Current Presumptive 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 whose medical examination validity expires due to delayed departure (> 3-6 mos depending on the presence of Class B1 condition) may receive additional doses of vaccine.
- No routine vaccines will be administered by IOM within 2 weeks 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)
Malaysia (started May 2013)
Nepal (started Dec 2012)
Thailand (started Dec 2012)
IOM will attempt to complete the series of each vaccine shown in the previous column if time permitsPentavalent vaccine
|6 wks-<5 yrs||Pentavalent|
(DTP, Hib, HepB) x2
|5 yrs-<7 yrs||DTP 4 x2 (2nd dose in urban refugees only)|
|6 wks-<11 yrs||tOPV x2 doses|
|6 wks-<7 yrs||IPV (Malaysia only) x2|
|7 yrs-adult||Td x1|
|≥ 1yr-born ≥ 1957||MMR x2|
|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.)|
1 Principal refugee groups from Ethiopia include Eritreans (Shimelba camp); Somalis (Kebribeya camp); Multiple (Addis Ababa)
2 Principal refugee groups from Kenya include Somalis (Dadaab camps); Somalis, Sudanese, Congolese (Kakuma camp); Multiple (Nairobi)
3 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 influenza b
4 Dose #2 DTP for 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 reaction due to over-vaccination with DTP.