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Refugee Health Clinical Topics

Topics related to the health care of refugees, including screening guidelines.

Information On EthnoMed

Approach to Medical Assessment and Screening for New Refugee and Immigrant Children
15-pages; Guidelines on how to approach health assessment and disease screening in immigrant children newly arrived to the US and/or new to our Child and Teen Clinic. Describes health assessments prior to immigration, and approaches to post-arrival domestic medical screening.

Clinical Pearl:  Consider Lead and Other Heavy Metal Toxicities in the Evaluation of Nonspecific Symptoms
A short clinical pearl about the need to consider the prevalence of high lead levels among recently arrived Burmese.

New Immigrant and Children: Screening and Treatment Guidelines
This 2-page document describes two components of medical screening of immigrant children new to the Harborview Child and Teen clinic: Preventive Health Interventions and Screening Lab Work.

Parasite Summary Tables
A 3-page table presenting information about parasites, consequence if left untreated, clinical diagnosis and treatment. Also includes a review of studies on parasite infections among immigrant /refugee children.

Refugee and Immigrant Healthcare
Outline presentation addressing some specific issues related to health care for immigrants, by Chris Carlsten, MD, Univ. of Washington.

Working with Refugee Survivors of Torture
Article reprinted with permission from Western Journal of Medicine. By Barbara Chester, PhD and Neal Holton, MPH. West J Med, September 1992; 157:301-304.

Related Web Sites

United Nations High Commissioner on Refugees (UNHCR) Resettlement Handbook 
July 2011 revised edition. This is an informative site on refugee resettlement though not specifically for health-related matters. There is a section of the U.S. guidelines for resettlement which outlines the criteria for resettlement and prioritization process; and a brief section on domestic services such as housing, language training, vocational training and financial assistance.

CDC Immigrant and Refugee Health
Provides information about medical examination, health guidelines, laws and regulations.

Minnesota Department of Health "Clinicians Corner"
The "Clinician's Corner" provides a collection of resources for providers working with refugee populations, including a quick guide for conducting initial refugee health assessments.

CDC Recommendations for Lead Poisoning Prevention in Newly Arrived Refugee Children
2 page PDF with CDC recommendations about Primary Prevention of Elevated Blood Lead Levels, Identification of Children with Elevated Blood Lead Levels, Early Post-arrival Evaluation and Therapy, and Health Education/Outreach for lead poisoning prevention in newly arrived refugee children.

Lead Poisoning Prevention in Newly Arrived Refugee Children: Resources
CDC Toolkit with training resources and information for health care and refugee service providers regarding prevention of lead poisoning in refugee children.

Working with Refugees from Burma to Prevent Childhood Lead Poisoning
Information presented by the New York State Department of Health on the prevalence of childhood lead poisoning among recent Burmese refugees, and prevention issues specific to this population. Includes a discussion of some of the cultural and health practices common among Burmese refugees.