Sudan: migrant health guide
Advice and guidance on the health needs of migrant patients from Sudan for healthcare practitioners.
Main messages
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
- Screen all new entrants, including children, for tuberculosis (TB).
Due to a high prevalence, consider screening for hepatitis B, particularly among those who have recently arrived.
There is a high risk of malaria in some areas.
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. See Immunisation collection with complete schedules.
Tuberculosis
There is a high incidence of TB (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 (STIs) and HIV
There is a high rate of HIV (greater than 1%), so:
- offer and recommend an HIV test to all adults according to adult HIV UK testing guidelines.
- consider offering an HIV test to infants and children who have recently arrived in the UK according to child HIV UK testing guidelines
Although recent global data on STIs is 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, so offer to 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
- 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
Hepatitis C
The prevalence of hepatitis C is higher than the UK, so consider screening for hepatitis C if other risk factors apply.
Malaria
There is a high risk of malaria in some areas, mainly due to P. falciparum, so:
- test any unwell patient who has travelled to-and-from affected areas in the last year
- remember that malaria can be rapidly fatal
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
Helminths
There is a risk of soil-transmitted helminth infections.
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
| Reproductive health indicator | UK | Sudan |
|---|---|---|
| Number of children per woman (lifetime average) | 1.6 | 4.6 |
| Use of contraception (by woman of reproductive age or partner) | 71.7% | 11.7% |
Female genital mutilation
Female genital mutilation (FGM) has been estimated to affect more than 80% of women and girls, so be advised that:
- children born in the UK may be at risk of FGM during visits to friends and relatives
- it is illegal to take girls who are British nationals or permanent residents of the UK abroad for FGM, whether or not it is lawful in other countries
Contact the police if you think that a girl or young woman is in immediate danger of FGM. You should also contact the Foreign and Commonwealth Office if she has already been taken abroad.
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 greater than 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:
- darker skin
- those who are not often outdoors
- those who cover up most of their skin when outdoors
Vitamin A
There is a high risk of vitamin A deficiency in Sudan.
Iodine
People from Sudan 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 Sudan.
Culture, politics and history
BBC News and The World Factbook provide background information on the culture, politics and history of Sudan.
Languages
The main languages used in Sudan are:
- Arabic (official)
- English (official)
- Ta Bedawie
- Fur
Source: The World Factbook.
Religions
The main religions in Sudan are:
- Sunni Muslim
- small Christian minority
Source: The World Factbook.
Migration to the UK
At the time of the 2011 Census there were over 17,000 people from Sudan living in England and Wales.
Updates to this page
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Hepatitis B prevalence level and vitamin D deficiency risk groups have been updated.
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First published.