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Developing a medical records database as a basis to tracking immigrant health

Sharon L. Sutton, BS, School of Public Health, Piscataway/New Brunswick Campus, University of Medicine and Dentistry of New Jersey, 683 Hoes Lane West, P.O. Box 9, Piscatatway, NJ 08854, 732-235-4646, Sharon.L.Sutton@gsk.com

Most Haitians in the Dominican Republic labor in sugar cane fields and live in abject poverty. The majority live in bateyes, communities which have grown up around the sugar cane fields. The bateyes provide the most rudimentary type of shelter. Inadequate sanitation in water, food and housing seriously compromises the health of Haitians. As such, the bateyes provide a nurturing environment for parasitic infection (Ascaris Lumbricoides).

A recent public health effort, sponsored by the University of Medicine and Dentistry of New Jersey , provided MPH students with an opportunity to experience the public health issues of developing countries. Two objectives were key: 1) provide environmental health education around the prevention of parasitic infection and 2) administer de-worming medicine. Planned ongoing efforts around de-worming required development of a simple, but effective tracking system for residents of the bateyes. Haitians are largely undocumented, routinely being denied Dominican cédulas (identity cards). Being unable to track residents hinders public health research efforts. A simple tracking system was developed that used materials that could be easily transported and used in the field, where electricity is lacking. Two villages served as test pilots for the creation of a medical records database. Residents of these villages were registered by capturing their name, age and weight (to calculate the dosage of de-worming medicine), with an accompanying photograph for future identification. Photographs were taken with a small camera, using standard 35mm film. Database records were created in Microsoft Access.

Learning Objectives: At the conclusion of the session, the participants will be able to

Keywords: International Public Health,

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Ensuring Adequate Services for Immigrants, Refugees and Displaced Persons

The 132nd Annual Meeting (November 6-10, 2004) of APHA