In addition, the domestic screening should include questions to identify past episodes of hemolysis, including prolonged or unusually severe neonatal jaundice, recurrent episodes of anemia, hemoglobinuria, jaundice, or gallstones. Josef: Just Outside Havana Harbor 1939, 18 days from home (2), One of the Cuban policemen (Mariano Padron) dives into the water and swims out to, Josef: Just Outside Havana Harbor 1939, 19 days from home (2), boats pulls up to the St. Louis, carrying Mariano Padron, the officer who had saved, Josef, Rachel, and Ruthie go to talk to Padron. If an infant is seen for a refugee medical screening, a newborn screening panel should be conducted according to state guidelines. There are also infections that may cause thrombocytopenia through mechanisms other than splenomegaly, including HIV infection (up to 40% of infected people will have low platelet counts), Epstein-Barr virus, and viral hepatitis. Everything you need for every book you read. Clinicians should consider printing a reference care card (Figure 1) for each refugee, which includes clinic and provider contact information and brief instructions for accessing care after hours. In the event of an outbreak, refugees may be monitored for signs or symptoms of disease, prophylactic medication and immunizations may be administered, or their travel may be delayed. Centers for Disease Control and Prevention. Economic stability, education, health and healthcare, neighborhood and environment, and social and community contexts impact health and how people access care. What happens to Seor Castillo as the tanker passes Isabels small boat? "Unprecedented" To come live and work in the U.S. legally, immigrants generally must have a visa or approved refugee status. This guidance aims to: This guidance is based on current medical knowledge and the advice of experts in refugee health. This helps ensure that refugees are healthy for travel to the United States. The domestic medical screening provides clinicians with an opportunity to follow-up on or identify new health concerns that may hinder successful resettlement and self-sufficiency, to promote wellbeing, and to connect refugees with routine and specialty care. RL.6.4 Patients may prefer to work with healthcare professionals, interpreters, and medical assistants of their own gender. "That's what I think of you and your race," he said, and suddenly Josef understoodthis was payback for his father's words to Schiendick at the funeral. Most of these conditions are autosomal recessive. Global Distribution of Thalassemia and Sickle Cell Anemia. When providing health education, clinicians should employ a variety of teaching methods, including the use of video and pictorial materials, as well as teach-back methods. Mahmoud 's father is very comical . As G6PD does not cause chronic anemia, chronic anemia would not be detected in a screening CBC unless the blood draw happens to coincide with an episode of acute hemolysis. Bring your most engaging lessons to life with robust pacing and support suggestions to meet the needs of every student, and resources to strengthen your lesson planning and delivery. 1. CDC has developed clinical guidance for the domestic medical screening, highlighting the health conditions that should be evaluated and addressed soon after arrival. Our Teacher Edition on Refugee can help. How has becoming a refugee changed Mahmouds perspective on the world and of himself? Offer preventive measures according to biological age, with supportive documentation (i.e. Overseas cultural orientation is provided by the International Organization for Migration (IOM), and resettlement agencies facilitate the domestic orientation developed by a technical assistance program supported by the DOS Bureau of Populations, Refugees, and Migration (PRM). 2. CDC routinely sends notification letters to state and local partners regarding outbreaks, disease surveillance, and interventions. Support claim(s) with clear reasons and relevant evidence, using credible sources and demonstrating an understanding of the topic or text. Produced by Shannon Lin , Rikki Novetsky , Michael Simon Johnson and Summer Thomad. The illegal migration bill is the central pillar of Rishi Sunak's plan to stop small boat crossings, one of his five promises as prime minister. For days she had locked herself in their cabin, crying and mourning for, with his mother. This overview should include a discussion of who can access medical records and health information, and adult patients right to make their own healthcare decisions, although cultural awareness and sensitivity to the decision-making process in the family should be considered. Book:Refugee by Alan Gratz pp. Find related themes, quotes, symbols, characters, and more. He was mad at Josef for making him go to the funeral. The DS forms and digital chest x-ray are uploaded to the CDC Electronic Disease Notification (EDN) system. A twelve-year-old boy from Aleppo, Syria, and one of the protagonists of the book. 46. How does Schiendick greet the kids? What does this say about him Support claim(s) with clear reasons and relevant evidence, using credible sources and demonstrating an understanding of the topic or text. The domestic medical screening guidance is for state public health departments and health-care providers in the United States who conduct the initial medical screening for refugees. Overseas medical examination findings and interventions are documented on the DS medical forms. Because the gene that codes for G6PD is located on the X chromosome, males are typically more severely affected than females. Some refugees may not know how to read numbers and may require a demonstration with detailed instructions on how to dial 911. How has becoming a refugee changed Mahmoud's perspective on the world and of himself? The way the content is organized CDCs Division of Global Migration and Quarantine (DGMQ) provides the Department of State (DOS) and the US Citizenship and Immigration Services (USCIS) with medical screening requirements for all examining physicians. HbSC and HbS beta-thalassemia are also common types of SCD. Lastly, screenings may need to be adapted for certain patients. What impact does the incident with Schiendick below deck have on Josef? What special occasion is Josef and his family celebrating in chapter 13? Figure 1. Provide specific evidence from pages 82 through 86 to support your answer. In contrast to Captain Schroeder, Schiendick views the Jewish passengers as subhuman, even calling the Jewish children "rats" when they take a tour of the ship. This may include interpreters, medical assistants, and nurses. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. This is only a short answer space but I can give you a general response. Explain whyRefugee can be considered a coming-of-age novel and describe how each of the three protagonists are changing as the text progresses. Refugee Health Guidance. But, toward a new life. But Josef cant help but think what could have happened to, Josef: Somewhere on the Atlantic Ocean 1939, 6 days from home, addition, everyone on the crew treats Josef and his family with kindness and respect, though, Josef: Somewhere on the Atlantic Ocean 1939, 8 days from home. Additional information on benefits and funding is available from ORR. Write routinely over extended time frames (time for research, reflection, and revision) and shorter time frames (a single sitting or a day or two) for a range of discipline-specific tasks, purposes, and audiences. On his journey to Germany, he begins to realize that being "invisible" only sometimes keeps him safe. Hosted by Natalie Kitroeff. PDF downloads of all 1754 LitCharts literature guides, and of every new one we publish. They planned to seek asylum in Cuba. The availability and reliability of public transportation may be highly dependent on where refugees are resettled. Medicaid coverage may include mileage reimbursement for community members who provide transportation. Helicobacter pylori infections may lead to gastrointestinal blood loss through ulcer formation. Original music by Elisheba Ittoop , Dan . This means that if you use this link to make an Amazon purchase, we receive a small portion of the proceeds, which support our non-profit mission. The geographic distribution of this condition is similar to that of thalassemia, but G6PD deficiency is particularly common in Southeast Asia [11]. Otto Schiendick Character Analysis in Refugee | LitCharts It is vital that clinical care providers address language and cultural barriers that patients may experience. Teachers and parents! Adapt speech to a variety of contexts and tasks, demonstrating command of formal English when indicated or appropriate. This guidance is based on accepted best practices in refugee clinical care, with references to peer-reviewed literature. It is not the role of an interpreter to explain written forms or materials. Produce clear and coherent writing in which the development, organization, and style are appropriate to task, purpose, and audience. Additional information on the disease-specific aspects of the overseas medical examinations and health interventions, as it pertains to domestic screening, are also described in specific sections of the domestic guidance: CDC and its partners also monitor for acute infectious disease outbreaks among refugees and in host communities. Provide specific evidence from pages 88-89 to support your answer. Otto Schiendick is the main antagonist of the book Refugee by Alan Gratz. (including. Evidence : " Moahmoud 's father huffed but immediately turned to his family and put on a smile . As with thalassemias, hemoglobin E red cell indices are similar to those seen in IDA. answer choices throws Josef overboard spits on him gives him a Bar Mitzvah gift makes him bring them to his family's cabin to be searched. The way the content is organized. But we never did. Lito was crying now, distraught. G6PD deficiency is the most common inherited enzyme deficiency, affecting over 400 million people. Certified victims of human trafficking are also eligible for refugee benefits, including the domestic medical screening (see Policy Letter 16-01 for additional information on benefits eligibility). Refugee Quiz Chapters 13-24 | Quizizz The purpose of this document is to describe general testing components that do not fall into the disease-specific sections of the Domestic Medical Screening Guidance for Newly Arrived Refugees. Struggling with distance learning? -Graham S. The timeline below shows where the character Aaron Landau appears in. Standards that are practiced daily but are not priority standards of the unit. Explain how Gratz uses figurative language, word choice, and punctuation to help develop mood and meaning. With Alex Stern. What impact does the incident with Schiendick below deck have on Josef salute the man by touching the brims of their caps. Iron deficiency likely increases intestinal absorption of lead [8]. Some experts suggest screening for hemoglobinopathies for individuals from high prevalence areas. It is important to review consent, confidentiality, and limits to confidentiality with refugee patients at the beginning of the first visit. The clinician must also contact school administrators and teachers at the childs school to advocate for appropriate grade placement based on biological, psychosocial, and developmental age rather than reported legal age. Domestic cultural orientation programs vary among resettlement agencies. Edit. Figure 1. What is Josefs fathers general state of mind at this point in the text? Similarly, unaccompanied refugee minors may have no information available about their DOB. It is also important to foster diversity and inclusion among clinic staff, including hiring individuals from the refugee communities the clinic serves. Play this game to review English. Inherited hematologic disorders should be considered in any refugee who has anemia detected on screening, even if other potential causes exist (e.g., iron deficiency), particularly if not corrected with therapy. LitCharts Teacher Editions. 10. You will be subject to the destination website's privacy policy when you follow the link. What is protective custody? The way the content is organized Detailed quotes explanations with page numbers for every important quote on the site. W.6.10 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. For appropriate age-based screening, clinicians should use the likely biological age of the patient. Multiple-choice. Everything you need for every book you read. What is the main conflict in Josef's story? A fateful voyage for a ship full of refugees - The Jewish Chronicle Providers and refugees must understand that the DOB recorded on the DS forms is the legal date of birth. Anemia and other RBC abnormalities may alert the clinician to the possibility of SCD. Refugees should be encouraged to call 911 even if they do not speak English, as most emergency services have interpreters, and even when interpreters are unavailable, operators will dispatch help to the location of the call. However, many other infections can be primarily responsible (e.g., visceral leishmaniasis, brucellosis) or secondarily responsible (e.g., viral hepatitis) for the underlying splenomegaly. 0. Refugee is more than a story about children fleeing their homelands, it is a story about what unites us all: love, family, and perseverance." Christina Diaz Gonzalez, award-winning author of Moving Target "A gripping, visceral, and hold-your-breath intense story of three young refugees." CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Struggling with distance learning? Review consent, confidentiality, and limits to confidentiality with refugee patients at the beginning of the first visit. Otto Schiendick (Refugee) | Villains Wiki | Fandom They were German Jews fleeing Nazi persecution and hoping to start new lives. W.6.9 Acquire and use accurately grade-appropriate general academic and domain-specific words and phrases; gather vocabulary knowledge when considering a word or phrase important to comprehension or expression. Refugee Health Guidance | Immigrant and Refugee Health | CDC How does Schiendick get payback? Chronic blood loss, which frequently compounds iron deficiency, is commonly caused by intestinal parasitic infections, particularly hookworm. 1 pt. Evaluate and compile research information into a digital presentation. PDF Praise for - Summit Hill Table 1. Logically organize the information in presentations, including all required components, and appropriately cite sources. L.6.6 Clinicians should contact their states RHC for information regarding funding and reimbursement. Furthermore, this guidance emphasizes special considerations for refugee patients due to unique geographic-based exposures, genetic predispositions, and known epidemiologic patterns among refugees. These screenings usually occur 30-90 days after the refugee arrives in the United States. A refugee does not include a person who has left their home only to seek a more prosperous life, also known as an economic migrant. starts to cry, knowing that he had threatened his father with going back to Germany. Most people with G6PD deficiency are asymptomatic until exposed to oxidizing medications or other agents (e.g., nitrofurantoin, fluoroquinolones, primaquine and tafenoquine [anti-malarials], or dapsone [commonly used for Hansens disease and as a prophylactic agent in HIV-infected people]); foods (e.g., fava beans); chemical exposure to naphthalene (e.g., moth balls); henna compounds; or infections that can trigger acute hemolytic anemia, which can be severe and even life-threatening. You will be subject to the destination website's privacy policy when you follow the link. "It's time you had your head shaved again," he told Josef's father. Hemoglobin E trait is frequently present in certain refugee groups, particularly among those from Southeast Asia. Learn more about the guidance development process and authors. Availability and accessibility of local resources, community partnerships, and the number of arrivals may also impact screening protocols. There are many forms of the disease, with HbSS (also known as sickle cell anemia) being the most severe form. Minnesota Department of Health (in partnership with CDC) developed an interactive tool for US clinicians, which customizes screening guidance for individual refugees based on age, sex, and country of origin. Maana, we told them. 0 times. Schiendick snorted dismissively at the cowering man on the bed. "Sooo much more helpful than SparkNotes. The body wasn't buried traditionally. Refugee follows the stories of three different children and their families, each attempting to flee their violent homelands, in different regions of the world and during different decades. a kind citizen lets them stay in their home. . Quizizz Lesson 10 | Refugee and The Unwanted - Fishtank Learning These benefits include a comprehensive domestic medical screening. Captain Schroeder, Otto Schiendick, and the St. Louis were all real. They quickly realize, however, that the man is, treat them like real people. Their rooms are spotless, with clean linens and amenities. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Otto Schiendick is the Nazi overseer on the ship St. Louis which is meant to take Jewish people from Germany to Cuba. The Office of Refugee Resettlement (ORR)provides humanitarian-based newcomers with important resources, benefits, and services to help them become integrated members of American society. 6th Grade See Domestic Screening Guidance for Evaluation of Nutritional Status and Growth in Refugee Childrenfor additional information on iron-deficient anemia. Josef looked deep into Officer Padrons eyes, searching for some sign of help, some hint of sympathy. 4. Refugee Domestic Screening Guidance: Key Considerations and Best Back to their deaths. Papa would have punished him for such disrespect. Refugee What did Schiendick do to Josef and his Family? he made them 81 109. The way the content is organized and presented is seamlessly smooth, innovative, and comprehensive." Get LitCharts A + Apply grade 6 Reading standards to literature (e.g., "Compare and contrast texts in different forms or genres [e.g., stories and poems; historical novels and fantasy stories] in terms of their approaches to similar themes and topics"). English. Both heterozygous and homozygous persons are generally asymptomatic, but may have hypochromic microcytosis and mild anemia [12]. Globally, thalassemia is most common among people born in or descended from populations in eastern Asia, the Philippines, Indonesia, India, Pakistan, and the Middle East [10]. Clinics should also collaborate with local partners (including resettlement agencies) regarding transportation options, with special attention to arrivals without community support, large families with small children, and with persons requiring specialized transportation (e.g., those using wheelchairs or stretchers). Anemia is common among refugees, regardless of age, sex, and ethnicity. Josef and his family flee Nazi Germany in 1938; Isabel and her family flee Cuba in 1994; and Mahmoud and his family flee Syria in 2015. Emphasize that parents do not need to be present for sensitive components of care, which include discussion around substance use/abuse, sexual orientation, sexuality, and contraception method (e.g., instruction and prescriptions). Created by maddiedflippen Terms in this set (56) How does Josef know that his family isn't wanted in Germany anymore? Schiendick is cruel, and takes pleasure in making life harder for the Jewish refugees on board the ship. Use guidance from the next lesson to identify any additional language or background support students may need while independently engaging with the text. After the funeral, Josef notices, Josef: Somewhere on the Atlantic Ocean 1939, 14 days from home, hall. Advertisement Advertisement Having dedicated staff who are familiar with the needs of refugee clients (e.g., logistical, language, cultural) and the components of the domestic medical screening helps ensure the screening is completed in a timely manner, appropriate referrals to specialized care are provided, and refugees with newly diagnosed conditions are connected to individual case support. The way the content is organized When Aaron insists during a funeral on board that the man not be set adrift in the Nazi flag, Schiendick retaliates by ransacking Josef's family's cabin. Produce clear and coherent writing in which the development, organization, and style are appropriate to task, purpose, and audience. Provide examples. Explain how an author develops the point of view of the narrator or speaker in a text. Do you think he is taking advantage of them or that he is just doing his best to survive as well? We sent them back to Europe and Hitler and the Holocaust. Thalassemias are a group of disorders characterized by a decrease in either the alpha () or beta () globin chain production in red blood cells (RBCs). Refine any search. Clinicians or clinic administrative staff should provide refugees with clear instructions on how to contact their healthcare provider, including direct access numbers for interpreters or telephone-based language interpreter services. Quotes Characters Terms Symbols Theme Viz Teachers and parents! Cultural orientation is provided prior to travel to the United States and following resettlement. Did anyone survive the voyage of the damned? - Pleasefireme.com 2. Unit 5: Fleeing Conflict: Refugee & The Unwanted Describe different challenges that refugees faceand explain how Brown develops the readers understanding of this topic. These disorders include a number of conditions, such as thalassemias and sickle cell disease, as well as enzyme or cell membrane defects. Additionally, these tests may reveal rarer conditions that if not treated or managed, may result in serious morbidity or mortality. Describe how a particular story's or drama's plot unfolds in a series of episodes as well as how the characters respond or change as the plot moves toward a resolution. They're taking Aaron Landau to a camp called Dachau Explain Kristallnacht The Nazis destroyed Jewish homes, synagogue, businesses and arrested tens of thousands of Jewish men and sent them to concentration camps. Well let you in maana. For example, people are not eligible to make a claim if they have: been convicted of serious criminal . In many cases, the cause of anemia is multifactorial, and clinicians should consider multiple conditions if anemia is detected [6]. Explain how Gratz makes connections between the stories of the three young refugees. Some refugees are literate in one or more languages, while others are pre-literate. 110 140. kenyona19 kenyona19 04/07/2020 English Middle School answered 46. An example response to the Target Task at the level of detail expected of the students. However, individuals with both a hemoglobin E mutation on one of the beta-globin genes and a beta-globin gene deletion may have moderate to severe anemia. Saving Lives, Protecting People, Recommendations for Domestic Screening: Nonspecific Laboratory Tests, Commonly Encountered Hematologic Disorders in Refugees, Domestic Medical Screening Guidance for Newly Arrived Refugees, Domestic Screening Guidance for Evaluation of Nutritional Status and Growth in Refugee Children, Screening for Lead during the Domestic Medical Examination for Newly Arrived Refugees, Newborn, Sickle Cell, and Thyroid Screening in Infants and Children, Presumptive Treatment and Medical Screening for Parasites in Newly Arriving Refugees, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Global Migration and Quarantine (DGMQ), About Immigrant, Refugee, and Migrant Health, Considerations for Health Screening at Points of Entry, Tool to Prioritize Points of Entry and Points of Control, Population Connectivity Across Borders (PopCAB) Toolkit, COVID-19 Testing Point of Entry Considerations , COVID-19 Rapid Assessment of Point of Entry Capacity (RAPC), COVID-19 Individual-Level Risk in Mobile Populations, Other Physical or Mental Abnormality, Disease, or Disability, Addendum Communicable Diseases of Public Health Significance, Additional Instructions for Panel Sites Performing the Overseas Medical Examination for Refugees, Refugee Immunization Information Systems Exchange Project, Final Rule: Revisions to Medical Screening Process, Revised Vaccination Criteria for U.S. Immigration, Division of Global Migration and Quarantine, U.S. Department of Health & Human Services. This orientation should include basic navigation of the local healthcare system, the importance of routine and preventive care (e.g., immunizations), the role of a primary care provider, and the concept of a medical home. On board were 937 Jewish passengers. (Yiddish) a prank or piece of clowning. Im sorry. Some refugees may not know how to read numbers and may require a demonstration with detailed instructions on how to dial 911. an abandoned mall with other refugees . Our Teacher Edition on Refugee can help. Our Teacher Edition on Refugee can help. Clinicians should also explain how to access care after hours and the appropriate reasons to visit urgent care or the emergency department. Our, "Sooo much more helpful thanSparkNotes. Clinicians administering written tools or providing educational materials should be aware that refugees have a wide range of educational backgrounds. This initiative is meant to keep highly skilled workers in North America. State and local health department officials, as well as clinic staff that treat refugees have access to information for their own arrivals. How Canada's refugee system works - Canada.ca Some of the key concepts generally addressed during this orientation include healthcare access, wellness, and safety. Iron-deficient anemia (IDA) is one of the most common causes of anemia in refugees. Interpret an experience of a displaced family through a free verse poem. Although he is quite anti- semetic and will stop at nothing to make the passenger's lives a hell.

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