Impact on and use of an inner-city London Infectious Diseases Department by international migrants: a questionnaire survey

Cooke, Graham; Hargreaves, Sally; Natkunarajah, Jana; Sandhu, Gurjinder; Dhasmana, Devesh; Eliahoo, Joseph; Holmes, Alison; Friedland, Jon S.

doi:10.1186/1472-6963-7-113

Cited by 20 publications

(22 citation statements)

References 19 publications

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“…Many new migrants to Canada are unfamiliar with the health care system, and those from malariaendemic countries may be accustomed to having access to malaria therapy without visiting a physician or obtaining a prescription, and the perceived cost of medical care may be a barrier to receiving care. [376][377][378] As well, migrants may be interacting with health care providers who are unfamiliar with diagnosis and management of the disease. 50 Depending on the area of relocation, effective drugs for treating malaria may not be readily available.…”

Section: Clinical Considerationsmentioning

confidence: 99%

Evidence-based clinical guidelines for immigrants and refugees

Pottie¹,

Greenaway²,

Feightner³

et al. 2010

Canadian Medical Association Journal

389

333

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Section: Clinical Considerationsmentioning

confidence: 99%

Evidence-based clinical guidelines for immigrants and refugees

Pottie¹,

Greenaway²,

Feightner³

et al. 2010

Canadian Medical Association Journal

389

333

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“…From the remaining 36 articles, 40 records were extracted, since two records were extracted from each of four articles [28,30,36,41]. For the comparison with non-EU data, 15 records were extracted from 14 articles published after 2000 [66][67][68][69][70][71][72][73][74][75][76][77][78][79].…”

Section: Literature Searchmentioning

confidence: 99%

Migrant tuberculosis screening in the EU/EEA: yield, coverage and limitations

Klinkenberg¹,

Manissero²,

Semenza³

et al. 2009

European Respiratory Journal

119

108

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A systematic literature review was performed with the objective of assessing the effectiveness of tuberculosis (TB) screening methods and strategies in migrants in European Union/European Economic Area (including Switzerland) countries.Extracted data on yield and coverage were used as indicators of effectiveness. Reported yields varied considerably between studies and countries. Considering only the 14 studies representative of national screening programmes, a median yield of TB disease of 0.18% (interquartile range 0.10-0.35%) was reported.The data did not indicate differences in effectiveness between the three main strategies: 1) screening at port of entry; 2) screening just after arrival in reception/holding centres; and 3) screening in the community following arrival in European Union countries. The variation seen probably reflects variation in risk factors for TB, in particular the composition of the migrants entering the country.Recommendations include the need for improved data for guiding the optimal frequency and duration of screening; assessment and improvement of cost-effectiveness; access to healthcare for migrants, including illegal migrants; ensuring a continuum of care for those screened; and consideration of screening for latent TB infection with caution. Finally, screening should be a component of a wider approach, rather than a stand-alone intervention.

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“…The migrant population is a population with a high risk of tuberculosis (TB) infection and transmission (1)(2)(3) and often faces barriers to access to appropriate health care for diagnosis and treatment (4)(5)(6). In low-incidence countries with large numbers of immigrants from countries with a high infection burden, migration is likely to have a significant impact on TB epidemiology as they receive substantial numbers of migrants from countries with a high burden of infection (7).…”

Section: Migrant Population: High Risk Of Tb Epidemicsmentioning

confidence: 99%