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This document provides guidelines for the presumptive treatment and medical screening for malaria in refugees relocating to the United States from sub-Saharan Africa, focusing on the prevention and
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How to fill out domestic refugee health guidelines

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How to fill out DOMESTIC REFUGEE HEALTH GUIDELINES: MALARIA

01
Gather all necessary documents, including the refugee's health history and information about their travel.
02
Understand the local malaria transmission areas, including seasonal patterns.
03
Assess the refugee's age, health status, and any previous malaria treatment.
04
Ensure that the refugee is educated about malaria, its symptoms, and prevention methods.
05
Provide preventive measures such as insecticide-treated bed nets and antimalarial medications if indicated.
06
Conduct a health screening to identify any signs of malaria or other related illnesses.
07
Refer the refugee to local healthcare facilities if malaria is suspected or confirmed.
08
Document all findings and recommendations in the refugee's health records.

Who needs DOMESTIC REFUGEE HEALTH GUIDELINES: MALARIA?

01
Refugees who have relocated from malaria-endemic regions.
02
Healthcare providers and agencies responsible for the health of domestic refugees.
03
Public health officials working in areas with high refugee populations.
04
Organizations involved in refugee health management and support.
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CDC recommends a primaquine phosphate dose of 30 mg (base) by mouth daily for 14 days. Due to reduced efficacy of primaquine in patients ≥70 kg, the total dose of primaquine should be adjusted in these patients to 6 mg/kg, then divided into daily doses of 30 mg for the number of days needed to complete the total dose.
Priority infectious diseases affecting refugees and other newly arriving migrants to high-income countries include tuberculosis (TB) (active and latent), HIV, hepatitis B, hepatitis C, vaccine-preventable diseases (such as measles, mumps, rubella, diphtheria, tetanus, pertussis, and Haemophilus influenzae type b), and
The domestic refugee medical screening examination, conducted soon after US arrival, offers a timely opportunity to identify acute and chronic health conditions. The initial history and physical examination are critically important to identify and manage acute and chronic health conditions.
Stressors facing refugees and migrants Pre-migration: lack of livelihoods and opportunities for education and development, exposure to armed conflict, violence, natural disasters, poverty and/or persecution.
CDC's Division of Global Migration Health (DGMH) provides the Department of State (DOS) and the Department of Homeland Security U.S. Citizenship and Immigration Services (USCIS) with Technical Instructions for all physicians performing overseas and U.S.-based medical screening examinations for immigrants and refugees.
Overcrowded camps, inadequate sanitary facilities, poor hygiene conditions and insufficient access to clean drinking water increase the risk of disease outbreaks, including diarrheal diseases, skin or viral infections. In addition to the physical consequences, the mental health of displaced people is at risk.
ing to the World Health Organization (WHO), the most common health conditions seen in refugee camps include hypothermia, burns and gastrointestinal illnesses.
Refugee mental health is a serious concern, as many of these individuals can experience post-traumatic stress disorder (PTSD), anxiety, sadness, hopelessness, sleep issues, irritability, anger, fatigue, and depression.

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DOMESTIC REFUGEE HEALTH GUIDELINES: MALARIA provides instructions and recommendations for the diagnosis, treatment, and prevention of malaria in domestic refugees to ensure their health and safety upon resettlement.
Health care providers who serve domestic refugees and local health agencies are required to file the DOMESTIC REFUGEE HEALTH GUIDELINES: MALARIA to ensure compliance with public health standards.
To fill out the DOMESTIC REFUGEE HEALTH GUIDELINES: MALARIA, providers should follow the structured format, ensuring accurate documentation of each refugee's health status, malaria history, and any treatments provided.
The purpose of the DOMESTIC REFUGEE HEALTH GUIDELINES: MALARIA is to provide a standardized approach to managing malaria cases among refugees and to prevent further outbreaks within communities.
The information that must be reported includes the refugee's personal details, malaria symptoms, diagnostic results, treatment administered, follow-up care, and any adverse reactions to medications.
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