International adoption is a politically sensitive phenomenon. Every ye
ar, thousands of children arrive in the USA from over 100 countries fo
r adoption. Infectious disease screening of children from these divers
e political, social, and geographic backgrounds is best accomplished u
sing a standardized protocol, including a review of immunizations, a c
omplete blood count and urinalysis, and screening tests for hepatitis
B, HIV, intestinal parasites, tuberculosis and syphilis.