Arrival Procedures

All initial health screenings are conducted at Central District Health Department within 90 days of arrival (typically within 3 weeks). The standard health screening includes:

Health History

Standard assessment of past illnesses and medical conditions

Current Health Status

Standard assessment of how the client is feeling at the time of the visit

Initial Health Assessment

The purpose of the initial health assessment is to identify any obvious diseases/conditions that require medical follow-up. This is NOT a comprehensive medical exam.

1. General condition
2. Dental (gross evaluation)
3. Heart and lungs
4. Skin

Standard Tests

1. PPD test for TB done on everyone six months and older
2. Titers for MMR, Varicella, Hepatitis B performed on everyone 19 years and older

Tests done as indicated from Initial Health Assessment:

1. All refugees are tested for ova and parasites based on the following criteria:
• If height and weight are less than the 5th percentile
• Diarrhea, anemia, or other gastrointestinal symptoms are present
2. Children are tested for HIV and/or hepatitis B (if parent(s) are positive or other high risk factors are identified)

Vaccination Assessment Guidelines:

1. Determine the age of the refugee
2. Review refugee's medical history and records
3. Determine the appropriate vaccinations for the refugee
4. Assess contraindications and precautions before giving vaccines
5. Assess each refugee's laboratory needs

*Note: Children receive all ACIP recommended vaccinations

Additional Resources

• Office of Refuge Resettlement
• CDC Domestic Refugee Health Program: Frequently Asked Questions
• Medical examination for immigration FAQS
• Refugee Health Guidelines: Domestic Guidelines
• Technical instructions for Vaccinations 2007 Packet
• Department of Health and Human Services, Office of Refugee Resettlement
• United Nations High Commissioner for Refugees

Contact

Connie Merrill, RN
TB and Refugee Program
208-327-8601
Email Connie