Causes elimination of specific causes of death among registered migrants to Thailand from Myanmar, the Lao PDR, and Cambodia Nucharee Srivirojana Writing Workshop, 2009 Target Journal: Asia pacific population journal

Introduction Increasing migration from GMS increases health burden on Thailand 3 D jobs intensify migrant’s risk of mortality Migrant’s mortality differs from morality of native Thai Different migrant’s cause of death will affect Thai health implementation program.

Rationales (Puzzle) Many studies on migrant health but less studies on migrant death Techniques applied for mortality estimation did not taken into account competing risk Unclear understanding on actual risk of one cause on distortion of other causes will effect development of health intervention program No cause elimination studies on migrant’s death in Thailand

Research Question & Objective How are differences in actual risk in one causes of death on other causes among migrants from Myanmar, the Laos PDR and Cambodia residing in Thailand? To find out differences in actual risk in one causes of death on other causes among migrants from Myanmar, the Laos PDR and Cambodia residing in Thailand

What will we learn? Estimation of registered migrant life expectancy and probability to survive in Thailand from vital registration data Competing risk of migrant death due to different causes.

Background Situation on different cause of death among migrants in other countries Differences in migrant’s survival probability and life expectancy due to different causes of death among migrants in other countries Cause elimination concept Studies on cause elimination on different causes of death among migrants in other countries

Data Migrant registration data, Ministry of Interior, 2006 (Age & sex structure of migrants) Number of registered migrant death cases from vital registration, Ministry of Interior, 2006

Study Design (Methodology) Descriptive statistics Cause elimination life table Multiple decrement life table Survival probability Life expectancy Partial elimination

Findings/Results (1)

Findings/Results (2)

Conclusion Accident, heart disease, and septicemia are the major causes of migrant’s death Accident has the highest competing risk among other causes Life expectancy (70.97) and probability of surviving of the GMS migrants is lower than native Thai (75.47). The more percentages of partial elimination applied for each disease, the more people will survive The patterns of probability of surviving after applying partial elimination are the same for all diseases.

Discussion Results reflect that registered migrants still vulnerability to health problems. Results did not contradicted with other researches due to statistically immortality. Due to incompleteness and under-enumeration of migrant’s mortality data, undocumented migrants have not been covered. New methodological development to estimate migrant mortality especially among undocumented migrants are needed