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Zhou A, Osman A, Flores G, Srikrishnaraj D, Mohanty J, Al Bader R, Llancari A, El-Hashemi A, Elias M, Mirza K, Muldoon M, Palazzolo R, Zaib F, Woldie I, Hamm C. Critical Illness in Migrant Workers in the Windsor-Essex Region: A Descriptive Analysis. Int J Environ Res Public Health 2023; 20:6587. [PMID: 37623172 PMCID: PMC10454922 DOI: 10.3390/ijerph20166587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 08/01/2023] [Accepted: 08/12/2023] [Indexed: 08/26/2023]
Abstract
Despite their essential role in Canadian agriculture, migrant workers face numerous healthcare barriers. There is a knowledge gap regarding the healthcare experiences of migrant workers with critical illness in the Windsor-Essex region. Our objective was to collect information on the experiences of migrant workers experiencing a critical illness at Windsor Regional Hospital (WRH) between 31 December 2011 and 31 December 2021. We conducted a retrospective chart review and interviews with migrant workers. We identified 14 migrant workers who presented to WRH with a critical illness over these 10 years. Despite occasional barriers regarding access to care, the migrant workers received an appropriate standard of care in Canada. Five of the fourteen patients identified were repatriated to their home countries. The migrant worker patients interviewed expressed satisfaction with the care they received in Canada but identified repatriation as a specific concern to receiving continuity of care. The health and financial burden imposed by critical illness on migrant workers and their employers makes critically ill workers vulnerable to medical repatriation as a unique social determinant of health. Considering the critical role of migrant workers in Canada's food security, policy changes should be considered to ensure critically ill workers are able to remain until recovery.
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Affiliation(s)
- Alex Zhou
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
| | - Abdelhady Osman
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
| | - Genesis Flores
- Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada; (G.F.); (A.E.-H.); (R.P.); (I.W.)
| | - Dhuvaraha Srikrishnaraj
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
| | - Jayashree Mohanty
- School of Social Work, University of Windsor, Windsor, ON N9A 0C5, Canada;
| | - Retage Al Bader
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
| | - Amy Llancari
- Department of Biological Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada;
| | - Aya El-Hashemi
- Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada; (G.F.); (A.E.-H.); (R.P.); (I.W.)
| | - Manahel Elias
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
| | - Kanza Mirza
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
| | - Maureen Muldoon
- Faculty of Arts, Humanities and Social Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada;
| | - Ryan Palazzolo
- Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada; (G.F.); (A.E.-H.); (R.P.); (I.W.)
| | - Farwa Zaib
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
| | - Indryas Woldie
- Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada; (G.F.); (A.E.-H.); (R.P.); (I.W.)
- Windsor Regional Hospital Cancer Program, Windsor, ON N8W 1L9, Canada
| | - Caroline Hamm
- Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada; (A.Z.); (A.O.); (D.S.); (R.A.B.); (M.E.); (K.M.); (F.Z.)
- Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada; (G.F.); (A.E.-H.); (R.P.); (I.W.)
- Windsor Regional Hospital Cancer Program, Windsor, ON N8W 1L9, Canada
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Rapposelli I, Fusco O, Deligiannis P, Pastorini A, Fiumanò M, Menatti E, Viaggi V, Stiglich F, Palazzolo R, Soccodato A, Volpi M, Antoniazzi F, Pedrotti C, Malugani F, De Filippi F, Libera E, Songini C, Tavasci E, Dell'Agostino K, Bazza T, Bertolini A. Libro Blu: a tool to coordinate Oncology practice and to rationalise resource employment. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw345.60] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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