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 oicpschools@doh.wa.gov (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 oicpschools@doh.wa.gov

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 oicpschools@doh.wa.gov (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: immunenurses@doh.wa.gov

Email for reporting questions: oicpschools@doh.wa.gov

RESOURCES

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

Questions??