Immigrant, Refugee, and Migrant Health

cdc.gov/immigrantrefugeehealth/about-irmh.html

More than 1 billion people globally are immigrants, refugees, and migrants, which is 1 in 7
of the global population 1. Immigrants, refugees, and migrants are individuals who moved
from one place to another. However, their reason for leaving (voluntarily or involuntarily) and
the length of time they plan to stay in their new destination (temporarily or permanently)
distinguishes them. Refugee, immigrant, and migrant communities, also known as RIM
communities, are often unequally affected by economic, social, and other obstacles to
health and healthcare.

An individual admitted to the United States (or any other country) as a lawful permanent
resident. Permanent residents are also commonly referred to as immigrants. However, the
Immigration and Nationality Act (INA) defines an immigrant as any person legally admitted
for permanent residence in the United States, except for persons legally admitted under
specific nonimmigrant categories (INA section 101(a)(15)).

Any person who is outside of the country of their nationality or, does not have a nationality,
or is outside the country where they last lived and who is unable or unwilling to return to and
unable or unwilling to avail themselves of the protection of that country because of
persecution, or a well-founded fear of persecution, on account of race, religion, nationality,
membership in a particular social group, or political opinion. According to the Immigration
and Nationality Act (INA), a “refugee” does not include any person who ordered, incited,
assisted or otherwise participated in the persecution of any person on these same grounds.

Most refugees resettled to the United States are referred by the United Nations High
Commissioner for Refugees. Other refugees apply directly to the United States for
resettlement and may be accepted under programs for specific populations. Refugees are
required to apply for Lawful Permanent Resident status one year after entry into and
physical presence in the United States.

A person who moves away from their place of usual residence, whether within a country or
across an international border, temporarily or permanently. People migrate for a variety of
reasons. The term “migrant” is defined by the International Organization for Migration as an
umbrella term and is not defined under international law. It includes several well-defined
legal categories of people, such as migrant workers and international students.

Promoting Health Equity

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Learn more about CDC’s CORE commitment to Health Equity.

RIM communities include people from diverse regions of the world with different
backgrounds and experiences. Immigrants, refugees, and migrants, especially if recently
resettled in the U.S., may face many health disparities.

Factors leading to these disparities may include:

lack of health insurance

barriers to access to quality healthcare
workplace conditions
education
income and wealth gaps

Promoting health equity for immigrants, refugees, and migrants helps protect RIM
populations and the communities they settle in.

Making a Healthier and Safer World

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CDC works to promote and improve the health of immigrants, refugees, and migrants
globally. This helps prevent the importation of infectious diseases into the U.S. by:

Providing disease surveillance

Improving public health capacity at border crossings
Supporting outbreak responses
Developing Technical Instructions for Panel Physicians and Civil Surgeons who
perform mandatory health screenings of applicants for US residency in accordance
with U.S. laws and regulations
Supporting international vaccination and parasite treatment programs for refugees
resettling to the United States
Providing Refugee Health Profiles and guidance for pre-departure and post-arrival
screening and treatment of refugees
Developing and sharing culturally and linguistically appropriate health education and
communication materials
Sharing relevant health information with U.S. health departments and healthcare
providers providing care for RIM populations after they arrive in the United States
Conducting additional research on public health issues that impact migrants

CDC also works with partners to connect mobile populations with domestic resources to
ensure a continuum of care that helps them live healthy, active, and productive lives in their
new communities. Learn more about what community- and faith-based organizations,
employers, healthcare systems and providers, public health agencies, policy makers, and
others can do to promote fair access to health, improve opportunity, and ensure RIM
communities thrive.

References
1. World Health Organization (2022). Refugee and migrant health. Retrieved from
https://www.who.int/health-topics/refugee-and-migrant-health#tab=tab_1.

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