Welcome to the Immunization Requirements Webinar for Public Schools! For technical difficulties, call , 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: ncement.pdf ncement.pdf

School Immunization Requirements Washington Department of Health Office of Immunization and Child Profile May 27, 2015

School year school immunization data School year school immunization requirements Change to the varicella requirement for school Changes to the Certificate of Immunization Status and the Certificate of Exemption Washington State Department of Health Topics to be covered

School Year Immunization Data

Immunization status of kindergarteners, The percentage of kindergartners complete for required immunizations has dropped during each of the last two years. Students with completed immunizations are better protected from getting and spreading vaccine-preventable diseases. HP2020 goal: 95%

Medical exemptions 1.2% (unchanged from last year) School immunization exemptions among kindergarteners, Exemption rates have remained stable over the last four school years. Washington State has one of the highest exemption rates in the country. While most exemptions are for personal and religious reasons, Washington’s medical exemption rate is 6 times higher than the national average of 0.2% Separate Certificate of Exemption required Healthcare provider signature required on Certificate of Exemption 7.6% Exemption type data were not collected for kindergartners prior to

School Year Number of reports received # Kinder- gartners reported Non- reporting schools % Kinder- gartners complete % Kinder- gartners OOC ,93475,870 32% (N = 907) 85%9% *2,43079,624 9% (N=249) 86%8% *2,32783,495 12% (N=308) 83%10% ,44785,887 7% (N=182) 83%11% School reporting is improving but the number of kids who are not complete is increasing. Each year ~9,000 kindergartners are out-of-compliance with state immunization law, leaving them and their communities vulnerable to vaccine preventable diseases. 13 *Data are weighted to account for schools that did not report. Data source: WA DOH OICP school immunization data through

HealthBehaviors/Immunization/SchoolReports

Data for kindergartners, 6 th graders, and all students in K – 12 – State – County – Public/private schools – Educational Service District – District – School Available Data Tables

Vaccine Requirements

 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

 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

Tdap for catch- up Less than 5 doses of DTaP Tdap followed by 2 Td No DTaP <7 years of age Students 7 years of age or older

 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

Immunization Requirements - IPV Dose 4, if given on or after Aug 7, 2009Must be given >4 years of ageSeparated from dose 3 by >6 months K-4 th Grade

 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

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

Printing the CIS

IIS Forecasting Tool

Change in Varicella Requirement for School Year

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

Current K-7th grade No provider or parent verification Get provider verification Got provider verification No further action Got parent verification in previous school year Not allowed, get provider verification No need to do retrospective review All new students from out of state must get provider verification Parent vs. Provider Verification K-7 th Grade School Year

8th grade No provider or parent verification Get provider verification Got provider verification No further action Got parent verification before school year Allowed, no further action All new students from out of state must get provider verification Parent vs. Provider Verification 8 th Grade School Year

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

Varicella Flyer

Changes to the Certificate of Immunization Status

Washington State Department of Health

New Certificate of Exemption

2011

Washington State Department of Health 2015 Side A

2015 Side B

 Main school and child care web page:  Vaccines Required for School Attendance chart: /VaccineRequirements.aspx /VaccineRequirements.aspx  Vaccines Required for Child Care/Preschool Attendance chart: /VaccineRequirements.aspx /VaccineRequirements.aspx  Individual Vaccine Requirements Summary (IVRS): IndividualVaccineReqs pdf IndividualVaccineReqs pdf  School Immunization Manual: /SchoolManual /SchoolManual Resources Washington State Department of Health

 For clinical questions about compliance, send an to DOH nurses at  For school requirement or reporting questions, send an to Resources Washington State Department of Health

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