Table 3.
Contents of the “Health Rendezvous”.
| General clinical examination by a physician including systematic detailed interview with |
| Search for a history of physical and mental violence and their consequences on health (after-effects of abuse, depression, post-traumatic syndrome, etc.); Search for situations of sexual vulnerability |
| Search for sleep disorders, anxiety syndrome, mood disorders and/or post-traumatic stress disorder |
| Full clinical examination with blood pressure measurement |
| Collection of the patient’ personal (known) medical history, particularly allergies, and consumption of tobacco, alcohol and drugs, especially intravenous drugs, and the search for current treatment |
| Assessment and updating of immunization status |
| In complex situations, this assessment may be entrusted to referral structures or professionals |
| Tuberculosis screening |
| Tuberculosis screening is the task of Tuberculosis centers (Centres de lutte anti-tuberculeuse, CLAT). The CLAT's mission is to refer people with the disease to a care facility, to organize any screening among family and friends, and to arrange distance visits for people who are not infected. For young children, CLATs may entail a specialized hospital consultation |
| Expert statement on the modalities of tuberculosis screening |
| Screen for TB disease by looking for suggestive symptoms and performing a routine chest X-ray as soon as possible in accordance with the ECDC recommendations on screening for TB in migrants [34], [35] |
| Screening for latent tuberculosis infection (LTI) by IGRA test or tuberculin TST in all children up to the age of 18 in accordance with the HCSP statement. IGRA tests are currently reimbursed only for minors under 15 years of age and can be performed free of charge in CLATs [36] |
| In the absence of LTI and BCG vaccination, catch-up BCG vaccination will be carried out as a priority for children under 5 years of age and if possible, up to 15 years of age in accordance with the French vaccination calendar |
| HIV, HBs, HCV testing |
| In addition to the standard serologies that can be performed as part of a blood test, rapid diagnostic tests (RDTs) for HIV, HBs antigen and HCV are encouraged, as they allow early access to screening and prevent the risk of non-return of results |
| Other tests to consider |
| Fasting capillary or blood glucose tests for people over 45 years of age |
| Performing a CBC, creatinine and transaminases |
| Syphilis serology if risk factors |
| Chlamydia/gonococcus PCR in urine or by routine vaginal self-sampling for sexually active persons under 25 and if risk factors for others |
| Tetanus and HBs antibodies 4–8 weeks after a booster vaccination if indicated and if vaccination status was unknown |
| Screenings organized according to national recommendations (cervical smear or HPV PCR, mammography, blood in stool test) |