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Health and mortality differentials among Myanmar, Laos, and Cambodian migrants in Thailand Nucharee Srivirojana and Sureeporn Punpuing, Institute for Population.

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Presentation on theme: "Health and mortality differentials among Myanmar, Laos, and Cambodian migrants in Thailand Nucharee Srivirojana and Sureeporn Punpuing, Institute for Population."— Presentation transcript:

1 Health and mortality differentials among Myanmar, Laos, and Cambodian migrants in Thailand Nucharee Srivirojana and Sureeporn Punpuing, Institute for Population and Social Research, Mahidol University, Thailand Undocumented migrants from Myanmar, Laos and Cambodia are marginalized. Working in 3D jobs, living in unhygienic and poor sanitary condition, lack of knowledge, limit access to health services and mobility condition intensify migrant’s vulnerability to health problems and mortality. Data from annual epidemiological surveillance reports, Ministry of Public Health, ( ) and 2,858 migrant death cases from vital registration statistics, Ministry of Interior, ( ) were analyzed by using descriptive and bi-variate analyses  Myanmar and Cambodian migrants are still vulnerable to health and mortality problem when compare with Laos migrants and native Thai.  Differences in sex, age and nationalities also influence health and mortality differentials among these migrants.  Health services and preventive strategies, should be developed as appropriate for sex, age, and nationalities of the migrants to counter accidents and occupational health hazard especially among labour force age male migrants from Myanmar and Cambodia.  More effort to reduce death from maternal and child health, and infectious disease among female migrants should be enhanced. Results Figure 1 Case fatality rate of Myanmar, Laos, Cambodian migrants and native Thai during 1998 to 2006 Source: Annual Epidemiological Surveillance Report , Ministry of Public Health Myanmar and Cambodian migrants tend to have higher case fatality rate when compare with Laos migrants and native Thai (figure 1). Data & Method Objective Introduction To find out health and mortality differential among Myanmar, Laos and Cambodian migrants in Thailand. Fig. 2: Different in cause of death among Myanmar, Laos and Cambodian migrants in Thailand during Source: Vital registration , Ministry of Interior Laos and Cambodian migrants have the same pattern on major cause of death due to non- infectious diseases while accident is prominent among Myanmar migrants (figure 2). Fig.6: Pattern of Myanmar, Laos and Cambodian migrants death in Thailand by age groups during Source: Vital registration , Ministry of Interior Acute diarrhea, pyrexia of unknown origin and pneumonia are major causes of sickness among these three nationalities. Malaria is only a major concern among Myanmar and Cambodian migrants while sexual transmitted diseases is outstanding among Laos migrants (figure 4). Malaria, pneumonia and tuberculosis are major causes of death among Myanmar and Cambodian migrants while major concern among Laos migrants is only pneumonia. (figure 5). Source: Annual Epidemiological Surveillance Report , Ministry of Public Health Fig.5: Comparison major surveillance causes of death among Myanmar, Laos and Cambodian migrants and native Thai in 2006 Myanmar and Laos male migrants die more due to accident than female migrants while majority of Cambodian male migrants die due to murder and suicide. Infectious diseases stand out as a major cause of death for female migrants among the three nationalities. (figure 3). Source: Annual Epidemiological Surveillance Report , Ministry of Public Health Fig.4: Comparison major surveillance causes of sickness among Myanmar, Laos and Cambodian migrants and native Thai in 2006 Fig.3: Comparison different cause of death between male and female migrants in Source: Vital registration , Ministry of Interior Pattern of migrants death by age group among the three nationalities are quite similar. However, Cambodian migrant orphans and young adults die more during age 0-4 and year old. Pattern of Laos migrant death change to become higher than the other two nationalities after age 49 year old. Discussion & Recommendation The authors are gratefully acknowledge kind support from the Royal Golden Jubilee Ph.D Program from the Royal Thai Government and IPSR in providing scholarship and funding support for conducting this study. Acknowledgement References  Annual Epidemiological Surveillance Report , Ministry of Public Health  Vital registration , Ministry of Interior Myanmar and Cambodian orphan migrants die from non-infectious such as maternal and child health while Laos orphan migrants die more from accident (figure 7). Accidents also happen more on Myanmar and Cambodian labour force age migrants rather than Laos migrants while most of the elderly migrants die due to non-infectious disease except Cambodian elderly migrants who die more due to infectious diseases and accident (figure 7). Fig.7: Different in cause of death among orphan, labour force age and elderly migrants in Thailand during Source: Vital registration , Ministry of Interior PAA 2009, 30 April - 2 May 2009, Detroit, Michigan, USA


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