188体育

Main messages

Infectious diseases

Immunisation

Ensure that all patients, especially children, are up-to-date with the UK immunisation schedule.

Tuberculosis (TB)

There is a high incidence of TB in Morocco (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

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

Morocco has a low rate of HIV (鈮�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
• 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

Morocco has a low prevalence of hepatitis B, so:

• 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

Morocco has a 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.

Typhoid

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

• ensure that travellers to Morocco 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 Morocco

Helminths

There is a risk of helminth infections in Morocco, including soil transmitted helminthiasis.

Women鈥檚 health

Reproductive health indicators

Reproductive health indicator	UK	Morocco
Children per woman鹿	2	2
Use of contraception虏	82%	63%
Breast examination or mammography鲁	75%	2%
Cervical cancer screening鈦�	70%	4%

鹿lifetime average 虏by woman of reproductive age or partner 鲁women aged 50 to 69 years 鈦磜omen aged 20 to 69 years.

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 in pre-school children (estimated prevalence is 20 to 40%), in Morocco, 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 risk of vitamin A deficiency in Morocco.

Iodine

People from Morocco may be at risk of mild iodine deficiency due to inadequate intake.

Country profile

Health indicators and health care

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

Culture, politics and history

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

Languages

The main languages used in Morocco are:

• Arabic (official)
• Berber languages:
  • Tamazight (official)
  • Tachelhit
  • Tarifit
• French: often the language of business, government and diplomacy

Source: .

Religions

Religion	Population (%)鹿
惭耻蝉濒颈尘虏	99
翱迟丑别谤鲁	1

鹿2010 est. 虏official; virtually all Sunni, <0.1% Shia 鲁includes Christian, Jewish (about 6,000) and Baha鈥檌

Source: .

Migration to the UK

There were over 21,000 people from Morocco living in England and Wales at the time of the 2011 Census.

Source: 漏 Crown Copyright 2014.