A mixed integer linear programming model and a basic variable neighbourhood search algorithm for the repatriation scheduling problem

Commercial flights nearly halted due to the COVID-19 pandemic in the second quarter of 2020. Consequently, several countries have had to schedule repatriation flights to return their citizens stranded in other countries. Flight routes and schedules are known in normal circumstances, and passengers buy seats on these flights; however, the reverse steps happen in repatriation. Passengers express their need to travel, and flights are scheduled to satisfy their requests. The problem behind this flight schedule can be called the repatriation scheduling problem (RSP), in which we need to repatriate citizens from different countries. The objective of the RSP is to return the most vulnerable citizens first. The capacity of available airplanes and quarantine locations limit the number of repatriated citizens. To address this problem, we have developed a mixed-integer linear program (MILP) to model the RSP. Moreover, we suggest a basic variable neighbourhood search (BVNS) algorithm to solve the problem. We test the BVNS algorithm by creating and solving a set of 108 RSP instances and then comparing the BVNS solutions with the exact ones. Despite allocating only 20 s to run the BVNS algorithm compared to eight hours for a commercial exact solver's branch and bound algorithm, the BVNS algorithm could find better results than the lower bounds for 62 instances and similar values for 17 instances.

COVID-19 repatriation programs - Classification and optimization models

Due to the COVID-19 pandemic and the subsequent measures to control the spread of the virus by border closure and suspension of commercial flights, decision-makers in several countries had to deal with one or more forms of repatriation problems, international and domestic. In addressing an international repatriation problem, a country must schedule flights to return its citizens. Typically, the flight schedules of commercial airlines are announced, and passengers buy their seats accordingly. However, in repatriation, the opposite happens: citizens express their wishes to return to their countries, and flights need to be scheduled. Due to several constraints, decision-makers should repatriate the most vulnerable citizens first. In this work, we offer an overview of repatriation problems from an optimization perspective by visiting real-life cases. We compare the Indian and Jordanian repatriation programs to find similarities and differences between the two. We also develop several mixed-integer linear programs (MILPs) to model different repatriation phases and solve respective illustrative examples to demonstrate the use of the MILPs. Last, we solve two stages of a problem that resembles Jordan's actual repatriation program. Decision-makers and researchers may use and extend this summary and the optimization models for any future pandemic that might lead to border closures and new repatriation problems.

Phased repatriation of Lebanese expatriates stranded abroad during coronavirus disease 2019 (COVID-19) pandemic

Background

The coronavirus disease (COVID-19) pandemic represents a serious worldwide threat. Stranded Lebanese citizens abroad appealed to the Lebanese government to embark on citizen repatriation missions. We aim to document the Lebanese experience in the repatriation of citizens during COVID-19 which allow us to disclose encountered challenges and lessons learned.

Methods

This is a retrospective description of processes involved in the phased repatriation of Lebanese citizens. The Mission consisted of 4 phases starting, April 5th until June 19th 2020. The prioritization of returnees was based on both medical and social risk assessment. The repatriation team was divided into four groups: the aircraft team, the airport team, the hotel team and the follow up team. On arrival, all returning citizens were tested using Polymerase chain Reaction (PCR) based technique, and were obliged to adhere to a mandatory facility quarantine for 24 to 48 h. Returning travelers who were tested positive for COVID-19 were transferred to the hospital. Those who were tested negative were urged to strictly comply with home-quarantine for a duration of 14 days. They were followed up on a daily basis by the repatriation team.

Results

Overall, 25,783 Lebanese citizens have returned home during the phased repatriation. The third phase ranked the uppermost in regard of the number of citizens repatriated. The total number of performed PCR tests at the airport upon arrival was 14,893 with an average percentage of around 1% positivity for COVID-19. On the other hand, more than 10,687 repatriates underwent external PCR requisite in the third and fourth phases. Two hundred seventy-two repatriates were tested positive for COVID-19 upon their arrival.

Conclusion

Considering the limited human and financial resources besides the economic and political crisis, the overall repatriation mission could be considered as a successful experience. Such processes would not have been achieved without the professionalism of all involved stakeholders.

Challenges of reverse migration in India: a comparative study of internal and international migrant workers in the post-COVID economy

In India, the major drivers of both internal and international migration are the prevailing unemployment, competitive labour market and enhanced livelihood prospects in the destination state or country. However, the nationwide lockdown and the sealing of inter-state and international borders to control the COVID-19 pandemic triggered the reverse migration of informal migrant workers. This requires the central and state governments to collectively forge strategies to enable their reverse migration and smooth reintegration in the post-COVID economy. In this paper, we have focused on the inter-state migrants in India and returnee migrants only from Gulf countries as they account for two-thirds of Indian migrants living abroad. This study conducted a comparative analysis of the Indian government's varied approach towards its internal and international migrants during their reverse migration, repatriation and reintegration after the announcement of the lockdown. Firstly, the paper compares the challenges faced by internal and international migrant workers during these stages with the help of in-depth interview data collected from migrants and social workers. Secondly, the varied governmental responses towards their repatriation are discussed. Thirdly, it analyses the obstacles in their economic reintegration to help frame suitable welfare policies for the Indian migrant community.

COVID-19 Containment Ship Model: A Case Study for Pacific Island Response

The Republic of the Marshall Islands, American Samoa, the Federated States of Micronesia, and the Republic of Palau have been without any COVID-19 community transmission since the beginning of the global pandemic. The Commonwealth of the Northern Mariana Islands has experienced modest community transmission, and Guam has had significant COVID-19 community transmission and morbidity. Although several of these United States Affiliated Pacific Island jurisdictions made difficult strategic choices to prevent the spread of COVID-19 which have been largely successful, the built environment and the population density in the urban areas of the Pacific remain inherently conducive to rapid COVID-19 transmission. Rapid transmission could result in devastating health and economic consequences in the absence of continued vigilance and long-term strategic measures. The unique COVID-19 vulnerability of islands in the Pacific can be modeled through examination of recent outbreaks onboard several United States Naval ships and other marine vessels. The environmental characteristics that pose challenges to infection control on an isolated naval ship are analogous to the environmental characteristics of these Pacific island communities. Considering a collection of case studies of COVID-19 transmission on ships and applying to Pacific Island environments, provides a heuristic, easily accessible epidemiologic framework to identify methods for interventions that are practical and reliable towards COVID-19 containment, prevention, and control. Using accessible evidence based public health policies, infection risk can be decreased with the objective of maintaining in-country health and social stability. These case studies have also been examined for their relevance to current discussions of health care infrastructure and policy in the Pacific Islands, especially that of vaccination and repatriation of citizens marooned in other countries. The need for aggressive preparation on the parts of territories and nations not yet heavily exposed to the virus is critical to avoid a rapid "burn-through" of disease across the islands, which would likely result in catastrophic consequences.

Modelling the determinants of voluntary repatriation: The role of ecosystem services in post-conflict reconstruction in Rakhine

Voluntary repatriation has the utmost importance in the contemporary understanding of refugee protection. Voluntary repatriation in safety and with dignity is considered to be the most desirable and durable solutions for refugees. However, voluntary repatriation represents increasingly daunting challenges to the refugees, the governments of both home and host countries, and implementing partners. The repatriation planning of Rohingya refugees is widely criticized as being profoundly premature and dangerous. Most of the refugees are set to return to destroyed villages where food and shelter are inadequate, ecosystem services overstretched, livelihood opportunities marginal and the physical environment unfit for human habitation. Investigating the view and perspectives of the refugees on the factors that influence their intention to return can inform the implementing actors to secure those conditions and ensure a durable solution. Here, we identify the conditions that influence the decisions by Rohingya refugees in protracted displacement regarding return to Myanmar. This research also addresses the dual challenges of repatriation and sustainable post-conflict reconstruction, and, more specifically, provides a framework on how to integrate ecosystem services in the repatriation process.

Maada'oonidiwag gete-dibaajimowen ("sharing old stories"): reflections on a place-based reparatory research partnership in Nbisiing Anishinaabeg Territory

In this paper, we reflect on an emerging community-based partnership rooted in place-based reparative research. Braiding knowledges (Atalay, 2012) from Nbisiing Anishinaabeg communities, northern Ontario universities, and multi-scalar museums, the partnership focuses on repatriation, reparative environmental histories, and action-based research in the context of settler colonialism and climate change. We reflect on ongoing projects that attempt to put Anishinaabe gikendaasowin (knowledge) into action alongside historical geographical research. We discuss how the partnership resonates with community geography values of relationship, collaboration, equity, and reciprocity, and urge non-Indigenous geographers to acknowledge how Indigenous knowledges and approaches have shaped these ideas long before geography became a discipline. We contend that historical geographers have a deeper role to play in community geography scholarship, citing examples of two projects related to (1) repatriation of Anishinaabeg cultural heritage and (2) storymapping through historical Geographic Information Systems (HGIS). However, we argue, geographers must continue to acknowledge their own positionality in a discipline that was built through settler colonial violence and knowledge production. Finally, we reflect on the role of academic institutions in facilitating First Nation-university-museum partnerships through access to funding, space, and databases, while addressing the challenges of relying on institutional support for reparatory and decolonizing projects.

Death abroad: Medico-legal autopsy results of repatriated corpses: A retrospective analysis of cases at the Department of Legal Medicine in Frankfurt am Main

INTRODUCTION

Repatriated corpses may have been autopsied abroad. The aim of the study was to compare the findings from second medico-legal autopsies with those from primary autopsies abroad to spotlight possible implications for the management of repatriated corpses.

MATERIAL AND METHODS

All autopsies from a 20-year period at the Institute of Legal Medicine in Frankfurt am Main on repatriated corpses of German citizens were reviewed. The results were compared with the information from the body passports, the protocols of the autopsies in the country of death, and the police files.

RESULTS

In total, 151 corpses repatriated from 56 different countries were autopsied. The interval between death and autopsy in Germany was 2-603 days (median: 11 days). 91 of the repatriated corpses (59.5%) had previously been autopsied abroad. Three body cavities had been opened in 78.0% (71/91) of the original autopsies; among them, there were 11 cases (15.5%) with dissection of all organs, as opposed to 7 cases (9.9%) with all organs intact and in situ. Of the previously autopsied corpses, 62.6% were accompanied by a body passport that noted the cause of death. In nearly 75% of these cases, the stated cause of death was compatible with that established at second autopsy. In 5 cases (10.2%), the cause of death established in the second autopsy disagreed with that on the body passport. The most prominent disparity was a cranial gunshot wound rather than the stated fatal fall.

DISCUSSION

This analysis of individual cases spotlights the problematics of an uncritical approval of the body passport. In light of the different procedural autopsy standards around the world, the validity of an autopsy abroad is discussed in the context of the second autopsy results.

CONCLUSION

A second external postmortem examination by qualified medical practitioners should be obligatory in all cases of repatriated corpses, with notification of the criminal police in all cases of non-natural or undetermined death. A timely second autopsy is recommended even in cases with previous autopsy abroad.

Pre-migration Trauma, Repatriation Experiences, and PTSD Among North Korean Refugees

Many studies on refugees suggested that refugees' traumatic events associated with post-traumatic stress disorder (PTSD). However, it is unknown whether refugees' PTSD was caused by their negative experience before or after the entry of their destination country. Thus, a separation of refugees' pre-migration from their post-migration experience is particularly important in understanding the causal impact of trauma. Using a sample from North Korean refugees, this study investigates the prevalence of PTSD symptoms, the impact of tortured trauma, repatriation experiences, on PTSD among North Korean refugees (n = 698). We found that North Korean refugees in our sample (a) demonstrated a high rate of current probable PTSD; (b) were demonstrated a higher frequency of repatriation experiences with a greater risk for PTSD symptoms. The findings suggest that particular types of trauma for populations with particular socio-demographic characteristics may be at a greater risk of PTSD.

The costs of repatriating an ill seafarer: a micro-costing approach

Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study was to estimate the financial burden of repatriations in case of illness. We applied a local approach, a micro-costing method, with an employer perspective using four case vignettes: I) Acute myocardial infarction (AMI), II) Malignant hypertension, III) Appendicitis and IV) Malaria. Direct cost data were derived from the Danish Maritime Authority while for indirect costs estimations were applied using the friction cost approach. The average total costs of repatriation varied for the four case vignettes; AMI (98,823 EUR), Malignant hypertension (47,597 EUR), Appendicitis (58,639 EUR) and Malaria (23,792 EUR) mainly due to large variations in the average direct costs which ranged between 9560 euro in the malaria case and 77,255 in the AMI case. Repatriating an ill seafarer is a costly operation and employers have a financial interest in promoting the health of seafarers by introducing or further strengthen cost-effective prevention programs and hereby reducing the number of repatriations.

Repatriation of human remains following death in international travellers

BACKGROUND

Death during international travel and the repatriation of human remains to one's home country is a distressing and expensive process. Much organization is required involving close liaison between various agencies.

METHODS

A review of the literature was conducted using the PubMed database. Search terms included: 'repatriation of remains', 'death', 'abroad', 'tourism', 'travel', 'travellers', 'travelling' and 'repatriation'. Additional articles were obtained from grey literature sources and reference lists.

RESULTS

The local national embassy, travel insurance broker and tour operator are important sources of information to facilitate the repatriation of the deceased traveller. Formal identification of the deceased's remains is required and a funeral director must be appointed. Following this, the coroner in the country or jurisdiction receiving the repatriated remains will require a number of documents prior to providing clearance for burial. Costs involved in repatriating remains must be borne by the family of the deceased although travel insurance may help defray some of the costs. If the death is secondary to an infectious disease, cremation at the site of death is preferred. No standardized procedure is in place to deal with the remains of a migrant's body at present and these remains are often not repatriated to their country of origin.

CONCLUSIONS

Repatriation of human remains is a difficult task which is emotionally challenging for the bereaving family and friends. As a travel medicine practitioner, it is prudent to discuss all eventualities, including the risk of death, during the pre-travel consultation. Awareness of the procedures involved in this process may ease the burden on the grieving family at a difficult time.