1Child Care/Preschool: Minimum
requirements by 24 months; younger children should be immunized
according to schedule for their age.
2College: Requirements apply to: 1) all
full-time undergraduate and graduate students; 2) all full-time and
part-time health science students; and 3) any full-time or part-time
student attending any postsecondary institution while on a student or
other visa, including foreign students attending or visiting classes
as part of a formal academic visitation or exchange program.
3Hepatitis B: 3 doses are
required for child care, preschool and kindergarten - 12th grade attendance
for children. Beginning in September 2005, 3 dosed are now
required for full-time graduate students. 3 doses are also required
for all full-time freshmen, sophomores, juniors and seniors, as well
as, all health science students (both full-time
and part-time, undergraduate and graduate) attending college.
Laboratory proof of immunity is acceptable.
4DTaP/DTP/DT/Td: 5 doses of DTaP/DTP are required for school entry unless
the fourth dose is given on or after the 4th birthday. DT is only
acceptable when accompanied by a letter stating a medical
contradiction to DTaP/ DTP. A single
booster dose of Td is required for all students entering grades 7-12.
(It is not required if it has been < 5 years since their last dose
of DTaP/DTP/DT.)
5Polio: 4 doses are required for school entry,
unless the third dose of an all-PV or all-OPV schedule is given on or
after the 4th birthday, in which case only 3 doses are needed.
However, if the sequential or a mixed IPV/OPV schedule was used, 4
doses are always required to complete the primary series.
6Hib: The number of primary doses is
determined by vaccine product and age the series begins.
7MMR:
1 dose is required for entry into child care and preschool. A second
dose of measles vaccine, given at least 4 weeks after the first, is
required for entry to all grades K-12, and college. Laboratory proof
of immunity is acceptable.
8 Varicella: 1 dose is required for child care
attendance at centers licensed by the Office of Child Care Services
(OCCS) for all children born on or after January 1, 1997, and
who are ³ 19 months of age, and who
are without a physician-certified reliable history of chickenpox. 1
dose is also required for all susceptible students at entry to
preschool and kindergarten - 12th grade. If the child is ³ 13 years of age,
2 doses are required.
A
reliable history of chickenpox is defined as: 1) physician
interpretation of parent/guardian description of chickenpox; 2)
physician diagnosis of chickenpox; or 3) laboratory proof of
immunity.
9Meningococcal: Beginning in August 2005, meningococcal
immunization is required for: 1) all new students at public and
private residential schools with grades 9-12 (in the case of ungraded
classrooms, those with students 13 years or older); and 2) all new,
full- and part-time, undergraduate and graduate students in
degree-granting programs at postsecondary schools (e.g., colleges)
that provide or license housing. These institutions are also required
to supply all new students or their parent/legal guardian with the
MDPH developed Meningococcal Information and Waiver Form.
All
new students at the affected institutions must: 1) receive
information about meningococcal disease and vaccine; and 2) provide
documentation of receipt of 1 dose of meningococcal vaccine within
the last 5 years.
As
an alternative, new students or their parent/legal guardian may sign
the Meningococcal Information and Waiver Form developed by MDPH to
indicate that they have read and understood the required information
related to the risks of meningococcal disease, and have elected to
decline the vaccine.
At
all affected institutions, these requirements apply to all new
students regardless of grade, year of study and whether or
not they reside in school or campus-related housing. Please note
at residential schools, the requirements apply to students in lower
grades (pre-K through 8) if the school combines these grades in the
same school or part of a school with students in grades 9-12.
moorer@arps.org
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