Public Health England
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 theyve 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
Due to a low prevalence, ascertain any risk factors for hepatitis B infection that may indicate the need for screening.
There is a risk of typhoid infection.
Consider nutritional and metabolic concerns.
There is a low incidence of TB in Hungary (<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
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
Hungary 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
Hungary has a low 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
There is a risk of typhoid infection in Hungary, so:
- ensure that travellers to Hungary 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 Hungary
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.
Nutritional and metabolic concerns
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
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
There is maybe a risk of vitamin A deficiency in Hungary.
Reproductive health indicators
|Reproductive health indicator||UK||Hungary|
|Number of children per woman||1.7||1.5|
|Use of contraception||71.7%||61.6%|
lifetime average; by woman of reproductive age or partner
Health indicators and health care
WHO Global Health Observatory has a summary of health indicators and health care in Hungary.
Culture, politics and history
Hungarian is the mother tongue of 98.9% of Hungarian speakers
Source: The World Factbook
Source: The World Factbook
Migration to the UK
There were over 48,000 people from Hungary living in England and Wales at the time of the 2011 Census.