the ibis effect: the migrant indian health effect
TRANSCRIPT
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
The Sea of Poppies Effect- Ibis Trilogy as aMetaphor
Arindam Basu, University of CanterburySrimati Das, Dept of English, Nehru College India
April 15, 2015
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Purpose, Objectives
Explore the issue of the paradox of healthy migrant effectamong the Indian migrants particularly in the Indian Islandand Pacific island countries
Explore a Paradox (Hispanic Paradox link to MigrantIndian Health)
Use the metaphor of the Sea of Poppies to examine thisphenomenon.
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Organisation of Discussion
Healthy Migrant Effect and Paradoxes
State of Health of Indian Migrants in One Pacific IslandCountry - NZ
Call Centre Employee Work as a Metaphor of Migration
Sea of Poppies as Metaphor
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Healthy Migrant Effect
First Generation Migrants are Healthier than the Nativesof Same Gender and Age
Not due to SES differences
Three main explanations
Screening
Healthy Habits
Self Selection
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Hispanic Paradox
When compared to non-Hispanic Whites, Hispanics in theUS are poorer and less-educated but still have lowerall-cause mortality rates
Similar paradoxes are seen with the Mediterraneans inEurope and in the US
But with Indian immigrants we see a different pattern
We restrict this analyses within the NZ
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
What is happening with Indians in NZ
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Total number of skilled migrants
Figure: Migrants from India
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Death Rates
Figure: deaths
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Causes of Death Among Different Ethnicities
Figure: deaths2
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Enrolment in the Health Units
Figure: pho
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Age Standardised Death Rates
Figure: causesofdeath
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
To cut a long story short
The death rates are higher
It is possible that the morbidity and mortality arepotentially avoidable deaths
Potentially avoidable deaths and morbidity are alsoaccounted for by stresses and lifestyle issues
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Where Can We Find Some Explanations?
Literature to frame hypotheses and theories
Capture Real Life Data
Testing our Hypotheses that the process and reason ofmigration have stresses built in them that leads to thehealth profile changes and patterns of health servicesutilisations
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Movement of People
From villages to cities
From country to country
From time zone to time zones
Across cultures
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Call centre work as a Metaphor of Migration
Call Centre Work as Trans-Time-Zone-Cultural Migration
Call centre workers assume different identities (what is theimpact of this crossed identity?)
Call centre workers tend to interact with people who comefrom different culture than their own
Call centre workers tend to operatively work in differenttime zones (attend to services at night in their owncountry and pretend to be Present at a time when theclients work)
Provides an opportunity of examining the health effects
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Initial Examination of the Call Centre health Studyin Bangalore
Initial preliminary survey by Srimati Das
Was done by researchers at the Department of English,Nehru College
155 call centre bp workers were surveyed
Not everyone answered
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Life Stresses at Work as Risk Factors - Fear
Figure: Life Stresses
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Occupational Stress
Figure: temperatureatwork
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Ibis Trilogy as a process of migration
Raja Neel Rattan, a 25 year old aristocrat framed withforgery and deported
Neel Rattan would come back to his homeland after sevenyears
Deeti, an upper caste lady whose husband was working inopium factory
Deeti was rescued by a low caste person from Sati andthey left for safety
Lascars and sailors who were peripatetics anyway
Jodu, whose livelihood was destroyed by the Europeansand were taken on board
Jodu had no expectations of migration
Naba Kissen, in search of his religious salvation andcuriosity
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
The Ship, Ibis, a Slave Ship is a metaphor ofmigration
Professionals who find themselves in lurch and feelpunished
Professionals whod nevertheless pine to return to thehomeland (Neel Rattan)
People whod leave the land to escape persecution (Deeti)
People with no expectation as such (Jodu)
Migrants whod travel for curiosity (Naba kissens)
Professionals and Students (Lascars and Sailors and Matesof Ship)
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
The Migration Process as a stressful experience
Life Stresses
Journey Stresses
That process still continues as we learn from anecdotalexperiences
The Sea ofPoppies
Effect- IbisTrilogy as aMetaphor
ArindamBasu,
University ofCanterbury
Srimati Das,Dept of
English, NehruCollege India
Combine the Two Now
Stresses in course of Life Course
Stresses in course of the Transition
The Metaphor of Call Centre/BPO point to possiblehealth effects that need to be better characterised
The Metaphor of Ibis points to possible epigenetic shiftsthat need to be better characterised
Limited Health Statistics from NZ (but also elsewhere)point to significant outcomes that need to be studied inthis particular demographic of Indian migrant settlers