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Section 1. Active and Passive Immunization
IMMUNIZATION IN SPECIAL CLINICAL CIRCUMSTANCES
Refugees and Immigrants
Prevention of infectious diseases in refugee and immigrant children presents special problems because of the diseases to which these children have been exposed and the immunization practices unique to their native countries. In 1996, a new subsection was added to the Immigration and Nationality Act (INA) requiring for the first time that people seeking an immigrant visa for permanent residency show proof of having received the recommended vaccines, as established by the ACIP. Although these regulations apply to most immigrant children entering the United States, internationally adopted children who are younger than 10 years of age have been exempted from the international immunization requirements. Adoptive parents are required to sign a
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