If internal and international migrants comprised a nation, it would be the third most populous1 country in the world, just after China and India. Thus, there can be little doubt that population mobility2 is among the leading policy issues of the 21st century. However, policies to protect migrants and global health have so far been hampered3(阻碍,限制) by inadequate4 policy attention and poor international coordination5. This is the conclusion of a new article in PLoS Medicine arguing that current policy-making on migration6 and health has been conducted within sector7 silos(粮仓) , which frequently have different goals. Yet, population mobility is wholly compatible with health-promoting strategies for migrants if decision-makers coordinate8 across borders and policy sectors9, say the authors, who are also serving as guest editors of a new series in PLoS Medicine on migration & health that launches this week. In the first article in the series, Cathy Zimmerman, Ligia Kiss, and Mazeda Hossain from the London School of Hygiene10 & Tropical Medicine (LSHTM), United Kingdom, lay out a new framework that describes migration as a multi-staged process involving numerous health risks and intervention11 opportunities. This migration-health framework benefits international and local policy-makers by highlighting various points for intervention and options for coordination between nations. Five subsequent articles in the series discuss in-depth the health impacts and policy needs associated with the five phases of this migratory12 process: pre-departure, travel, destination, interception13, and return.
The second article in the series, by Brian Gushulak and Douglas MacPherson from Migration Health Consultants14 in Canada, is also published in this week's PLoS Medicine and discusses the specific health risks and policy needs associated with pre-departure. Subsequent articles in the series, to be published weekly until 21 June 2011, will discuss the remaining stages of the migration process.