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2.
J Aging Soc Policy ; 33(4-5): 474-492, 2021.
Article in English | MEDLINE | ID: covidwho-1238101

ABSTRACT

As COVID-19 puts older people in long-term institutional care at the highest risk of infection and death, the need for home-based care has increased. Germany relies largely on migrant caregivers from Poland. Yet the pandemic-related mobility restrictions reveal the deficiencies of this transnational elder care system. This article asks if this system is resilient. In order to answer this question, the research team conducted interviews with 10 experts and randomly selected representatives of brokering and sending agencies in Germany and Poland. We interviewed 13 agencies in Germany and 15 in Poland on the agencies' characteristics, recruitment strategies, challenges of the pandemic, and impact of legal regulations in the sector. The analysis shows that the system could mobilize adaptive capacities and continue to deliver services, but its absorptive capacity is limited. To enhance resilience, policies working toward formalization and legalization of care services across national borders are required.


Subject(s)
COVID-19 , Caregivers/statistics & numerical data , Home Care Services , Resilience, Psychological , Transients and Migrants , Aged , Germany , Humans , Interviews as Topic , Long-Term Care , Poland/ethnology , Transients and Migrants/legislation & jurisprudence
3.
Am J Public Health ; 111(8): 1497-1503, 2021 08.
Article in English | MEDLINE | ID: covidwho-1186643

ABSTRACT

Under international law, the United States is obligated to uphold noncitizens' fundamental rights, including their rights to health. However, current US immigration laws-and their enforcement-not only fail to fulfill migrants' health rights but actively undermine their realization and worsen the pandemic's spread. Specifically, the US immigration system's reliance on detention, which precludes effective social distancing, increases risks of exposure and infection for detainees, staff, and their broader communities. International agreements clearly state that the prolonged, mandatory, or automatic detention of people solely because of their migration status is a human rights violation on its own. But in the context of COVID-19, the consequences for migrants' right to health are particularly acute. Effective alternatives exist: other countries demonstrate the feasibility of adopting and implementing immigration laws that establish far less restrictive, social services-based approaches to enforcement that respect human rights. To protect public health and realize its global commitments, the United States must shift away from detaining migrants as standard practice and adopt effective, humane alternatives-both amid COVID-19 and permanently.


Subject(s)
COVID-19/prevention & control , Emigration and Immigration/statistics & numerical data , Health Services Accessibility/statistics & numerical data , Social Determinants of Health/statistics & numerical data , Transients and Migrants/statistics & numerical data , Undocumented Immigrants/statistics & numerical data , COVID-19/epidemiology , Emigration and Immigration/legislation & jurisprudence , Health Services Accessibility/legislation & jurisprudence , Human Rights/statistics & numerical data , Humans , Right to Health/statistics & numerical data , Social Determinants of Health/legislation & jurisprudence , Social Justice , Transients and Migrants/legislation & jurisprudence , Undocumented Immigrants/legislation & jurisprudence , United States
4.
J Agromedicine ; 25(4): 367-369, 2020 10.
Article in English | MEDLINE | ID: covidwho-1174760

ABSTRACT

The disproportionate impact of COVID-19 on farmworker communities has been well documented by the media. The virus overlays existing health disparities among farmworkers, but the population is not homogenous. One group of workers that may be even more vulnerable to the transmission of COVID-19 is the H-2A temporary worker population, because they have less control over their physical environments than domestic farmworkers, who may obtain their own housing and transportation. The H-2A program was recently altered at the federal level to ensure a steady flow of essential workers that can protect the nation's food supply during a crisis. Yet, in spite of increasing numbers of COVID-19 cases in states with significant H-2A worker populations, the federal rule that temporarily expanded the H-2A program did not address needs to protect workers' health. Although the CDC has developed recommendations for the agricultural industry to safeguard against COVID-19, most health and safety regulation for farmworkers are left to state and local agencies that may lack knowledge or resources to effectively address the needs of a specialized growing workforce such as H-2A workers. More research is needed on the disparate health and safety needs of H-2A workers to assess how policy can be tailored to reduce the transmission of the COVID-19 virus among the population.


Subject(s)
Agriculture/legislation & jurisprudence , COVID-19/economics , Farmers/legislation & jurisprudence , Workforce/legislation & jurisprudence , Agriculture/economics , Agriculture/statistics & numerical data , COVID-19/epidemiology , COVID-19/psychology , Farmers/psychology , Farmers/statistics & numerical data , Healthcare Disparities , Humans , Occupational Health , Transients and Migrants/legislation & jurisprudence , Transients and Migrants/psychology
6.
Med Leg J ; 89(1): 29-30, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-670847

ABSTRACT

The Covid-19 pandemic is a global health emergency that requires immediate, effective action by governments to protect the health and basic human rights of everyone's life. Refugees and migrants are potentially at increased risk because they typically live in overcrowded conditions often without access to basic sanitation. Since the beginning of the official lockdown for Covid-19, the medico-legal assessment of physical violence related to obtaining status or other forms of human protection has been frozen.


Subject(s)
COVID-19/prevention & control , Health Services Accessibility , Human Rights , Refugees/legislation & jurisprudence , Transients and Migrants/legislation & jurisprudence , Humans , Jurisprudence
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