Guidance

Jamaica: migrant health guide

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

Main messages

If the patient is new to the UK:

Offer and recommend an HIV test to all adults. Consider offering an HIV test to infants and children who have recently arrived in the UK.

Offer all sexually active individuals:

  • a full sexual health screen
  • safer sex health promotion advice

The prevalence of human T-lymphotropic virus (HTLV) is high.

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.

Infectious diseases

Immunisation

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

Tuberculosis (TB)

There is a low incidence of TB (less than 40 cases per 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

There is a high rate of HIV (greater than 1%), so:

Although recent global data on STIs are not available, countries with high HIV rates tend to have higher rates of STIs, and the range of STIs encountered may vary from those in the UK. Offer sexually active individuals:

  • a full sexual health screen
  • safer sex health promotion advice by referral to local genito-urinary medicine services.

Hepatitis B

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
  • appropriately immunise 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

Hepatitis C

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

Typhoid

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

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.

Women’s health

Reproductive health indicators in the UK and Jamaica

Reproductive health indicator UK Jamaica
Number of children per woman [lifetime average] 1.6 2.0
Use of contraception [by woman of reproductive age or partner] 71.7% 72.5%

Find out more about women’s health.

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 in pre-school children (estimated prevalence is 20 to 40%) in Jamaica. You should:

  • be alert to this possibility 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
  • not spending much time outdoors
  • covering up most of their skin when outdoors

Vitamin A

There is a high risk of vitamin A deficiency.

Country profile

Health indicators and health care

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

Culture, politics and history

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

Languages

The main languages used in Jamaica are:

  • English
  • English patois

Source: The World Factbook

Find out about language interpreting.

Religions

Table: religions in Jamaica

Religion Population (%) (2011 estimates)
Protestant (includes: Seventh Day Adventist 12%, Pentecostal 11%, Other Church of God 9.2%, New Testament Church of God 7.2%, Baptist 6.7%, Church of God in Jamaica 4.8%, Church of God of Prophecy 4.5%, Anglican 2.8%, United Church 2.1%, Methodist 1.6%, Revived 1.4%, Brethren 0.9%, and Moravian 0.7%) 64.8
None 21.3
Other 6.5
Unspecified 2.3
Roman Catholic 2.2
Jehovah’s Witness 1.9
Rastafarian 1.1

Source: The World Factbook

Migration to the UK

There were over 142,000 people from Jamaica living in England and Wales at the time of the 2021 Census.

Source: Office for National Statistics

Published 31 July 2014
Last updated 12 April 2023 + show all updates
  1. Updated the vitamin D deficiency risk groups and migration to UK statistics.

  2. Updated advice on testing for anaemia, based on current prevalence in Jamaica.

  3. First published.