Post arrival screening may be active where the foreign-born are required to undergo examination because of their immigration status.
Immigration screening for TB may take place in three locations: (1) Pre-departure screening commonly in the country of origin (2) On arrival screening commonly occurs at the point of entry into the host country and at airports and other centers were migrants transit (3) Post arrival screening occurs once the migrant has left the airport or centers used for transitioning.
In a systematic review of screening programmes in Europe, which included information on pre-entry, arrival and community post arrival screening, the coverage of the programmes ranged from less than 20% to almost 100%, and it was generally lower for voluntary screening and higher when directed to asylum seekers [ 13].
Variables included immigration-associated TB epidemiology, authorities for TB screening, the primary objectives of the TB screening program, the yield of TB detection, operational aspects and requirements of pre departure and post arrival screening for medical or public health follow up for inactive PTB or LTBI.
Finally, it would be more appropriate to include post-arrival (resettlement) screening results to increase the pool of studies, although such data are inclusive of all refugees without noting their origin.
The Royal Children's Hospital RCHH) Immigrant Health Clinic (IHC) provides post-arrival refugee health screening and medical consultation/management for children of refugee background.
Routine medical screening of refugees arriving 30-90 dayss post-arrival) in resettlement countries have found different rates of NCDs [ 18, 32, 33].
"With both airport screening and post-arrival monitoring, we expect there to be a steady stream of people with some symptoms who are found not to have Ebola.
Guidelines for post-arrival refugee health assessments include oral health screening and health promotion in addition to screening for nutritional deficiencies and communicable diseases [ 6, 38].
Incorporating oral health screening and health promotion during post-arrival refugee health assessments was feasible and well received by families.
