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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 challenges because of the diseases to which these children may have been exposed and the different immunization practices in their native countries. In addition, other aspects of providing care to immigrant, refugee, homeless, and immigrant children should be considered.
1 Since 1996, people seeking an immigrant visa for permanent residency must show proof of receipt of at least the first dose of all vaccines in the recommended immunization series. Although these regulations apply to most immigrant children entering the United States, internationally adopted children who are younger than 10 years of age are exempt from these requirements. Adoptive parents are required to sign a waiver indicating their intention to comply with the ACIP immunization requirements after the childs arrival in the United States. Refugees are not required to meet immunization requirements of the
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