CDC の Civil Surgeon 向けのページに Table 1: Vaccine Requirements According to Application Age という表があるが、これが年齢ごとに整理された必要なワクチンである。
The vaccines from the list above that are required for a given applicant are defined in Table 1. Vaccine series have minimum age requirements and typically require months to years to complete. Therefore, it is usually not possible for applicants to receive all vaccinations for the diseases listed above prior to adjustment of status, and they are instead required to receive from the civil surgeon at least one dose of each age-appropriate vaccine listed in Table 1 for which the applicant is not currently up to date. If the applicant is up to date on the required vaccines listed in Table 1, no additional vaccines are required to be given at the time of the medical exam. The civil surgeon should counsel the applicant about the importance of completing the series of vaccines according to the recommended schedule.
抗体検査による確認での対応については Vaccination ページの Laboratory Confirmation of Immunity セクションに記載されている。
Laboratory Confirmation of Immunity
The civil surgeon should obtain a good history of vaccine-preventable diseases, including measles, mumps, rubella, and varicella, from the applicant to identify any naturally acquired diseases for optional laboratory confirmation.
An applicant who provides a reliable written or oral history of varicella disease does not require laboratory confirmation or further vaccination. To verify a history of varicella, civil surgeons should inquire about: 1. an epidemiologic link to another typical varicella case or to a laboratory-confirmed case or 2. evidence of laboratory confirmation, if testing was performed at the time of acute disease. Persons who meet neither of these criteria should not be considered as having a valid history of disease and should be tested for immunity or vaccinated.
Acceptable tests for the presence of antibodies are US Food and Drug Administration (FDA)-approved kits or Clinical Laboratory Improvement Amendments (CLIA)-certified kits. When using any approved kits, the manufacturer’s guidelines or instructions must be followed.
Laboratory evidence of immunity is acceptable for measles, mumps, rubella, hepatitis A, hepatitis B, polio*, and varicella if the applicant lacks acceptable documented history of vaccination for these diseases.
*Titers must include all three poliovirus types to be acceptable (additional details found here).
