1. Welcome to the Immunization Requirements Webinar for Private Schools! For technical difficulties, call 1-888-259-8414, press 1. During this webinar, everyone will be placed on mute. Please type in any questions in the question box. We will answer questions at the end of the presentation. The webinar will be recorded. The recording and PowerPoint presentation will be available after today’s webinar here: http://www.doh.wa.gov/Portals/1/Documents/8200/May20Webinar Announcement.pdf http://www.doh.wa.gov/Portals/1/Documents/8200/May20Webinar Announcement.pdf

2. School Immunization Requirements Department of Health Office of Immunization and Child Profile May 20, 2015

3. Importance of immunizations Immunization Information System What are some of the common rules and exceptions to the vaccine requirements What is the change to the varicella requirement for school What are the changes to the Certificate of Immunization Status and the Certificate of Exemption Washington State Department of Health Topics to be covered

4. Washington State Department of Health Outbreaks

5. Students attending school and child care/preschool must comply with immunization requirements to protect against diseases. Children must be vaccinated against certain vaccine- preventable diseases at ages and intervals according to the national immunization schedule. Parent must submit completed Certificate of Immunization Status (or Certificate of Exemption).Certificate of Immunization Status Certificate of Exemption Washington State Department of Health What are the immunization laws?

6. Washington State Department of Health Recommended vs required Recommended Hepatitis B DTaP Tdap IPV MMR Varicella PCV Hib Hepatitis A HPV Meningococcal Flu Rotavirus Required Hepatitis B DTaP Tdap IPV MMR Varicella PCV (for child care) Hib (for child care)

8. Responsibilities of schools: Check each student to determine if fully immunized, conditional, out of compliance, or exempt. Follow-up with students not fully immunized. Maintain a CIS or COE. Keep list of students not fully immunized, exempt, or in conditional status in case of an outbreak. Immunization Requirements

9. WA Immunization Information System

10. Public and private schools are eligible to use the system if they: – Serve any grades between K and 12 – Have a school nurse on staff or under contract to track and report immunizations The school nurse may be a volunteer An information sharing agreement needs to be in place Email sonja.morris@doh.wa.govsonja.morris@doh.wa.gov Immunization Information System Requirements

11. Printing the CIS Printing instructions: www.doh.wa.gov/Portals/1/Documents/Pubs/348-389-CIS- PrintingInstructions.pdfwww.doh.wa.gov/Portals/1/Documents/Pubs/348-389-CIS- PrintingInstructions.pdf

12. Printing the CIS

14. IIS Forecasting Tool

15. Vaccine Requirements

18. www.doh.wa.gov/Portals/1/Documents/Pubs/348- 275_CertificateImmunizationStatusKinderOverlay.pdf

19.  5 doses required for K-12 th grade Exception: 4 doses required if 4 th dose given >4 th birthday Washington State Department of Health Immunization Requirements - DTaP

20.  1 dose required for 6-12 th grade IF student is 11 years of age or older Washington State Department of Health Immunization Requirements - Tdap Exception: Tdap given between 7-10 years of age counts for the 6 th grade requirement

21.  DTaP: 6 years of age and younger  Tdap and Td: 7 years of age and older  Tdap is recommended once, then switch to Td every 10 years Washington State Department of Health Immunization Requirements – DTaP/TdaP/Td

22. Exception: Students 11-15 years of age can get 2 doses of adult Recombivax hep B vaccine  3 doses required for K-12 th grade  K-8 th grade: Dose 3 must be given min age of 24 weeks  9 th -12 th grade: Dose 3 must be given min age of 4 months Immunization Requirements – Hepatitis B

23.  4 doses required for K-12 th grade Exception: 3 doses required if 3 rd dose given >4 th birthday Washington State Department of Health Immunization Requirements - IPV

24.  2 doses required for K-12 th grade  Dose 1 and dose 2 must be separated by 4 weeks Exception: 3 doses required if 4 th dose given >4 th birthday Washington State Department of Health Immunization Requirements - MMR Please remember: Dose 1 must be given at least 1 year of age

25.  2 doses required for K-8 th grade for upcoming school year  At least 4 weeks must separates doses Exception: 3 doses required if 4 th dose given >4 th birthday Washington State Department of Health Immunization Requirements - Varicella Please remember: Dose 1 must be given at least 1 year of age

26. Vaccines given 4 days or less before the minimum interval or age are valid Example: MMR vaccine given 3 days before 12 months of age is valid 4 Day Grace Period Washington State Department of Health

27.  We will host a webinar in the fall about the required immunization report  Just a few reminders:  Report in the WA IIIS: www.waiis.wa.gov (Please don’t email or mail a hard copy report form)www.waiis.wa.gov  We will send an email to staff who have an account in Sept. Email will include username and password  New staff will need to set up an account: please send an email to oicpschools@doh.wa.gov if you have any staffing changesoicpschools@doh.wa.gov  More information available here: www.doh.wa.gov/CommunityandEnvironment/Sc hools/Immunization/SchoolStatusReporting xception: 3 www.doh.wa.gov/CommunityandEnvironment/Sc hools/Immunization/SchoolStatusReporting Washington State Department of Health Immunization Report

28. Change in Varicella Requirement for School Year 2015-16

29. Immunization Requirements - Varicella Option 1 Blood test showing titer for immunity Option 2 Documentation in IIS or CIS printout Option 3 Letter from provider (out of state valid) Option 4 Provider documents on CIS hard copy 2 doses of varicella vaccine required for K-8 th grade

30. 2 doses of varicella vaccine required for K-12 th grade Varicella Requirement By school year 2016-17 Washington State Department of Health

31. www.doh.wa.gov/YouandYourFamily/Immunization/FormsandPublications/Forms Varicella Flyer

32. Changes to the Certificate of Immunization Status

33. Washington State Department of Health

34. New Certificate of Exemption

35. 2011

36. Washington State Department of Health 2015 Side A

37. 2015 Side B

38.  Main school and child care web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization.aspx www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization.aspx  Vaccines Required for School Attendance chart: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization /VaccineRequirements.aspx www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization /VaccineRequirements.aspx  Vaccines Required for Child Care/Preschool Attendance chart: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization /VaccineRequirements.aspx www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization /VaccineRequirements.aspx  Immunization web page: www.doh.wa.gov/YouandYourFamily/Immunization www.doh.wa.gov/YouandYourFamily/Immunization Resources Washington State Department of Health

39.  For clinical questions about compliance, send an email to DOH nurses at immunenurses@doh.wa.govimmunenurses@doh.wa.gov  For school requirement questions, send an email to oicpschools@doh.wa.gov oicpschools@doh.wa.gov Resources Washington State Department of Health

40. Please take a few minutes to complete an evaluation that will be emailed to you after the webinar. A certificate of completion is available after you complete the evaluation: http://www.doh.wa.gov/Portals/1/Documents /8200/May20WebinarAnnouncement.pdf http://www.doh.wa.gov/Portals/1/Documents /8200/May20WebinarAnnouncement.pdf

41.  Thank you for attending the webinar!  Please type in your questions.