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Implementing WA New State Exemption Requirements - Training for Schools and Child Cares/Preschools August XX, 2011 Preschool/Child Care Immunization Requirements.

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Presentation on theme: "Implementing WA New State Exemption Requirements - Training for Schools and Child Cares/Preschools August XX, 2011 Preschool/Child Care Immunization Requirements."— Presentation transcript:

1 Implementing WA New State Exemption Requirements - Training for Schools and Child Cares/Preschools August XX, 2011 Preschool/Child Care Immunization Requirements Department of Health Office of Immunization and Child Profile May 2013

2 Topics to be Covered What are the child care and preschool vaccine requirements in Washington State? Complete, Conditional, Out of Compliance: What do they mean? How can I use the Washington State Immunization Information System (IIS) to find out if a child is complete?

3 Why Do We Need Immunizations? We don’t see diseases once common. Vaccines successfully prevent disease However, diseases and outbreaks still occur Children are at risk in the child care and preschool setting

4 Immunization Requirements Children attending licensed child care must comply with immunization requirements to protect the health of the public and individuals Children must be vaccinated against certain diseases at ages and intervals according to the national immunization schedule Parents must turn in completed Certificate of Immunization Status (or Certificate of Exemption) /Immunization/Regulations.aspx /Immunization/Regulations.aspx

5 Immunization Requirements Comply with State Board of Health immunization requirements Required to report to DOH Licensed child care center (and preschool) √ √ Licensed family home child care Must comply with DEL rules-- Licensed child care for school age children √ -- Head Start, ECEAP √ √ Any preschool in school setting √√

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8 Changes to Exemption Law /Immunization/Exemptions.aspx /Immunization/Exemptions.aspx Sample Certificates of Exemption Training video Frequently Asked Questions

9 Vaccines Required for Preschool or Child Care Attendance DTaP Hepatitis B Hib IPV MMR PCV Varicella

10 Recommended, but Not Required Flu Hepatitis A Rotavirus

11 Immunization Status Complete/Fully Immunized Conditional Temporary status to allow child to get fully immunized Out of Compliance Exempt

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16 4 Day Grace Period Vaccines given 4 days or fewer before the minimum interval or age are valid Vaccines given more than 4 days before the minimum interval or age are NOT valid and need to be repeated Applies to all vaccines before minimum intervals OR ages

17 4 Day Grace Example Dose 3 valid given 3 days before 6 months of age

18 DTaP Requirement VACCINE By 3 Months (on or before last day of mo 2) By 5 Months (on or before last day of mo 4) By 7 Months (on or before last day of mo 6) By 16 Months (on or before last day of mo 15) By 19 Months (on or before last day of mo 18) Diphtheria, Tetanus, Pertussis (DTaP/DT) 1 dose2 doses 3 doses May get as early as 6 months. 4 doses May get 4 th dose as early as 12 months as long as 6 months separate dose 3 and dose 4.

19 DTaP Minimum Age and Intervals Dose #Minimum AgeMinimum Interval Between Doses 16 weeks4 weeks between Dose 1 & weeks4 weeks between Dose 2 & weeks6 months between Dose 3 & months6 months between Dose 4 & 5

20 DTaP Details Routine schedule: 2, 4, 6, months, and booster dose at 4-6 years 6 months interval recommended between dose 3 and 4, but 4 months or more is acceptable DTaP given to children less than 7 years of age; Tdap and Td given to children 7 years of age or older

21 Note red X because Dose 4 given too early DTaP Example Dose 4 past due

22 Hepatitis B Requirement VACCINE By 3 Months (on or before last day of mo 2) By 5 Months (on or before last day of mo 4) By 7 Months (on or before last day of mo 6) By 16 Months (on or before last day of mo 15) By 19 Months (on or before last day of mo 18) Hepatitis B 1 dose May get dose 1 at birth. 2 doses May get dose 2 as early as 1 month. 3 doses

23 Hepatitis B Minimum Age and Intervals Dose #Minimum Age Minimum Interval Between Doses 1Birth4 weeks between Dose 1 & 2 24 weeks8 weeks between Dose 2 & weeks16 weeks between Dose 1 & 3

24 Hepatitis B Details Routine schedule: birth, 1 month, and 6 months Pay attention to min age for dose 3 and minimum intervals between doses

25 Hib Requirement VACCINE By 3 Months (on or before last day of mo 2) By 5 Months (on or before last day of mo 4) By 7 Months (on or before last day of mo 6) By 16 Months (on or before last day of mo 15) By 19 Months (on or before last day of mo 18) Haemophilus influenzae type B (Hib) 1 dose2 doses3 doses4 doses

26 Hib Minimum Age and Intervals Dose #Minimum Age Minimum Interval Between Doses 16 weeks4 weeks between Dose 1 & weeks4 weeks between Dose 2 & weeks8 weeks between Dose 3 & months -

27 Hib Details Routine schedule: 2, 4, 6, and months Not recommended for children 5 years or older The recommended immunization schedule for Hib vaccines: Vaccine2 Months4 Months6 Months12-15 Months PRP-T* (ActHib) Dose 1Dose 2Dose 3Booster PRP-OMP (PedvaxHib) Dose 1Dose 2 Booster

28 Hib Details One total dose for unvaccinated child months of age. Two doses total if Dose 1 given >12 months and Dose 2 given >15 months of age. Three doses total if 2 doses given before 12 months and Dose 3 given >12 months.

29 Doses before age 12 months Doses on or after age 12 monthsStatus 31Complete Needs 1 Booster Dose (If Last Dose Given Before 15 Months) 01 Needs 1 Booster Dose (If Last Dose Given Before 15 Months) 40Needs 1 Booster Dose Needs 1 Dose Hib Doses Required Chart

30 Hib Example

31 IPV Requirement VACCINE By 3 Months (on or before last day of mo 2) By 5 Months (on or before last day of mo 4) By 7 Months (on or before last day of mo 6) By 16 Months (on or before last day of mo 15) By 19 Months (on or before last day of mo 18) Polio (IPV or OPV) 1 dose2 doses May get as early as 4 months. 3 doses

32 IPV Minimum Age and Intervals Dose #Minimum AgeMinimum Interval Between Doses 16 weeks4 weeks between Dose 1 & weeks4 weeks between Dose 2 & weeks6 months between Dose 3 & 4

33 IPV Details Routine schedule: 2, 4, 6-18 months, and booster at 4-6 years IPV used routinely in US for polio vaccination, but children coming from a foreign country may get OPV Any combination of IPV or OPV valid

34 MMR Requirement VACCINE By 3 Months (on or before last day of mo 2) By 5 Months (on or before last day of mo 4) By 7 Months (on or before last day of mo 6) By 16 Months (on or before last day of mo 15) By 19 Months (on or before last day of mo 18) Measles, Mumps, Rubella (MMR) Not given before 12 months of age.1 dose

35 MMR Minimum Age and Intervals Dose #Minimum Age Minimum Interval Between Doses 112 months4 weeks between Dose 1 & 2

36 MMR Details Routine schedule: months and 4-6 years Dose 1 given <12 months of age must be repeated (4 day grace applies) MMR or MMRV can be used If not given on same day, minimum interval between MMR and varicella is >28 days o The second vaccine given is not valid and should be repeated

37 MMR Example Note red X – MMR given 5 days too early

38 Pneumococcal Conjugate Vaccine (PCV) Requirement VACCINE By 3 Months (on or before last day of mo 2) By 5 Months (on or before last day of mo 4) By 7 Months (on or before last day of mo 6) By 16 Months (on or before last day of mo 15) By 19 Months (on or before last day of mo 18) Pneumococcal Conjugate (PCV7 or PCV13) 1 dose2 doses3 doses4 doses

39 PCV Minimum Age and Intervals Dose #Minimum AgeMinimum Interval Between Doses 16 weeks4 weeks between Dose 1 & weeks4 weeks between Dose 2 & weeks8 weeks between Dose 3 & months -

40 PCV Details Routine schedule: 2, 4, 6, and months PCV is not recommended for children 5 and older A single supplemental dose of PCV13 is recommended, but not required, for all children aged 14–59 months who got 4 doses of PCV7 o PCV13 replaced PCV7 in 2010

41 PCV Details 1 total dose only on or after 24 months unless high risk. Two doses total if both received between months, given >8 weeks apart. Three doses total if 2 doses given 12 months.

42 PCV Doses Required Chart Doses before Age 12 months Doses on or after Age 12 months Status 31 Complete (If PCV7 given, needs one additional dose of PCV13) 2 1 (8 weeks after # 2) Complete Needs 1 dose 8 weeks after Dose 2 01 Needs 1 dose 8 weeks after Dose 1 if # 1 received at age ≤ 24 months 40Needs 1 dose 8 weeks after Dose 4 30Needs 1 dose 8 weeks after Dose 3 20Needs 1 dose 8 weeks after Dose 2 10 Needs 2 doses (8 weeks apart) if age months Needs 1 dose if age ≥ months 00 Needs 2 doses (8 weeks apart) if age months Needs 1 dose if age ≥ months

43 PCV Example Katey is complete with 3 doses!

44 Varicella Requirement VACCINE By 3 Months (on or before last day of mo 2) By 5 Months (on or before last day of mo 4) By 7 Months (on or before last day of mo 6) By 16 Months (on or before last day of mo 15) By 19 Months (on or before last day of mo 18) VaricellaNot given before 12 months of age. 1 dose Required: if unvaccinated, health care provider must verify disease.

45 Varicella Minimum Age and Intervals Dose #Minimum AgeMinimum Interval Between Doses 112 months3 months between Dose 1 & 2

46 Varicella Details Routine schedule: months and 4-6 years of age If not given on same day, minimum interval between varicella and MMR is >28 days

47 Varicella Example Note red X – Varicella not given same day as MMR

48 Resources Individual Vaccine Requirements Summary: IndividualVaccineRequirements.pdf IndividualVaccineRequirements.pdf Vaccines Required for Preschool/Child Care Attendance chart: ation/VaccineRequirements.aspx ation/VaccineRequirements.aspx Immunization Manual for Schools and Child Cares: ation/SchoolManual.aspx ation/SchoolManual.aspx

49 Implementing WA New State Exemption Requirements - Training for Schools and Child Cares/Preschools August XX, 2011


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