What screening should immigrants have during their first medical visit in the United States?
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Screening for tuberculosis (TB) with a purified protein derivative (PPD) is probably indicated for all immigrants over 6 months of age. Screening for hepatitis B and anemia may also be indicated depending on region of origin. HIV and syphilis screening should be done if not carried out prior to immigration. (SOR C, extrapolation from cohort studies.) Immigrants should also receive routine health screening appropriate for their age and sex. (SOR A, based on guidelines from the US Preventive Services Task Force.)
Evidence Based Practice 12(7): 04-05.