Refugee Resettlement Watch

More health problems than we’ve been told about

Posted by judyw on December 26, 2007

A December 9 article on Newsmax, Small Towns Grapple with Diseased Immigrants, gives us some new facts about refugee health problems that contradict what we were told by State Department officials and agency representatives.  After a worker died of TB at the Tyson Foods plant in Emporia, Kansas (which we reported on in November), health officials found 160 of the 500 Somali workers at Tyson had latent TB.

Local officials say the case represents only a small part of the growing problem of foreign-born, unassimilated communities with high rates of communicable diseases such as TB and HIV. Many say they need help from Washington, which has been silent on the issue for too long.

“We have not really gotten Congress to engage, which I would like to see occur,” Peggy Mast, an 11-year Republican state representative from Kansas whose district includes Emporia, tells Newsmax. “I have talked with some of the offices and they think it is more of a state issue . . .”

 We were told health issues were at the top of the agenda for the State Department and the agencies. But:

Mandatory health screenings are frequently put off for several months after the immigrants’ arrival. Those who blend into the secretive, tight-knit Somali community often do not resurface to be tested for communicable disease, officials complain.

Peggy Mast is an admirable politician — a legislator who looks out for the people in her district, even at the risk of being politically incorrect and displeasing the largest employer in Emporia, Tyson Foods.

Mast says that all levels of government need to be more pro-active in dealing with the issue of immigration workers, as it has opened up many additional areas of concerns including community safety, cultural clashes, and a long-term financial drain on communities where unskilled immigrants congregate for employment.

“From what I hear, I don’t think Kansas is unique in this,” Mast, 59, said. “These individuals are coming in with latent TB and HIV. This should not be. We are putting the general population at risk.”

Mast said the TB infections in the Somali community Emporia, a city of 28,000 people, the third highest TB rate in Kansas.

“[The Somali community] is dealing with active cases now,” she tells Newsmax. “This population is extremely difficult to track and it is hard to treat them. You have to make sure they are compliant with the medication and make sure they finish it up.”

Peggy Mast said the federal government should conduct more thorough health screenings before allowing refugees into the U.S. And she said there should be “mandatory cultural education to help refugees assimilate.” Yes! She talked to the district’s Congressman, Jerry Moran, about the problems, but he told her that health and safety issues were the state’s responsibility, not the federal government’s.

She said she received more help from the mayor of Lewiston, Maine, a city of 36,000 that has a similar enclave of 1,200 Somali refugees — with 50 percent of them unemployed.

“Lewiston has asked Congress for more funding,” Mast says. “We look down the road and see the problems they can create. Unemployed single males with nothing to do.”

So the federal government can bring in as many refugees as Congress decides on, and dump them into small cities all across America, and leave state and local officials to deal with the huge problems this creates, and the local citizens to their disrupted and increasingly dangerous lives. We hope Peggy Mast stays on the issue, and holds some people to account.

For more on health issues  involving refugees see our entire health category (which contains posts on the taboo topic of female genital mutilation)  here.

7 Responses to “More health problems than we’ve been told about”

  1. Christian said

    Atlanta’s Centers for Disease Control (CDC) is tightening tuberculosis screening. See http://www.cdc.gov/ncidod/dq/panel_2007.htm . Note the timetable for implementation at the bottom of the page.

  2. judyw said

    Thanks for the information, Christian. Very interesting. I wonder why only Thailand, Phillipines, Mexico and Nepal are on the list for the revised screening rules. Somalia and Burma are not on the list, though they both have high percentages of people with latent TB. Perhaps the Burmese are covered by Thailand, since almost all the refugees come from camps in Thailand. But Somalis? I also wonder about this item in the screening instructions:

    “New TB classifications for all applicants with suspected latent Mycobacterium tuberculosis infection and for contacts for cases of tuberculosis disease.”

    What are those new classifications? It would be nice to know.

  3. Christian said

    I can only answer your question with regards to the Burmese. The CDC’s list of countries refers to the individual’s point of departure, not origin. Burmese refugees almost all depart out of Thailand, and therefore fall under the new rules.

  4. Infinicat said

    Here’s a little article on how often refugee maladies are misdiagnosed:

    http://www.cnn.com/2007/HEALTH/06/20/refugee.health/

    — Infinicat.

  5. judyw said

    Thanks, Infinicat, very interesting article. The little boy with the parasites brings to mind an article I saw yesterday, Worms infect more poor Americans than thought. The article begins:

    Roundworms may infect close to a quarter of inner city black children, tapeworms are the leading cause of seizures among U.S. Hispanics and other parasitic diseases associated with poor countries are also affecting Americans, a U.S. expert said on Tuesday.

    Recent studies show many of the poorest Americans living in the United States carry some of the same parasitic infections that affect the poor in Africa, Asia, and Latin America, said Dr. Peter Hotez, a tropical disease expert at George Washington University and editor-in-chief of the Public Library of Science journal PLoS Neglected Tropical Diseases.

    Writing in the journal, Hotez said these parasitic infections had been ignored by most health experts in the United States.

    It didn’t mention anything about immigrants or refugees. It would be interesting to know if refugees who are screened for TB, HIV, hepatitis, etc., are also screened for parasites.

  6. Infinicat said

    Incredibly, there’s no law against a foreign visitor boarding an airliner bound for the USA with infectious diseases. A woman who boarded a flight to Chicago from Nepal, was coughing a lot, turned out to have the many-drug resistant strain of TB, and she knew it.

    The CDC is desperately trying to find the passengers on that flight. There were 44 US citizens on it.

    — Infinicat

  7. [...] it does not have epidemics and does not seem to be a threat. Now I can go back to worrying about TB, which does have epidemics and is a [...]

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