Nicholas Comninellis

My Posts

March 2022

International Public Health

Refugee Care: Resolution Phase

  How long does one remain a refugee?  Imagine abandoning your home over fear of losing your life, and then often living without family, possessions, livelihood, or ability to plan for your future. Even with significant assistance, such a limbo existence must be as short as possible. Now we consider Refugee Care, Phase 4, the

International Public Health

Refugee Care: Maintenance Phase

  The emergency phase of refugee care requires immediate shelter, nutrition, and medical intervention. If the displacement extends beyond a period of weeks, additional human needs must be addressed. Phase 3, the Maintenance Phase, has begun.   Since the Russian invasion of Ukraine, as of this writing, some 4 million refugees have sought safety in

International Public Health

Refugee Care: Emergency Phase

  Despite skilled negotiation when conflict appears imminent, the pre-emergency phase, diplomatic forces often fail. Conflict irrupts. Civilians are threatened with violence, repression, hunger, and disease. Faced with little alternative, they flee their homes seeking immediate safety, commonly traveling by foot with only the barest of possessions or provisions.   On Thursday, February 20, 2022,

International Public Health

Refugee Care: Pre-Emergency Phase

  This winter I am teaching the INMED International Refugee Care Course. In January and February, we explored the notable crises in Venezuela, Yemen, Syria, and surrounding nations. 12 days ago, as hundreds of thousands of women and children fled Ukraine, an INMED learner remarked with angst, “My gosh, we are seeing a refugee crisis unfold

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