of newly arrived pediatric refugees, with rates of disease similar to those found in other studies of refugee children. Although the burden of disease justifies screening at arrival, there was variability in the specific screening tests performed. The study also highlights the common subspecialty needs of this population. More than half of the patients were referred to a subspecialist, and they interfaced with a wide variety of subspecialists. A medical home that includes primary care and subspecialty providers who have an understanding of the medical needs of refugee children will likely improve health care for this vulnerable population.
Monday, May 5, 2008, 5:15 p.m. 6:45 p.m.
Poster Session III
HCC Exhibit Hall
Course Number: 5810 Undeserved Population; Board Number: 230
Delma-Jean Watts, Jennifer F. Friedman, Patrick M.
Vivier, Christine E.A. Tompkins, Anthony J. Alario. Publication 5810.1
Immunization Status of Refugee Children After Resettlement
ABSTRACT: Newly arrived refugee children are at risk for vaccine preventable diseases due to incomplete immunization. Catch-up vaccination requires multiple visits to a primary care provider. There has been little research addressing vaccination status of refugee children after resettlement.
The objective of this study was to assess immunization rates for refugee children who have been in the United States for at least one year. Findings showed that low overall rates of complete immunization were found in a population of pediatric refugees after resettlement. These low rates were mostly due to children who were lost to follow-up within the first year. For those refugees attending a primary care clinic throughout the first year of resettlement, immunization rates were comparable to rates in the general population. The creation of a medical home for refugee children will likely increase immunization completion rates.
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