1. Immunization Update SNOW Conference October 10, 2014 Trang Kuss, RN, MN, MPH Office of Immunization and Child Profile www.doh.wa.gov/immununizations/schoolandchildcare

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

3. School Requirements for School Year 2014-15

4. 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

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

6. 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

7. Immunization Requirements Hep B Three doses grades K-12 3

8. 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

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

10. 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

11. 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

12. Immunization Requirements mmr 2 Two doses grades K-12

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

14. 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

15. two options: Report in the Immunization Information System (IIS) (www.waiis.wa.gov) - OR -www.waiis.wa.gov Email export from Student Information System to oicpschools@doh.wa.gov (NO hard copies of Skyward report forms please) oicpschools@doh.wa.gov Instructions for filling out the report: How to Complete the School Immunization Status Report (PPT) reporting

16. Reporting For those using the IIS: Email with username and password sent in Sept. to current users If new user, register here: http://survey.con stantcontact.co m/survey/a07e9 s5q0a0hzlhgg9t /_tmp/greeting Any questions? email oicpschools@doh.wa.gov oicpschools@doh.wa.gov

17. Reporting Preschool/child care reporting: Do NOT use the IIS, but use online survey tool: http://survey.constantcontact.com/survey/a07e6eh otx6h79ls3x5/a011mh853m8gc/questions – OR – http://survey.constantcontact.com/survey/a07e6eh otx6h79ls3x5/a011mh853m8gc/questions Email export from Student Information System to oicpschools@doh.wa.gov (NO hard copies of report forms please) oicpschools@doh.wa.gov More information about preschool/child care reporting: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/ChildCareStatu sReporting.aspx www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/ChildCareStatu sReporting.aspx

18. Cis changes Separated tdap and td removed parent verification of varicella additional rows for pcv and meningococcal vaccines added parent consent for iis

19. COE changes 2 nd page: Religious Membership Exemption Request 1 st page: Medical, Personal, and Religious Exemption Request

20. No Doses RequiredSYTwo Dose 14-15 15-16 16-17 17-18 K 1 2 3456 DRAFT Varicella Implementation Plan 7 8 9101112 K 1 2 3456 7 9101112 K 123456 7 8 910 K 123456 7 8 9 1112 Pending State Board of Health approval in Nove mber 1211 8

21.  School and Child Care web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization  Vaccines Required charts: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/ VaccineRequirements 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 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 www.doh.wa.gov/Portals/1/Documents/Pubs/348-284- IndividualVaccineReqs2014-15.pdf  Email for help with determining student compliance: immunenurses@doh.wa.gov immunenurses@doh.wa.gov  Email for reporting questions: oicpschools@doh.wa.govoicpschools@doh.wa.gov RESOURCES

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