CAT/OP/ITA/1/Add.1
on entry and residence, both outpatient care and urgent or essential hospital care measures,
including “continuing medical care (medicina continuativa)” and preventive medicine - to
safeguard both the individual and collective/public health. Furthermore, mention has to be
made of the specific guarantees concerning: the social protection of pregnancy and
motherhood, on par with Italian women; and the health-care protection of foreign minors in
Italy, regardless of their legal status, on an equal footing with Italian citizens.
76.
More generally, the Ministry of Health performs its international preventive function
by making use of its Office of Maritime, Air and Border Health (acronym in Italian,
USMAF). This Office
(recently renamed, USMAF-SASN) includes an outpatient
network for health-care to those travelling by sea and air with a presence at the main
harbours and airports of the country and the specific task of implementing all those
oversight-related measures, aimed at cross-border prophylaxis, in accordance with the
International Health-Care Regulation (The latter, according to WHO, is the instrument to
ensure the greatest possible security against the international spread of infectious diseases
and the minimal interference over travel, movement and international trade).
- The medical staff of USMAF-SASN at the Ministry of Health carry out health-care
controls to detect signs and symptoms of transmittable infectious diseases, which require
health-care measures, ranging from the mere health-care surveillance and the
hospitalization in those medical Units on infectious diseases, up to the transfer to those
national reference Centers with high bio-containment systems.
- Operationally, as for the health-care management of migration flows, USMAFSASN performs health-care controls, upon arrival at the harbour where vessels involved in
SAR operations disembark.
- With regard to the vessels, the health-care control operations can begin aboard or
are carried at the docks. They consist in a general triage, including body temperature
detection and verification of clinical conditions of each migrant.
77.
This working modality helps prioritise measures according to the needs of each and
every migrant. In general, in the harbors where USMAF-SASN Offices are based, they
have put in place with relevant local Authorities and other Organizations, such as the Italian
Red Cross, an health-care platform with removable tents, mainly of the Italian Red Cross 5.
As a way of example, mention has to be made of the health-care platform at Catania
harbour, divided into the following areas: Medical Area; Surgical Area; Area for pregnant
women and children; Isolation Area (for the initial interventions on persons suffering, for
example, by cutaneous diseases, such as scabies, or other parasitosis or with suspicious
signs of infectious diseases); Morgue; Area for the reception of children with dedicated
staff of the Italian Red Cross (A similar organization by "area" is being followed in other
ports, particularly in Sicily and Calabria, and, with some variations, also in Apulia and
Campania Regions – though to a different extent).
- At the port in Catania, there are, when needed, a high isolation tent (Isoark) and
high bio-containment N36 stretchers, which can be used by normal ambulances, for safe
transportation purposes, towards appropriate hospitals’ infectious diseases wards (e.g. in
case of people with suspected symptoms of high transmittable diseases, such as viral
haemorrhagic fever). These special stretchers are already available at other ports (e.g.
Taranto), as well as in Rome and Milan. Meanwhile, the Ministry of Health has carried out
activities aimed at acquiring additional stretchers to be placed in other entry points
managed by USMAF.
5
14
With regard to the latter, the Ministry of Health signed in 2007 the first relevant MoU focussing on
the organization of Public Health Wards and collaboration in the management of migration flows.
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents