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<DIV><B>From:</B> <A title=ruglucia@PAHO.ORG
href="mailto:ruglucia@PAHO.ORG">Ruggiero, Mrs. Ana Lucia (WDC)</A> </DIV>
<DIV style="FONT: 10pt arial">
<DIV> <A title=EQUIDAD@LISTSERV.PAHO.ORG
href="mailto:EQUIDAD@LISTSERV.PAHO.ORG">EQUIDAD@LISTSERV.PAHO.ORG</A>
</DIV></DIV>
<DIV><FONT face=Arial size=2></FONT><BR></DIV>
<DIV class=Section1>
<P class=MsoNormal
style="MARGIN-LEFT: 0.5in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><B><FONT
face=Arial color=maroon size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: maroon; FONT-FAMILY: Arial">The
health migration crisis: the role of four Organisation for Economic Cooperation
and Development countries<o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal
style="MARGIN-LEFT: 0.5in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><FONT
face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">Bob Pond,
</SPAN></FONT><SPAN class=ja50-ce-textfn7><FONT face=Arial color=#333399
size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial"> <st1:place
w:st="on"><st1:City w:st="on">Chêne-Bourg</st1:City>, <st1:country-region
w:st="on">Switzerland</SPAN></st1:country-region></SPAN></st1:place></SPAN></FONT></SPAN><FONT
face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial"><BR><SPAN
xmlns=""><SPAN id=aff2>Barbara McPake,<SPAN class=ja50-ce-affiliation-sec>.
<SPAN xmlns="http://www.w3.org/1999/xhtml"></SPAN><SPAN
class=ja50-ce-textfn7>Institute for International Health and Development,
<st1:PlaceName w:st="on">Queen</st1:PlaceName> <st1:PlaceName
w:st="on">Margaret</st1:PlaceName> <st1:PlaceName
w:st="on">University</st1:PlaceName> <st1:PlaceType
w:st="on">College</st1:PlaceType>, <st1:place w:st="on"><st1:City
w:st="on">Edinburgh</st1:City>, <st1:country-region
w:st="on">UK</SPAN></st1:country-region></SPAN></st1:place><BR></SPAN></SPAN></FONT><B><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">The
Lancet</SPAN></FONT></B><B><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">,
Volume </SPAN></FONT></B><B><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">367</SPAN></FONT></B><B><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">,
Number</SPAN></FONT></B><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"> <B><SPAN
style="FONT-WEIGHT: bold">9520</SPAN></B>, <B><SPAN style="FONT-WEIGHT: bold">29
April 2006<o:p></o:p></SPAN></B></SPAN></FONT></P>
<P class=MsoNormal
style="MARGIN-LEFT: 0.5in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><FONT
face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">Website: <A
href="http://www.thelancet.com/journals/lancet/article/PIIS0140673606683463/fulltext"><FONT
color=#333399><SPAN
style="COLOR: #333399">http://www.thelancet.com/journals/lancet/article/PIIS0140673606683463/fulltext</SPAN></FONT></A>
<BR></SPAN></FONT><I><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-STYLE: italic; FONT-FAMILY: Arial">Free
subscription required<o:p></o:p></SPAN></FONT></I></P>
<P class=ja50-ce-simple-para25 style="MARGIN-LEFT: 0.5in"><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">“…..The crisis of
human resources for health that is affecting low-income countries and especially
sub-Saharan <st1:place w:st="on">Africa</st1:place> has been attributed, at
least in part, to increasing rates of migration of qualified health staff to
high-income countries.<o:p></o:p></SPAN></FONT></P>
<P class=ja50-ce-simple-para25 style="MARGIN-LEFT: 0.5in"><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">We describe the
conditions in four Organisation for Economic Cooperation and Development (OECD)
- </SPAN></FONT><FONT face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 8pt; COLOR: #333399; FONT-FAMILY: Arial">the
<st1:country-region w:st="on">UK</st1:country-region>, <st1:country-region
w:st="on">USA</st1:country-region>, France, and <st1:country-region
w:st="on"><st1:place
w:st="on">Germany</st1:place></st1:country-region></SPAN></FONT><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"> - health labour
markets that have led to increasing rates of immigration. Popular explanations
of these trends include ageing populations, growing incomes, and feminisation of
the health workforce. Although these explanations form part of the larger
picture, analysis of the forces operating in the four countries suggests that
specific policy measures largely unrelated to these factors have driven growing
demand for health staff. <o:p></o:p></SPAN></FONT></P>
<P class=ja50-ce-simple-para25 style="MARGIN-LEFT: 0.5in"><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">On this basis we
argue that specific policy measures are equally capable of reversing these
trends and avoiding the exploitation of low-income countries' scarce resources.
These policies should seek to ensure local stability in health labour markets so
that shortages of staff are not solved via the international brain
drain…..”<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN-LEFT: 0.5in"><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT><SPAN
lang=EN-GB style="FONT-SIZE: 7.5pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
title=http://listserv.paho.org/Archives/equidad.html><SPAN
title=http://listserv.paho.org/Archives/equidad.html><SPAN
style="COLOR: #333399"><SPAN
title=http://listserv.paho.org/Archives/equidad.html></P></SPAN></DIV></SPAN></SPAN></SPAN></SPAN></SPAN></BODY></HTML>