Prevention Book

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Immigrant Child

Aka: Immigrant Child, Internationally Adopted Child
  1. See Also
    1. International Medical Concerns
  2. Evaluation: Protocol
    1. Within 24 hours
      1. Child with obvious illness
      2. Child with unstable medical condition
    2. Within 1 week
      1. Baseline growth data
      2. Brief evaluation for chronic or stable illness
      3. Reassure parents
    3. Within 2-4 weeks
      1. Review medical records accompanying child
      2. Head to toe (naked) exam
      3. Age appropriate well child exam
        1. Development
        2. Hearing and vision evaluation
        3. Dental assessment
      4. Immunization Update
      5. Obtain Labs as below
      6. Screen and immunize contacts as needed
  3. Associated Conditions: Common Problems in all international adoptees
    1. Dental
    2. Anemia
    3. Asthma
    4. Malnutrition and growth delay
    5. Hypertension
    6. Rheumatic Heart Disease
    7. Orthopedic problems
    8. Signs of Trauma, Torture or Rape
      1. Scars
        1. Beatings
        2. Whippings
        3. Burns
        4. Electric shock
      2. Post-Traumatic Stress Disorder (PTSD)
    9. Female genital mutilation (Female Circumcision)
    10. Parasitic Infections
      1. Ascaris lumbricoides
      2. Necator americanus
      3. Giardia lamblia
      4. Trichuris trichiura
      5. Entamoeba histolytica
      6. Schistosoma
    11. Other Infections
      1. Tuberculosis
      2. Human Immunodeficiency Virus (HIV)
      3. Hepatitis B
      4. Neonatal Tetanus
      5. Measles
      6. Mumps
      7. Rubella
      8. Diphtheria
      9. Pertussis
      10. Tetanus
  4. Labs (Rescreen for infection again in 6 months)
    1. Complete Blood Count (CBC)
    2. Urinalysis
    3. Hepatitis serology
      1. HBsAg
      2. xHBcAg
      3. xHBsAg
    4. PPD yearly
    5. Syphilis Serology
      1. Venereal Disease Research Laboratory (VDRL)
      2. Rapid Plasma Reagin (RPR)
    6. Stool Ova and Parasites (3 samples)
    7. Human Immunodeficiency Virus (HIV) 1 and 2
  5. Radiology
    1. Chest XRay
  6. Books
    1. Bascom (1997) The Complete Guide to Foreign Adoption
      1. Paid link to Amazon.com (ISBN 0671546465)
    2. Sweet and Bryan (1996) Adopt International
      1. Paid link to Amazon.com (ISBN 0374524688)
    3. Alperson (1997) The International Adoption Handbook
      1. Paid link to Amazon.com (ISBN 080545791)
  7. Organizations
    1. Adoptive Families of America
      1. Phone: (800) 372-3300
    2. Children awaiting Parents (CAP)
      1. Phone: (303) 674-1910
    3. Child Welfare League of America (CWLA)
      1. Phone: (202) 638-2952
    4. International Concerns Committee for Children (ICCC)
      1. Phone: (303) 494-8333
    5. National Adoption Information Clearing House (NAIC)
      1. Phone: (703) 246-9095
    6. National Resource Center for Special Needs Adoption
      1. Phone: (810) 443-0300
    7. North American Council on Adoptable Children (NACAC)
      1. Phone: (612) 644-3036
    8. Parent Network for the Post-Institutionalized Child
      1. Phone: (412) 222-1766
  8. References
    1. (1997) Pediatrics 100(1): 153-6 [PubMed]
    2. Charles (1998) Am Fam Physician 58(9): 2025-32 [PubMed]
    3. Gavagan (1998) Am Fam Physician 57(5): 1061-8 [PubMed]
    4. Hostetter (1996) J Postgrad Med 99(4): 70-82 [PubMed]
    5. Mitchell (1997) J Pediatr Health 11:51-60 [PubMed]
    6. Mitchell (1997) J Pediatr Health 11:117-26 [PubMed]
    7. Wolfe (1992) Med Clin North Am 76(6): 1463-80 [PubMed]

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