Poliovirus immunity in newly resettled adult refugees in Idaho,United States of America |
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| Institution: | 1. Family Medicine Residency of Idaho, Boise, ID, USA;2. Kootenai Clinic Family Medicine Coeur d’Alene Residency, Coeur d’Alene, ID, USA;3. Department of Family Medicine, University of Colorado School of Medicine, Denver, CO, USA;4. University of Washington School of Medicine, Seattle, WA, USA;1. Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands;2. Medical Center Balans, The Hague, The Netherlands;3. Department of Epidemiology, Municipal Health Service Haaglanden, The Hague, The Netherlands;4. Department of Clinical Chemistry, Endocrine Laboratory, VU University Medical Center, Amsterdam, The Netherlands;5. Department of Medical Statistics, Leiden University Medical Center, Leiden, The Netherlands;6. Department of Internal Medicine, Endocrine Section, VU University Medical Center, Amsterdam, The Netherlands;1. Académie nationale de médecine, Paris, France;2. Faculteit Rechten & Criminologie, Katholieke Universiteit Leuven, Tiensestraat 41, 3000 Leuven, Belgique;1. Department of Pediatric Gastroenterology, University of North Carolina, Chapel Hill, North Carolina;3. Hôpital Necker Enfants Malades, APHP, Université de Paris, Paris, France;4. Juliet Keidan Institute of Pediatric Gastroenterology, Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel;5. Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York;1. Specialist, Department of Pediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India;2. Senior Resident, Department of Pediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India;3. Assistant Professor, Department of Biochemistry, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India;4. Senior Resident, Department of Biochemistry, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi 110031, India |
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| Abstract: | BackgroundIn the United States, vaccines have eliminated wild poliovirus (WPV) infection, though resettling refugees may lack immunity and importation of WPV remains a concern.MethodsA cross-sectional survey was performed to determine the prevalence of poliovirus immunity in adult refugees resettling in Boise, Idaho, U.S.A.; immunity was evaluated using two definitions: serotypes 1, 2 and 3 positive, or serotypes 1 and 3 positive.ResultsThis survey evaluated 795 adult refugees between August 2010 and November 2012. Poliovirus immunity in adults >18 years was 55.3% for serotypes 1, 2 and 3 combined, and 60% for serotypes 1 and 3 only.ConclusionThis study demonstrated a WPV immunity rate of <60% in a recently resettled adult refugee population in the United States, reinforcing the need to ensure poliovirus immunity in all newly arrived adult refugees, either by expanding pre-departure immunization or by screening for immunity at resettlement and vaccinating when indicated. |
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| Keywords: | Poliovirus vaccination Poliovirus immunity Refugee Wild poliovirus importation |
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