refugees, asylum seekers and immunisation immunisation update 5 th august 2014 dr. i-hao cheng...
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Refugees, Asylum Seekers and Immunisation
Immunisation Update5th August 2014
Dr. I-Hao Cheng
Refugee Health Program Manager
& General Practitioner
UNHCR
ABC
Refugees and Asylum Seekers in Australia
A refugee:
Any person who has been determined as: having a well-founded fear of being
persecuted, outside the country of his nationality, unwilling to return.
Given rights, protection and assistance associated with “refugee status”.
An asylum seeker:
An individual whose application for refugee status is still pending a final decision…
Not given rights, protection and assistance associated with UNHCR Refugee status
New settlers 2012/13
Offshore refugee arrivals:
Iraq 4,064 Afghanistan 2,431Burma (Myanmar) 2,352Bhutan 1,023IranDR Congo, Somalia, Sudan, Eritrea, Ethiopia, Other
Total 12,515https://www.immi.gov.au/media/fact-sheets/60refugee.htm
Onshore asylum approvals:
AfghanistanIranIraqSri LankaOther
Total 7,504
Source: DIMA
Immunisation needs
Refugee health assessment
Comprehensive history,examination, investigations, plan of management.MBS #701, 703, 705, 707
Prior immunsation
Overseas childhood schedules WHO - EPI - Childhood and other schedules less than Australia
Pre-departure health check
Immigration detention facility
On-arrival health assessment
Other services
Prior immunsation
Overseas childhood schedules WHO - EPI
Refugee pre-departure health check - MMR x1Asylum seeker immigration detention facility - MMR x1-2, Hep B x1-3On-arrival health assessment - Variable
Other services
Prior immunsation
Overseas childhood schedules WHO - EPI
Pre-departure health check
Immigration detention facility
On-arrival health assessment
Other services - Health services, English language schools
Immunisation eligibility
Health service eligibility
Does the patient have aMedicare card?
Does the patient have aHealth Care Concession card?
Is the patient linked with asupport agency?
Immunisation eligibility
Use the Victorian Immunsation Schedule
Refugee and Asylum Seeker Management Tips
Use interpreter services
Translating and Interpreting Service (TIS) National
Doctors Priority Line: 1300 131 450
Advance bookings: http://www.tisnational.gov.au/
Have a written plan
Use a written plan
Coordinate with settlement and humanitarian case workers
AMES Settlement
Red Cross
Other
Seek advice
Refugee Health Program
8792 1911www.semml.com.au
Monash CommunityRefugee Health Nurses andRefugee Health Fellow
9792 8100