Introduction: People with a migratory background often face traumatic experiences increasing the risk of mental health problems and substance use. It is important to gain a greater understanding of the perspectives of substance use among North African young people with a migratory background and social agents. Methodology: A qualitative phenomenological study was conducted. Purposive sampling methods were used to recruit 14 male participants and 9 social agents. Data were collected through semi-structured interviews and focus groups, and processed by thematic analysis. Results: Four themes were identified: beginning of cross-border consumption that worsens at the reception centers; different ways of obtaining and accessing substances; reasons leading to substance use; and mental health care needs during the migration process. Discussion: The implementation of individual-centered and culturally adapted psychosocial support programs can significantly contribute to mitigating psychological challenges, preventing substance use, and promoting greater well-being among people with a migratory background.

Background: Care demand exceeded the availability of human and material resources during the COVID-19 pandemic, which is the reason why triage was fundamental. The objective is to know the clinical and sociodemographic factors of confirmed or suspected COVID-19 cases in triage stations from different Ecuadorian provinces. Method: A multicenter study with a retrospective and descriptive design. The patients included were those who accessed the Respiratory Triage stations deployed by the Ecuadorian Red Cross in eight Ecuadorian provinces during March and April 2021. Triage allows for selecting patients that need urgent treatment and favors efficacy of health resources. Results: The study population consisted of a total of 21,120 patients, of which 43.1% were men and 56.9% were women, with an age range between 0 and 98 years old. Severity of COVID-19 behaved differently according to gender, with mild symptoms predominating in women and severe or critical symptoms in men. Higher incidence of critical cases was observed in patients over 65 years old. It was observed that overweight predominated in critical, severe, and moderate cases, while the body mass index of patients with mild symptoms was within the normal range. Conclusions: The Ecuadorian Red Cross units identified some suspected COVID-19 cases, facilitating their follow-up and isolation. Fever was the most significant early finding.