The increase in the numbers of asylum-seekers housed in the Mosney Centre, Co Meath, has put pressure on existing limited resources within the centre and other North Eastern Health Board agencies including maternity, child care, mental health, community welfare and public health.
Current practice and communication between the Reception and Integration Agency and the North Eastern Health Board regarding the arrival of pregnant women and families is not adequate or appropriate.
Children of schoolgoing age are not being offered their booster immunisation vaccinations.
The complex needs of service users results in nurses responding to crisis and health problems. The nursing staff are forced into a type of "triage" role.
Practically none of the asylum-seekers have had chest X-rays to rule out tuberculosis before arrival in Mosney.
There are limited resources available to provide community welfare services. There are potential crowd control issues on Monday mornings where there is an overlap of clinics.
A large number of staff both health board and non health board are in contact with children at Mosney. The need for Garda clearance or other background checks should be considered.
There have been 44 cases of non-medically managed circumcisions since the beginning of last year.
There is evidence that direct provision can have a negative impact on infant nutrition.