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Refugees and asylum seekers should be screened for tuberculosis, says doctor

TheCopenhagenPost
December 3rd, 2015


This article is more than 9 years old.

Respiratory specialist calling for mandatory check of new arrivals

One doctor wants all refugees scanned for TB (photo: NIAID)

Niels Seer Holm, the head doctor at the respiratory medicine department at Gentofte Hospital, is calling for all refugees coming into Denmark to submit to a mandatory screening for tuberculosis.

Holm is concerned that many of the refugees are fleeing war and camps and may be spreading infectious diseases like tuberculosis in the country.

“This is done, for example, in the Netherlands and Norway and has been standard practice for many years,” Holm told DR Nyheder.

Voluntary check not good enough
Currently, asylum-seekers are offered a medical check-up with a nurse at one of the Danish Red Cross reception centres. They are only examined further if they are in a high-risk group or during the conversation specify symptoms suggestive of tuberculosis.

According to Holm, that is simply not good enough.

“Many of the refugees from Syria, which does not have a high rate of tuberculosis, are well enough,” said Holm.

“But we know there are people who have been in camps in countries where there is a high risk of contracting tuberculosis. It is only natural to suspect that some of them may be infected.”

READ MORE: Tuberculosis staging a slow comeback

The authorities estimate that over 78,000 refugees have arrived in Denmark since September. So far, over 13,000 of them have sought asylum, but the numbers are increasing since Sweden introduced border controls three weeks ago.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”