Guidance

Refugees and Asylum Seekers Registering at your Practice

These patients should be routinely vaccinated as per the incomplete immunisation schedule using the age appropriate algorithm (which includes adults).   https://www.gov.uk/government/publications/vaccination-of-individuals-with-uncertain-or-incomplete-immunisation-status

Vaccines to consider:

  • measles (using MMR vaccine and prioritising children up to 15 years)
  • poliomyelitis (for children and adults coming from countries currently exporting poliovirus such as Afghanistan and Pakistan, infected countries such as Somalia, or countries which remain vulnerable to international spread, including Cameroon, Equatorial Guinea, Ethiopia, Iraq, Israel, and the Syrian Arab Republic)
  • meningococcal disease (preferably with vaccines against meningococcal serogroups A, C, W-135 and Y
  • diphtheria (using diphtheria-tetanus-pertussis vaccine in accordance with national guidelines)
  • influenza, according to the season.

Consider screening for infestation with lice. Screening for tuberculosis can be considered in accordance with national guidelines.  http://ecdc.europa.eu/en/publications/Publications/refugee-migrant-health-in-european-winter-rapid-risk-assessment.pdf

Consider Vitamin D deficiency  https://www.gov.uk/government/news/phe-publishes-new-advice-on-vitamin-d

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Ukrainian Refugees

June 2022 – NHSE published a letter and two service specifications setting out expectations and support around GP registration and the management of the initial health needs for individuals and families coming to England fleeing the conflict in Ukraine.

To ensure there is a robust approach to identifying individual’s initial health needs (both for all current and future arrivals) MHSE are asking all systems to locally commission additional capacity for delivering robust initial health assessments. Assessment of any safeguarding concerns will be a key priority alongside assessment of health needs, keeping people safe and taking appropriate actions to prevent harm. NHSE have also produced bilingual versions of the GMS1 form which are now available on the DHSC website.

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Accessing Healthcare Translated Resources

Here is a summary of the current resources in Ukrainian and Russian

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Vaccination Schedule for Ukraine (who.int)

  • Birth                   Hep B, BCG
  • 2 months           Polio
  • 4 months           Diphtheria, tetanus, pertussis, Polio and HIB
  • 6 months           Diphtheria, tetanus, pertussis, hepatitis B, and Polio
  • 12 months         HIB, MMR
  • 18 months         Diphtheria, tetanus, pertussis and Polio
  • 6 Years               Diphtheria, Tetanus, MMR, Polio
  • 14 years             Polio
  • 16 years             Tetanus, Diphtheria (this is then given as a booster every 10 years throughout adulthood)

Vaccination of individuals with uncertain or incomplete immunisation status

 

UK and international immunisation schedules comparison tool – GOV.UK (www.gov.uk)

 

 

Vaccines and Immunisations – Guidance for Practices

 

 

 

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Last Reviewed Date
13/12/2023