Lee Deborah, Weinberg Michelle, Benoit Stephen
All of the authors are with the Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA.
Am J Public Health. 2017 May;107(5):684-686. doi: 10.2105/AJPH.2017.303698. Epub 2017 Mar 21.
To assess US availability and use of measles-mumps-rubella (MMR) vaccination documentation for refugees vaccinated overseas.
We selected 1500 refugee records from 14 states from March 2013 through July 2015 to determine whether overseas vaccination records were available at the US postarrival health assessment and integrated into the Advisory Committee on Immunization Practices schedule. We assessed number of doses, dosing interval, and contraindications.
Twelve of 14 (85.7%) states provided data on 1118 (74.5%) refugees. Overseas records for 972 (86.9%) refugees were available, most from the Centers for Disease Control and Prevention's Electronic Disease Notification system (66.9%). Most refugees (829; 85.3%) were assessed appropriately for MMR vaccination; 37 (3.8%) should have received MMR vaccine but did not; 106 (10.9%) did not need the MMR vaccine but were vaccinated.
Overseas documentation was available at most clinics, and MMR vaccinations typically were given when needed. Further collaboration between refugee health clinics and state immunization information systems would improve accessibility of vaccination documentation.
评估美国针对在海外接种过麻疹-腮腺炎-风疹（MMR）疫苗的难民的疫苗接种记录的可获取性及使用情况。
我们从2013年3月至2015年7月期间14个州的1500份难民记录中进行筛选，以确定在美国入境后健康评估时是否能获取海外疫苗接种记录，并将其纳入免疫实践咨询委员会的接种计划中。我们评估了剂量数量、接种间隔和禁忌情况。
14个州中的12个州（85.7%）提供了1118名难民（74.5%）的数据。972名难民（86.9%）的海外记录可获取，其中大部分来自疾病控制与预防中心的电子疾病通报系统（66.9%）。大多数难民（829名；85.3%）接受了MMR疫苗接种的适当评估；37名（3.8%）应接种MMR疫苗但未接种；106名（10.9%）不需要接种MMR疫苗但接种了。
大多数诊所都能获取海外接种记录，并且MMR疫苗接种通常在需要时进行。难民健康诊所与州免疫信息系统之间进一步合作将提高疫苗接种记录的可获取性。
