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Infectious Diseases (Border Control)

Volume 453: debated on Tuesday 28 November 2006

To ask the Secretary of State for Health how many people entering the UK from outside the EU were x-rayed at British airports to check for evidence of tuberculosis (TB) in each of the last three years; and what action has been taken with regard to those found to be carrying TB. (104187)

To ask the Secretary of State for Health what proportion of immigrants who entered the UK from countries with a high prevalence of tuberculosis were (a) medically examined, (b) x-rayed and (c) found to have tuberculosis in the last period for which figures are available. (104380)

We are currently in the process of implementing our commitment to introduce targeted health screening for tuberculosis (TB) in high-risk countries at the entry clearance stage. In the six countries where we implemented the pre-entry TB screening programme last year on a pilot basis all those applying to come to the United Kingdom for over six months have been screened, using a protocol based on x-rays and sputum smears. From the commencement of pre-entry TB screening in October 2005 until the end of October 2006, 27,807 people were subject to TB screening. Of these, 14 were found to have infectious TB. Applicants with infectious TB are not considered for entry clearance until they have successfully completed a course of treatment.

My hon. Friend the Minister for Immigration, Citizenship and Nationality announced on 21 November 2006, Official Report, column 51WS, the extension of these controls to a further group of countries with a high incidence of TB as defined by the World Health Organization. Until these pre-entry controls are in place Government policy is that all those entering the UK from these countries, and from other countries with a high incidence of TB not covered by the pre-entry screening programme, for over six months should be routinely referred for medical examination for TB.

The Health Protection Agency reports that the number of people x-rayed at Heathrow and Gatwick airports was 62,301 in 2002-03, 72,510 in 2003-04 and 76,560 in 2004-05. Approximately 100 of the people who were x-rayed in 2004-05 were subsequently found to have TB. Any person thought on the basis of the examination at the port to have TB is referred to the national health service, and those who are subsequently diagnosed with TB are offered treatment.

To ask the Secretary of State for Health how many trained medical staff are deployed at x-ray machines at British airports to check for illnesses; and what proportion of the day such trained personnel are on duty. (104188)

The Health Protection Agency reports that there are six whole-time equivalent medical staff working in the health control unit (HCU) at Heathrow airport, and two whole-time equivalent medical staff working in the HCU at Gatwick airport, where there is also on-call cover overnight provided by medical staff who are not based on site. These are the only points of entry to England equipped for x-ray examination. The term medical staff here refers to doctors and radiologists. There are also two radiographers working at Heathrow and one at Gatwick.

At Heathrow, medical staff are on duty at one terminal for 24 hours per day and at two of the other terminals for 12 hours per day. At Gatwick, medical staff are on duty for 12 hours a day, with on-call cover overnight.