Migrant and Travel Health

Question 1

How can you estimate a population of refugees?

Answer 1

Use existing data (camp records, census)

Gather data (quadrant sampling, ratio correlation, chain referral, representative sampling)

Question 2

What is quadrant sampling with reference to population estimates?

Answer 2

Counting population within defined area on map, usually 25x25m or 50x50

Repeat 15 times

Mutliply up to estimate population within your area

Question 3

What is ratio correlation in reference to population estimates?

Answer 3

Based on estimate that a certain proportion of a population will present to hospital / clinic

eg: 1% of population go to hospital per day. You receive 100 patients that day. You could estimate the population to be 10,000

Question 4

What is chain referral method with reference to estimating populations?

Answer 4

Each time you see a patient, ask them if they know anyone else in the same situation as them –> chat to those referred and ask them the same –> etc etc etc

Benefits = fast, cheap, gather detailed demographics, access hard to reach people such as homeless, IVDU

Question 5

What are the top three infectious outbreaks in refugee camps?

Answer 5

Measles
Cholera
Flu

Question 6

Name 3 common skin presentations in refugee camps

Answer 6

Scabies
Cutaneous Leish
Body lice

Question 7

What is in a basic health screen package for a newly arrived refugee?

Answer 7

BASICS:
FBC, LFT, U+E
HbA1c
Lipids
Micronutrients
Blood pressure

INFECTIOUS DISEASE:
HIV, Hep B, Hep C
TB
Helminths (schisto, strongy)

CANCER:
HPV, gastric, HCC

VACCINATION:
MMR
Diptheria, tetanus, polio
Hep B
BCG

OTHER:
Contraception, vision, dental, mental health