Common presenting problems
Psychological and behavioural disorders, anaemia esp. iron deficiency, orodental disease, tropical diseases (e.g. helminths, malaria, schistosomiasis), helicobacter plyori infection, vitamin deficiencies esp. vitamin D, disorder of special senses—skin, ears, eyes, chronic disease.
Important diseases that ‘must not be missed’ include malaria, tuberculosis, schistosomiasis, HIV, typhoid fever, Hepatitis B and C, haemoglobinopathies, e.g. sickle cell, G-6-DP deficiency, meningoencephalitis and severe pyschological illness such as psychosis, major depression esp. suicide risk.
Key recommendations (ASID)
All refugees should be offered a comprehensive health assessment, ideally within 1 mth of arrival. This should include screening for and treatment of TB, malaria, blood borne viral infections, e.g. dengue, Hepatitis B and C, schistosomiasis, helminth infections esp. strongyloides, hookworm.
Refugees should have met pre-departure screening criteria (for a permanent visa): this includes CXR (if ≥11 yrs), HIV (if ≥15 yrs), Hepatitis B, syphilis ≥15 yrs, malaria (rapid antigen test), faeces for intestinal helminths.