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Many face unemployment, difficult living conditions and xenophobia in the host country, say expertsCAIRO, 23 October 2008 (IRIN) - The Centre for Migration and Refugee Studies and the International Organization for Migration (IOM) have launched a on primary health care among Sudanese refugee and migrant communities in Cairo, focusing on avian and pandemic influenza preparedness. About 50 cases of avian influenza (bird flu) have been identified in Egypt since 2003; 22 people have died. The aim of the research was to design recommendations for pandemic preparedness based on a bottom-top approach that engages migrant communities. “Most health programmes in Cairo target UNHCR [UN Refugee Agency] recognised refugees. Rejected asylum-seekers, non-registered refugees and economic migrants are a particularly vulnerable group,†said Roberto Pitea, research and project assistant with IOM. They tend to live in crowded urban areas where poultry are reared on rooftops, which puts them at risk. Sudanese migrant and refugee communities were the focus of the study. “The Sudanese community tends to access health services provided by non-governmental actors, whereas pandemic response will be led by government,†he said. The Integrated National Plan for Avian and Human Influenza and the National Pandemic Preparedness Plan are Egypt’s answer to a possible pandemic. “Neither of these plans have a migrants’ component,†said Rebecca Dibb, one of the main researchers on the report produced by the Centre for Migration and Refugees Studies (CMRS) at the American University in Cairo. In Cairo, the research team gathered data from Sudanese migrants about access to health care, water and sanitation, and also tested awareness about avian influenza. Photo: Sudanese children in EgyptVulnerable “The findings reveal that Sudanese migrants would be vulnerable in a pandemic, not only because they do not feature in the national pandemic preparedness programme of Egypt, but also because they do not have a sufficient level of awareness of the pandemic, and they are rarely mainstreamed into the work of civil society and international organisations involved in pandemic preparedness work,†said the report, launched on 22 October. Coordinated efforts are seen as vital to bridging this awareness gap: “National actions must be combined with simultaneous actions in the community, by the media and other relevant sectors. Combined efforts can ensure the Sudanese community is equipped with the awareness required to see behavioral change,†said Yasmine Moataz, another researcher who worked on the report. Distrust One challenge is the degree of mistrust between refugee communities and the authorities. “There is mistrust of information especially from the authorities in Egypt and in the public services. Migrants see that the services provided are discriminatory and that it’s a lower service quality than that provided by NGOs,†said Dibb. Photo: One of UNHCR’s targets for 2008-2009 is for some 5,000 Sudanese refugees to return to their country voluntarilyA young Sudanese migrant attending the presentation of the report said: “When refugees here get serious diseases like HIV/AIDS, they get deported. How can I trust the government?†“Trust should be established between the different parties. If there is networking between the two stakeholders [the government and NGOs], it is going to be better for the migrant and refugee communities,†said Moataz. 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