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SD, migration, and health in West Midlands Central region, 2 nd biggest urban area, highdeprivation and rural remoteness <strong>Birmingham</strong> to become majority/minority city Migrants from 187 countries – old and newmigrants, clustered and fragmented (table) High levels <strong>of</strong> deprivation, exclusion, poorhealth outcomes and highest infant mortalityrates in Europe Is there a crisis in welfare delivery? Are there new challenges for providers?

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