Contraindications, such as allergies or use of live vaccines during pregnancy or in immunocompromised hosts, must be carefully observed.Please refer to full ACIP guidelines for detailed explanations for absolute and relative contraindications to routine immunizations (CDC provides a table that may be useful to clinicians when deciding between revaccinating versus serologic testing (gov/mmwr/preview/mmwrhtml/rr5515a1.htm#tab12).Testing for hepatitis B virus infection and for immunity should be done before hepatitis B vaccine is administered to persons coming from all countries with high (≥8%) or intermediate (≥2%) prevalence of chronic hepatitis B virus infection or persons who have risk factors for hepatitis B virus infection.
However, depending on health-care access, organized vaccination programs and initiatives, and availability of vaccines, refugees may have some documented vaccinations.
Both adults and children should be evaluated and vaccine needs addressed during the new arrival medical visit.
The childhood schedule, including catch-up schedules, is available at gov/vaccines/schedules/easy-to-read/
Health-care professionals may choose to test for immunity in refugees who are likely to be immune (such as African adults, who are likely to be immune to measles, mumps, and rubella), either as a routine or based on patient preference.
Cost-effectiveness will vary depending on the prevalence of disease or immunity in the population.
Top of Page Refugees, unlike most immigrant populations, are not required to have any vaccinations before arrival in the United States.