Predeparture medical assessment (includes all or some of the following).7 8
| Initial medical consultation | History and physical examination, review of immunisation history |
| Chest radiograph | ≥11 years of age |
| Diagnostic tests for TB* | Sputum smear and culture testing |
| Other laboratory investigations | Host-country dependent; eg, HIV/syphilis serology (≥15 years), urinalysis |
| Immunisations | Host-country dependent; eg, MMR |
| Detection/presumptive treatment of specific conditions | Host-country dependent; eg, RDT for malaria (treatment of malaria, if positive) and/or anti-helminth therapy |
| Pre-embarkation ‘fitness-to-travel’ check | A rapid assessment 24–72 h before departure to detect new conditions that could compromise the safety of refugees and other passengers |
| Transfer of relevant health information to appropriate immigration or public health authorities | Refugees with specific health concerns (eg, TB) sign a Health Undertaking and are required to undergo medical assessment post arrival to the host country |
*Where abnormal chest radiograph suspicious of TB.
MMR, measles, mumps, rubella vaccination; RDT, rapid diagnostic testing; TB, tuberculosis.