School Immunization Law Update April 14, 2011 Agenda Important
info for school year School year update Americas favorite new game:
Clinic vs. School Hepatitis A: Not-So-New-Anymore Requirement Dose
1 required for children 18 months and older to in childcare,
preschool, Head Start, kindergarten, 1 st, 2 nd, and 3 rd grade
Dose 2 required by 12 months after the first dose Hepatitis A will
be phased in: One grade level per year through 5 th grade in All
grades through 12 th in Students now in grades 3-8 will be required
to have Hepatitis A vaccine before they graduate! One dose of Tdap
is required for all 7 th - 10 th graders by Exclusion Day 2012 Tdap
will be phased in: One grade level per year, finishing with 12th
grade in CDC Public Health Image Library ID#2121 Tdap:
Not-So-New-Anymore Requirement Primary Review Summary-Page 1
Changes to Primary Review SummaryPage 1 Kids with religious
exemptions for some vaccines but incomplete for other vaccines go
in the Incomplete category Complete and Up-to-date fields combined
into one Primary Review SummaryPage 2 No changes to this page
Primary Review Summary- Page 3 Changes to Primary Review
SummaryPage 3 Count the number of kids with religious exemptions
for each vaccine. Notesites using eSIS will begin reporting this
information for School Year ! School Year School Year
Schools/facilities submit Primary Review Summary (PRS) pages 1-2 to
the local health department (LHD) January 11, 2012January 16, 2013
Exclusion orders mailed by LHDFebruary 1, 2012February 6, 2013
Exclusion DayFebruary 15, 2012February 20, 2013 Schools/facilities
submit updated PRS pages 2-3 to LHD February 27, 2012March 4, 2013
LHD submits County Immunization Status Report to the State March 9,
2012March 15, 2013 Exclusion Timeline Exclusion Summary 2011
Children in Oregon covered by school and childrens facility
immunization law: 659,526 Exclusion orders: 36,776 Children
excluded: 4,932 NWHF Public Health Youth Photo Contest, 2010 1
facility 2 schools 1 facility 3 schools 1 facility 2 schools 2
facilities 1 school 2 facilities 1 school 1 facility 2 schools 1
facility 4 facilities 1 school 1 facility resurvey 5 schools 1
school 1 facility 3 facilities 2 schools 1 facility resurvey 1
facility 1 school 1 facility 1 school 1 facility 1 school 2
facilities, 3 schools 5 facilities 1 school 3 schools 1 facility 1
school 1 facility 2 schools 1 school resurvey 2 schools 1 facility
1 school 2 facilities 1 facility resurvey 1 school 2 schools none
Validation Surveys 2007 Validation Survey Totals Facilities36
Schools42 Facility Resurveys3 School Resurveys2 Total Surveys83 1
school 1 school resurvey Janis Lorraine Peggy Stacy None Clatsop
Columbia Tillamook Washington Multnomah Clackamas Yamhill Polk
Marion Lincoln Linn Benton Lane Douglas Coos Curry Josephine
Jackson Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood
River Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker
Wallowa Malheur 0.0% 2.1% 2.8% 1.7% 2.7%1.3% 1.6% 1.5% 5.0% 0.4%
1.1% 3.6% 0.5% 3.6% 1.5% 5.2% 0.8% 1.6% 4.2% 0.9% 1.5% 2.0% 1.5%
0.2% 1.0% 3.5% 8.5% 1.1% 0.0% 1.5% 0.8% 1.3% 0.0% Kindergarten and
First Grade Religious Exemptions, (Oregon 1.9%) 1.7% 8% 1 facility
2 schools 1 facility 3 schools 1 facility 2 schools 2 facilities 1
school 2 facilities 1 school 1 facility 2 schools 1 facility 4
facilities 1 school 1 facility resurvey 5 schools 1 school 1
facility 3 facilities 2 schools 1 facility resurvey 1 facility 1
school 1 facility 1 school 1 facility 1 school 2 facilities, 3
schools 5 facilities 1 school 3 schools 1 facility 1 school 1
facility 2 schools 1 school resurvey 2 schools 1 facility 1 school
2 facilities 1 facility resurvey 1 school 2 schools none Validation
Surveys 2007 Validation Survey Totals Facilities36 Schools42
Facility Resurveys3 School Resurveys2 Total Surveys83 1 school 1
school resurvey Janis Lorraine Peggy Stacy None Clatsop Columbia
Tillamook Washington Multnomah Clackamas Yamhill Polk Marion
Lincoln Linn Benton Lane Douglas Coos Curry Josephine Jackson
Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood River
Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker Wallowa
Malheur 0.0% 0.4% 3.5% 2.7% 3.8%1.6% 2.8% 4.5% 2.7% 1.3% 4.2% 1.2%
3.4% 0.6% 11.2% 0.1% 0.0% 5.0% 1.5% 1.6% 2.2% 2.5% 2.0% 1.1% 4.7%
7.9% 1.2% 1.4% 3.5% 2.0% 0.8% 3.2% 0.0% 2.1% 8% Kindergarten and
First Grade Religious Exemptions, (Oregon 2.4%) 1 facility 2
schools 1 facility 3 schools 1 facility 2 schools 2 facilities 1
school 2 facilities 1 school 1 facility 2 schools 1 facility 4
facilities 1 school 1 facility resurvey 5 schools 1 school 1
facility 3 facilities 2 schools 1 facility resurvey 1 facility 1
school 1 facility 1 school 1 facility 1 school 2 facilities, 3
schools 5 facilities 1 school 3 schools 1 facility 1 school 1
facility 2 schools 1 school resurvey 2 schools 1 facility 1 school
2 facilities 1 facility resurvey 1 school 2 schools none Validation
Surveys 2007 Validation Survey Totals Facilities36 Schools42
Facility Resurveys3 School Resurveys2 Total Surveys83 1 school 1
school resurvey Janis Lorraine Peggy Stacy None Clatsop Columbia
Tillamook Washington Multnomah Clackamas Yamhill Polk Marion
Lincoln Linn Benton Lane Douglas Coos Curry Josephine Jackson
Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood River
Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker Wallowa
Malheur 0.0% 0.4% 4.4% 3.1% 3.5%2.6% 1.1% 1.2% 9.6% 4.1% 1.3% 10.2%
2.5% 4.3% 0.0% 10.8% 1.0% 0.0% 5.8% 1.9% 1.8% 2.8% 1.6% 2.0% 1.0%
3.1% 4.7% 1.3% 1.5% 12.5% 2.3% 0.9% 3.2% 0.8% Kindergarten and
First Grade Religious Exemptions, (Oregon 2.8%) 1.9% 8% 1 facility
2 schools 1 facility 3 schools 1 facility 2 schools 2 facilities 1
school 2 facilities 1 school 1 facility 2 schools 1 facility 4
facilities 1 school 1 facility resurvey 5 schools 1 school 1
facility 3 facilities 2 schools 1 facility resurvey 1 facility 1
school 1 facility 1 school 1 facility 1 school 2 facilities, 3
schools 5 facilities 1 school 3 schools 1 facility 1 school 1
facility 2 schools 1 school resurvey 2 schools 1 facility 1 school
2 facilities 1 facility resurvey 1 school 2 schools none Validation
Surveys 2007 Validation Survey Totals Facilities36 Schools42
Facility Resurveys3 School Resurveys2 Total Surveys83 1 school 1
school resurvey Janis Lorraine Peggy Stacy None Clatsop Columbia
Tillamook Washington Multnomah Clackamas Yamhill Polk Marion
Lincoln Linn Benton Lane Douglas Coos Curry Josephine Jackson
Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood River
Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker Wallowa
Malheur 0.0% 2.9% 3.2% 2.8%1.5% 3.4% 1.5% 7.2% 4.9% 0.8% 3.0% 3.4%
4.5% 1.3% 7.3% 1.0% 1.3% 5.6% 2.1% 1.7% 3.0% 2.5% 1.6% 1.2% 4.5%
1.6% 1.0% 1.6% 6.3% 2.4% 4.4% 4.6% 1.8% Kindergarten Religious
Exemptions, (Oregon 2.8%) 0.6% 8% 1 facility 2 schools 1 facility 3
schools 1 facility 2 schools 2 facilities 1 school 2 facilities 1
school 1 facility 2 schools 1 facility 4 facilities 1 school 1
facility resurvey 5 schools 1 school 1 facility 3 facilities 2
schools 1 facility resurvey 1 facility 1 school 1 facility 1 school
1 facility 1 school 2 facilities, 3 schools 5 facilities 1 school 3
schools 1 facility 1 school 1 facility 2 schools 1 school resurvey
2 schools 1 facility 1 school 2 facilities 1 facility resurvey 1
school 2 schools none Validation Surveys 2007 Validation Survey
Totals Facilities36 Schools42 Facility Resurveys3 School Resurveys2
Total Surveys83 1 school 1 school resurvey Janis Lorraine Peggy
Stacy None Clatsop Columbia Tillamook Washington Multnomah
Clackamas Yamhill Polk Marion Lincoln Linn Benton Lane Douglas Coos
Curry Josephine Jackson Klamath Lake Jefferson Wheeler Crook
Deschutes Harney Hood River Wasco Sherman Gilliam Morrow Umatilla
Grant Union Baker Wallowa Malheur 0.0% 0.5% 6.0% 3.5% 1.0% 3.6%
1.3% 8.8% 5.1% 2.1% 6.5% 0.0% 4.9% 1.8% 7.7% 1.9% 1.4% 6.2% 2.1%
2.2% 4.2% 2.8% 1.6% 0.7% 7.9% 10.5% 2.7% 2.0% 100% 2.2% 1.2% 2.6%
1.8% Kindergarten Religious Exemptions, (Oregon 3.4%) 4.3% 8% 1
facility 2 schools 1 facility 3 schools 1 facility 2 schools 2
facilities 1 school 2 facilities 1 school 1 facility 2 schools 1
facility 4 facilities 1 school 1 facility resurvey 5 schools 1
school 1 facility 3 facilities 2 schools 1 facility resurvey 1
facility 1 school 1 facility 1 school 1 facility 1 school 2
facilities, 3 schools 5 facilities 1 school 3 schools 1 facility 1
school 1 facility 2 schools 1 school resurvey 2 schools 1 facility
1 school 2 facilities 1 facility resurvey 1 school 2 schools none
Validation Surveys 2007 Validation Survey Totals Facilities36
Schools42 Facility Resurveys3 School Resurveys2 Total Surveys83 1
school 1 school resurvey Janis Lorraine Peggy Stacy None Clatsop
Columbia Tillamook Washington Multnomah Clackamas Yamhill Polk
Marion Lincoln Linn Benton Lane Douglas Coos Curry Josephine
Jackson Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood
River Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker
Wallowa Malheur 10.0% 0.4% 5.5% 4.2% 3.5%2.3% 2.4% 2.0% 6.1% 6.0%
2.2% 8.6% 1.3% 5.8% 2.1% 8.5% 1.7% 5.8% 6.6% 3.3% 2.0% 4.0% 3.0%
1.2% 4.9% 7.8% 3.1% 1.6% 18.2% 2.2% 1.2% 6.7% 1.6% Kindergarten
Religious Exemptions, (Oregon 3.5%) 4.4% 8% 1 facility 2 schools 1
facility 3 schools 1 facility 2 schools 2 facilities 1 school 2
facilities 1 school 1 facility 2 schools 1 facility 4 facilities 1
school 1 facility resurvey 5 schools 1 school 1 facility 3
facilities 2 schools 1 facility resurvey 1 facility 1 school 1
facility 1 school 1 facility 1 school 2 facilities, 3 schools 5
facilities 1 school 3 schools 1 facility 1 school 1 facility 2
schools 1 school resurvey 2 schools 1 facility 1 school 2
facilities 1 facility resurvey 1 school 2 schools none Validation
Surveys 2007 Validation Survey Totals Facilities36 Schools42
Facility Resurveys3 School Resurveys2 Total Surveys83 1 school 1
school resurvey Janis Lorraine Peggy Stacy None Clatsop Columbia
Tillamook Washington Multnomah Clackamas Yamhill Polk Marion
Lincoln Linn Benton Lane Douglas Coos Curry Josephine Jackson
Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood River
Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker Wallowa
Malheur 6.7% 0.0% 4.9% 4.3% 1.6% 4.2% 2.5% 3.9% 5.7% 3.1% 3.8% 1.3%
6.1% 1.9% 8.1% 1.3% 1.2% 5.8% 2.3% 2.0% 4.7% 1.6% 3.4% 1.4% 4.4%
4.8% 3.1% 1.9% 25.0% 2.8% 3.0% 7.0% 0.5% Kindergarten Religious
Exemptions, (Oregon 3.6%) 5.9% 8% 1 facility 2 schools 1 facility 3
schools 1 facility 2 schools 2 facilities 1 school 2 facilities 1
school 1 facility 2 schools 1 facility 4 facilities 1 school 1
facility resurvey 5 schools 1 school 1 facility 3 facilities 2
schools 1 facility resurvey 1 facility 1 school 1 facility 1 school
1 facility 1 school 2 facilities, 3 schools 5 facilities 1 school 3
schools 1 facility 1 school 1 facility 2 schools 1 school resurvey
2 schools 1 facility 1 school 2 facilities 1 facility resurvey 1
school 2 schools none Validation Surveys 2007 Validation Survey
Totals Facilities36 Schools42 Facility Resurveys3 School Resurveys2
Total Surveys83 1 school 1 school resurvey Janis Lorraine Peggy
Stacy None Clatsop Columbia Tillamook Washington Multnomah
Clackamas Yamhill Polk Marion Lincoln Linn Benton Lane Douglas Coos
Curry Josephine Jackson Klamath Lake Jefferson Wheeler Crook
Deschutes Harney Hood River Wasco Sherman Gilliam Morrow Umatilla
Grant Union Baker Wallowa Malheur 0.0% 1.2% 5.8% 4.9% 5.6%1.0% 3.2%
1.5% 1.3% 6.6% 2.6% 8.5% 1.6% 6.4% 2.0% 8.7% 1.6% 1.3% 5.3% 1.7%
2.2% 5.2% 2.3% 4.0% 1.5% 7.2% 9.0% 3.2% 1.9% 6.7% 2.2% 3.6% 4.3%
0.5% Kindergarten Religious Exemptions, (Oregon 3.9%) 7.6% 8% 1
facility 2 schools 1 facility 3 schools 1 facility 2 schools 2
facilities 1 school 2 facilities 1 school 1 facility 2 schools 1
facility 4 facilities 1 school 1 facility resurvey 5 schools 1
school 1 facility 3 facilities 2 schools 1 facility resurvey 1
facility 1 school 1 facility 1 school 1 facility 1 school 2
facilities, 3 schools 5 facilities 1 school 3 schools 1 facility 1
school 1 facility 2 schools 1 school resurvey 2 schools 1 facility
1 school 2 facilities 1 facility resurvey 1 school 2 schools none
Validation Surveys 2007 Validation Survey Totals Facilities36
Schools42 Facility Resurveys3 School Resurveys2 Total Surveys83 1
school 1 school resurvey Janis Lorraine Peggy Stacy None Clatsop
Columbia Tillamook Washington Multnomah Clackamas Yamhill Polk
Marion Lincoln Linn Benton Lane Douglas Coos Curry Josephine
Jackson Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood
River Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker
Wallowa Malheur 0.0% 0.8% 6.1% 5.8% 6.2%1.8% 4.8% 3.2% 4.4% 7.4%
3.8% 2.2% 3.8% 5.1% 0.4% 10.9% 1.6% 1.4% 7.6% 3.4% 3.3% 6.3% 3.7%
4.2% 2.0% 5.8% 14.3% 5.9% 2.9% 0.0% 3.1% 5.1% 8.9% 1.0%
Kindergarten Religious Exemptions, (Oregon 4.9%) 5.7% 8% 1 facility
2 schools 1 facility 3 schools 1 facility 2 schools 2 facilities 1
school 2 facilities 1 school 1 facility 2 schools 1 facility 4
facilities 1 school 1 facility resurvey 5 schools 1 school 1
facility 3 facilities 2 schools 1 facility resurvey 1 facility 1
school 1 facility 1 school 1 facility 1 school 2 facilities, 3
schools 5 facilities 1 school 3 schools 1 facility 1 school 1
facility 2 schools 1 school resurvey 2 schools 1 facility 1 school
2 facilities 1 facility resurvey 1 school 2 schools none Validation
Surveys 2007 Validation Survey Totals Facilities36 Schools42
Facility Resurveys3 School Resurveys2 Total Surveys83 1 school 1
school resurvey Janis Lorraine Peggy Stacy None Clatsop Columbia
Tillamook Washington Multnomah Clackamas Yamhill Polk Marion
Lincoln Linn Benton Lane Douglas Coos Curry Josephine Jackson
Klamath Lake Jefferson Wheeler Crook Deschutes Harney Hood River
Wasco Sherman Gilliam Morrow Umatilla Grant Union Baker Wallowa
Malheur 0.6% 7.3% 5.6% 6.1%3.4% 6.6% 3.6% 5.9% 9.5% 3.8% 1.8% 3.0%
6.0% 1.4% 9.3% 3.1% 4.5% 7.8% 2.0% 3.6% 6.8% 3.5% 5.0% 1.4% 6.2%
10.3% 1.9% 3.4% 0.0% 3.3% 4.1% 5.7% 1.0% 4.0% 8% Kindergarten
Religious Exemptions, (Oregon 5.2%) 1 facility 2 schools 1 facility
3 schools 1 facility 2 schools 2 facilities 1 school 2 facilities 1
school 1 facility 2 schools 1 facility 4 facilities 1 school 1
facility resurvey 5 schools 1 school 1 facility 3 facilities 2
schools 1 facility resurvey 1 facility 1 school 1 facility 1 school
1 facility 1 school 2 facilities, 3 schools 5 facilities 1 school 3
schools 1 facility 1 school 1 facility 2 schools 1 school resurvey
2 schools 1 facility 1 school 2 facilities 1 facility resurvey 1
school 2 schools none Validation Surveys 2007 Validation Survey
Totals Facilities36 Schools42 Facility Resurveys3 School Resurveys2
Total Surveys83 1 school 1 school resurvey Janis Lorraine Peggy
Stacy None Clatsop Columbia Tillamook Washington Multnomah
Clackamas Yamhill Polk Marion Lincoln Linn Benton Lane Douglas Coos
Curry Josephine Jackson Klamath Lake Jefferson Wheeler Crook
Deschutes Harney Hood River Wasco Sherman Gilliam Morrow Umatilla
Grant Union Baker Wallowa Malheur 1.4% 6.2% 6.4% 6.0%3.8% 5.5% 3.7%
7.2% 9.0% 4.8% 8.3% 0.0% 7.7% 2.5% 12.7% 2.4% 3.2% 8.4% 3.7% 3.4%
7.1% 3.7% 6.1% 1.2% 6.2% 9.4% 4.6% 3.3% 0.0% 4.4% 6.8% 6.9% 1.1%
6.0% 8% Kindergarten Religious Exemptions, (Oregon 5.6%) Question 1
Clinical Answer:School Law Answer: A student has received 1 dose of
varicella vaccine. Does he need a second dose? Question 2
Clinic:School: Should a potentially subpotent dose be counted as an
acceptable dose? Question 3 Clinic:School: A kindergartner received
her 4 th dose of polio at 2 years of age. Does she need a 5 th
dose? CDC Public Health Image Library ID#7224 Question 4
Clinic:School: A college freshman is moving into a dorm. Does he
need a dose of meningococcal vaccine? Question 5 Clinic: School: A
7 th grader is in for her Tdap. Does she need anything else?
Intermission Adolescent Immunization Recommendation Updates Tdap
expanded age recommendations Meningococcal vaccine booster dose HPV
for males Influenza for all ages Pharmacists can give vaccines down
to age 11 years Question 6 Clinic:School: A preschooler got two
doses of Hepatitis A vaccine three months apart. Does he need to
repeat the last dose? CDC Public Health Image Library ID#2739
Question 7 Clinic:School: A child got MMR before her first
birthday. Does she need to repeat this dose? CDC Public Health
Image Library ID#7498 Question 8 Clinic: School: A 4-year old
missed the Hib booster dose because of the shortage. Does she need
her last dose of Hib for preschool now? CDC Public Health Image
Library ID#1616 Question 9 Clinic: School: A 7 th grader got a Td
booster 4 years ago. Does he need Tdap now? CDC Public Health Image
Library ID#7220 Question 10: The Bonus Question Will the new ALERT
IIS have the printable Certificate of Immunization Status? Oregon
Immunization Law: Schools, Childrens Facilities & Colleges
Oregon Revised Statutes through (Disease Control in Schools) Oregon
Administrative Rules through (School Immunization Rules)
public.health.oregon.gov/PreventionWellness/VaccinesImmunization/RulesLaws
Immunization School Law Contacts Janis Betten Stacy de Assis
Matthews Peggy Lou Hillman
public.health.oregon.gov/PreventionWellness/
VaccinesImmunization/GettingImmunized/Pages/school.aspx
