Journal of Immigrant and Minority Health

, Volume 16, Issue 5, pp 1016–1022 | Cite as

Malnourished Children in Refugee Camps and Lack of Connection with Services After US Resettlement

  • Caitlyn LutfyEmail author
  • Susan T. Cookson
  • Leisel Talley
  • Roger Rochat
Brief Communication


Identifying and addressing malnutrition among US-bound refugee children is an important human rights issue. Failure to address childhood malnutrition can impair cognitive development and productivity. The target population was children aged 6–59 months, originating from eight countries representing 51 % of US-resettled refugees for 2005–2011, living in 22 camps prior to potential US-resettlement. The corresponding camp-level nutritional survey data were evaluated. State Refugee Health Coordinators were surveyed on nutritional assessment, reporting and referrals for their US-refugee medical screenings. From 2004 to 2010, half of the camps (63 total surveys) had global acute malnutrition prevalence over 15 % at least once (surveys not done annually) and anemia prevalence greater than 40 %. The majority of US-refugee medical screenings included height and weight measurements but few used national or WHO standards to evaluate presence or level of malnutrition. Improve overseas camp monitoring and link these nutritional data to US-resettling refugee children to inform potential nutritional interventions. Domestically, use WHO or US growth standards for anthropometrics to determine presence of malnutrition and need for corrective action.


Refugees Malnutrition Anemia United States Resettlement 



The authors would like to give special thanks to Ankoor Shah for sharing his thesis findings and to Drs. Susan Reines and Alawode Oladele for education in understanding the domestic refugee health screening.


  1. 1.
    United Nations High Commissioner for Refugees, executive committee of the High Commissioner’s Programme, Standing Committee, EC/57/SC/CRP.17,. Nutrition. 36th meeting ed 7, July 2006.Google Scholar
  2. 2.
    United Nations High Commissioner for Refugees, and World Food Program,. Acute Malnutrition in Protracted Refugee Situations: A Global Strategy 2006Google Scholar
  3. 3.
    Geltman P, Radin M, Zhang Z, Cochran J, Meyers A. Growth status and related medical conditions among refugee children in Massachusetts. Am J Public Health. 2001;91:1800–5.PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Hayes E, Talbot S, Matheson E. Health status of pediatric refugees in Portland ME. Arch Pediatr Adolesc Med. 1998;152:564–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Sawaya AL, Roberts S. Stunting and future risk of obesity: principal physiological mechanisms. Saude Publica. 2003;19(1):21–8.CrossRefGoogle Scholar
  6. 6.
    US Department of Health and Human Services, Administration for Children and Families, Office of refugee resettlement,. Refugee Arrival Data by origin and state of initial resettlement. 2010. Accessed 16 May 2012.
  7. 7.
    United Nations Systems Standing Committee on Nutrition. Nutrition survey results data base. Accessed 6 Sept 2011.
  8. 8.
    WHO. The management of nutrition in major emergencies. Geneva 2000.Google Scholar
  9. 9.
    Calkins K, Devaskar S. Fetal origins of adult disease. Curr Probl Pediatr Adolesc Health Care. 2011;41:158–76.PubMedCrossRefGoogle Scholar
  10. 10.
    United Nations High Commissioner for Refugees. Centers for disease control and prevention. August: Guidance on Nutrition Surveys; 2009.Google Scholar
  11. 11.
    International Organization for Migration. Nutrition surveillance reports. IOM: Health Assessment Programme. Manila; 2011.Google Scholar
  12. 12.
    Lee R. Medical screening protocol for newly arriving refugees. In: Resettlement ORR, ed. Washington DC: Administration for children and families; 1995.Google Scholar
  13. 13.
    Centers for Disease Control and Prevention. Guidelines for evaluation of the nutritional status and growth in refugee children during the domestic medical screening examination. Accessed 28 October 2011

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Caitlyn Lutfy
    • 1
    • 2
    Email author
  • Susan T. Cookson
    • 1
    • 3
  • Leisel Talley
    • 1
    • 3
  • Roger Rochat
    • 1
  1. 1.Hubert Department of Global Health, Rollins School of Public HealthEmory UniversityAtlantaUSA
  2. 2.WI-HER, LLCViennaUSA
  3. 3.Centers for Disease Control and Prevention, Center for Global Health, International Emergency and Refugee HealthAtlantaUSA

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