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 • Fax: 505-827-2530 • nmhealth.org

NMDOH Asylum Seeker Care Staf aff Goal als Suppl pplies Mobile Medical Unit Provide acute care to asylum NMDOH clinicians, nurses, pharmacy • • • and clerical staff Over the counter medications seekers • 72 FTE from Public Health Division (all (e.g., ibuprofen, decongestant, • classifications) involved Help them reach their final hydrocortisone creme, etc.) 1,547 hours provided for planning, • • coordinating and support for field destination healthy Flu vaccines operation • Act as a vetting source for 1,318 hours provided for direct care Medical and office equipment • • Medical volunteers sourced through • • (exam table, otoscope, medical providers the NMDOH’s Medical Reserve Corps stethoscopes, printer, storage (MRC) Deliver consistency in care 71 volunteers served in Deming • containers, etc.) • Support and collaborate with 133 volunteers serves in Las Cruces • Medical and office supplies • 3,000 hours of direct care provided • • local communities between both locations (tongue depressors, cotton Hired a contract site coordinator for • swabs, printer paper and Deming Provide liability coverage for providers cartridges, etc.) • Establish supplemental Border Health • Elective 2 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Week eek Las C Cruces Demin ing ER T R Tra ransports Total al 3/11-3/ 3/17 17 54 N/A 0 54 3/18-3/ 3/24 24 69 N/A 6 69 Asylum Seeker 3/25-3/ 3/31 31 82 N/A 1 82 Medical Assessments 4/1-4/ 4/7 58 N/A 0 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 Total Number of Medical Assessments Conducted by NMDOH/MRC: 3, 3,396 396 5/18-5/ 5/24 24 12 150 15 177 Deming: 1,295 (from May 18–Sept. 27, 2019) 5/25-5/ 5/31 31 120 160 6 286 Las Cruces: 1,949 (from March 11–Sept. 27, 2019) 6/1-6/ 6/7 82 273 2 357 6/8-6/ 6/14 14 142 84 16 242 Total Number of Asylum Seekers Present in Shelters: 25, 25,82 829 6/15-6/ 6/21 21 78 97 9 184 Deming: 8,629 (from May 18–Sept. 27, 2019) 6/22-6/ 6/28 28 60 59 7 126 Las Cruces: 17,200 (from March 11–Sept. 27, 2019) 6/29-7/ 7/5 97 96 7 200 7/6-7/ 7/12 12 219 39 3 261 Percent of Asylum Seekers that Received a NMDOH/MRC Medical Assessment: 13 13.18% 8% 7/13-7/ 7/19 19 86 22 3 111 Deming: 15.01% (from May 18–Sept. 27, 2019) 7/20-7/ 7/26 26 23 118 5 146 7/27-8/ 8/2 72 112 7 191 Las Cruces: 11.28% (from March 11–Sept. 27, 2019) 8/3-8/ 8/9 16 81 6 103 8/10-8/ 8/16 16 0 4 1 5 Total Number of Emergency Room Transports for Deming and Las Cruces: 15 159 8/17-8/ 8/23 23 9 0 1 10 Emergency room transports include transports requested outside of a 8/24-8/ 8/30 30 0 0 1 1 NMDOH/MRC assessment (e.g., local EMS, ICE, or general shelter staff) 8/31-9/ 9/6 4 0 0 4 9/7-9/ 9/13 13 4 0 0 4 9/14-9/ 9/20 20 0 0 0 0 9/21-9/ 9/27 27 0 0 0 0 Total al 1,949 1,295 159 3,396 3 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 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Infl fluenza-Li Like I e Illness A ess Activi vity i in Asylum S Seekers May 10–Sept. 27, 2019 End of NM Las Cruces The following graph summarizes Flu 180 ILI activity observed in asylum Season 162 seekers during medical 160 assessments conducted by 140 NMDOH/MRC. NUMBER OF CASES 124 115 120 108 The 2019 New Mexico flu season 100 88 ended May 18, 2019. 80 80 67 61 57 The NMDOH/MRC offered flu 60 48 vaccinations to all asylum 29 40 32 28 47 24 39 seekers present in the Deming 29 14 20 31 shelter. The vaccine was 13 9 administered to those who 6 8 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 accepted it until the vaccine’s expiration on June 30, 2019. Flu vaccinations were not DATE (BY WEEK) administered in Las Cruces. 5 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Top C Condi ditions Among g Asylum m Seek eekers Discharge ged f d from m Emergen gency Room March 11–Sept. 27, 2019 Adult Minor 20 19 18 16 14 14 12 10 10 9 9 9 NUMBER OF CASES 8 7 7 6 6 6 6 6 6 5 5 5 5 4 4 4 4 4 3 3 3 3 3 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 CONDITION 6 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NM NMDO DOH Bo Border Heal alth Southw thwest R t Regio ion consists of Catron, Doña Ana, Grant, Hidalgo, Luna, Otero, Sierra and Socorro counties 7 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

NMDOH Border Health Focuses Tee een Births/ Obesity/ y/ Sub ubstanc nce Misus suse Delayed Pregn Del egnancy Chron onic D c Disease Food Ac Access ss Ac Access ss to Care In 2019, the Southwest The Southwest Region All Southwest Region The Southwest Region The Southwest Region Region had the 2nd had the 2nd highest counties are either ranked 4th out of five had the 2nd highest highest birth rate to 15- percentage (16.3 percent designated as full or New Mexico Public percentage (11.5 19 year old females respondents) of all five partial county health Health Division percent respondents) of among the five New New Mexico respondents professional shortage Regions for drug all five New Mexico Mexico public health of food insecure area. overdose death rate in public health regions regions. The birth rate for households for 2017. 2017 with 20.9 drug respondents with doctor- 15-19 year olds was 32 overdose deaths per diagnosed diabetes births per 1,000 females. 100,000 population. during 2017. 8 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Border Health Elective Beginning Oct. 22, 2019 Why hy What at How ow The U.S.–Mexico border is a unique The Border Health Elective serves as a The Border Health Elective will educate region with its own specific health care safety net for areas along the border. It its participants and aid in health needs challenges including: is: along the border through: Poverty A learning and experiential program • • Rural and frontier areas Funding provided by NMDOH for two medical residents at a time • • No or limited access to healthcare Promotion through UNM Medical on a four-week rotation cycle • • Logistics (transportation, internet, Focused on border health and School • • etc.) asylum seeker care Supervision by the Southern New • Lack of community resources Engaged in community health • Mexico Family Medicine Residency • Overburdened volunteer efforts Adaptable based on interstate and • • Program during times of asylum seeker influx international needs 9 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org