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Trang Kuss, RN, MN, MPH Office of Immunization and Child Profile www.doh.wa.gov/immununizations/schoolandchildcare. Immunization Update SNOW Conference October 10, 2014. Topics for Today. School immunization requirements Reporting Upcoming changes CIS and COE revision update - PowerPoint PPT Presentation
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Immunization UpdateSNOW ConferenceOctober 10, 2014
Trang Kuss, RN, MN, MPHOffice of Immunization and Child Profilewww.doh.wa.gov/immununizations/schoolandchildcare
Topics for Today
• School immunization requirements
• Reporting
• Upcoming changes
o CIS and COE revision update
o Varicella Implementation Plan
School Requirements forSchool Year 2014-15
Immunization RequirementsDTaP
Five doses grades K-124 doses required if 4th dose given on or after 4th birthdayDTaP given after 7 years of age counts for Tdap dose
Exceptions
5
Immunization RequirementsTdaP
Tdap given between ages 7 to 10 counts towards the requirementTd only: Tdap required
Just so you know…
One dose for grades 6-12 if student is at least 11 years old
1
Immunization RequirementsDTaP/Tdap/Td
Students 7 years of age or older≤ 4
doses of DTaP
No DTaP
DTaP given
instead of Tdap
Tdap for catch-up
Tdap followed by 2 Td
DTaP counts for Tdap
Immunization RequirementsHep B
Three doses grades K-12
3
• Min interval between doses• 1 and 2 = 1 month• 2 and 3 = 2 months• 1 and 3 = 16 weeks
• Min age for dose 3 = 24 weeks
K-7th grade
• Min interval between doses• 1 and 2 = 1 month• 2 and 3 = 2 months• 1 and 3 = 12 weeks
• Min age for dose 3 = 4 mos
8th-12th grade
Immunization RequirementsHep B
Immunization RequirementsIPV
Four doses grades K-123 doses required if 3rd dose given on or after 4th birthday
Exception
4
Immunization RequirementsIPV
K-3rd grade
Dose 4, if given on or after August 7, 2009
Must be given ≥ 4 years of age
Separated from dose 3 by ≥ 6 months
Immunization RequirementsIPV
K-12th gradeDose 4, if given before August 7, 2009
Dose 1 must be given ≥ 6 weeks of age
4 week minimum interval must separate all doses
Dose 4 must be given ≥ 18 weeks of age
Immunization Requirementsmmr
2
Two doses grades K-12
Immunization Requirementsvaricella
2
Two doses grades K-6Grades 7-12: recommended, but not
required
Immunization Requirementsvaricella
Valid provider verificationBlood test showing titer for immunity
Option one
Documentation in iis or cis printoutOption two
Letter from provider (out of state valid)
Option
three
Provider documents on cis hard copy
Option
four
two options: • Report in the Immunization Information
System (IIS) (www.waiis.wa.gov) - OR -• Email export from Student Information
System to [email protected] (NO hard copies of Skyward report forms please)
Instructions for filling out the report: How
to Complete the School Immunization Status Report (PPT)
reporting
ReportingFor those using the IIS:
Email with username and password sent in Sept. to current users
If new user, register here: http://survey.constantcontact.com/survey/a07e9s5q0a0hzlhgg9t/_tmp/greeting
Any questions? email [email protected]
Reporting
Preschool/child care reporting:• Do NOT use the IIS, but use online survey tool:
http://survey.constantcontact.com/survey/a07e6ehotx6h79ls3x5/a011mh853m8gc/questions – OR –
• Email export from Student Information System to [email protected] (NO hard copies of report forms please)More information about preschool/child care reporting:
www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/ChildCareStatusReporting.aspx
Cis changes
• Separated tdap and td
• removed parent verification of varicella
• additional rows for pcv and meningococcal vaccines
• added parent consent for iis
COE changes2nd page: Religious Membership Exemption Request
1st page: Medical, Personal, and Religious Exemption Request
No Doses Required SY Two Dose
14-15
15-16
16-17
17-18
K 1 2 3 4 5 6
DRAFT Varicella Implementation Plan
7 8 9 10 11 12
K 1 2 3 4 5 6 79 10 11 12
K 1 2 3 4 5 6 7 8 9 10
K 1 2 3 4 5 6 7 8 9 10 11 12
Pending State Board of Health approval in November
1211
8
School and Child Care web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization
Vaccines Required charts: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/VaccineRequirements
Conditional status FAQs in Immunization Manual for School, Preschool, and Child Care: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolManual
Individual Vaccine Requirements Summary: www.doh.wa.gov/Portals/1/Documents/Pubs/348-284-IndividualVaccineReqs2014-15.pdf
Email for help with determining student compliance: [email protected]
Email for reporting questions: [email protected]
RESOURCES
Thank you so much!We really appreciate all you do!
Questions??
