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Main messages

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 (TB)

The incidence of TB in Armenia is low (<40 cases/100,000) but there is a high burden of Multi Drug Resistant (MDR) TB, so:

• routine screening for TB is not required
• consider testing in patients (including children) who show signs and symptoms
• seek advice, if you are a local TB service, from the before treating patients from Armenia for TB
• be aware that TB is a notifiable disease

Sexually transmitted infections (STI) 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

Armenia has a low rate of HIV (鈮�1%), so:

• offer and recommend a 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

Armenia 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聽and a selective immunisation programme for higher risk groups

Hepatitis C

Armenia has a considerably higher prevalence of hepatitis C than the UK, so .

Travel plans and advice

Ask opportunistically about any travel plans the patient may have to visit friends and relatives in their country of origin, and see , or the Health Protection Scotland websites ( and ), for travel advice.

Malaria

There is a low risk of malaria in some areas of Armenia, so:

• test any unwell patient who has travelled to-and-from in the last year
• remember that malaria can be rapidly fatal

Typhoid

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

• ensure that travellers to Armenia 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 Armenia

Women鈥檚 health

Reproductive health indicators

Reproductive health indicator	UK	Armenia
Children per woman鹿	2	1
Use of contraception虏	82%	53.1%

鹿lifetime average 虏by woman of reproductive age or partner

No data is available on:

• mammography screening rates
• cervical cancer screening rates

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:

• 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 Armenia.

Country profile

Health indicators and health care

has a summary of health indicators and health care in Armenia.

Culture, politics and history

and provide background information on the culture, politics and history of Armenia.

Languages

Language	Population (%)
Armenian	97.9%
碍耻谤诲颈蝉丑鹿	1%
Other	1%

鹿spoken by Yezidi minority

Source:

Religions

Religion	Population (%)
Armenian Apostolic	92.6%
Evangelical	1%
None	1.1%
Other	2.4%
Unspecified	2.9%

Source:

Migration to the UK

There were almost 2,000 people from Armenia living in England and Wales at the time of the 2011 Census.

Source: