Immunization Update SNOW Conference October 10, 2014 Trang Kuss, RN, MN, MPH Office of Immunization and Child Profile

Topics for Today School immunization requirements Reporting Upcoming changes o CIS and COE revision update o Varicella Implementation Plan

School Requirements for School Year

Immunization Requirements DTaP Five doses grades K-12 4 doses required if 4 th dose given on or after 4 th birthday DTaP given after 7 years of age counts for Tdap dose Exceptions 5

Immunization Requirements TdaP Tdap given between ages 7 to 10 counts towards the requirement Td only: Tdap required Just so you know… One dose for grades 6-12 if student is at least 11 years old 1

Immunization Requirements DTaP/Tdap/Td Students 7 years of age or older ≤ 4 doses of DTaP No DTaP DTaP given instead of Tdap Tdap for catch-upTdap followed by 2 TdDTaP counts for Tdap

Immunization Requirements Hep 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-7 th 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 8 th -12 th grade Immunization Requirements Hep B

Immunization Requirements IPV Four doses grades K-12 3 doses required if 3 rd dose given on or after 4 th birthday Exception 4

Immunization Requirements IPV K-3 rd 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 Requirements IPV K-12 th grade Dose 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 Requirements mmr 2 Two doses grades K-12

Immunization Requirements varicella 2 Two doses grades K-6 Grades 7-12: recommended, but not required

Immunization Requirements varicella Valid provider verification Blood test showing titer for immunity Opti on one Documentation in iis or cis printout Opti on two Letter from provider (out of state valid) Opti on thre e Provider documents on cis hard copy Opti on four

two options: Report in the Immunization Information System (IIS) ( - OR - export from Student Information System to (NO hard copies of Skyward report forms please) Instructions for filling out the report: How to Complete the School Immunization Status Report (PPT) reporting

Reporting For those using the IIS: with username and password sent in Sept. to current users If new user, register here: stantcontact.co m/survey/a07e9 s5q0a0hzlhgg9t /_tmp/greeting Any questions?

Reporting Preschool/child care reporting: Do NOT use the IIS, but use online survey tool: otx6h79ls3x5/a011mh853m8gc/questions – OR – otx6h79ls3x5/a011mh853m8gc/questions export from Student Information System to (NO hard copies of report forms please) More information about preschool/child care reporting: sReporting.aspx sReporting.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 changes 2 nd page: Religious Membership Exemption Request 1 st page: Medical, Personal, and Religious Exemption Request

No Doses RequiredSYTwo Dose K DRAFT Varicella Implementation Plan K K K Pending State Board of Health approval in Nove mber

 School and Child Care web page:  Vaccines Required charts: VaccineRequirements VaccineRequirements  Conditional status FAQs in Immunization Manual for School, Preschool, and Child Care: SchoolManual SchoolManual  Individual Vaccine Requirements Summary: IndividualVaccineReqs pdf IndividualVaccineReqs pdf  for help with determining student compliance:  for reporting questions: RESOURCES

Thank you so much! We really appreciate all you do! Questions??