Current through Register Vol. 42, No. 11, August 30, 2024
(1)
Unless otherwise noted in paragraphs (2) and (3) below, vaccine doses should be
administered according to the most recent version of the Recommended
Immunization Schedules for Persons Aged 0 Through 18 Years, as published by the
Advisory Committee on Immunization Practices. Vaccine doses administered <=
4 days before the minimum interval or age should be counted as valid. Doses
administered >= 5 days earlier than the minimum interval or age should not
be counted as valid doses and should be repeated as age-appropriate._
(2) Except as provided in Chapter
420-6-1-.02 and in the
Code of Ala. 1975, §
16-30-4, each pupil, prior to
entering Alabama school grade kindergarten through twelfth grade shall receive
age-appropriate immunizations as below:
(a) 5
doses of diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP).
Only 4 doses are needed if the fourth dose was administered on or after the
fourth birthday. Booster doses of tetanus and diphtheria toxoids vaccine (Td)
must be given 5-10 years after the preschool booster. However, effective for
students entering sixth grade beginning fall of 2010, a booster dose of tetanus
and diphtheria toxoids and acellular pertussis vaccine (Tdap) must be given at
11 or 12 years of age. This requirement will escalate by one successive grade
each year for the following 6 years to include sixth through twelfth grades,
beginning fall of 2016.
(b) 4 doses
of inactivated polio vaccine. Only 3 doses are needed if the third dose was
administered on or after the fourth birthday.
(c) immunization against mumps and
rubella.
(d) 2 doses of
measles-containing vaccine.
(e)
varicella vaccine subject to the following schedule unless there is
documentation of a positive varicella titer or a date of varicella disease.
This requirement is effective for students entering kindergarten beginning fall
of 2001 and will escalate by one successive grade each year for the following
12 years to include all grades, kindergarten through twelfth, beginning fall of
2013:
(i) 1 dose of varicella vaccine at 12
months of age or older for persons less than 13 years of age;
(ii) 2 doses of varicella vaccine separated
by at least 28 days for persons 13 years of age or older beginning the
vaccination series.
(3) Children entering any child care
center/home shall, in addition to the vaccines listed above, also receive
age-appropriate immunizations for:
(a)
Haemophilus influenzae type b; and
(b) Pneumococcal disease using pneumococcal
conjugate vaccine.
Authors: Donald E. Williamson, M.D.,, Charles H.
Woernle, M.D., M.P.H.
Statutory Authority:
Code of Ala.
1975, §§
16-30-5, et
seq.
