A refugee family from Iraq has registered at your clinic, having settled 6 months ago. What is an important consideration for their health assessment in the Australian context?
A. Order a standard battery of tests, including a full range of tropical disease screening for all family members.
B. Focus only on acute medical issues they present with.
C. Assume the father can translate for the whole family to save time.
D. Ensure they are aware of the Medicare rebate available for refugee health checks.
E. Defer a comprehensive health check until they have been settled for at least 12 months.
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A 45-year-old recent immigrant from a high-prevalence country has a positive tuberculin skin test (18mm) and negative chest X-ray. He has chronic hepatitis B. Which is the most appropriate initial management for latent tuberculosis infection in this patient?
A. Rifampicin daily for 4 months.
B. Isoniazid and rifampicin daily for 3 months.
C. Referral for liver biopsy before starting treatment.
D. Pyridoxine supplementation only.
E. Isoniazid daily for 9 months.
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