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Latvia Women Health Information
– Reported, January 30, 2012
No data are available on contraceptive use in this country.
38% of women aged 5069 years have undergone a breast examination or mammography compared to 75% in the UK and 77% of women aged 2069 years have undergone cervical cancer screening compared to 70% in the UK
Anaemia
There is a low risk of anaemia in people from this country (estimated prevalence 5-20%). Be alert to this possibility in recently arrived migrants, particularly for women and pre-school children, and test as clinically indicated.
Vitamin D deficiency
Sunlight is the major source of vitamin D and dark skinned individuals or those who for cultural or religious reasons cover their whole bodies when outdoors are at risk of deficiency, as are those whose diets (vegetarian/vegan) do not contain an adequate vitamin D supply.
Vitamin A deficiency
There is a risk of vitamin A deficiency in this country.
Iodine deficiency
People from this country may be at risk of mild iodine deficiency due to inadequate intake.
TB
There is a low incidence of TB in this country (less than 40 cases/100,000).
There is a high burden of Multi Drug Resistant (MDR) TB in this country.
Routine screening is not required but testing should be considered in patients who show signs and symptoms of TB.
Local TB services should seek advice from the MDR-TB Clinical Advice Service before treating patients from this country for TB.
TB is a notifiable disease.
HIV and sexually transmitted infections
This country has a low rate of HIV.
Test all sexually active patients under the age of 25 for chlamydia.
Take a sexual history and screen for STIs and HIV according to risk as specified in the UK national standards for the management of STIs and HIV.
In a high prevalence PCT (=2/1000) all newly registering patients should be offered an HIV test regardless of country of origin (BHIVA guidelines).
In a low prevalence PCT (less than 2/1000) patients in the following groups should be offered an HIV test:
pregnant women
patients presenting with an indicator disease or another STI
men disclosing sexual contact with other men
patients reporting a history of injecting drug use
patients reporting sexual contact with someone at increased risk of HIV infection
Hepatitis B
This country has a low prevalance of hepatitis B.
All pregnant women should be offered screening for hepatitis B infection during each pregnancy.
Babies born to mothers who are hepatitis B positive should be appropriately immunised and followed-up accordingly.
Hepatitis C
This country has a higher prevalence of hepatitis C than the UK.
Enteric fever
There is a risk of typhoid infection in this country.
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