188体育

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

There is a high incidence of TB in C么te d鈥橧voire (40 to 499 cases per 100,000), so:

• screen all new entrants (including children) for TB according to
• refer to TB services promptly if screening is positive
• maintain long term vigilance for symptoms of TB even if initial screening is negative
• be aware that TB is a notifiable disease

Sexually transmitted infections and HIV

There is a high rate of HIV in C么te d鈥橧voire (>1%), so:

• offer and recommend an HIV test to all adults according to .
• consider offering an HIV test to infants and children who have recently arrived in the UK according to

Although recent global data on STIs are not available, countries with high HIV rates tend to have higher rates of STIs, and the range of STIs encountered in C么te d鈥橧voire may vary from those in the UK, so offer to sexually active individuals:

• a full sexual health screen
• safer sex health promotion advice by referral to local genito-urinary medicine services.

Hepatitis B

C么te d鈥橧voire has a high 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

C么te d鈥橧voire 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 high risk of malaria in C么te d鈥橧voire, mainly due to P. falciparum, so:

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

Typhoid

There is a high risk of typhoid infection in C么te d鈥橧voire, so:

• ensure that travellers to C么te d鈥橧voire 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 C么te d鈥橧voire

Helminths

There is a risk of helminth infections in C么te d鈥橧voire, including:

• schistosomiasis
• lymphatic filariasis
• soil transmitted helminthiasis

Women鈥檚 health

Reproductive health indicators

Reproductive health indicator	UK	C么te d鈥橧voire
Number of children per woman鹿	2	5
Breast examination or mammography虏	75%	0%
Cervical cancer screening鲁	70%	7%

鹿lifetime average; 虏women aged 50 to 69 years; 鲁women aged 20 to 69 years

No data are available on:

• contraceptive use

Female genital mutilation

Female genital mutilation (FGM) has been estimated to affect more than 30% of women and girls in C么te d鈥橧voire, so be advised that:

• children born in the UK may be at risk of FGM during visits to friends and relatives in C么te d鈥橧voire
• it is illegal to take girls who are British nationals or permanent residents of the UK abroad for FGM, whether or not it is lawful in C么te d鈥橧voire

Find out more about women鈥檚 health.

Nutritional and metabolic concerns

Anaemia

There is a high risk of anaemia in adults (estimated prevalence in non-pregnant women is >40%) and pre-school children (estimated prevalence is >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 C么te d鈥橧voire.

Country profile

Health indicators and health care

has a summary of health indicators and health care in C么te d鈥橧voire.

Culture, politics and history

and provide background information on the culture, politics and history of C么te d鈥橧voire.

Languages

The main languages used in C么te d鈥橧voire are:

• French (official)
• 60 native dialects of which Dioula is the most widely spoken

Source: .

Find out about language interpretation.

Religions

Religion	Population (%)
Muslim	38.6
Christian	32.8
Indigenous	11.9
None	16.7

Source: .

Migration to the UK

There were almost 8,000 people from C么te d鈥橧voire living in England and Wales at the time of the 2011 Census.

Source: .