Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-29T02:33:07.633Z Has data issue: false hasContentIssue false

An EMS Response to Refugees Arriving at an International Airport: A Report From the Field

Published online by Cambridge University Press:  03 November 2023

C. Crawford Mechem*
Affiliation:
University of Pennsylvania Health System - Emergency Medicine, Philadelphia, PA, USA Philadelphia Fire Department - Division of EMS, Philadelphia, PA, USA
Tabitha L. Boyle
Affiliation:
Philadelphia Fire Department - Division of EMS, Philadelphia, PA, USA
Michael A. Simmons
Affiliation:
Philadelphia Fire Department - Division of EMS, Philadelphia, PA, USA
Martin W. McCall
Affiliation:
Philadelphia Fire Department - Division of EMS, Philadelphia, PA, USA
Maura Sammon
Affiliation:
Temple University Health System, Philadelphia, PA, USA
*
Corresponding author: C. Crawford Mechem; Email: mechemc@uphs.upenn.edu.

Abstract

Following Afghanistan’s fall in August 2021, many refugees were settled in the United States as part of Operation Allies Welcome. They were flown from Kabul to the Middle East and Europe before continuing to the U.S. By late September Philadelphia was the sole destination. From there refugees were transported to Safe Haven military bases around the country. Philadelphia International Airport became the site of a months-long operation involving city, state, federal, and private agencies engaged in processing, medical screening, and COVID-testing of arriving refugees. The Philadelphia Fire Department played an integral role. Minor medical conditions were treated onsite. Higher acuity patients were transported to nearby hospitals. The goal was to maintain flow of refugees to their next destination while addressing acute medical issues. Between August 28, 2021, and March 1, 2022, the airport processed 29,713 refugees. Philadelphia’s experience may serve as a guide for planning future such refugee operations.

Type
Report from the Field
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

US Embassy in Afghanistan. Operation Allies Refuge. Published July 17, 2021. Accessed November 29, 2022. https://af.usembassy.gov/operation-allies-refuge/.Google Scholar
US Department of Homeland Security. Operation Allies Welcome. Last updated September 29, 2022. Accessed December 6, 2022. www.dhs.gov/allieswelcome Google Scholar
Martz, M. Afghan evacuation operation “drawing down” near Dulles, but thousands still waiting to enter the U.S. Richmond Times-Dispatch. Published September 17, 2021. Accessed December 27, 2021. https://richmond.com/news/state-and-regional/govt-and-politics/afghan-evacuation-operation-drawing-down-near-dulles-but-thousands-still-waiting-to-enter-u-s/article_1e8ea35c-6910-50f4-87c1-08ef06fe2463.html Google Scholar
Temple Health. Temple plays prominent role in caring for Afghan refugees. Published November 16, 2021. Accessed February 21, 2022. https://www.templehealth.org/about/news/temple-plays-prominent-role-in-caring-for-afghan-refugees Google Scholar
Pennsylvania Department of Health. Health Incident Management System (HIMS). Last updated June 9, 2022. Accessed December 6, 2022. www.health.pa.gov/topics/prep/Pages/HIMS.aspx Google Scholar
American College of Emergency Physicians. Preparing to care for Afghan refugees. Published September 8, 2021. Accessed January 19, 2022. www.acep.org/home-page-redirects/latest-news/preparing-to-care-for-afghan-refugees/ Google Scholar
Liebermann, O, LeBlanc, P. Infant on Afghan evacuee flight dies after landing in Philadelphia. Published September 2, 2021. Accessed February 28, 2022. www.cnn.com/2021/09/02/politics/afghan-infant-death-flight/index.html Google Scholar
Redfern, H. Philadelphia International Airport. Operation Allies Welcome Philadelphia mission ends. Published March 16, 2022. Accessed April 21, 2022. www.phl.org/newsroom/OAW-end Google Scholar
Amnesty International. Afghanistan’s refugees: forty years of dispossession. Published June 20, 2019. Accessed February 22, 2022. www.amnesty.org/en/latest/news/2019/06/afghanistan-refugees-forty-years/ Google Scholar
USA for UNHCR-The UN Refugee Agency. Afghanistan Refugee Crisis Explained. July 18, 2023. Accessed August 14, 2023. https://www.unrefugees.org/news/afghanistan-refugee-crisis-explained/ Google Scholar
Malik, MS, Afzal, M, Farid, A, et al. Disease status of Afghan refugees and migrants in Pakistan. Front Public Health. 2019;7:185.CrossRefGoogle ScholarPubMed
Slewa-Younan, S, Yaser, A, Guajardo, MGU, et al. The mental health and help-seeking behaviour of resettled Afghan refugees in Australia. Int J Ment Health Syst. 2017;11:49.CrossRefGoogle ScholarPubMed
Hugelius, K, Kurland, L. Medical experiences from a consular repatriation and evacuation operation from Afghanistan in August 2021: a field report. Prehosp Disaster Med. 2022;37(1):139-141. doi: 10.1017/S1049023X21001205 CrossRefGoogle ScholarPubMed
United Nations High Commissioner for Refugees. Global trends: forced displacement in 2020. Published June 17, 2022. Accessed December 5, 2022. www.unhcr.org/60b638e37/unhcr-global-trends-2020 Google Scholar
United Nations High Commissioner for Refugees. Ukraine emergency. Last updated September 13, 2022. Accessed December 5, 2022. www.unhcr.org/en-us/ukraine-emergency.html Google Scholar