Intended for healthcare professionals

Letters Migrant patients

Migrant patients’ access to HIV care: testing should always be free

BMJ 2013; 347 doi: (Published 27 November 2013) Cite this as: BMJ 2013;347:f7056
  1. Valerie C Delpech, consultant epidemiologist and head of HIV section1,
  2. Hilary Curtis, clinical audit co-ordinator2,
  3. Alison E Brown, principal HIV scientist1,
  4. Edmund Ong, honorary clinical senior lecturer3,
  5. Gwenda Hughes, consultant epidemiologist and head of STI section1,
  6. O Noel Gill, consultant epidemiologist and head of HIV and STI department1
  1. 1HIV and STI Department, Centre for Infectious Disease Surveillance and Control, Health Protection Directorate, Public Health England, UK
  2. 2British HIV Association, London, UK
  3. 3Department of Infection and Tropical Medicine, Royal Victoria Infirmary, Newcastle on Tyne, UK
  1. noel.gill{at}

Arie reported the extent to which migrant patients are a drain on NHS resources.1 The problem of HIV tourism by people who are known to be infected with HIV is minimal. Moreover, whereas some visitors are tested for HIV at sexually transmitted disease (STD) clinics, the numbers are modest and early diagnosis and treatment reduces the costs of care and infectiousness.

Of 65 240 adults seen for HIV …

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