id author title date pages extension mime words sentences flesch summary cache txt cord-329905-dwfwwdbn Staat, Dana D. International Adoption: Issues in Infectious Diseases 2012-01-06 .txt text/plain 6323 391 47 Furthermore, infectious organisms (e.g., intestinal parasites), bacterial pathogens (e.g., Bordetella pertussis and Treponema pallidum), and viruses (e.g., human immunodeficiency virus and hepatitis viruses) may cause clinically significant morbidity and mortality among infected children. 7 Adopted children may have received vaccines of differing potencies or at different ages, or they may have been given a number of doses other than what is recommended in the United States. Because other countries may focus on required vaccinations for diseases endemic to their region, clinicians should ensure that all vaccinations that the Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices recommend are given to newly adopted children. 24 Of note, the high rate of positive results among internationally adopted children may be due to not only exposure to active cases of tuberculosis in their countries of origin but also vaccination with the bacillus Calmette-Guérin (BCG) vaccine, which is more common in developing countries than in the United States. ./cache/cord-329905-dwfwwdbn.txt ./txt/cord-329905-dwfwwdbn.txt