Declaration of conflict of interest: The authors declare that they have no competing interests.
The epidemiology of health conditions of newly arrived refugee children: A review of patients attending a specialist health clinic in Sydney
Article first published online: 20 AUG 2009
© 2009 The Authors. Journal compilation © 2009 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 45, Issue 9, pages 509–513, September 2009
How to Cite
Sheikh, M., Pal, A., Wang, S., MacIntyre, C. R., Wood, N. J., Isaacs, D., Gunasekera, H., Raman, S., Hale, K. and Howell, A. (2009), The epidemiology of health conditions of newly arrived refugee children: A review of patients attending a specialist health clinic in Sydney. Journal of Paediatrics and Child Health, 45: 509–513. doi: 10.1111/j.1440-1754.2009.01550.x
Authors' contributions: MS, RM and AP conceived the study. MS, AP and SW entered data and analysed data. All authors participated in the draft writing, reading and review. All authors approved the final submitted manuscript.
- Issue published online: 10 SEP 2009
- Article first published online: 20 AUG 2009
- Accepted for publication 10 February 2009.
- health assessment;
- public health;
Aim: To determine the prevalence of common diseases in newly arrived refugee children, resettled in Sydney, by region of birth. To identify health needs of refugee children in Australia.
Methods: We prospectively screened for common diseases in refugee children attending a specialist paediatric refugee clinic, the Children's Hospital, Westmead, between May 2005 and December 2006. Screening tests included full blood count, Mantoux, vitamin D level, hepatitis B serology, syphilis serology, Schistosomiasis serology and malarial antigens.
Results: There were 239 patients, the majority (75%) from Africa, with 127 girls and 112 boys. Thirty-six percent were 0–7 years old, 45% were 8–12 years old and 19% were 13–17 years old. Of those tested, 16% had Schistosomiasis, 5% had malaria and 4% were hepatitis B carriers. Of 216 children who had Mantoux tests, 33% were ≥10 mm and 24% were ≥15 mm, including four children with active disease (2 lymphadenitis, 1 pulmonary and 1 gastric). Vitamin D deficiency was the most common diagnosis: 61% had serum 25(OH)D3 <50 nmol/L. Anaemia was present in 15%. Disease prevalence was higher in children from Africa than Asia or the Middle East, and most of the children were asymptomatic. Given that we have only seen about 10% of the refugee children resettled in New South Wales, our results may not be generalisable to all refugees.
Conclusion: Our findings suggest that screening refugee children for common treatable conditions, even if they are asymptomatic, is paramount. In addition to infectious diseases screening, nutritional deficiencies should routinely be screened for.