There is a large Seattle Vietnamese population and many Vietnamese doctors and as families become more affluent they may transfer care to other sites. Most recent arrivals are coming directly from Vietnam and have not spent time in refugee camps. Prolonged nursing bottle feeding and high milk intake leads to iron deficiency in toddlers. Hepatitis B carriers are also common.
Most recent refugees have experience with western medical care and ideas.
Local Resources - Many Vietnamese physicians have practices in SE and Central Seattle where there are a large number of Vietnamese businesses. They come from peasant backgrounds and many are illiterate. Acculturation has been slow and there are few native Cambodian health care providers. Many families spent years in refugee camps in Thailand and Philippines. Prolonged bottle feeding and iron deficiency in toddlers due to exclusive cow milk diets is common.