Moniek Pieters, Director Public Health Gelderland-Zuid Collaboration of (public) health care and public safety Refugee center Heumensoord Moniek Pieters, Director Public Health Gelderland-Zuid October 4 2016

2015: Refugee crisis Syria, Ethiopia, etc.

Need of emergency capacity Alternative: Heumensoord “72 hours”

Preparation of Heumensoord Emergency center for 3000 refugees Build from scratch 3 “villages”

Preparation of Heumensoord Public administration Public Health Public Safety Health care Safety & Security

Keys for success Commitment Municipality of Nijmegen and Heumen and all other stakeholders Direct and open communication Temporary allowances Support of majority of inhabitants Integrated working groups, e.g. on safety and public health. Pro-active cooperation.

Inhabitants: power of the community

Professionals working together (1) Direct communication lines between CEO Heumensoord (COA) and Head of safety Nijmegen + meirs Network of health care professionals Network of community policing officers Team on health & safety issues

Professionals working together (2) Pro-active attitude Police Gelderland-Zuid on all levels – e.g. Escort all arriving refugees? Strategic advising CEO Heumensoord Training police personnel Health care professionals Health care insurance COA Red Cross Refugee support ...

Challenges Security organisation Heumensoord Use of alcohol Management of expectations of refugees Impact on health care network Limited access to health care after 5 pm 25% children Many actors !

Solutions Restructured security organisation Zero tolerance on alcohol Start of asylum procedures while in Heumensoord + pocket money School Heumensoord for all children General practitioner / nurse on site 24/7 Social-psychological expertise on site

Safety and health Screening on TB: important issue for meirs Information on risk of infectious diseases for police and all other participants Health care perceived as ‘fast track to asylum’ Important role for Public Health Service

Rumours on health and security Almost none true ... Rape of girls? Pregnant, but not by rape Prostitution? No evidence found Drugs? No evidence found No hygenic sanitation? Not true

Keep your promises: back to normal Heumensoord was closed after 9 months As promised to all stakeholders

Humans of Heumensoord Bron: Humans of Heumensoord