Advice and guidance on the health needs of migrant patients from Grenada for healthcare practitioners.
If the patient is new to the UK:
- explain to them how the NHS works and their entitlements 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.
Consider screening for hepatitis C because of a considerably higher prevalence than the UK.
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
Grenada has a low prevalence of hepatitis B, so:
- 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 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
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 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
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
Reproductive health indicators
|Reproductive health indicator||UK||Grenada|
|Number of children per woman¹||1.7||2.0|
|Use of contraception²||71.7%||54.3%|
¹lifetime average; ²by woman of reproductive age or partner
Health indicators and health care
WHO Global Health Observatory has a summary of health indicators and health care in Grenada.
Culture, politics and history
The main languages used in Grenada are English (official) and French patois.
Source: The World Factbook.
¹includes Pentecostal 17.2%, Seventh Day Adventist 13.2%, Anglican 8.5%, Baptist 3.2%, Church of God 2.4%, Evangelical 1.9%, Methodist 1.6%, other 1.2%
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.