Discrepancies between Protocols of Immunization Targeting Internationally Adopted Children in Western Countries.

Cecilia Maria Alimenti,Elena Chiappini,Luisa Galli,Sara Boccalini,Paolo Bonanni,Angela Bechini

doi:10.3390/vaccines8010075

Cecilia Maria Alimenti, Elena Chiappini + Show 4 more

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https://doi.org/10.3390/vaccines8010075

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Journal: Vaccines	Publication Date: Feb 7, 2020
Citations: 3	License type: CC BY 4.0

Affiliation: University of Florence, Meyer Children's Hospital

Abstract

The immunization status of Internationally Adopted Children (IAC) newly arrived in the adoptive country require a timely assessment and completion of necessary vaccinations. In fact, due to their frequent suboptimal immunization status, IAC are at high risk for vaccine preventable diseases (VPDs). Comparative analysis of immunization protocols adopted in European countries, United States, and Canada disclosed different approaches to the immunization of these children. In order to guarantee the continuity of paediatric immunization schedules that may have been interrupted in countries of origin, a homogeneous and internationally shared standard of immunization in the management of IAC should be provided.

Highlights

Between 2005 and 2018, receiving countries with the highest number of entries for InternationallyAdopted Children (IAC) were United States of America, Italy, Spain, France, Canada, Sweden, Netherlands, Germany, Denmark, Switzerland
Comparing the number of Internationally Adopted Children (IAC) entered in the United States of America in 2005 (22726), in 2018, only 4059 (–82%) IAC were adopted by the United States of America [1]
Protocols adopted in France, Italy, Spain, Ireland, the United Kingdom, the United States, and Canada were retrieved through the search strategy

Summary

Introduction

Adopted Children (IAC) were United States of America, Italy, Spain, France, Canada, Sweden, Netherlands, Germany, Denmark, Switzerland. In 2018, 4059 children were internationally adopted in United States of America, 1394 in Italy, 658 in Canada, 615 in France, and 445 in Spain [1,2]. Inefficacy of the vaccines received by the children could be due to inappropriate storage and transport or incorrect administration or interruption of the vaccination schedule [5,6,7] Their risk of immunization failure is increased since several other clinical conditions may interfere with immune response to vaccines, including malnutrition or infection with helminths, or human immunodeficiency virus [7]

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