Serological Susceptibility to Varicella Among U.S. Immigration and Customs Enforcement Detainees

Aiden K. Varan; Edith R. Lederman; Shanon S. Stous; Diana Elson; Jennifer L. Freiman; Mona Marin; Adriana S. Lopez; William M. Stauffer; Rachael H. Joseph; Stephen H. Waterman

doi:10.1177/1078345817727287

Serological Susceptibility to Varicella Among U.S. Immigration and Customs Enforcement Detainees

Aiden K. Varan, Edith R. Lederman, Shanon S. Stous, Diana Elson, Jennifer L. Freiman, Mona Marin, Adriana S. Lopez, William M. Stauffer, Rachael H. Joseph, Stephen H. Waterman

Medicine - Infectious Disease and International

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	84-95
Number of pages	12
Journal	Journal of Correctional Health Care
Volume	24
Issue number	1
DOIs	https://doi.org/10.1177/1078345817727287
State	Published - Jan 1 2018

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported in part by an appointment to the Applied Epidemiology Fellowship Program administered by the Council of State and Territorial Epidemiologists and funded by the Centers for Disease Control and Prevention [cooperative agreement number 1U380T000143-01].

Publisher Copyright:
© 2017, © The Author(s) 2017.

Keywords

Immigration and Customs Enforcement
detention
immigration
vaccination
varicella

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828995

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title = "Serological Susceptibility to Varicella Among U.S. Immigration and Customs Enforcement Detainees",

abstract = "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.",

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Serological Susceptibility to Varicella Among U.S. Immigration and Customs Enforcement Detainees

Abstract

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