Intake Screening Tests for All Syrian Refugees

Mosaic Refugee Health Clinic – Screening Checklist for Syrian Refugees

PATIENT HISTORY AND DEMOGRAPHICS

Name:
Address: / Refugee Status:
Coverage:
AB PHN:
PMHx:
Surgeries:
Allergies:
Medications:
FmHx: / Date of Arrival in Canada:
City of Arrival:
Country of Origin:
Migration Hx:
Language(s):
Education:
Previous Occupation:
Family Supports:

INTAKE SCREENING TESTS FOR ALL SYRIAN REFUGEES

Adults >16 years / Children <16 years
£  CBC / £  CBC
£  Hemoglobinopathy Screen / £  Hemoglobinopathy Screen
£  G6PD / £  G6PD
£  Urine for Chlamydia & Gonorrhea / £  Urine for Chlamydia & Gonorrhea (if sexually active/hx of abuse)
£  Hepatitis B Serology / £  Hepatitis B Serology
£  Hepatitis C Serology / £  Hepatitis C Serology
£  Strongyloides Serology‡ / £  Strongyloides Serology‡
£  Varicella IgG / £  Varicella IgG (if >13 years)

OTHER INTAKE SCREENING CONSIDERATIONS

Adults / Children
£  Painful dental issues / £  Painful dental issues
£  ßHCG+/- contraceptive needs / £  INFANTS – no screening for under 12 months of age unless parents or siblings have tested positive on screening
£  Routine, age-appropriate screening tests as per Canadian practice guidelines

‡ This is a consideration as opposed to a recommendation based upon the Dec 2015 CMAJ Guidelines for Syrian Refugees

*As per Caring for Kids New to Canada recommendations to prevent development and growth or school achievement issues due to parasitic infections

Note:

§  CXR, HIV, and syphilis serology done pre-immigration with Immigration Medical Exam (IME) and any positive results will be followed up with by Public Health

§  Trauma, PTSD &/or MDD screening is not indicated in refugee populations at initial visits. Signs and symptoms of these may present as the medical home and therapeutic relationship are established.

OTHER INFECTIOUS DISEASE CONSIDERATIONS AS INDICATED

£  Head lice / £  Measles
£  Cutaneous Leishmaniasis / £  H. pylori
£  Schistosomiasis serology / £  Typhoid Fever
£  Scabies / £  Louse-borne Fever
£  Brucella / £  Mers-CoV (URTI)
£  GI Parasites (order O&P and PCR) / £ 

VACCINES and VITAMINS

£  Refer to Public Health Unit
£  We recommend Vitamin D supplements be prescribed at the first visit

MEDICAL OFFICE ASSISTANTS and ALLIED HEALTH PRACTICIONERS

£  Orientation to clinic

£  Ensure that Private Sponsor provides orientation to pharmacy

£  Ensure that Private Sponsor helps the patient book appointment for vaccinations through Public Health

£  MOA or Private Sponsor to book intake screening labs

£  Optometrist and Dental Referrals as needed

REFERENCES

1.  Canadian Pediatrics Society. Caring for Kids New to Canada. 2015; http://www.kidsnewtocanada.ca

2.  Pottie K, Greenaway C, Hassan G, et al. Practice: Caring for a newly arrived Syrian refugee family. CMAJ 2015: online Dec 8, 2015. http://m.cmaj.ca/site/misc/caring-for-a-newly-arrived-syrian-refugee-family-cmaj.151422.xhtml

3.  Pottie K, Greenaway C, Feightner J, et al. Review: Evidence-based clinical guidelines for immigrants and refugees. CMAJ 2011;183:E824-E925.

4.  CFPC Refugee Health Care: Resources to Assist Family Physicians - See more at: http://www.cfpc.ca/Refugee_Health_Care/#sthash.EifNLaFv.dpuf

5.  Canadian Collaboration for Immigrant and Refugee Health (CCIRH). http://www.ccirhken.ca

RESOURCES

1.  Government of Canada. Citizen and Immigration Canada: Population Profile: Syrian Refugees. November 2015. http://www.cic.gc.ca/english/immigrate/index.asp

2.  Hassan, G, Kirmayer, LJ, Mekki- Berrada A., et al. Culture, Context and the Mental Health and Psychosocial Wellbeing of Syrians: A Review for Mental Health and Psychosocial Support staff working with Syrians Affected by Armed Conflict. Geneva: UNHCR, 2015. http://www.unhcr.org/55f6b90f9.pdf

3.  Calgary Catholic Immigration Services. https://www.ccisab.ca

4.  Mosaic PCN. http://www.mosaicpcn.ca

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