Refugee Health 101 with focus on Syrian Refugees
-
Upload
natalielovesey -
Category
Health & Medicine
-
view
256 -
download
0
Transcript of Refugee Health 101 with focus on Syrian Refugees
![Page 1: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/1.jpg)
January 27, 2016
Dr. Bhooma BhayanaDr. Natalie LoveseyJoanne Veldhorst, NP
REFUGEE HEALTH 101
![Page 2: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/2.jpg)
Mission StatementChronic DiseasesInfectious DiseasesWomen’s HealthMental HealthCCIRH Preventative Care Forms
PRESENTATION OVERVIEW
![Page 3: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/3.jpg)
MISSION STATEMENT
Transition/ welcome“altruism” the caring of “the other”Global health, our boundaries are beyond “sea to sea”Early detectionEvidence based- informed by evidence and not
xenophobiaNot an immigration medical exam
![Page 4: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/4.jpg)
CHRONIC DISEASE IN SYRIAN NEWCOMERS
Diabetes Iron Deficiency AnemiaDental HealthVision Health
![Page 5: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/5.jpg)
Varicella – most adolescents and young adults will be immune
CHILDREN: Catch-up childhood vaccine if absent or uncertain vaccination records. Offer varicella vaccine to children <13 yo.
ADULTS: If no records, give 1 dose of MMR and a primary series of tetanus, diphtheria and polio, with 1st dose being Tdap. Varicella serology & vaccinate if susceptible.
INFECTIOUS DISEASES
![Page 6: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/6.jpg)
Do not offer testing for latent TB
Screen all children and adults for chronic Hep B infection and vaccinate if susceptible
Consider screening for Hepatitis C
Shoulder consider Strongyloides serology, but should not collect stool samples unless the patient has abdominal symptoms.
INFECTIOUS DISEASES RECOMMENDATIONS
![Page 7: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/7.jpg)
Hep B sAg, sAb, cAb
Hep C serology
Varicella serology (esp women of childbearing age)
Rubella serology (women of childbearing age)
Strongyloides serology
Stool O&P only if GI symptoms
ID SUMMARY – WHAT TO ORDER
![Page 8: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/8.jpg)
Childbearing years - Rubella and varicella serologyAnemiaConfirming or ruling out pregnancyDiscussing contraception needs Preconception considerations (folic acid)Follow up visit – gyne exam/Pap smear, STI screening,
screening for IPVAdjustment stress/social isolation
WOMEN’S HEALTH
![Page 9: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/9.jpg)
Immunization catch-upGrowth and development (WHO growth charts)Anemia Resource: www.kidsnewtocanada.ca
PEDIATRICS
![Page 10: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/10.jpg)
CCIRH: Remain alert for possible PTSD but do not routinely screen for history of trauma
CCIRH: Screen for depression (as usual for primary care)
MENTAL HEALTH
![Page 11: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/11.jpg)
![Page 12: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/12.jpg)
![Page 13: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/13.jpg)
![Page 14: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/14.jpg)
SAMPLE REQUISITIONS
![Page 15: Refugee Health 101 with focus on Syrian Refugees](https://reader031.fdocuments.us/reader031/viewer/2022030305/587468741a28abab198b74af/html5/thumbnails/15.jpg)
Paper/e-Package of Resources Caring for Kids New to Canada (CPS) –
kidsnewtocanada.caSick Kids – aboutkidshealth.ca – multilingual patient
handoutsCCIRH: www.ccihrken.caOnline London Refugee Health Network List
RESOURCES