What is the best practice regarding hepatitis B screening for internationally adopted children?

The best practice regarding hepatitis B screening for internationally adopted children is to recommend screening upon their arrival. This approach is crucial because children adopted from countries with higher prevalence rates of hepatitis B may carry the virus, and early detection is essential for the prevention of transmission and the management of potential health issues related to the infection.

By screening these children right after they arrive, healthcare providers can quickly assess their health status and initiate appropriate vaccinations or treatments if necessary. This proactive measure helps ensure that any health concerns are addressed without delay, ultimately safeguarding both the child and others in their community from potential infection.

Screening is not merely a recommendation left to discretion based on the country of origin, nor is it appropriate to delay screening for an extended period, as this could put the child at risk. Furthermore, assuming no screening is needed undermines the importance of evaluating the health of internationally adopted children, who may have been exposed to different health risks prior to their adoption.