CCIRH Evidence Review
Worldwide, there are more than 200 million international migrants whose movement across borders has significant health impacts for many countries. While health task forces in Canada and the US have developed clinical recommendations for general populations, these recommendations have never been tailored towards the unique backgrounds and needs of often neglected migrant populations. “We reviewed the world’s evidence to create this one-stop resource for physicians to treat immigrant and refugees,” writes Dr Pottie, University of Ottawa with co-authors. “Several novel recommendations have emerged from our evidence reviews and GRADE recommendations, reviews that differ because of our insistence on finding evidence for clear benefits before recommending routine interventions.” For example, in the case of asymptomatic intestinal parasite infections, the evidence review and related guideline steer practitioner to blood (serology) testing for certain parasites that can cause the most harm long term and forgoing traditional stool testing for asymptomatic patients, marking a shift in current practice.
CCIRHs Full texts evidence reviews on specific illnesses and conditions including diabetes, PTSD, malaria, TB, hepatitis B &C, HIV, vision and dental disorders, and unmet contraceptive needs provide an opportunity to advocate for effective interventions for all migrants and the evidence-base toward international migrant health guidelines.
Publication - Canadian Guidelines for Immigrant Health in the Canadina Medical Association Journal (CMAJ)