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Healthy Enough to Get In: The Evolution of Canadian Immigration Policy Related to Immigrant Health

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Abstract

The health of immigrants and visitors to Canada has always been a preoccupation of policy makers. From the earliest days of migration to Canada, immigrants were considered potential carriers of contagion and steps were taken to protect Canada, mainly through quarantine. Since the 1920s, the line of defence has been moved abroad, benefiting both Canada and the intending immigrant who no longer travels to Canada in fear of being medically rejected. Medical prohibitions were often arbitrary in the past, but since 1978, they have been based on solid principles and the implementation of these principles continues to evolve.

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Notes

  1. The term “emigrant” used in Canada until the 1860s after which “immigrant” became common usage.

  2. The cost of detention to the steamship companies was 75 cents per person per day in 1906.

  3. Notwithstanding these eugenic views that Dr. Clarke espoused (but later abandoned), he is regarded as the founder of modern psychiatry in Canada and the CNCMH evolved into the Canadian Mental Health Association.

  4. The Immigration Health program has moved back and forth from the Immigration department to the Health Department several times. Today, it is administered by the Health Branch of Citizenship and Immigration Canada.

  5. International Tuberculosis Incidence Rates are available at the Public Health Agency of Canada website at: http://www.phac-aspc.gc.ca/tbpc-latb/itir-eng.php. The Designated Country/Territory List is available at the CIC website at: http://www.cic.gc.ca/english/information/medical/dcl.asp (Both websites retrieved December 28, 2012).

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Acknowledgements

I would like to thank Dr. Brian Gushulak, MD, Migration Health Consultants, and Dr. Linda Ogilvie, RN, PhD, University of Alberta, for their advice during the preparation of this paper.

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Correspondence to Robert Vineberg.

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Vineberg, R. Healthy Enough to Get In: The Evolution of Canadian Immigration Policy Related to Immigrant Health. Int. Migration & Integration 16, 279–297 (2015). https://doi.org/10.1007/s12134-014-0339-3

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