The US Department of State and the International Institute of Akron are resettling about 350 refugees annually in Akron. Secondary migration from other areas of the US is significant, with 350 more refugees arriving annually. Adult refugees here face the usual barriers to medical care, such as transportation issues, the language barrier, and cultural differences that hinder understanding and communication between medical staff and patients. Medical workers treat refugees for parasites, hepatitis, tuberculosis, dental problems, post-traumatic stress disorder (PTSD) and other health issues. Although most refugee children are in good health when they arrive, some have medical concerns not typically seen in American-born children — e.g., hepatitis, latent tuberculosis, anemia, failure to thrive, parasites, chronic ear infections and certain oral health problems. An article in the Beacon Journal has more:
…Each year, about 350 refugees from Myanmar, Nepal, Iraq and other countries arrive in the Akron area with the help of the International Institute of Akron, according to Kate Sass, the institute’s director of refugee resettlement. Another 350 refugees who have been living in other cities throughout the United States also relocate to the region in a typical year…
...Cultural differencesAlong with the obvious language barrier, things such as transportation issues and cultural differences create challenges, Van Nostran said. Some patients also struggle with post-traumatic stress disorder from their past experiences.
The staff has learned, for example, that it is considered rude in some cultures to only use one hand instead of two to give patients their prescriptions or other paperwork.
In another case, Van Nostran said, hospital staff were concerned that a refugee couple were ignoring their newborn shortly after birth. The staff later learned this was the custom in the family’s native culture, which believes doting on a newborn will draw the attention of “evil spirits.”
“It has challenged us not to make assumptions but to ask specifically about cultures,” she said…
…When refugees arrive, they must have an initial health exam within 30 days for parasites, hepatitis, tuberculosis, dental problems and other health issues.
Some refugees have latent tuberculosis, which isn’t active or contagious but still must be treated with a nine-month course of antibiotics to avoid an active infection in the future, she said.
“You learn a lot,” Erme said. “Health-care providers who take care of refugee patients need to be open to learning and realize that what we were taught in our medical professional education may not always apply to this population.”…
…Caring for children
…Although the majority of children are in good health when they arrive, he said, refugees have some medical concerns that typically aren’t seen in American-born children — things such as oral health problems, latent tuberculosis, parasites, anemia, failure to thrive, chronic ear infections and hepatitis… Read more here
I think that the International Institute of Akron resettling refugees into crowded housing with rats and roaches also must not have been particularly healthful for refugees in Akron.

