Health issues in newly arrived African refugees attending general practice clinics in Melbourne.

OBJECTIVE

To identify the most common health issues diagnosed by general practitioners in newly arrived African refugees.

DESIGN

Descriptive study based on a purposive sample of six GPs to collate data from medical records of patients from African countries who had attended their clinics for the first time between 1 January and 30 June 2005.

SETTING

Two community health centres and two private general practices in metropolitan Melbourne.

PARTICIPANTS

African refugee patients who arrived in Australia after 1 June 2004 and were seen by the six participating GPs between 1 January and 30 June 2005.

MAIN OUTCOME MEASURES

Demographic characteristics, laboratory test results and final diagnoses.

RESULTS

Data were collected from 258 patient files. Most patients were from Sudan (57%) or Liberia (17%). Half were aged under 15 years. The most common health problems identified were inadequate vaccinations, nutritional deficiencies (vitamin D and iron), infectious diseases (gastrointestinal infections, schistosomiasis, and latent tuberculosis) and dental disease. Musculoskeletal, psychological and social problems were common in adults. 37% of patients were tested for latent tuberculosis, and 25% of these tested positive.

CONCLUSIONS

African refugees require comprehensive health assessments for undiagnosed and untreated health problems. While most of the common diseases identified are non-communicable, if left untreated they will affect the long-term health and productivity of new settlers.