With the men’s FIFA football world cup starting on Sunday in Qatar it important to remember the human costs of those who build the infrastructure. The media coverage on the number of workers dying during the building of the football stadiums has highlighted the plight of foreign workers in the Middle East more generally. For example, BU’s researcher Dr. Nirmal Aryal was cited in The Sunday Times in an article with the title ‘Qatar 2022: Dying for the World Cup”, see the BU Research Blog published this time last year.
Here at BU we have conducted several studies into Nepali migrant workers, including those working in Qatar and elsewhere in the Middle East [1-13]. In the Middle East working conditions for foreign labourers are often Dirty, Dangerous and Difficult (commonly referred at as the 3Ds). Migrant workers often perform physically demanding work in a hot unprotected environment, suffer dehydration and/or exposure to chemical, excessive use of pain killers, and unhealthy lifestyle factors (such as restricted water intake and a high intake of alcohol/sugary drinks) which may precipitate them to acute kidney injuries and subsequent chronic kidney disease . Dr. Regmi and colleagues in the Faculty of Health & Social Sciences are currently conducting a study into the kidney health of Nepalese migrant workers. This study is funded by the Colt Foundation.
From our work, we can say that in addition to the 3Ds, migrant workers are likely to experience a series of other challenges ranging from language and other cultural barriers, socio-economic problems and issues to do with their legal status, to a lack of health and safety training, difficulties in gaining access
to health services, limited injury compensation and general social exclusion .
Prof. Edwin van Teijlingen
- Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021). Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 21(1): 15-17.
- Aryal, N., Sedhain, A., Regmi, P., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences 12(12), 126–132.
- Aryal, N., Regmi, P.R., van Teijlingen, E., Trenoweth, S., Adhikary, P., Simkhada, P. (2020) The Impact of Spousal Migration on the Mental Health of Nepali Women: A Cross-Sectional Study, International Journal of Environmental Research & Public Health 17(4), 1292; https://doi.org/10.3390/ijerph1704129
- Regmi, P., Aryal, N., van Teijlingen, E., Adhikary, P. (2020) Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study, Journal of Immigrant & Minority Health 22, 973–981.
- Adhikary, P. van Teijlingen, E. (2020) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences, International Journal of Occupational Safety & Health (IJOSH), 9(2): 31-35.
- Aryal, N., Regmi, P.R., Faller, E.M,, van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) ‘Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia’ Nepal Journal of Epidemiology 9(3): 755-758. https://www.nepjol.info/index.php/NJE/article/view/25805
- Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
- Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro
- Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105. https://doi.org/10.1108/IJMHSC-12-2015-0052
- Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
- Simkhada, P.P., Regmi, P.R., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
- Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
- Adhikary P, Keen S and van Teijlingen E (2011). Health Issues among Nepalese migrant workers in the Middle East. Health Science Journal.5 (3):169-i75 DOI: 2-s2.0-79960420128.
Within the Research Environment pages on the BU website, there is now a section on the Trusted Research agenda.
The Trusted Research Agenda is a government initiative to secure the integrity of the system of international research collaboration and innovation.
Please visit the page to find out more, including key details and guidance.
Congratulations to Dr. Pramod Regmi, Lecturer in International Health & Global Engagement Lead, Department of Nursing Sciences, and Dr. Nirmal Aryal, formerly of the Centre of Midwifery, Maternal & Perinatal Health (CMMPH), whose editorial “Kidney health risk of migrant workers: An issue we can no longer overlook” has been published today in Health Prospect . Further co-authors (Arun Sedhain, Radheshyam Krishna KC, Erwin Martinez Faller, Aney Rijal, and Edwin van Teijlingen) work in India, Nepal, the Philippines and at BU. The study was funded by GCRF.
This editorial highlights that low-skilled migrant workers in the countries of the Gulf and Malaysia are at a disproportionately higher risk of kidney health problems. The working conditions are often Dirty, Dangerous and Difficult (referred at as the 3Ds) include physically demanding work, exposure to a hot environment, dehydration, chemical exposures, excessive use of pain killers, and lifestyle factors (such as restricted water intake and a high intake of alcohol/sugary drinks) which may precipitate them to acute kidney injuries and subsequent chronic kidney disease.
- Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E., (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 21(1): 15-17.
Looking at the SCOPUS data for 5 May 2019 on the International Day of the Midwife showed that the theoretical paper ‘Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care’  is in the top ten mosted quoted articles in Midwifery. Now in its 35th year, Midwifery is an international journal published by Elsevier. Since its inception in 1985 it has published 2,626 papers, and our paper ”Risk, Theory, Social & Medical Models’ has now been cited by 108 papers, making it the eighth most cited article.
Professor Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
- MacKenzie Bryers H., van Teijlingen, E. (2010) Risk, Theory, Social & Medical Models: critical analysis of the concept of risk in maternity care, Midwifery 26(5): 488-496.
This new issue of the Nepal Journal of Epidemiology contains a systematic review by FHSS Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University). The review was produced in collaboration with Prof. Edwin van Teijlingen in BU’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH). Their paper ‘Factors influencing sexual behaviour between tourists and tourism employees: A systematic review’ is co-written with a researcher from Green Tara Nepal and an independent Public Health Consultant based in the UK.  This systematic review reports on factors influencing sexual behaviour between workers in the tourism industry and tourists, including their risk perceptions when engaging in sexual activities and the knowledge of STIs (sexually transmitted infections).
This is the third paper from this group on sexual health and tourism. The previous two papers were written with BU’s Dr. Pramod Regmi. These two publications reported on sexual behaviour of male trekking guides in Nepal such as sexual interactions with tourists and locals. The qualitative paper based on interviews with trekking guides has been published in Culture, Health & Sexuality  and the quantitative survey paper appeared in Journal of Manmohan Memorial Institute of Health Sciences .
This week’s publication the Nepal Journal of Epidemiology is Open Access, hence freely available, as is the third paper listed below.
Prof. Edwin van Teijlingen
- Simkhada, P.P., Sharma, A., van Teijlingen, E.R., Beanland, R,L. (2016) Factors influencing sexual behaviour between tourists and tourism employees: A systematic review. Nepal Journal of Epidemiology 6(1): 530-538.
- Simkhada, P., Bhatta, P., van Teijlingen E., Regmi, P. (2010) Sexual health knowledge, sexual relationships and condom use among male trekking guides in Nepal. Culture, Health & Sexuality 12(1): 45-58.
- Simkhada, P., van Teijlingen, E., Regmi, P., Bhatta, P., Ingham, R., Stone, N. (2015) Sexual health knowledge and risky sexual behaviour of Nepalese trekking guides. Journal of Manmohan Memorial Institute of Health Sciences 1(4): 35-42.
AHRC are inviting expressions of interest from arts and humanities researchers with an interest in risk to take part in a roundtable discussion, with a deadline of 16th June and the event to take place on 14 July. The one day event will offer the opportunity for post-doctoral researchers at all stages of their careers to contribute insights and identify potential future research agendas. In particular, AHRC are looking for the following areas:
* language and creative/cultural perceptions of risk;
* ethics, rights, values, trust and risk
* historical and temporal perspectives on risk
* risk in relation to creativity and innovation, including in areas such as health, science and the emergence of new technologies.
If you are interested in taking part in the roundtable, you need to submit a one page CV and 500 word account detailing your specialism, relevant research, publications and interest to AHRC. Travel costs will be paid for those selected to attend the event. Further details are available at http://www.ahrc.ac.uk/News-and-Events/Events/Documents/EOI%20Roundtable.pdf.
EIB-universities proposal for three new research action sponsorships: projects should cover European intellectual property regimes and their impact on technology transfer/IP finance; analysis of investment needs in infrastructure sectors; the rising of credit risk in microcredit: origins, warning signals, current state and future prospects. Funding of up to €100,000 per year is available for a period of three years. Deadline 16.09.11