ABSTRACT

Some key issues could not be addressed in this book, simply because nobody was working on them. Others have been raised as it was being written. Still others are certainly yet to be defined. Although the World Health Organisation and the International Organisation for Migration have retained migrant health as an important area of concern for addressing current inequalities in health, much more remains to be done. We have too often failed to recognize migrant vulnerability to infections associated with HIV. The international response to the epidemic as far as migrants’ communities are concerned has far too generally been limited to the sphere of testing, and usually in order to exclude. The construction of ‘Fortress Europe’, in addition, makes a particularly worrying context for discussing HIV and AIDS in relation to migrants. International response must include support for programmes and services specifically targeting migrant communities. Two of the major themes that have grown out of this volume can help define the way forward:

1 there is a public health rationale for providing AIDS care and prevention to vulnerable populations of migrants; and

2 resistance resources may spring from within migrant groups. These both need to be emphasized, and elaborated upon.