Advice and guidance on the health needs of migrant patients from Algeria for healthcare practitioners.
If the patient is new to the UK:
- explain to them how the NHS works and their entitlements to healthcare
- discuss how this compares to the healthcare system they’ve been used to
- follow guidance on how to comprehensively assess new migrant patients
- ensure that they are up to date with the UK immunisation schedule
- ask about any travel plans the patient may have to visit friends and relatives in their country of origin
Screen all new entrants, including children, for tuberculosis (TB).
Due to an intermediate prevalence, consider screening for hepatitis B, particularly among those who have recently arrived.
There is a risk of typhoid infection.
Consider nutritional and metabolic concerns.
There is a high incidence of TB (40 to 499 cases per 100,000), so:
- screen all new entrants (including children) for TB according to NICE guidelines
- refer to TB services promptly if screening is positive
- maintain long-term vigilance for symptoms of TB even if initial screening is negative
- be aware that TB is a notifiable disease
Sexually transmitted infections (STIs) and HIV
Take a sexual history, and:
- screen for STIs and HIV according to risk as specified in the UK national standards and guidelines
- test all sexually active patients under the age of 25 for chlamydia
There is a low rate of HIV (less than or equal to 1%), so offer and recommend an HIV test if the patient:
- falls into a high risk group
- is newly registering in a high prevalence area
There is an intermediate prevalence of hepatitis B, so:
- consider screening for hepatitis B, particularly those who have recently arrived
- offer screening for hepatitis B to all pregnant women during each pregnancy
- immunise appropriately babies born to mothers who are hepatitis B positive, and follow up accordingly
- be aware that the UK has a a universal infant immunisation programme for hepatitis B and a selective immunisation programme for higher risk groups
There is a risk of typhoid infection, so:
- ensure that travellers are offered typhoid immunisation and advice on prevention of enteric fever
- remember enteric fever in the differential diagnosis of illness in patients with a recent history of travel to or from this country
Reproductive health indicators
|Reproductive health indicator||UK||Algeria|
|Number of children per woman (lifetime average)||1.6||3.0|
|Use of contraception (by woman of reproductive age or partner)||71.7%||57.1%|
Nutritional and metabolic concerns
There is a moderate risk of anaemia in adults (estimated prevalence in non-pregnant women is 20 to 40%) and in pre-school children (estimated prevalence is 20 to 40%) in Algeria, so:
- consider the possibility of anaemia in recently arrived migrants, particularly women and pre-school children
- test as clinically indicated
Consider the possibility of vitamin D deficiency in people who may be at risk due to:
- darker skin
- those who are not often outdoors
- those who cover up most of their skin when outdoors
There is a high risk of vitamin A deficiency.
People from Algeria may be at risk of moderate iodine deficiency due to inadequate intake.
Health indicators and health care
WHO Global Health Observatory has a summary of key health indicators and health care in Algeria.
Culture, politics and history
The main languages used in Algeria are:
- Arabic (official)
- Berber dialects: Kabylie Berber (Tamazight), Chaouia Berber (Tachawit), Mzab Berber, Tuareg Berber (Tamahaq)
Source: The World Factbook.
|Religion||Population (%) - 2012 estimate|
|Muslim (predominantly Sunni)||99|
|Other (includes Christian and Jewish)||1|
Source: The World Factbook.
Migration to the UK
There were almost 24,000 people from Algeria living in England and Wales at the time of the 2011 Census.