Newly arrived refugees are at risk of contracting vaccine-preventable diseases due to under-immunization. Recent cases [1,2] of vaccine-preventable diseases and studies [3,4] regarding rates of vaccinations among refugees underscore this risk. At the same time, reports of outbreaks of whooping cough (pertussis) continue throughout the U.S. often in states with high concentrations of refugees who may be susceptible to pertussis [5]. Therefore, it is important to ensure that refugee adults and children receive immunizations according to the vaccine schedules of the CDC's Advisory Committee on Immunization Practices (ACIP).

Newly arrived refugees should have a full assessment of immunization needs and provision of recommended vaccines during their refugee health assessments shortly after arrival. Clinicians should carefully scrutinize overseas vaccine records to ensure that antigens are complete (e.g. vaccination only for measles instead of measles, mumps, and rubella), dates are valid (including month, day, and year), and schedules follow ACIP guidelines. Follow-up vaccination should be continued by primary care clinicians.

In anticipation of school starting, summer is an opportune time to make sure that refugee children are being caught up with missing vaccinations. Similarly, the process of applying for permanent resident status (i.e. a green card) can be used to promote completion of vaccination in adults. All refugees, especially parents of school-age children, should be informed about the importance of completing immunization requirements for their health, future immigration status changes, school entry, and daycare attendance.