GovWire

Guidance: Hungary: migrant health guide

Public Health England

September 20
12:31 2021

Main messages

If the patient is new to the UK:

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.

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 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

Hepatitis B

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

Hepatitis C

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

Typhoid

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

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:

  • darker skin
  • those who are not often outdoors
  • those who cover up most of their skin when outdoors

Vitamin A

There is maybe a risk of vitamin A deficiency in Hungary.

Womens health

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

Country profile

Health indicators and health care

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

Culture, politics and history

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

Languages

Language Population (%)
Hungarian (official) 99.6
English 16
German 11.2
Russian 1.6
Romanian 1.3
French 1.2
Other 4.2

Hungarian is the mother tongue of 98.9% of Hungarian speakers

Source: The World Factbook

Religions

Religion Population (%)
Roman Catholic 37.2
Calvinist 11.6
Lutheran 2.2
Greek Catholic 1.8
Other 1.9
None 18.2
Unspecified 27.2

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.

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