Welcome to Refugee Health - Vancouver

Refugee Health Vancouver is a practical resource to support clinicians who provide care to refugees in British Columbia.

Need a patient handout on diabetes in Farsi? Looking for a Spanish-speaking dentist in Vancouver who offers reduced fees? Not sure what convention refugees are, why they would flee Myanmar, or how you can bill to care for them? This site pulls together the answers for you.

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Medical Guidelines

Hepatitis B

Hepatitis B guidelines

  • The BCCDC refers health professionals to the AASLD Practice Guideline: Chronic Hepatitis B - Update 2009
  • BC Guideline:  Viral Hepatitis Testing
  • Dr. Ed Tam's presentation to Bridge Clinic on March 19/12 summarized below
  • Bridge Clinic's printable Chronic Hep B flowsheet
  • Patient handouts in multiple languages
Submitted by admin on May 12, 2011

Highlights of Dr. Tam's March/12 presentation

  • No need to check INR with baseline bloodwork (only if enzymes, u/s etc abnormal)
  • No need to routinely check HDV. Consider if, for example, elevated enzymes don't make sense in context of HBV viral load.
  • Don't use afp for screening.
  • Regarding referrals, there were no specific recommendations. We all agreed that a referral to a specialist to provide continuity of care for monitoring makes sense, as the most important thing is that pts with HBV get f/u and often our patients get lost in the medical system, or with a new FP that doesn't have any HBV interest.
  • Presentation here.
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Written by Martina Scholtens MD (January 23, 2012)
Reviewed/updated by E Henshaw NP, S Nouch MD, M Scholtens MD (April 17, 2012)