Guidance

Suriname: migrant health guide

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

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

Offer to all sexually active individuals:

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

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

Consider screening for hepatitis C, because Suriname has a considerably higher prevalence 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 high risk of malaria in Suriname.

There is a risk of typhoid infection in Suriname.

Be alert for possible cases of Chagas disease, and refer as appropriate, because there is a risk of chronic Chagas disease in migrants from Suriname.

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 Suriname (<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

There is a high rate of HIV in Suriname (>1%), so:

  • offer and recommend an HIV test according to UK national testing guidelines
  • consider offering an HIV test to infants and children who have recently arrived in the UK according to UK national testing guidelines

Be advised that 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 in Suriname 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

Suriname 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

Suriname 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.

Malaria

There is a high risk of malaria in Suriname, mainly due to P. falciparum and P. vivax., so:

Typhoid

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

  • ensure that travellers to Suriname 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 Suriname

Helminths

There is a risk of helminth infections in Suriname, including:

  • schistosomiasis
  • soil transmitted helminthiasis

Chagas

There is a risk of chronic Chagas disease in migrants from Suriname, so:

  • be alert for possible cases
  • refer as appropriate

Women’s health

Reproductive health indicators

Reproductive health indicator UK Suriname
Number of children per woman¹ 2 3
Use of contraception² 82% 41.2%

¹lifetime average; ²by woman of reproductive age or partner

No data are available on:

  • 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 pre-school children (estimated prevalence is 20 to 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 Suriname.

Country profile

Health indicators and health care

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

Culture, politics and history

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

Languages

The main languages used in Suriname. are:

  • Dutch (official)
  • English (widely spoken)
  • Sranang Tongo (Surinamese, sometimes called Taki-Taki, is native language of Creoles and much of the younger population and is lingua franca among others)
  • Caribbean Hindustani (a dialect of Hindi)
  • Javanese

Source: The World Factbook.

Religions

Religion Population (%)
Hindu 27.4
Protestant (predominantly Moravian) 25.2
Roman Catholic 22.8
Muslim 19.6
Indigenous beliefs 5

Source: The World Factbook.

Migration to the UK

There were almost 300 people from Suriname living in England and Wales at the time of the 2001 Census (no 2011 data available).

Source: Office for National Statistics.

Published 31 July 2014
Last updated 27 July 2018 + show all updates
  1. Updated HIV guidance with latest (2016) UNAIDS data.
  2. First published.