Advice and guidance on the health needs of migrant patients from the Czech Republic 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
Due to a low prevalence, ascertain any risk factors for hepatitis B infection that may indicate the need for screening.
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
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
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
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 may be a risk of vitamin A deficiency in Czech Republic.
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
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
Source: The World Factbook.
|Other and unspecified||54|
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.