II. Epidemiology

  1. Unknown status common in Refugees and Immigrants
  2. Records from Soviet Block countries may be inaccurate
    1. Documented Vaccine given, but not available

III. Management

  1. CDC Consultation per area may be helpful
  2. Consider spot checking serum titers
    1. Tetanus titer
    2. Haemophilus titer
    3. Hepatitis B titer
    4. Measles titer

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