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TRENTON -- The New Jersey Department of Health and Senior Services has
been awarded $262,000 in funding for its Refugee Health Program from the
U. S. Department of Health and Human Services, Office of Refugee Settlement
- a 65 percent funding increase over previous years.
The Refugee Health Program ensures that all newly arriving refugees complete
a domestic health screening within 90 days of arrival to evaluate each
person's current physical and mental health needs and protect United States
public health. The funding covers the current fiscal year, July 1, 2001
through June 30, 2002.
"For the last four years, the average number of refugees resettling
in New Jersey numbered about 1,600 per year - with only about 37 percent
completing the required health exam within 90 days of their arrival,"
said Health and Senior Services Commissioner Christine Grant. "The
department's goal is to raise the percentage of refugees examined in this
time frame up to 65 percent - and this additional funding should help
us get there."
Refugees from Africa, East Asia, the former Soviet Union, Eastern Europe,
Latin America and the Middle East account for more than half the refugees
arriving in New Jersey each year.
The state's Refugee Health Program, which began in 1980, evaluates refugees
for a possible parasitic infection like malaria as well as tuberculosis.
And the screening may identify those individuals with treatable non-infectious
health conditions ranging from poor nutrition, lead poisoning and asthma
to hypertension, sickle cell anemia and depression.
"This health screening is important not only for the health and well-being
of these new arrivals in New Jersey but also to safeguard the health of
all current residents - looking at each situation from the public health
standpoint," said state epidemiologist and assistant commissioner
Dr. Eddy Bresnitz. "We want to know if a person has a communicable
disease of public health significance or a health condition that could
have an adverse impact on resettlement here, or in the rest of the nation."
New Jersey's program will now be able to provide initiatives to help
raise compliance with the goals of the Refugee Health Program, from providing
health service grants at various sites around the state to offering foreign
language interpreters to helping refugees understand the local system,
and increasing medical case management.
Refugees arriving in New Jersey often find it difficult to navigate
through the health care system because they are faced with cultural and
linguistic barriers. As a result, they are unable to meet the federal
and state requirement of completing a domestic health exam.
"While refugees are screened overseas for medical conditions that
would exclude them from our country, these tests can be inaccurate and
do not always cover all of the conditions that concern our public health,"
said Dr. Bresnitz. "And there is sometimes a time delay from when
the refugee was tested and when that person arrives in the U.S."
Six of the 12 Federally Qualified Health Center (FQHC) sites in New
Jersey - where many refugees receive their health care - will $10,000
each in funding to help alleviate administrative costs and provide domestic
health screening services.
The sites were selected based on the numbers of refugees identified
in the FQHC service area. They are: Henry J. Austin Health Center, Trenton;
Plainfield Health Center; Newark Community Health Centers; CamCare Health
Corp., Camden; North Hudson Community Health Center, West New York; and
Paterson Community Health Center.
The Refugee Health Program will also be able to use an interpreter and
translating service with access to professionally trained interpreters
who are fluent in over 50 languages. Their services range from helping
a refugee schedule a medical appointment to eliminating language barriers
that may prevent proper medical care.
A refugee is a person who has fled his or her country because of a well-founded
fear of persecution for reasons of race, religion, nationality, social
group, or political opinion. According to the United Nations High Commissioner
for Refugees (UNHCR), the world refugee population in 2000 was estimated
to be 14.5 million. Refugees are of every race and religion and can be
found in every part of the world. Refugees reflect the measurement of
the world's political and social problems.
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