Home » Departments » Health » Services » Refugee Health

Refugee Health Program


All refugees coming to the US should have a comprehensive health screening within 90 days of their arrival. Within two weeks of arrival all refugees who are resettling in Manchester are seen at the Manchester Health Department for an initial assessment by a community health nurse. The Manchester Health Department's Refugee Health Program includes the following components:

Initial Health Assessment and Tuberculin Skin Testing

A community health nurse conducts a preliminary health screening and screens for tuberculosis. New arrivals who have positive TB tests receive further testing and follow-up. If medication is indicated, community health nurses collaborate closely with the new arrival and her/his health care provider.

Medical Evaluation

Refugee clients are scheduled for a medical evaluation with a primary care physician through arrangements made by the resettlement agency. The Manchester Health Department works closely with resettlement agencies and local health providers to ensure refugees are assessed for conditions of public health significance.


As a designated Civil Surgeon, the Manchester Health Department assures the immunization process for status adjustment (green card).

Refugee clients receive an assessment of their immunization history and status. As indicated, immunizations are given to bring both adults and children in compliance with US standards.

Lead Screenings

Many refugee families resettle in pre-1950 center city housing which may place children at increased risk for lead exposure. Refugee children aged sixteen years of age and under are screened for lead at the time of arrival and re-screened within 90 days.

Health Orientation Class

The community health nurse, in collaboration with interpreters, presents a health information session to all new arrivals. Topics include: emergency and non-emergency health care access, personal hygiene, injury prevention, infection and disease prevention, and cultural adjustment.

Community Presentations

Presentations on refugee health issues are available for local community agencies and groups, colleges and local health care providers. Please call 624-6466 for further information.