Current through Register No. 40, October 3, 2024
(a)
The number of immunization doses, dosage, route of administration, spacing, and
age requirements shall be defined by the Recommended Immunization Schedules for
Persons Aged 0-18 years - United States, 2016, as published by the Centers for
Disease Control and Prevention (CDC) and as approved by the Advisory Committee
on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and
the American Academy of Family Physicians (AAFP), available as noted in
Appendix A.
(b) Unless the child
has received an exemption from the vaccination requirement pursuant to
RSA
141-C:20-c, public or private primary or
secondary schools, pre-schools and child care agencies shall not admit a child
without first receiving documentation, as defined in
He-P
301.01(n) , showing that the child
has received the following age-appropriate and acceptable immunizations:
(1) With regard to diphtheria, tetanus,
pertussis (DPT) or diphtheria, tetanus, accellular pertussis (DTaP) or tetanus,
diphtheria, accelluar pertussis (Tdap), or if pertussis vaccine is medically
contraindicated, then diphtheria-tetanus toxoid (DT/Td), the following doses:
a. Unless the 4th
dose was administered on or after the fourth birthday, five doses;
b. For children 6 years and under, 4 or 5
doses, with the last dose administered on or after the 4th birthday;
c. For children 7 years of age and older, a
minimum of 3 doses with the last dose administered on or after the 4th
birthday;
d. Children between 7 and
10 years of age who have not completed their primary immunization schedule or
have an unknown vaccine history, a single dose of Tdap, except that if after
receiving the dose of Tdap, they require additional tetanus and diphtheria
toxoid doses, a dose of Td; and
e.
Beginning August 1, 2017 a single dose of Tdap prior to entering
7th grade, unless that child received Tdap at age 7
years or older, in which case no further doses are required;
(2) Four doses of trivalent polio
vaccine, with the fourth dose administered on or after the
4th birthday and separated by 6 months from the
3rd dose, unless:
a. The third dose of an all oral polio
vaccine (OPV) or all inactivated polio vaccine (IPV) series was administered on
or after the 4th birthday; with the last two doses separated by 6 months,
or;
b. If the child was enrolled
prior to 2011, 3 doses of all oral polio vaccine (OPV) or all inactivated polio
vaccine (IPV) series, with the last dose given on or after the
4th birthday;
(3) With regard to measles, mumps, rubella
(MMR) vaccine:
a. One dose given on or after
12 months of age; and
b. For all
students in grades kindergarten through 12th grade 2
valid doses, with the first dose administered on or after 12 months of
age;
(4) Three doses of
hepatitis B vaccine;
(5) For
varicella vaccines unless laboratory evidence of immunity for the specific
child is provided:
a. One dose given on or
after 12 months of age;
b. For all
students entering kindergarten after 2009, 2 valid doses of varicella vaccine,
with the first dose administered on or after 12 months of age; and
c. For children enrolled in kindergarten
prior to 2009, parental or medical provider verification that those children
have had varicella disease; and
(6) For Haemophilus influenza Type b (Hib),
with regard to children under the age of 59 months who are enrolled in child
care and pre-school;
a. 4 doses, with the
last dose administered on or after 12 months of age; or
b. One dose on or after 15 months of
age.