Immigration and international adoptions in Spain nave increased over recent years. In general, the children come from developing countries with low vaccination coverage. An assessment of the vaccination status of every immigrant child or adopted child should be carried out as soon as possible. Depending on the results of the assessment the necessary vaccines should be given, until the child is up to date with the calendar of each of the Autonomous Communities (ideally the calendar recommended by the AEP, the Spanish Association of Paediatrics). Only those vaccines for which reliable, written information is available should be taken into consideraron (taking into account the number of doses, the interval and the age at which they were given) and an «administered vaccine» should be considerad to be a «valid vaccine». In general, when in doubt, it is preferable to revaccinate; alternatively, certain serologic tests can be carried out (diphtheria, tetanus, poliovirus 1-2 and 3, measles, rubella and parotitis). Quick vaccination schedules should be chosen, injecting the highest possible number of doses at once and taking advantage of any visit for its administration. In developing countries the following vaccines are not systematically administered: the heptavalent vaccine against pneumococcal disease, the Hib conjugate vaccine, the vaccine against meningococcal C disease and against chicken pox.

Immigrant Vaccination Adoption

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