Guidance

Romania: migrant health guide

Advice and guidance on the health needs of migrant patients from Romania 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.

Screen all new entrants, including children, for tuberculosis (TB).

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

Consider screening for hepatitis C, because Romania has a considerably higher prevalence of hepatitis C than the UK.

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 Romania.

Find out more about children’s health.

Infectious diseases

Immunisation

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

Tuberculosis (TB)

There is a high incidence of TB in Romania (40 to 499 cases per 100,000), so:

  • screen all new entrants (including children) for TB according to NICE guidelines
  • refer to TB services promptly if screening is positive
  • maintain long term vigilance for symptoms of TB even if initial screening is negative
  • be aware that TB is a notifiable disease

Sexually transmitted infections and HIV

Take a sexual history, and:

  • screen for STIs and HIV according to risk as specified in the UK national standards and guidelines
  • test all sexually active patients under the age of 25 for chlamydia

Romania has a low rate of HIV (≤1%), so:

  • offer and recommend an HIV test if the patient:
    • falls into a high risk group
    • is newly registering in a high prevalence area
  • be advised that national guidelines do not recommend routine consideration of HIV testing of infants and children who have recently arrived in the UK

Hepatitis B

Romania 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

Romania has a considerably higher prevalence of hepatitis C than the UK, so consider screening for hepatitis C.

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 Romania, so:

  • ensure that travellers to Romania 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 Romania

Women’s health

Reproductive health indicators

Reproductive health indicator UK Romania
Children per woman¹ 2 1
Use of contraception² 82% 70%

¹lifetime average ²by woman of reproductive age or partner

No data are available on:

  • mammography screening rates
  • cervical cancer screening rates


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 Romania, so:

  • consider 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 Romania.

Iodine

People from Romania may be at risk of mild iodine deficiency due to inadequate intake.

Country profile

Health indicators and health care

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

Culture, politics and history

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

Languages

Language Population (%)¹
Romanian² 85.4
Hungarian 6.3
Unspecified 6.1
Romany³ 1.2
Other 1

¹2011 est. ²official ³Gypsy

Source: The World Factbook.


Find out about language interpretation.

Religions

Religion Population (%)¹
Eastern Orthodox² 81.9
Protestant³ 6.4
Unspecified 6.3
Roman Catholic 4.3
Other⁴ 0.9
None or atheist 0.2

¹2011 est. ²including all sub-denominations ³various denominations including Reformed and Pentecostal ⁴including Muslim

Source: The World Factbook.

Migration to the UK

There were almost 80,000 people from Romania living in England and Wales at the time of the 2011 Census.

Source: Office for National Statistics © Crown Copyright 2014.

Published 31 July 2014
Last updated 29 June 2017 + show all updates
  1. Updated and made editorial changes to meet GOV.UK style.
  2. First published.