Guidance

Turkey: migrant health guide

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

From:
Public Health England
Published
31 July 2014
Last updated
18 April 2016 — See all updates

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 $CTAw

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

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

Ask 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.

Be aware that there is a risk of typhoid infection in Turkey.

Consider nutritional and metabolic concerns.

Find out more about children’s health. $CTA

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 in Turkey (<40 cases per 100,000), so:

  • routine screening 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

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

Turkey 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

Turkey 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 universal infant immunisation programme for hepatitis B and a selective immunisation programme for higher risk groups

Hepatitis C

Turkey has a higher prevalence of hepatitis C than the UK, so consider screening for hepatitis C if other risk factors apply.

Travel plans and advice

Ask 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 low risk of malaria in some areas of Turkey due to P. vivax., so:

Typhoid

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

  • ensure that travellers to Turkey 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 Turkey

Women’s health

Reproductive health indicators

Reproductive health indicator UK Turkey
Children per woman¹ 2 2
Use of contraception² 82% 71%

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 Turkey, 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 high risk of vitamin A deficiency in Turkey.

Iodine

People from Turkey may be at risk of moderate iodine deficiency due to inadequate intake.

Country profile

Health indicators and health care

WHO Global Health Observatory has a summary of health indicators and healthcare in Turkey.

Culture, politics and history

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

Languages

The main languages used in Turkey are:

  • Turkish (official)
  • Kurdish
  • other minority languages

Source: The World Factbook.


Find out about language interpretation.

Religions

Religion Population (%)
Muslim¹ 99.8
Other² 0.2

¹mostly Sunni ²mostly Christian and Jewish

Source: The World Factbook.

Migration to the UK

There were over 91,000 people from Turkey living in England and Wales at the time of the 2011 Census.

Source: Office for National Statistics © Crown Copyright 2014.

Updates to this page

Published 31 July 2014
Last updated 18 April 2016 + show all updates

  1. Updated advice on malaria and helminth risks, based on current prevalence in Turkey.

  2. First published.

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