CCIRH Evidence Review

Confident female doctor examine mother and baby.

Worldwide, there are more than 232 million international migrants and this 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.
CCIRH provides guidelines 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.
In 2016, authors from the CCIRH produced an update and recommendations to address the newly arriving Syrian refugees to Canada. This is published in the CMAJ.

Member of the CCIRH are currently developing the methods and migrant health guidelines for the European Union and European Extension Countries. This European Centre for Disease Prevention and Control initiative involves an international team of experts and will play an important role in evidence based migrant health for Europe.

Documentation:

Partner Organizations

Canadian Collaboration for Immigrant and Refugee Health (CCIRH) – Authors and partners (.pdf, 359 kb) who contributed to the publication of the Evidence Based Clinical Guidelines for Immigration and Refugee Health.