Czech Republic: migrant health guide

Advice and guidance on the health needs of migrant patients from the Czech Republic for healthcare practitioners.

Main messages

If the patient is new to the UK:

Due to a low prevalence, ascertain any risk factors for hepatitis B infection that may indicate the need for screening.

Infectious diseases


Ensure that all patients, especially children, are up-to-date with the UK immunisation schedule. See Immunisation collection with complete schedules.


There is a low incidence of TB in Czech Republic (<40 cases per 100,000), so:

  • routine screening is not required
  • consider testing in patients (including children) who show signs and symptoms
  • be aware that TB is a notifiable disease

Hepatitis B

Czech Republic has a low 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 universal infant immunisation programme for hepatitis B and a selective immunisation programme for higher risk groups

Hepatitis C

The prevalence of hepatitis C is higher than the UK, so consider screening for hepatitis C if other risk factors apply.


There is a risk of typhoid infection in Czech Republic, so:

  • ensure that travellers to Czech Republic 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 Czech Republic

Travel plans and advice

Ask opportunistically about any travel plans the patient may have to visit friends and relatives in their country of origin. People who travel to visit friends and relatives (VFR travellers) should visit the Foreign and Commonwealth Office for overseas travel advice and National Travel Health Network and Centre (NaTHNaC) for country specific travel advice prior to leaving the UK.

Nutritional and metabolic concerns


There is a moderate risk of anaemia in adults (estimated prevalence in non-pregnant women is 20 to 40%) and pre-school children (estimated prevalence is 20 to 40%), so:

  • be alert to the possibility of anaemia in recently arrived migrants, particularly women and pre-school children
  • test as clinically indicated

Vitamin D

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

Vitamin A

There may be a risk of vitamin A deficiency in Czech Republic.

Women’s health

Reproductive health indicators

Reproductive health indicator UK Czech Republic
Number of children per woman¹ 1.7 4.6
Use of contraception² 71.7% 86.3%

¹lifetime average; ²by woman of reproductive age or partner

Country profile

Health indicators and health care

See WHO Global Health Observatory for a summary of health indicators and health care in the Czech Republic.

Culture, politics and history

See BBC News and The World Factbook for background information on the culture, politics and history of the Czech Republic.


Language Population (%)
Czech (official) 95.4
Slovak 1.6
Other 3

Source: The World Factbook.


Religion Population (%)
Roman Catholic 10.4
Protestant¹ 1.1
Other and unspecified 54
None 34.5

¹includes: Czech Brethren and Hussite

Source: The World Factbook.

Migration to the UK

At the time of the 2011 census there were almost 36,000 people from Czech Republic living in England and Wales.

Published 31 July 2014
Last updated 7 September 2021 + show all updates
  1. Updated country guidance on prevalence of communicable diseases and other health topics.

  2. First published.