"Powerful. See Domestic Screening Guidance for Evaluation of Nutritional Status and Growth in Refugee Childrenfor additional information on iron-deficient anemia. Hemoglobin E trait is also seen in people from Indonesia, Bangladesh, northeast India, Sri Lanka, and parts of the Middle East [12, 13]. 2. Economic instability, lack of access to formal education, transportation challenges, language skills, and limited health literacy may be barriers to healthcare for many refugees, negatively affecting their long-term health, management of chronic health conditions, and self-sufficiency in the United States. For further examination details, length of exam validity, and health classifications of applicants (e.g., Class A, Class B), see the Technical Instructions for Panel Physicians. Saving Lives, Protecting People, 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, Technical Instructions for Panel Physicians and Civil Surgeons, Division of Global Migration and Quarantine, U.S. Department of Health & Human Services. Quotes Characters Terms Symbols Theme Viz Teachers and parents! are at risk of torture, or cruel or unusual punishment in their home countries. Multiple-choice. Measuring thyroid-stimulating hormone (TSH) and free T4 should be considered, especially if infants have signs or symptoms of thyroid disease. Key Questions Close Read Questions How has Isabel's perspective of her life and future changed since she left Cuba? Im sorry. When the clinic is closed, you can speak to a nurse or provider on-call: [number], Urgent Care is for minor emergencies: [locations/numbers], Emergency Department is for very serious health problems: [locations/numbers]. CDC twenty four seven. Rachel asks how, Josef: Just Outside Havana Harbor 1939, 21 days from home, Josef then asks Officer Padron what will happen to his father. has been converted to a synagogue, which will allow him to have his bar mitzvah. Cultural orientation is provided prior to travel to the United States and following resettlement. 2. the "lens" through which a person sees and understands the world. Evidence : " Moahmoud 's father huffed but immediately turned to his family and put on a smile . What does this say about him from the book refugee See answer Refugee populations have unique health profiles, come from diverse backgrounds, and may be predisposed to certain health conditions less common in the general US patient population. They're like having in-class notes for every discussion!, This is absolutely THE best teacher resource I have ever purchased. Funding mechanisms are largely dependent on the state and an individuals immigration status, and many states receive funding from both ORR and Medicaid. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Otto Schiendick is the Nazi overseer on the ship St. Louis which is meant to take Jewish people from Germany to Cuba. The prevalence of hemoglobin E trait is very high in parts of Southeast Asia nearly 60% in regions of Thailand, Laos, and Cambodia [10]. Most of these conditions are autosomal recessive. Anemia and other RBC abnormalities may alert the clinician to the possibility of SCD. Find related themes, quotes, symbols, characters, and more. These screenings usually occur 30-90 days after the refugee arrives in the United States. AEC is preferred rather than using the percent of eosinophils (which some laboratories will report), as a patient will often have a normal eosinophil percentage when the AEC is elevated. CDC twenty four seven. Explain how an author develops the point of view of the narrator or speaker in a text. Multiple-choice 2 minutes 1 pt IDA is frequently multifactorial but is primarily caused by deficient dietary iron. Some disorders may be detected by using general, nonspecific tests. Present digital presentations using appropriate volume, eye contact, emphasis, and pronunciation. a kind citizen lets them stay in their home. He slapped his father across the face. For ease of use, the term refugee is used to refer to all humanitarian-based newcomers eligible for the screening program (historically, refugees account for the majority of screenings). Everything you need for every book you read. But in the past six months, Josef and his father had traded places. These benefits include a comprehensive domestic medical screening. An example response to the Target Task at the level of detail expected of the students. Determine a theme or central idea of a text and how it is conveyed through particular details; provide a summary of the text distinct from personal opinions or judgments. Schiendick is cruel, and takes pleasure in making life harder for the Jewish refugees on board the ship. salute the man by touching the brims of their caps. 0% average accuracy. Iron deficiency likely increases intestinal absorption of lead [8]. 81 109. Explain how characters in Refugee respond to and change as a result of specific plot eventsand identify how their responses reveal their perspective. Helicobacter pylori infections may lead to gastrointestinal blood loss through ulcer formation. Otto Schiendick Character Analysis Next Samih Nasseer The Nazi Party official on board the St. Louis. Creating notes and highlights requires a free LitCharts account. "Unprecedented" To come live and work in the U.S. legally, immigrants generally must have a visa or approved refugee status. (Yiddish) a prank or piece of clowning. 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. Describe the narrative structure of Refugee and explain how the first three chapters develop aspects of characters, setting, and plot. However, all refugees are at risk [7]. This is only a short answer space but I can give you a general response. Chronic blood loss, which frequently compounds iron deficiency, is commonly caused by intestinal parasitic infections, particularly hookworm. Domestic cultural orientation programs vary among resettlement agencies. In contrast with Otto Schiendick, Captain Schroeder recognizes the humanity of the Jewish passengers on board his ship and understands his responsibility to shepherd them to safety. Josef runs back to his cabin and explains what is happening to Rachel and, Josef: Somewhere on the Atlantic Ocean 1939, 17 days from home, Josef has no choice but to bring Schiendick to his familys cabin, where, Josef: Just Outside Havana Harbor 1939, 18 days from home (1), pool, and she tells Josef that shes going to get a sleeping draught to calm, She quickly falls asleep, and Josef grows worried, not knowing how to take care of. Schiendick is the main antagonist of Josef's arc, the posthumous secondary antagonist of Isabel . He did this in order to get revenge on Josef for an earlier wrong done to him. Unlock features to optimize your prep time, plan engaging lessons, and monitor student progress. Canada's PM Justin Trudeau has apologised for his country's role in turning away a ship carrying over 900 Jewish refugees fleeing persecution. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Complete your free account to request a guide. Consider consulting a developmental-behavioral pediatrician and/or child psychologist who specializes in appropriate developmental milestone attainment and psychosocial developmental assessments. Clinicians administering written tools or providing educational materials should be aware that refugees have a wide range of educational backgrounds. jayilych4real Answer: ransaked their room and spit on their floor Explanation: Schiendick ransacked the room of Josef and his family and spit on the floor under the guise of making a search. They were German Jews fleeing Nazi persecution and hoping to start new lives. Clinic leaders should identify staff to play a key role in facilitating, coordinating, and conducting the screening, and professional medical interpretation should be provided in person or using a professional remote interpreter service. Logically organize the information in presentations, including all required components, and appropriately cite sources. Humanitarian-based immigration status applies to refugees (including unaccompanied refugee minors), asylees, Amerasians, Afghan and Iraqi Special Immigrant Visa (SIV) holders, and Cuban and Haitian parolees (see the Frequently Asked Questionsfor definitions of immigration statuses). Draw evidence from literary or informational texts to support analysis, reflection, and research. On board were 937 Jewish passengers. Thyroid-stimulating hormone (TSH) and free T4 should be used when screening for thyroid disease. As of 2013, 230 million children under 5 years of age worldwide did not have a birth certificate [3]. Rachel, meanwhile, tries fruitlessly to find, Josef: Berlin, Germany 1939, 1 day from home, Hamburg and sit in a compartment labeled J, for Jew. Cite textual evidence to support analysis of what the text says explicitly as well as inferences drawn from the text. Local jurisdictions may choose to develop their own screening protocols. How does Schiendick greet the kids? What happened to Josefs father? 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"). Refugees may only have a general idea of when they were born, and parents or caregivers may only recall an estimated year, month, or season in which their child was born. 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. The Refugee Council's analysis has found that even if Rwanda is able to take 10,000 people seeking asylum in each year in the first three years of the legislation coming into effect, almost . Our Teacher Edition on Refugee can help. This is usually influenced by aspects of their identity, beliefs, and life experiences. English. Global Distribution of Thalassemia and Sickle Cell Anemia. Back to their deaths. (Yiddish) a devious trick; a bit of cheating Introduce claim(s) and organize the reasons and evidence clearly. Otto Schiendick is the main antagonist of the book Refugee by Alan Gratz. Learn more about the guidance development process and authors. What is Josefs fathers general state of mind at this point in the text? Introduce claim(s) and organize the reasons and evidence clearly. 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. Eosinophilia may be defined as an eosinophil percentage exceeding 5% or an absolute eosinophil count (AEC) exceeding 400 eosinophils/mm3 (some authors use AEC of >500 eosinophils/mm3). These general, nonspecific tests may indicate common underlying conditions, including iron deficiency and inherited anemias. They quickly realize, however, that the man is, treat them like real people. Their rooms are spotless, with clean linens and amenities. Clinics conducting the domestic medical screening are reimbursed through one of several mechanisms, including Refugee Medical Assistance (managed by ORR), as well as state Medicaid programs. Engage effectively in a range of collaborative discussions (one-on-one, in groups, and teacher-led) with diverse partners on grade 6 topics, texts, and issues, building on others' ideas and expressing their own clearly. If your passport expires in less than 3 years, your work permit will expire at the same time as your passport. Saving Lives, Protecting People, Overseas Medical Examination and Pre-Departure Medical Screening, Best and Promising Practices in Domestic Screening, Additional Considerations for the Domestic Medical Screening, CDC Domestic Screening Guidance for Newly Arrived Refugees, National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS Standards), Technical Instructions for Panel Physicians, Vaccination Program for US-bound Refugees, presumptive treatment for select parasitic infections, Policy | The Administration for Children and Families, National Culturally and Linguistically Appropriate Service (CLAS) Standards, American Academy of Family Physicians (AAFP), Confidential Health Care for Adolescents: Position Paper of the Society for Adolescent Medicine, https://www.rcpch.ac.uk/sites/default/files/generated-pdf/document/Refugee-and-unaccompanied-asylum-seeking-children-and-young-peopleguidance-for-paediatricians.pdf, 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. We participate in the Amazon Associate program. Our Teacher Edition on Refugee can help. Evaluate and compile research information into a digital presentation. 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. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Struggling with distance learning? Complete your free account to access notes and highlights. Play this game to review English. He was mad at Josef for making him go to the funeral. Discuss findings with the patient (if age appropriate) and primary caregivers, explaining possible negative effects of incorrect DOB on medical evaluations and grade level placement in school. Preview this quiz on Quizizz. Unit 5: Fleeing Conflict: Refugee & The Unwanted 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. He is brazenly anti- semitic and will stop at nothing to make the passenger's lives a hell. The National Culturally and Linguistically Appropriate Service (CLAS) Standards may be helpful for clinicians as they seek to improve individual and population health, but also advance health equity among refugees. A 2016 Nepali survey of inherited disorders found that G6PD deficiency was the most common inherited anemia, with 18% of infants and children 6-59 months of age being affected. 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. However, unless the patient is also iron deficient, administration of iron will not improve the microcytic anemia and can cause iron overload. This guidance serves as recommendations, rather than mandates, and is based on established best practices and current epidemiological data. Refugee (147-182) DRAFT. Table 1. 30 seconds. "It's time you had your head shaved again," he told Josef's father. Many screening clinics and local jurisdictions use the CDC screening guidance, while others adapt CDC guidance for their populations. Im just doing my job.. Explain how an author develops the point of view of the narrator or speaker in a text. For example, if an individual has a known history of trauma, it is recommended to establish a supportive rapport with the patient before proceeding with more invasive or distressing components of screening. Engage effectively in a range of collaborative discussions (one-on-one, in groups, and teacher-led) with diverse partners on grade 6 topics, texts, and issues, building on others' ideas and expressing their own clearly. Write arguments to support claims with clear reasons and relevant evidence. For, additional details of timelines for initiation and completion of screening, which may vary by immigration status, refer to Policy | The Administration for Children and Families. Laboratory findings during an acute hemolytic event include normocytic anemia, increased reticulocyte count, normal liver enzymes, increased lactic dehydrogenase, decreased haptoglobin, and elevated indirect bilirubin. 3. Josef couldnt believe what hed just done. Provide examples. Clinicians should reiterate that 911 should be used for police, fire, as well as medical emergencies. What does Otto Schiendick try to cover the body with? The Nazis had taken all this from them, from him, and now he and the passengers on the ship were taking it back. Overseas medical examination findings and interventions are documented on the DS medical forms. Why do the Nazi crew members trash Josef's family's cabin? What is your perspective on the boy who charges money to tell Mahmouds family where they can stay? PDF downloads of all 1754 LitCharts literature guides, and of every new one we publish. 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. Review consent, confidentiality, and limits to confidentiality with refugee patients at the beginning of the first visit. Literary terms, text-based vocabulary, idioms and word parts to be taught with the text, 1. a characters opinion or feelings about a specific topic/idea/event 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. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. How does it change his perspective? 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. Support claim(s) with clear reasons and relevant evidence, using credible sources and demonstrating an understanding of the topic or text. It is critical that this conversation be in the refugees preferred language. Refer to the Confidential Health Care for Adolescents: Position Paper of the Society for Adolescent Medicine for additional information on consent and confidentiality. US-born infants are tested for SCD/SCT as part of their newborn screen (see below section Newborn, Sickle Cell, and Thyroid Screening in Infants and Children). 6th - 8th grade. Medicaid coverage may include mileage reimbursement for community members who provide transportation. Teacher Editions with classroom activities for all 1754 titles we cover. Everything you need for every book you read. an abandoned mall with other refugees . 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. The way the content is organized and presented is seamlessly smooth, innovative, and comprehensive." Get LitCharts A + The differential diagnosis of thrombocytopenia is extensive, and consultation with an expert may be needed to identify and treat the underlying cause. This helps ensure that refugees are healthy for travel to the United States. W.6.1 Patients may prefer to work with healthcare professionals, interpreters, and medical assistants of their own gender. Hosted by Natalie Kitroeff. L.6.6 SCHTICK (noun) The noun SCHTICK has 4 senses: 1. Guidance for the domestic medical screening is not meant to provide clinical guidance for longitudinal care, but to highlight key screening considerations during the first 90 days of US arrival. 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. Explain how and why characters in Refugee respond to specific plot events, and how their responses reveal their perspective. Determine themes in Refugee and explain how they are developed through the stories of specific characters. Of note, glucose-6-phosphate dehydrogenase (G6PD) deficiency is an X-linked recessive condition that generally does not result in chronic anemia but can result in acute hemolytic anemia after certain exposures (see below). Josef: Somewhere on the Atlantic Ocean 1939, 11 days from home. Some of the key concepts generally addressed during this orientation include healthcare access, wellness, and safety. State and local health department officials, as well as clinic staff that treat refugees have access to information for their own arrivals. Original music by Elisheba Ittoop , Dan . Support with specific text evidence. From the creators of SparkNotes, something better. Nazi flag Does Otto Schiendick put the Nazi flag on the body? Determine author Don Browns point of view on the worlds response to the Syrian refugee crisis and his purpose in writing The Unwanted. What is protective custody? Offer preventive measures according to biological age, with supportive documentation (i.e. All recently resettled refugees, regardless of age and ethnicity, should have a complete blood count (CBC) with red blood cell indices, white blood cell differential, and platelet count. On the morning of Feb. 7, 2017, two electricians were working on a warning siren near the spillway of Oroville Dam, 60 miles north of Sacramento, when they heard an explosion.
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