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

Research output: Contribution to journalArticle

5 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 languageEnglish (US)
Pages (from-to)84-95
Number of pages12
JournalJournal of Correctional Health Care
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2018

Keywords

  • Immigration and Customs Enforcement
  • detention
  • immigration
  • vaccination
  • varicella

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    Varan, A. K., Lederman, E. R., Stous, S. S., Elson, D., Freiman, J. L., Marin, M., Lopez, A. S., Stauffer, W. M., Joseph, R. H., & Waterman, S. H. (2018). Serological Susceptibility to Varicella Among U.S. Immigration and Customs Enforcement Detainees. Journal of Correctional Health Care, 24(1), 84-95. https://doi.org/10.1177/1078345817727287