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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 (including testing for exposure to environmental toxins, such as lead) to immigrant, refugee, homeless, and immigrant children should be considered.
36 In 1996, Congress amended the Immigration and Nationality Act (INA), requiring immigrant visa applicants to provide "proof of vaccination" with at least the first dose of ACIP-recommended vaccines before entry into the United States. Although these regulations apply to most immigrant children entering the United States, internationally adopted children who are 10 years of age or younger may obtain an exemption from these requirements. Adoptive parents are required to sign a waiver indicating their intention to comply with the ACIP immunization requirements within 30 days after the child’s arrival in the United States. Refugees are not required to meet immunization requirements of the INA at the time of initial entry into the United States but must show proof of immunization when they apply
Related text in Red Book:
- Immunizations Received Outside the United States
Red Book 2009: 36.[Extract] [Full Version] - Scheduling Immunizations
Red Book 2009: 21-31.[Extract] [Full Version] - Medical Evaluation of Internationally Adopted Children for Infectious Diseases
Red Book 2009: 177-179.[Extract] [Full Version] - Hepatitis B
Red Book 2009: 337-356.[Extract] [Full Version] - Measles
Red Book 2009: 444-455.[Extract] [Full Version]
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