Emergency Department as an epidemiological observatory of Human Mobility: the experience of the Moroccan population

We conducted a retrospective study of the accesses to the Emergency Department registered from January 2000 to December 2014 in 5 major hospitals in the Metropolitan Area of Rome. We extrapolated data relating to patients of Moroccan origin from about 5 million total accesses, so we compared with Italians data which, in the same period, came to ED. The Moroccan population is distinguished by a larger number of diagnoses belonging to the ICD-9 code of Infectious Diseases and, more precisely, to Respiratory Infectious Diseases. There are also no differences in the assignment of such diagnoses to Moroccans with Italian citizenship, and this led to think that this could play an important role in the use of the ED and moreover that enrollment to the National Health Service may reduce its inappropriate use. Regarding to Degenerative Disorders, the result of our analysis is quite emblematic, showing that the accesses to the ED is due to Cardiovascular Diseases: 6.33% of Italians' accesses against 1.81% of Moroccans and 2.36% of Moroccans with Italian citizenship. The main explanation for this difference is, obviously, due to the age of the population: about 60% of Moroccans who accessed to ED was less than 40 years old. It is interesting how, in the field of ​​Cardiovascular Diseases, Moroccans have a lower percentage of diagnosis compared to Italians for acute diseases and a greater percentage of diagnoses for chronic diseases, suggesting once again that accesses to ED for migrants often is due to the inability to use the general services of the National Health Service. In conclusion, from the point of view of the Emergency Department, Migration Medicine still has Infectious Diseases as the main reason for access. Degenerative Disorders remain a prerogative of the Italians, but we could certainly assume that the Moroccan population would develop at some point with the aging

Recovery from Triple Infection with SARS-CoV-2, RSV and Influenza virus: A case report

The overall probability of infection with RSV, influenza virus, or SARS-CoV-2 in the general population is assessed as high by the ECDC. A high level of respiratory virus circulation increases hospitalizations and places significant pressure on healthcare systems. Here we describe the case of a 52-year-old woman who recovered from pneumonia with a triple infection with SARS-CoV-2, RSV, and Influenza virus. We suggest searching for antigenic or molecular detection of VSR and influenza viruses, together with SARS-CoV-2, in patients with respiratory symptoms during this epidemic period, whereas all three viruses are present right now

Emergency Department as an epidemiological observatory of Human Mobility. The case of Rome Metropolitan Area (EMAHM). A descriptive analysis of the visits to the ED of the Northern African population

This study focuses on the analysis of Big Data obtained from the Emergency Departments (EDs) of five hospitals located in the metropolitan area of Rome, Italy. The analysis of ICD9-CM discharge diagnoses shows clear differences between the Italian population and the North African population and confirms that many of the dynamics and health conditions regarding migrants are due to the inappropriate use of health services and, eventually, of the EDs. Our results afford indication about how we could identify shortcomings and critical issues within the primary care system and, more generally, in the management of psycho-social and socio-economic support for immigrant populations

Emergency Department as an epidemiological observatory of Human Mobility. The case of Rome Metropolitan Area (EMAHM). A descriptive analysis of the visits to the ED of the Northern African population

This study focuses on the analysis of Big Data obtained from the Emergency Departments (EDs) of five hospitals located in the metropolitan area of Rome, Italy. The analysis of ICD9-CM discharge diagnoses shows clear differences between the Italian population and the North African population and confirms that many of the dynamics and health conditions regarding migrants are due to the inappropriate use of health services and, eventually, of the EDs. Our results afford indication about how we could identify shortcomings and critical issues within the primary care system and, more generally, in the management of psycho-social and socio-economic support for immigrant populations