EU: European Union.
Figure 2
Figure 2
Results of the scientific and grey literature scoping review.
Figure 3
Figure 3
Number of articles or reports addressing the first review objective (n = 55), by type of infectious disease transmission and setting.
Figure 4
Figure 4
Number of articles or reports addressing the first review objective (n = 55), by dimension and institutional setting.
Figure 5
Figure 5
Number of scientific articles addressing the first review objective (n = 35), by additional dimension and institutional setting.
Figure 6
Figure 6
Assessment frameworks used in the International Organization for Migration (IOM) and World Health Organization (WHO) situation assessments in relation to the scoping review dimensions.
See this image and copyright information in PMC

References

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