Border Health and Asylum Seeker Care Legislative Finance Committee - - PowerPoint PPT Presentation

border health and asylum seeker care
SMART_READER_LITE
LIVE PREVIEW

Border Health and Asylum Seeker Care Legislative Finance Committee - - PowerPoint PPT Presentation

Border Health and Asylum Seeker Care Legislative Finance Committee Hearing Kathyleen M. Kunkel Oct. 3, 2019 Deming, N.M. Secretary, New Mexico Department of Health 1 1190 S. St. Francis Drive Santa Fe, NM 87505 Phone: 505-827-2613


slide-1
SLIDE 1

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Border Health and Asylum Seeker Care

Legislative Finance Committee Hearing

  • Oct. 3, 2019 • Deming, N.M.

Kathyleen M. Kunkel

Secretary, New Mexico Department of Health

1

slide-2
SLIDE 2

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Staf aff

  • NMDOH clinicians, nurses, pharmacy

and clerical staff

  • 72 FTE from Public Health Division (all

classifications) involved

  • 1,547 hours provided for planning,

coordinating and support for field

  • peration
  • 1,318 hours provided for direct care
  • Medical volunteers sourced through

the NMDOH’s Medical Reserve Corps (MRC)

  • 71 volunteers served in Deming
  • 133 volunteers serves in Las Cruces
  • 3,000 hours of direct care provided

between both locations

  • Hired a contract site coordinator for

Deming

  • Provide liability coverage for providers
  • Establish supplemental Border Health

Elective

NMDOH Asylum Seeker Care

Suppl pplies

  • Mobile Medical Unit
  • Over the counter medications

(e.g., ibuprofen, decongestant, hydrocortisone creme, etc.)

  • Flu vaccines
  • Medical and office equipment

(exam table, otoscope, stethoscopes, printer, storage containers, etc.)

  • Medical and office supplies

(tongue depressors, cotton swabs, printer paper and cartridges, etc.)

Goal als

  • Provide acute care to asylum

seekers

  • Help them reach their final

destination healthy

  • Act as a vetting source for

medical providers

  • Deliver consistency in care
  • Support and collaborate with

local communities

2

slide-3
SLIDE 3

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Total Number of Medical Assessments Conducted by NMDOH/MRC: 3, 3,396 396 Deming: 1,295 (from May 18–Sept. 27, 2019) Las Cruces: 1,949 (from March 11–Sept. 27, 2019) Total Number of Asylum Seekers Present in Shelters: 25, 25,82 829 Deming: 8,629 (from May 18–Sept. 27, 2019) Las Cruces: 17,200 (from March 11–Sept. 27, 2019) Percent of Asylum Seekers that Received a NMDOH/MRC Medical Assessment: 13 13.18% 8% Deming: 15.01% (from May 18–Sept. 27, 2019) Las Cruces: 11.28% (from March 11–Sept. 27, 2019) Total Number of Emergency Room Transports for Deming and Las Cruces: 15 159 Emergency room transports include transports requested outside of a NMDOH/MRC assessment (e.g., local EMS, ICE, or general shelter staff)

Asylum Seeker Medical Assessments

Week eek Las C Cruces Demin ing ER T R Tra ransports Total al 3/11-3/ 3/17 17 54 N/A 54 3/18-3/ 3/24 24 69 N/A 6 69 3/25-3/ 3/31 31 82 N/A 1 82 4/1-4/ 4/7 58 N/A 58 4/8-4/ 4/14 14 79 N/A 7 86 4/15-4/ 4/21 21 274 N/A 25 299 4/22-4/ 4/28 28 54 N/A 7 69 4/19-5/ 5/8 N/A N/A 11 11 5/10-5/ 5/17 17 255 N/A 13 268 5/18-5/ 5/24 24 12 150 15 177 5/25-5/ 5/31 31 120 160 6 286 6/1-6/ 6/7 82 273 2 357 6/8-6/ 6/14 14 142 84 16 242 6/15-6/ 6/21 21 78 97 9 184 6/22-6/ 6/28 28 60 59 7 126 6/29-7/ 7/5 97 96 7 200 7/6-7/ 7/12 12 219 39 3 261 7/13-7/ 7/19 19 86 22 3 111 7/20-7/ 7/26 26 23 118 5 146 7/27-8/ 8/2 72 112 7 191 8/3-8/ 8/9 16 81 6 103 8/10-8/ 8/16 16 4 1 5 8/17-8/ 8/23 23 9 1 10 8/24-8/ 8/30 30 1 1 8/31-9/ 9/6 4 4 9/7-9/ 9/13 13 4 4 9/14-9/ 9/20 20 9/21-9/ 9/27 27 Total al 1,949 1,295 159 3,396

3

slide-4
SLIDE 4

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Asylum Seeker Infectious Disease Surveillance

The NMDOH Epidemiology and Response Division monitors infectious diseases, injuries and health statistics along the border. Data is collected from the following sources with respect to asylum seeker care:

  • Medical assessment forms completed at shelters
  • EMS run reports from shelters or points of detention (e.g., CBP facility) to

hospitals

4

slide-5
SLIDE 5

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

162 9 67 88 61 39 29 48 57 32 6 8 115 124 108 47 80 31 29 13 6 28 24 14 20 40 60 80 100 120 140 160 180

NUMBER OF CASES DATE (BY WEEK) Las Cruces

Infl fluenza-Li Like I e Illness A ess Activi vity i in Asylum S Seekers May 10–Sept. 27, 2019

The following graph summarizes ILI activity observed in asylum seekers during medical assessments conducted by NMDOH/MRC. The 2019 New Mexico flu season ended May 18, 2019. The NMDOH/MRC offered flu vaccinations to all asylum seekers present in the Deming

  • shelter. The vaccine was

administered to those who accepted it until the vaccine’s expiration on June 30, 2019. Flu vaccinations were not administered in Las Cruces.

5

End of NM Flu Season

slide-6
SLIDE 6

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

3 2 1 7 10 6 5 9 2 5 2 1 2 3 6 2 1 3 2 7 2 6 6 14 9 1 4 1 4 3 9 5 6 4 19 3 5 2 4 1 2 4 6 8 10 12 14 16 18 20

NUMBER OF CASES CONDITION

Adult Minor

Top C Condi ditions Among g Asylum m Seek eekers Discharge ged f d from m Emergen gency Room March 11–Sept. 27, 2019

6

slide-7
SLIDE 7

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Southw thwest R t Regio ion consists of Catron, Doña Ana, Grant, Hidalgo, Luna, Otero, Sierra and Socorro counties

NM NMDO DOH Bo Border Heal alth

7

slide-8
SLIDE 8

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Sub ubstanc nce Misus suse

The Southwest Region ranked 4th out of five New Mexico Public Health Division Regions for drug

  • verdose death rate in

2017 with 20.9 drug

  • verdose deaths per

100,000 population.

NMDOH Border Health Focuses

Tee een Births/ Del Delayed Pregn egnancy

In 2019, the Southwest Region had the 2nd highest birth rate to 15- 19 year old females among the five New Mexico public health

  • regions. The birth rate for

15-19 year olds was 32 births per 1,000 females.

Chron

  • nic D

c Disease

The Southwest Region had the 2nd highest percentage (11.5 percent respondents) of all five New Mexico public health regions respondents with doctor- diagnosed diabetes during 2017.

Obesity/ y/ Food Ac Access ss

The Southwest Region had the 2nd highest percentage (16.3 percent respondents) of all five New Mexico respondents

  • f food insecure

households for 2017.

Ac Access ss to Care

All Southwest Region counties are either designated as full or partial county health professional shortage area.

8

slide-9
SLIDE 9

1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

How

  • w

The Border Health Elective will educate its participants and aid in health needs along the border through:

  • Funding provided by NMDOH
  • Promotion through UNM Medical

School

  • Supervision by the Southern New

Mexico Family Medicine Residency Program

Border Health Elective

Beginning Oct. 22, 2019 Why hy

The U.S.–Mexico border is a unique region with its own specific health care challenges including:

  • Poverty
  • Rural and frontier areas
  • No or limited access to healthcare
  • Logistics (transportation, internet,

etc.)

  • Lack of community resources
  • Overburdened volunteer efforts

during times of asylum seeker influx

What at

The Border Health Elective serves as a safety net for areas along the border. It is:

  • A learning and experiential program

for two medical residents at a time

  • n a four-week rotation cycle
  • Focused on border health and

asylum seeker care

  • Engaged in community health
  • Adaptable based on interstate and

international needs

9