Current Immunization Schedules
This table describes the immunization schedule for US-bound refugees, and includes vaccines given as part of the new CDC-PRM expanded immunization program in Kenya, Ethiopia, Thailand, Malaysia and Nepal (shaded boxes). As part of this program:
- Refugees will receive up to 2-3 doses of a vaccine series based on time before departure. However, IOM will take previous vaccine history into account if reliable and available.
- First doses of all vaccines are given at the overseas medical screening exam, approximately 2-6 months before departure for most refugees.
- Most second doses of vaccine are given 2 months after the first dose.
- Refugees who undergo repeated medical examinations overseas may receive additional doses of vaccine.
- No routine live virus vaccines will be administered by IOM within 1 month prior to departure except in special outbreak settings. CDC will provide additional notification during these situations.
|Region/Country||Vaccines Given to Eligible Refugees in All Listed Countries||Comments|
|Ethiopia1 (started Nov 2013)|
Kenya2 (started Sept 2013)
Malaysia3 (started Sept 2013)
Nepal4 (started Dec 2012)
Thailand5 (started Dec 2012)
Uganda6 (started Aug 25 2014)
IOM will attempt to complete the series of each vaccine shown in the previous column if time permitsPolio vaccine
|6 wks-<5 yrs||Hib (x2 if <15 mos; x1 if 15 mos-5 yrs)*|
|6 wks-<7 yrs||DTP8 x2 (2nd dose in urban refugees only)*|
|6 wks-<11 yrs||tOPV x2 doses, ex. Malaysia**|
|7 yrs-adult||Td x1|
|≥1 yr-born ≥ 1957||MMR x2|
|*6 wks-<5 yrs||Pentavalent|
(containing DTP, Hib, HepB) x2
(2nd dose in urban refugees only); see individual vaccine components for specific details
|**6 wks-<5 yrs in Malaysia||IPV x2 given as part of hexavalent vaccine containing DTP+IPV+Hib+HepB in Malaysia. OPV and standalone IPV are not available at this time.|
|Tanzania||≥ 1yr-born - ≥ 1957||MMR x1||One dose of MMR is administered at time of initial health assessment (approximately 2-6 months before arrival in U.S.)|
|6 wks-10 yrs||tOPV x1||tOPV administration started in January 2014 for both countries|
1 Principal refugee groups resettling from Ethiopia include Eritreans (Shimelba camp); Somalis (Kebribeya camp); Multiple (Addis Ababa)
2 Principal refugee groups resettling from Kenya include Somalis (Dadaab camps); Somalis, Sudanese, Congolese (Kakuma camp); Multiple (Nairobi)
3 Principal refugee group resettling from Malaysia is Burmese (multiple ethnicities, primarily Chin)
4 Principal refugee group resettling from Nepal is Bhutanese
5 Principal refugee group resettling from Thailand is Burmese (multiple ethnicities, primarily Karen)
6 Principal refugee groups resettling from Uganda include Congolese and Somalis
7 MMR = measles, mumps, rubella; bOPV = bivalent (types 1 and 2) oral polio vaccine; tOPV = trivalent ( types 1, 2 and 3) Hep B = hepatitis b; DTP = diphtheria, tetanus, pertussis; Hib = Haemophilus influenzae type b
8 Dose #2 DTP will be given to children 15 mos-7 yrs residing in urban areas only. Children residing in refugees camps often receive DTP as part of routine vaccination by the camp health care provider. As part of the resettlement vaccination program, these children will receive only 1 dose of DTP or pentavalent (DTP-Hib-HepB) from IOM in order to reduce the risk of adverse local reactions due to over-vaccination with DTP.