%0 Journal Article
%T Serological Susceptibility to Varicella Among U.S. Immigration and Customs Enforcement Detainees
%A Adriana S. Lopez
%A Aiden K. Varan
%A Diana Elson
%A Edith R. Lederman
%A Jennifer L. Freiman
%A Mona Marin
%A Rachael H. Joseph
%A Shanon S. Stous
%A Stephen H. Waterman
%A William M. Stauffer
%J Journal of Correctional Health Care
%@ 1940-5200
%D 2018
%R 10.1177/1078345817727287
%X 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
%K varicella
%K detention
%K immigration
%K vaccination
%K Immigration and Customs Enforcement
%U https://journals.sagepub.com/doi/full/10.1177/1078345817727287