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To the Editor.
Many internationally adopted children arrive in the United States with incomplete or uncertain vaccination status. Some have suggested that even children who have received adequate numbers of vaccines for tetanus and polio have inadequate titers, resulting from poor immunogenicity of the vaccines, impaired immune responses (possibly attributable to malnutrition), or incorrect records.1,,2 Some physicians recommend revaccinating all international adoptees at arrival in the United States.3We …
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