Ranit Mishori

Ranit Mishori
Georgetown University | GU · Department of Family Medicine

MD, MHS, FAAFP

About

109
Publications
44,998
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887
Citations
Additional affiliations
December 2007 - present
Georgetown University
Position
  • Professor (Associate)

Publications

Publications (109)
Article
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Background The COVID-19 pandemic has acutely affected Rohingya refugees living in camps in Cox’s Bazar, Bangladesh. Reported increases in sexual and gender-based violence (SGBV) were attributed in part to pandemic-related public health measures. In addition, the Government of Bangladesh’s restrictions to prevent the spread of COVID-19 have impacted...
Chapter
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FGM/C type IIIb in a 16-month old girl from Mali ( a , b ), admitted with acute retention of urine and acute renal failure, Mali.
Chapter
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Femawle Genital Mutilation/Cutting (FGM/C) comprises all procedures that involve partial or total removal of the external female genitalia or injury to the female genital organs that are medically unnecessary (i.e. performed primarily for cultural or religious reasons), especially when done without the consent of the affected person. Such procedure...
Article
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Background In August 2017, a large population of Rohingya from northern Rakhine state in Myanmar fled to Bangladesh due to “clearance operations” by the Myanmar security forces characterized by widespread and systematic violence, including extensive conflict-related sexual violence (CRSV). This study sought to document the patterns of injuries and...
Article
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Background In the past decade, the U.S. immigration detention system regularly detained more than 30,000 people per day; in 2019 prior to the pandemic, the daily detention population exceeded 52,000 people. Inhumane detention conditions have been documented by internal government watchdogs, and news media and human rights groups who have observed o...
Article
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Introduction High-quality forensic documentation can improve justice outcomes for survivors of sexual and gender-based violence, but there are limited tools to assess documentation data quality. This study aimed to develop and validate a data quality assessment index to objectively assess clinician documentation across the 26 key elements of the st...
Chapter
Sexual and gender-based violence (SGBV) is a phenomenon affecting people around the world, primarily women and girls. A lifecycle of violence has been described affecting women living in almost every nation and belonging to every ethnicity. While the specific forms of violence may vary, the threat can be pervasive. The evaluation of asylum applican...
Chapter
Despite the documented need for medical evaluations of asylum seekers, few healthcare providers are adequately trained to perform them. Over the past decade, several US academic medical institutions, in collaboration with human rights organizations, have developed asylum programs and developed instructional materials for learners at all levels of p...
Chapter
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Labial and Clitoral adhesion. Examples of convergence of inner labia under the glans and intersection with clitoral hood.
Chapter
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Pictures without FGM/C and without lesions. This chapter will help the physician:
Chapter
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Informed consent is essential to ensuring a trauma-informed, survivor-centered, ethical process that respects the (developing) autonomy of a patient.
Chapter
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Please note that when WHO refers to labia minora and majora such terms are now replaced by inner and outer labia.
Article
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Background The COVID-19 pandemic has generated worldwide scarcity of critical resources to protect against and treat disease. Shortages of face masks and other protective equipment place health workers, already on the frontline of the disease, at higher risk. Moral distress from making difficult decisions about allocating scarce resources and care...
Article
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The U.S. government forcibly separated more than 5,000 children from their parents between 2017 and 2018 through its “Zero Tolerance” policy. It is unknown how many of the children have since been reunited with their parents. As of August 1, 2021, however, at least 1,841 children are still separated from their parents. This study systematically exa...
Article
Background: Due to the COVID-19 pandemic, medical evaluations for asylum are being performed predominantly remotely. We sought to describe these evaluations and identify barriers. Methodology: This study utilized an online survey to assess clinician perspectives and experiences regarding remote asylum evaluations. Results: Clinicians reported...
Preprint
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Background: Asylum Seekers are a high-risk group from a health perspective. The US is the largest recipient of asylum applications in the world. Multiple articles exist on asylum seekers’ health, but, anecdotally, the majority originate from Europe and elsewhere. We sought to assess the current health and medical literature on asylum seekers in the...
Preprint
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Background In the past decade, the U.S. immigration detention system regularly detained more than 30,000 people; in 2019 prior to the pandemic, the detention population exceeded 52,000 people. Inhumane detention conditions have been documented by internal government watchdogs, news media and human rights groups, finding over-crowding, poor hygiene...
Article
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This study examined whether patients with Hepatitis C virus (HCV) infection adhered to their physicians’ recommendation and HCV clinical guidelines for obtaining a regular liver function test (LFT), and whether high-risk behaviors are associated with behavioral adherence. A cross-sectional survey was administered to 101 eligible patients with HCV w...
Article
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Sexual violence is a global crisis. Forensic evaluations are critical for obtaining evidence and increasing the likelihood of accessing justice, as many cases fail due to lack of evidence or poor evidence. In some countries, only board-certified forensic specialists are authorized to conduct forensic evaluations. However, the high number of sexual...
Article
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Fears and perceived lack of tools should not be obstacles
Article
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Background Asylum evaluations are highly specialized medico-legal encounters to collect physical or mental health evidence for use in immigration proceedings. Although the field of asylum medicine is growing, access to these evaluations is still inadequate, particularly for those in United States immigration detention or other forms of custody, suc...
Article
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Background The U.S. immigration system mandates that persons seeking asylum prove their persecution claim is credible and their fear of returning home is well-founded. However, this population represents a highly trauma-exposed group, with neuropsychiatric symptoms consequent to prior torture or maltreatment that may interfere with cognitive functi...
Article
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Background and objectives: Academic promotion is critical in academic medicine. Traditionally, peer-reviewed journal articles have been at the core of advancement deliberations. With the increasing prominence digital content and social media, an increasing number of academics have begun linking their scholarly value with their online activities. I...
Article
Health professionals caring for asylum seekers face decisions about whether to participate in force-feeding hunger strikers, performing and reviewing unnecessary x-rays to assess detainees' ages, misusing detainees' health information, and discharging patients based on immigration officials' demands rather than patient safety. The latter action is...
Article
Background: Female genital mutilation or cutting (FGM/C) is considered a human rights violation and is practiced all over the world. It has been used as a basis for seeking asylum in various countries, including in the USA since 1996, and the precedent-setting matter of Kissindja. Clinicians in the USA and elsewhere who perform asylum evaluations...
Preprint
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Background For women age 75 and older, there is insufficient evidence to recommend routine breast cancer screening, as the benefits may not outweigh harms. The objective of this study was to identify variables that clinicians consider influential when making screening mammography recommendations for these women and to assess the acceptability and f...
Article
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Imagine an article describing “newborn labiaplasty techniques” for girls. Regardless of any statistical health benefits that might follow from this procedure (such as a reduced risk of labial cancer or UTIs) the surgery could not ethically be performed. This is because it removes anatomically normal, non-diseased, functional tissue—from a psychosex...
Article
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Immigration detention centers are densely populated facilities in which restrictive conditions limit detainees’ abilities to engage in social distancing or hygiene practices designed to prevent the spread of COVID-19. With tens of thousands of adults and children in more than 200 immigration detention centers across the United States, immigration d...
Article
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The novel coronavirus pandemic has triggered numerous changes to the provision of maternity care, many of which contradict the core tenants of what has come to be known as "respectful maternity care." WHO defines respectful maternity care as "care organized for and provided to all women in a manner that maintains their dignity, privacy and confiden...
Article
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Female Genital Mutilation or Cutting (FGM/C) is a human rights violation used to claim asylum in the US. We sought to understand the nature of these asylum requests. Analysis of 121 FGM/C-focused medical affidavits, and 132 legal case reports. Of 119 eligible affidavits analyzed, 84% were reportedly cut: 4.6% Type I, 84.6% Type II, 16.5% Type III....
Article
Background Human trafficking (HT) affects millions globally, and is linked to significant health effects. Studies suggest victims interact with the healthcare system while exploited, yet go unrecognized. We sought to determine the content and extent of HT training in family medicine residency programs and to identify barriers to providing formal tr...
Article
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Sexual and gender‐based violence (SGBV), and particularly intimate partner violence (IPV), has spiked dramatically during the COVID‐19 pandemic. At the same time, the pandemic is impacting and interrupting SGBV and IPV services of all kinds. This paper focuses on the impact of the COVID‐19 pandemic on clinical care and forensic medical documentatio...
Article
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The coronavirus pandemic has reshaped the healthcare landscape, placing a strain on all healthcare workers, including those who provide critical health services for women. Around the world, healthcare workers have been facing increased workloads, shortages of personal protective equipment (PPE), harassment and violence, and ever‐evolving clinical g...
Article
The risk of travel-related illnesses that require vaccines varies depending on destination and traveler characteristics. Travelers who are not immune and going to countries and regions with endemic diseases are at risk of contracting vaccine-preventable diseases; they can serve as conduits of the disease on return to their home country. Individual...
Article
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Health profession organizations often create policy and position statements that set the tone and direction for the organization and describe desired behaviors and actions applicable to the organization and its members. It's unclear whether or what organizational statements (not clinical practice guidelines) exist on FGM/C. We reviewed publicly ava...
Article
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Virginity testing is a complex, culturally mediated practice that is poorly understood by Western clinicians. While advocating for global elimination of the practice of virginity testing as a human rights violation, clinical practice is often more complicated and ethically nuanced, and the clinician must act in the best interest of her patient. Uph...
Article
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After 18 years of providing government-subsidised medical insurance for children of undocumented migrants, the Israeli Ministry of Health (MOH) decided in 2018 to abruptly reverse its policy. Many children will have access to medical care only in cases of emergency. The policy change is set to potentially impact several thousands of children curren...
Conference Paper
Objectives Women age 75 and older, who may become accustomed to periodic cancer screening, face difficult decisions when considering whether or not to discontinue screening mammography. A lack of evidence regarding the benefits and harms of screening mammography in U.S. women age 75 and older, which tie to imprecise screening guidelines, leaves wom...
Article
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“Street Medicine” programs provide medical care to homeless populations outside of traditional healthcare institutions, literally on the street and in transitional settings where unsheltered homeless people live. Such programs are emerging around the world often based at medical schools and primary care residency programs, and can provide ideal fra...
Article
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We seek to clarify and assess the underlying moral reasons for opposing all medically unnecessary genital cutting of female minors, no matter how severe. We find that within a Western medicolegal framework, these reasons are compelling. However, they do not only apply to female minors, but rather to non-consenting persons of any age irrespective of...
Article
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Female genital mutilation or cutting (FGM/C), an age-old tradition that is still widely practiced around the world, is gaining recognition as an important public health issue in the United States. Increasingly, because of migration, women and girls affected by FGM/C have become members of host communities where the practice is not culturally accept...
Article
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Background: Decades of persecution culminated in a statewide campaign of organized, systematic, and violent eviction of the Rohingya people by the Myanmar government beginning in August 2017. These attacks included the burning of homes and farms, beatings, shootings, sexual violence, summary executions, burying the dead in mass graves, and other a...
Article
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Anecdotal reports suggest migrant children at the US border have had to undergo age assessment procedures to prove to immigration officials they qualify for special protections afforded to those under age 18. There are a variety of methods to assess the chronological ages of minors, including imaging studies such as X-rays of the wrist, teeth, or c...
Article
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In order for patients to be adequately cared for by clinicians, an awareness and acknowledgement of the factors that affect their well-being, including adherence to internationally recognized human rights, should be part of the professional education of all health care professionals. Worldwide conflicts, which have led to record forced global displ...
Article
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Conclusions about women’s and girls’ sexual history are made in some settings based on assumptions about the hymen, a small membranous tissue with no known biological function, which typically occupies a portion of the external vaginal opening in females. Clinicians, however, continue to refer to changes in the hymen to assess for a history of cons...
Article
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Background: Discussions about racism, ethnicity, sexism, discrimination, and diversity have increased within medicine, and their impact on the physician workforce, advancement, hiring, wage inequities, mistreatment, and scholarly output, to name a few. Most medical organizations have created policies and initiatives on diversity and inclusion, foc...
Article
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Background Overscreening occurs when people without symptoms undergo tests for diseases and the results will not improve their health. In this commentary, we examine three examples of how campaigns to screen and treat specific vascular, metabolic, and oncologic diseases in asymptomatic individuals have produced substantial overdiagnosis and may wel...
Article
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Female genital mutilation/cutting (FGM/C) is common across the globe and seen in high income countries that host migrants from high prevalence countries. Management of FGM/C in the host countries can be complicated due its often conflicting social, cultural, ethical, legal, and medical dynamics. Health profession organizations often create policy a...
Article
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In the halls of many medical schools are oil portraits of white gentlemen wearing compassionate expressions and dignified robes or white coats, professors and scientists who by and large look the same and are no longer reflective of the diversity of today’s medical school classes and faculty. Now, more women than men are entering medical school; wo...
Article
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Since 1975, more than 3 million refugees have settled in the United States, fleeing unrest, conflict, and persecution. Refugees represent diverse ethnic, cultural, religious, socioeconomic, and educational backgrounds. Despite this heterogeneity, there are commonalities in the refugee experience. Before resettlement, all refugees must undergo an ov...
Article
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This review essay provides an overview of the MediCapt app and the steps Physicians for Human Rights has taken to design, develop, and field-test the app in the Democratic Republic of the Congo. It also explores advocacy opportunities that the app’s emerging technology may facilitate down the road. This review essay also identifies the many challen...
Article
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The MediCapt mobile app has promise for clinicians to capture medical and forensic evidence of sexual violence and securely transmit the data to legal authorities for potential use in prosecution. We believe this application broadens the traditional scope of mHealth to collecting evidence, and thus name it mJustice. ABSTRACT Digital health developm...