CDC Technical Instructions

The Centers for Disease Control and Prevention, Division of Global Migration and Quarantine has released updated Technical Instructions in the following areas:

Technical Instructions for Civil Surgeons for Tuberculosis became effective May 1, 2008. The Health and Human Services (HHS) Memo | , Technical Instructions and Frequently Asked Questions provide important background for assisting refugees. Specific information on TB Skin test results can be found at Further guidance released on October 1, 2009 is found in the CDC Immigration Requirements: Technical Instructions for Tuberculosis Screening and Treatment: Using Cultures and Directly Observed Therapy.

Vaccination Requirements for Adjustment of Status for U.S. Permanent Residence: Technical Instructions for Civil Surgeons was released December 14, 2009. New Technical Instructions Technical Instructions supersedes Technical Instructions to Civil Surgeons for Vaccination requirements which were introduced and made effective July 1, 2008. The 2008 HHS MemoMemo, Technical InstructionsTechnical Instructions - 2 and Frequently Asked QuestionsFrequently Asked Questions also may help to guide those providing services to refugees. Vaccination instructions are based on Advisory Committee on Immunization Practices (ACIP) for Adult Immunizations Recommendations, and Child and Adolescent Immunization Recommendations.

Technical Instructions for Medical Examinations of Aliens were released on October 6, 2008. These technical instructions CDC Technical Instructions for Medical Examinations of Aliens only apply to the overseas examination and do not apply to the refugee health assessment after arrival. Never the less, this information and the Questions and Answers information will be helpful in providing an understanding of how communicable diseases of public health significance are defined and how they are treated before U.S. arrival.

The Centers for Disease Control, Global Migration and Quarantine are in the process of creating Refugee Health Guidelines for Immigrant, Refugee and Migrant Health and include both domestic and overseas guidelines. They include general guidelines, lead screening guidelines, intestinal parasites guidelines and malaria guidelines and can be found at