Abstract
In the second quarter of 2017 there were 7778 (including 1606 dependants and 547 unaccompanied children) applications for asylum in the UK.1 The health needs of asylum-seeking children are wide ranging and can vary depending on their country of origin, broadly dividing into infectious diseases, anaemia, vitamin deficiencies and potential growth retardation, dental and mental health. Asylum-seeking children have probably not been immunised as per UK immunisation schedule. They are also at higher risk of certain infections. TB is common among asylum seekers, its detection and treatment being particularly important in children who are at higher risk of latent TB Infection (LTBI) reactivation and more likely to have extra-pulmonary spread, including TB meningitis.2 Of 1825 screened refugee children in Massachusetts, 25% had a positive tuberculin (purified protein derivative [PPD]) test.3 Chest X-rays screen for active pulmonary TB but do not …
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