Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 44 Page 45 Page 46 Page 47 Page 48 Page 49 Page 50 Page 51 Page 52 Page 53 Page 54 Page 55 Page 56 Page 57 Page 58Refugees leave their countries for many reasons. They may need to escape a war. They may not have enough food. They may flee from brutal governments. When they arrive in the United States, they face new challenges. Many don’t yet speak or read English. A trip to the pharmacy can be baffling. Imagine seeing rows of unfamiliar medicines with directions you can’t understand. Dr. Altshuler helps about 250 to 300 new refugee patients every year. He sees them four to six times during their first eight months in the country. During those visits, they often need the same kinds of vaccination against disease that U.S.-born children receive during their first few years of life. They also receive a general checkup to make sure they don’t have any medical problems that need to be treated. In some cases, refugees are sick when they arrive, he says. Because many refugees don’t speak English, Dr. Altshuler works with interpreters. While a patient is in his office, he calls an interpreter on a phone and asks questions. The interpreter translates them into the refugee’s language. When the refugee replies, the interpreter tells Dr. Altshuler the answers in English. Dr. Altshuler also spends time explaining differences refugees may encounter in medical Marc Altshuler Starting refugees on a healthy path in a new land Dr. Marc Altshuler thinks everyone deserves to have a doctor. But a number of years ago, he discovered a group of people who didn’t have one: refugees who had escaped war and other hardships in their home countries and now lived in Philadelphia. Dr. Altshuler decided to help them by starting the Jefferson Center for Refugee Health at Thomas Jefferson University in 2007. Since then, he says, he has taken care of at least one refugee every day he’s gone to work. “It’s a wonderful thing to help people out,” Dr. Altshuler says. “My goal is to take care of as many refugees as I can.” In fact, he has helped five hospitals and several health centers start medical clinics for refugees. At his clinic at Jefferson, he and other doctors, medical students, nurses, and social workers serve people from about 30 different countries. The three largest groups of refugees are from Burma, Nepal, and Iraq, Dr. Altshuler says. 6