Health and wellbeing of Nepalese migrant workers in Gulf Cooperation Council (GCC) countries: A mixed-methods study.

Introduction: Migrant workers support low- and middle-income economies through remittances, often bearing considerable health risks with long-term consequences. This study aims to understand the health and wellbeing issues of Nepalese migrant workers in Gulf Cooperation Council (GCC) countries, a major destination for low-skilled Nepalese workers. Methodology: We conducted a mixed-methods study in Dhading district of Nepal. A pilot survey was carried out with returnee migrants from GCC countries to understand key health and wellbeing issues faced by workers. In addition, in-depth interviews were conducted with a subset of these returnee migrants and their families, and related stakeholders. These aimed to understand broader societal and policy implications in relation to labour migration. Quantitative data from the survey were analysed using descriptive statistics and thematic analysis was used for qualitative interviews. Results: 60 returnee migrants (58 males, 2 females) took part in the survey (response rate, 100%). Median age of the survey participants was 34 (IQR, 9) years and 68% had completed school level education. Returnee migrants reported suffering from various physical and mental health issues during their stay in GCC countries including cold/fever (42%), mental health problems (25%) and verbal abuse (35%). 20 participants took part in the qualitative study:10 returnee migrants (8 males, 2 females), four family members (female spouses) and six key stakeholders working in organizations related to international migration. Interview participants reported severe weather conditions resulting in physical health problems (e.g. pneumonia, dehydration and kidney disease) as well as mental health issues (including anxiety, loneliness and depression). Participants raised concerns about the usefulness and appropriateness of pre-departure training, and the authenticity of medical tests and reports in Nepal. Female migrants reported facing stigma after returning home from abroad. Language difficulties, alongside issues related to payment, insurance and support at work were cited as barriers to accessing healthcare in destination countries. Conclusion: Our study shows that Nepalese migrant workers experience severe weather conditions and suffer from various physical and mental health issues, including workplace abuse and exploitation. The study highlights an urgent need for strategies to enforce compulsory relevant pre-departure orientation and appropriate medical screening in Nepal, and fair employment terms and full health insurance coverage in destination countries. Greater collaboration between the Nepalese government and GCC countries is needed to ensure necessary legislation and regulatory frameworks are in place to safeguard the health and wellbeing of migrant workers.

Application of a regional procedure to assess the risk to fish from high sediment concentrations.

Periods of high suspended sediment concentration in rivers can affect the behaviour, health and habitat of freshwater fish. A simple regional model relating daily mean suspended sediment concentration in rivers to flow and percentage of cropped and urban land has been applied to the Lower Swale, UK. The model uses a GIS catchment coverage of hydrological response units (HRUs) of area 5-8 km2, each of which is assumed hydrologically independent and drains to an identified river reach. The sediment delivery properties of each HRU are a function of its land use characteristics determined from existing databases, and hydrological conditions determined from effective rainfall measurements. Daily mean suspended sediment concentrations for each river reach were derived by cumulating simulated HRU flows and sediment loads down successive reaches. A map of the modelled 10% quantile sediment concentrations is presented for both HRUs and river reaches. The map is substantially different from existing erosion risk maps because the delivery model is driven by flow in addition to land use, rather than by soil type. Frequency curves showing the exceedance probability of mean simulated sediment concentrations over 1-6-day durations have been derived using peaks-over-threshold techniques. Maps of the risk of harm to fish, based on the probability of 1- and 4-day sediment concentrations exceeding 80 mg l(-1), are presented. Such maps can be used to assess the impact of sediment on fish and for setting appropriate river water quality objectives.

Diurnal and longer term patterns in carbon dioxide and calcite saturation for the River Kennet, south-eastern England.

Continuous pH, dissolved oxygen and temperature information for three sites on the upper portion of the River Kennet, a tributary of the Thames in southern England is presented. A thermodynamic model is developed which links this information to weekly water quality data allowing the estimation of dissolved carbon dioxide and calcite saturation levels within the river on a continuous basis. The results show a dynamic and variable system along the length of the river. Marked diurnal patterns are observed for pH, dissolved oxygen, dissolved carbon dioxide and calcite saturation and the highest fluctuations occur during the summer months. There is also a marked gradient downstream in average pH (7.5-8.0) and dissolved carbon dioxide (30-10 times atmospheric pressure). Dissolved oxygen levels average approximately 100% saturation across all sites, and the diurnal pattern occurring during the summer months declines downstream. The waters are permanently oversaturated with respect to calcite and the diurnal patterns of change are maximal during the summer months. The results are discussed in relation to: (a) the balance between photosynthesis and respiratory processes; (b) the relative interchanges between the sediment/plant interface with the water column; and (c) the rates of degassing of carbon dioxide and oxygen between the river surface and the atmosphere.