Monthly Archives: March 2012

Shooting Europe in the Foot: Europe’s Migration Migraine

Thomas Samson/Reuters

The presidential campaign in France has predictably focused, once again, on the issue of migration. Migrants represent approximately 11% of the French population. Many, if not most, have come from countries with a long and strong political and economic link with France. Most have probably seen France in a quasi-motherland manner. They, like migrants everywhere, are contributing to the social and economic development of France. Some are highly skilled physicians, nurses, engineers, lawyers, schoolteachers and others who quickly move in to stable and relatively well paying job situations. Others are less skilled and are taking jobs that nationals are increasingly reluctant to take on. As such, a large proportion of migrants in France, just as in other European countries, have today become the anonymous, easily forgotten workers who keep economies functioning and do so from behind the scenes.

The perennial concern in France about migrants is not unique to France alone but it is nevertheless visceral and prominent in political discussions. Every presidential candidate has felt it expedient to take up this theme and, with a few variations, essentially attempts to appeal to the masses by stating that France neither wants nor needs nor can further accommodate more migrants. The reality, of course, is that almost every European country has now come to terms with the fact that in a continent of dramatically falling fertility rates, migrants represent a lifeline for the economy. Without this substantial segment of the workforce many industries will become less efficient, but more importantly, in the absence of tax paying migrants, the social security systems of Europe will have a short shelf-life. It is speculated that the day will soon come when contributions to pension scheme by nationals are so restricted that future generations will simply not be able to draw on them.

In Germany where the proportion of migrants is higher than that of France, there has been little evidence of a politicization of the phenomenon. While this is not to say that foreign-born people in Germany are by any means more integrated or accepted; politicians have seen it fit not to focus political debates on or around them. There are many good reasons for following the German model.

Migration is a complex phenomenon and people who move; be it for economic or political security reasons are pressured in many psychological ways. There are many reasons that contribute to the constant outflux and influx of people from one place to another. These reasons are usually beyond their scope of control, rendering them to leave behind family, friends and cultures.

Politicization of migration and migrants does little more than force this essential population further on the margin of mainstream society. It increases their stress and anxiety and we know it makes them all the more vulnerable to a wide range of physical and mental health problems. If Europe is to avoid creating a marginalized and frustrated ghetto population who feel they are not wanted but know they’re needed, it must stand back and decide where it is heading with this phenomenon. Is Europe prepared to deal with a massive and detrimental fall in the size of its population? Is it willing to move forward and create a cohesive, productive and socially constructive Europe? If the latter choice is the aim then politicization of a process that has characterized every period in history and will have to come to an end and politicians will have no choice but to engage in more responsible and constructive political debates.

By: Manuel Carballo

ICMHD at the Geneva Health Forum 2012

ICMHD’s abstract “Type 2 Diabetes and Migrants: A Twelve Country Study” has been selected and we will do an oral presentation on Friday April 20th at the Geneva Health Forum. If you are interested to learn more about the relationship between migration and diabetes please come and attend our presentation! This Forum, focusing on chronic conditions, will gather over 200 projects from the entire health continuum- from upstream multi-sectoral policies for prevention (of chronic conditions) and related risk factors to downstream actions in the health sector for detection and treatment.

For the complete abstract please visit: http://www.ghf12.org/?p=3295

Summary of abstract:

This twelve country study (Austria, Canada, Greece, Germany, Ireland, Italy, Netherlands, Norway, Portugal, Spain, Switzerland, UK) addressed the prevalence of type 2 diabetes (T2DM) in migrant and non-migrant populations and responses to its diagnosis and management.  Respondents were recruited from health care facilities and they were interviewed using a standardized questionnaire in their language of choice.  Statistically significant differences emerged between migrants and non-migrants with respect to a number of health care indicators, and the study highlights the importance of reaching out to migrants with T2DM diagnostic and therapeutic services designed around their particular needs and sociocultural situation.

The Right To A Healthy Life: The Growing Problem of Gestational Diabetes Mellitus

©2012 Stock Connection and World of Stock.

Gestational diabetes mellitus (GDM) is a non-communicable disease caused by glucose intolerance.  Despite the fact that it can pose serious threats to pregnant women and their babies, GDM has been late in attracting the type and extent of global attention it deserves.  Typically seen as a disease that goes into remission at the birth of the baby, GDM can nevertheless present serious threats to the mother in the ten years following her pregnancy (risk of developing type 2 diabetes and developing GDM in future pregnancies) and to the young infant (Obesity, respiratory problems, and later type 2 Diabetes).

 How widespread or common GDM is, remains relatively unclear.  The absence of globally accepted standards for screening and treatment of GDM is one of the reasons for this, and even today there are still many countries that do not routinely screen for GDM as part of antenatal care.  The persisting lack of real attention to, and investment in, maternal health in general, is another underlying factor.

At ICMHD we believe GDM is a growing problem that is affecting some populations more than others.  Our research suggests that some ethnic groups are far more vulnerable to it than others, and we also believe that the process of migration can be a precipitating factor.   In a world in which the number of women on the move is now beginning to exceed the number of men, the problem of GDM in migrant groups and ethnic minorities calls for urgent attention.

ICMHD has made GDM one of its priorities and is working to improve international knowledge about its incidence and impact in different parts of the world and among different populations.   We believe every mother-to-be and her child has the right to a healthy life and we hope that by raising awareness about the problem we will encourage more countries and stakeholders to take it up.

 By: Emily Hertel