Immigration IZ– a Resource for Healthcare Providers

Immigration IZ– A resource for healthcare providers

Vaccines required for immigration applications should be age appropriate.

1 For example, if the applicant is 35 2 years of age, then he or she is required to receive tetanus and diphtheria toxoids vaccine (Td) or tetanus and 3 diphtheria toxoids and acellular pertus- sis vaccine (Tdap), MMR, and varicella 4 (if no history of varicella disease). If 5 the applicant had previously received a dose or doses of a required vaccine but 6 had not completed the series, then the next required dose should be adminis- 7 tered according to standard ACIP recommendations.

8 Can still recommend other vaccinations 9 based on risk factors, but they are not required. 10 11 Please note that HPV and Zoster are not a requirement for immigration

1. A fifth dose of DTaP vaccine is not necessary if the fourth dose was administered at age 4 years or older. 2. Tdap for all pregnant women. Adults with incomplete vaccination will receive remaining doses. Adults with unknown history of vaccination will receive 3 doses (Tdap for first dose; remaning doses and boosters with Td) 3. A fourth dose of polio is not necessary if the third dose was administered at age 4 years or older and at least 6 months after the previous dose. ministered as part of a series, a total of 4 doses should be administered, regardless of the child’s current age 4. Documentation of provider-diagnosed disease is not considered acceptable evidence of immunity for measles, mumps, or rubella. Need at least one dose. 5. Rotavirus vaccination should not be initiated for infants aged 15 weeks, 0 days or older. 6. For catch-up schedule, see ACIP. Adults undergoing splenectomy and recipients of hematopoietic stem cell transplant should be vaccinated for Hib. 7. Hepatitis A vaccine is indicated for all persons seeking protection and adults who are at risk (men who have sex with men, illicit drug use, chronic liver disease, persons who travel to high or intermediate endemic areas, persons with anticipated contact with international adoptees) 8. Hepatitis B vaccine indicated for all persons seeking protection and adults who are at risk (persons with STDs, men who have sex with men, occupational contact with bodily fluids, persons with diabetes who are less than 60 years of age, persons with chronic liver disease and ESRD, household contacts of persons who are hepatitis B positive, persons who travel to intermediate or high endemic areas, and adults in treatment facilities for HIV, STD, drug abuse). Do not need to re-start series for persons with incomplete doses 9. Vaccine recommended for adults at risk (microbiologists routinely exposed, military risk during an outbreak attributable to a vaccine serogroup, persons who travel to or live in hyperendemic areas or those with an epidemic, and first-year college students up through age 21 years who are living in residence halls if they have not received a dose on or after their 16th birthday). Recommended for children under 11 years of age with high-risk conditions. 10.Varicella vaccine administered if there is no evidence of immunity through vaccination or disease. Two doses are given or a second dose if only received 1 dose. 11.Recommended for children ages 2-5 or 6-18 if they have a high risk condition. See ACIP recommendations. Indicated for adults younger than 65 years with at-risk conditions, residents of nursing homes or long-term care facilities, and those who smoke. 12. Influenza vaccine is required for applicants 6 months through 18 years of age during the influenza (flu) season in the country of examination for immigration. Influenza vaccine continues to be required for adults 50 years of age or older.

NOTE: vaccination requirements do not apply to refugees and non-immigrants, such as V or K visa applicants, at the time of their initial admission to the United States. However, V and K visa holders in addition to refugees must meet the vaccination requirements when applying for adjustment of status or permanent resident status in the United States

Resources CDC. (2012). 2009 Technical instructions for panel physicians for vaccinations. Retrieved from http://www.cdc.gov/immigrantrefugeehealth/exams/ti/panel/ vaccination-panel-technical-instructions.html CDC. (2014). Recommended adult immunization schedule– United States, 2014. Retrieved from http://www.cdc.gov/vaccines/schedules/hcp/adult.html CDC. (2014). Recommended immunization schedules for persons aged 0 through 18 years– United States, 2014. Retrieved from http://www.cdc.gov/vaccines/ schedules/hcp/child-adolescent.html USCIS. (2010). Vaccination requirements. Retrieved from http://www.uscis.gov/news/questions-and-answers/vaccination-requirements