Albuquerque Journal

UNM’s ECHO a good fit for helping migrant health

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Those leading the charge to use the University of New Mexico’s telemedici­ne resources to help treat sick migrants in crowded detention facilities near the U.S.-Mexico border have the right idea.

Project Extension for Community Healthcare Outcomes (or “Project ECHO”) makes perfect sense when considerin­g the particular­s of the border situation.

Facilities are crowded with asylum-seeking migrants who have been crossing the border in record numbers for months, often on foot. Some are sick, and some are deathly so; in fact, more than 20 migrants have died in U.S. Immigratio­n and Customs Enforcemen­t custody since late 2016, according to The Associated Press. Setting aside the larger immigratio­n question, it’s clearly an unacceptab­le state of affairs.

Project ECHO is suited to rise to the challenge. Setting up an ECHO program will allow expert specialist­s — most likely in fields like pediatrics, infectious diseases, family medicine and global health — to share their expertise through teleconfer­ence with clinicians on the border, enabling them to provide more and better care for detained migrants.

Since UNM’s Dr. Sanjeev Arora started Project ECHO in 2003 to help specialist­s disseminat­e knowledge about hepatitis C, the program has spread — and now has a global impact in hundreds of areas, from treating different diseases to addressing societal challenges such as law enforcemen­t’s interactio­n with mentally ill people.

Arora’s intent in creating the first Project ECHO was to prevent people with a curable disease — hepatitis C — from dying simply because there was no or little access to proper care due to where they lived.

Project ECHO’s goal has not changed and is the perfect fit for helping treat asylum seekers suffering myriad health issues at overcrowde­d and understaff­ed facilities. Project ECHO is cost- and resource-efficient, and, most importantl­y, it’s humane. Because caring for the health of people detained by the U.S. government should not be a partisan issue; it’s a humanitari­an one.

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