Health group: Vaccines have helped reduce rate of death and disease in the U.S.

Health group: Vaccines have helped reduce rate of death and disease in the U.S.: Although an estimated 40,000 to 50,000 adults in the U.S. die from vaccine-preventable infectious diseases or their complications each year, the American Lung Association (ALA) says vaccines have helped reduce the rate of death and disease in the United States.

The importance of staying current with your vaccinations and a review of two vaccine preventable and potentially serious lung infections:  Influenza and bacterial pneumonia.

New Technical Instructions for Civil Surgeons for 2018

In early 2018, the Center for Disease Control (CDC) Notice to United States Citizenship and Immigration Services (USCIS) Civil Surgeons informed of changes to the Tuberculosis (TB) Component of the Technical Instructions (TIs).  It is anticipated that starting October 1, 2018 the changes will go into effect to now require civil surgeons to use an  IGRA (Interferon Gamma Release Assay) for testing for cell-mediated immunity to tuberculosis.  This means that the tuberculin skin test (TST) familiar to many in the screening for tuberculosis will No longer be accepted.  The IGRA requirement will also apply to children younger than 5 years of age.

Also a CDC reminder to civil surgeons:
...The new 2018 Civil Surgeon TB TIs state the following:Civil surgeons must not refer applicants to a health department for IGRA testing or chest x-ray; all IGRAs and chest x-rays ordered by civil surgeons must be performed independently of a health department.
Another reminder from CDC concerns Latent TB Infe…

Immigration Green Card medical examination requires blood work and urine collection

Applicants applying for adjustment of status in the U.S. to become permanent residents are required to be screened for certain sexually transmitted disease (STDs) as part of their medical examination.  Currently, applicants aged 15 y.o. or older are required to be screened for syphilis and gonorrhea.  Screening for other STDs such as chlamydia or HIV may also be recommended in some situations but not required.  Also, applicants younger than 15 y.o. can also be tested for gonorrhea and or syphilis if there is clinical suspicion of infection or a history of previous infection.  This is the reason that blood and urine is collected from most applicants.  Other reasons can be for the screening of tuberculosis, checking titers to evaluate immunity to certain diseases like chicken pox(varicella), measles, mumps, and rubella) or other medical issues.  Of note, if you are squeamish about getting your blood drawn in general and figured you won't have to do so since you are younger than 15 …

Green Card Physical Exam I-693 Form by USCIS certified Civil Surgeon

Do you are need an Immigration Green Card medical examination by a USCIS certified and licensed civil surgeon, look no further than to Randolph Rosarion M.D. located in College Point, NY. He will perform all necessary blood work and specimen collection, and provide you and your family with a complete and valid I-693 form for your records. He can also provide important immunization and vaccine information at that same time. You can visit his website at or 718-701-5949 so that the doctor can answer your questions. 

If you have questions about what the immigration medical examination involves and how to prepare for your appointment go to