Guidance

Grenada: migrant health guide

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

Main messages

If the patient is new to the UK:

  • explain to them how the NHS works
  • discuss how this compares to the healthcare system they’ve been used to

Ensure that all patients are up-to-date with the UK immunisation schedule.

Consider screening for hepatitis B, particularly among those who have recently arrived. Grenada has an intermediate prevalence.

Ask opportunistically about any travel plans the patient may have to visit friends and relatives in their country of origin, and see National Travel Health Network and Centre (NaTHNaC), or the Health Protection Scotland websites (TRAVAX and fitfortravel), for travel advice.

There is a risk of typhoid infection in Grenada.

Infectious diseases

Immunisation

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

Tuberculosis

There is a low incidence of TB in Grenada (<40 cases/100,000), so:

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

Sexually transmitted infections and HIV

Take other risk factors into consideration when assessing likely health needs relating to HIV and STIs (no data are available on HIV prevalence in Grenada).

Hepatitis B

Grenada has 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 selective immunisation programme for hepatitis B

Hepatitis C

Grenada has a higher prevalence of hepatitis C than the UK, so consider screening for hepatitis C if other risk factors apply.

Travel plans and advice

Ask opportunistically about any travel plans the patient may have to visit friends and relatives in their country of origin, and see National Travel Health Network and Centre (NaTHNaC), or the Health Protection Scotland websites (TRAVAX and fitfortravel), for travel advice.

Typhoid

There is a risk of typhoid infection in Grenada, so:

  • ensure that travellers to Grenada 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 Grenada

Helminths

There is a risk of helminth infections in Grenada, including soil transmitted helminthiasis.

Women’s health

Reproductive health indicators

Reproductive health indicator UK Grenada
Number of children per woman¹ 2 2

¹lifetime average

No data are available on:

  • contraceptive use
  • mammography screening rates
  • cervical cancer screening rates

Nutritional and metabolic concerns

Anaemia

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

  • covering their body for cultural or religious reasons (lack of sunlight)
  • skin colour
  • diet (vegan or vegetarian)

Vitamin A

There is a risk of vitamin A deficiency in Grenada.

Country profile

Health indicators and health care

WHO Global Health Observatory has a summary of health indicators and health care in Grenada.

Culture, politics and history

BBC News and The World Factbook provide background information on the culture, politics and history of Grenada.

Languages

The main languages used in Grenada are:

  • English (official)
  • French patois

Source: The World Factbook.

Religions

Religion Population (%)
Roman Catholic 53
Anglican 13.8
Other Protestant 33.2

Source: The World Factbook.

Migration to the UK

There were over 9,000 people from Grenada living in England and Wales at the time of the 2011 Census.

Source: Office for National Statistics.

Published 31 July 2014