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Refugees, Asylum Seekers and Immunisation Immunisation Update 5 th August 2014 Dr. I-Hao Cheng Refugee Health Program Manager & General Practitioner UNHCR.

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Presentation on theme: "Refugees, Asylum Seekers and Immunisation Immunisation Update 5 th August 2014 Dr. I-Hao Cheng Refugee Health Program Manager & General Practitioner UNHCR."— Presentation transcript:

1 Refugees, Asylum Seekers and Immunisation Immunisation Update 5 th August 2014 Dr. I-Hao Cheng Refugee Health Program Manager & General Practitioner UNHCR ABC

2 Refugees and Asylum Seekers in Australia

3 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”.

4 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

5 New settlers 2012/13 Offshore refugee arrivals: Iraq 4,064 Afghanistan2,431 Burma (Myanmar) 2,352 Bhutan1,023 Iran DR Congo, Somalia, Sudan, Eritrea, Ethiopia, Other Total12,515 https://www.immi.gov.au/media/fact- sheets/60refugee.htm Onshore asylum approvals: Afghanistan Iran Iraq Sri Lanka Other Total7,504 Source: DIMA

6 Immunisation needs

7 Refugee health assessment Comprehensive history, examination, investigations, plan of management. MBS #701, 703, 705, 707

8 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

9

10 Prior immunsation Overseas childhood schedules WHO - EPI Refugee pre-departure health check - MMR x1 Asylum seeker immigration detention facility - MMR x1-2, Hep B x1-3 On-arrival health assessment - Variable Other services

11 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

12 Immunisation eligibility

13 Health service eligibility Does the patient have a Medicare card? Does the patient have a Health Care Concession card? Is the patient linked with a support agency?

14 Immunisation eligibility Use the Victorian Immunsation Schedule

15 Refugee and Asylum Seeker Management Tips

16 Use interpreter services Translating and Interpreting Service (TIS) National Doctors Priority Line: Advance bookings:

17 Have a written plan Use a written plan

18 Coordinate with settlement and humanitarian case workers AMES Settlement Red Cross Other

19 Seek advice Refugee Health Program Monash Community Refugee Health Nurses and Refugee Health Fellow


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