Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2017
Serological Susceptibility to Varicella Among U.S. Immigration and Customs Enforcement Detainees.
СтатьяПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Varan Aiden K, Lederman Edith R, Stous Shanon S, Elson Diana, Freiman Jennifer L, Marin Mona, Lopez Adriana S, Stauffer William M, Joseph Rachael H, Waterman Stephen H
Аннотация
U.S. Immigration and Customs Enforcement (ICE) is responsible for detaining unauthorized aliens during immigration proceedings. During 2014 to 2015, adult ICE detainees at a California facility were invited to complete a survey concerning self-reported varicella history and risk factors. Participants underwent serological testing for varicella-zoster virus (VZV) IgG; susceptible individuals were offered varicella vaccination. Among 400 detainees with available serology results, 48 (12%) were susceptible to varicella. Self-reported varicella history was negatively associated with susceptibility (adjusted odds ratio = 0.16; 95% confidence interval [0.07, 0.35]). Among 196 detainees reporting a positive history, 95% had VZV IgG levels suggestive of varicella immunity. Among 44 susceptible detainees offered vaccination, 86% accepted. Given relatively high varicella susceptibility, targeted screening and vaccination among ICE detainees lacking a positive history might reduce varicella transmission risks.