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Technical Instructions for Panel Physicians

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New! Tuberculosis (TB) Medical Consultation Service for U.S. Panel Physicians who are currently using the Culture and DOT Technical Instructions for TB Screening and Treatment is now available online.

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These are the Technical Instructions for Medical Examination of Aliens used by the Panel Physicians in the medical examinations conducted outside of the United States.

 

Designated Incident Technical Instructions

Information about the Technical Instructions for Designated Incidents is included in the Revision of 42 CFR Part 34 (Medical Examination of Aliens) Updated Screening for Communicable Diseases of Public Health Signifiance -Interim Final Rule (IFR) which was posted by HHS/CDC on October 6, 2008. Additional information regarding the IFR is available on the Laws and Regulations page.

Note: The IFR does not currently affect the required medical examination performed by civil surgeons. Civil surgeons should continue to follow the procedures as provided in the current Technical Instructions for Civil Surgeons.

July 15, 2014 – Addendum to Technical Instructions for Panel Physicians for Vaccinations: Technical Instructions for Polio Vaccination for Applicants for U.S. Immigration

The International Health Regulations Emergency Committee met in May 2014 regarding the international spread of wild polioviruses in 2014 and declared that the current conditions are a Public Health Emergency of International Concern (PHEIC).

The 2014 Addendum to Technical Instructions for Panel Physicians for Vaccinations: Technical Instructions for Polio Vaccination for Applicants for U.S. Immigration is to be followed for polio vaccination among applicants for U.S. immigration from the states currently exporting wild poliovirus (Pakistan, Cameroon, Syrian Arab Republic, and Equatorial Guinea) and the states infected with wild poliovirus but currently not exporting (Afghanistan, Ethiopia, Iraq, Israel, Somalia, and Nigeria). These Technical Instructions are effective from the date of issuance until the Centers for Disease Control and Prevention (CDC) determines these Technical Instructions are no longer needed to prevent the importation and spread of wild poliovirus (WPV). These Technical Instructions may also be modified as states in the two above categories change.

 
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