Current through Vol. 42, No. 1, September 16, 2024
(a) Each child shall present certification
that he or she has received or is receiving the immunizations as specified
below before he or she is admitted to any public, private, or parochial
school.
(b) Certification shall
include the following:
(1) Diphtheria,
Tetanus and Pertussis (DTP/DTaP) vaccine in five doses unless the fourth dose
is received on or after the fourth birthday in which case only four doses are
required. If the doses are not completed by the seventh birthday, the series
must be completed with Adult Td vaccine and/or Tdap vaccine based on the
individual's age at the time the first dose was received and age at the time
the series is completed and beginning with the fall 2011-12 school year one
dose of Tdap vaccine for students entering the seventh grade. Each year
following the 2011-12 school year, the Tdap requirement shall be extended one
grade level so that in the 2016-17 school year and all subsequent school years,
students in grades seven through twelve shall be required to have received one
dose of Tdap vaccine.
(2)
Poliomyelitis vaccine in four doses unless the last dose is on or after the
fourth birthday in which case only three doses are required. If the doses are
not started or completed by the eighteenth birthday, no additional doses are
required.
(3) Measles, Mumps and
Rubella (MMR) vaccine with the first dose on or after the first birthday and
the second dose at least twenty-eight days thereafter for children in grades
kindergarten through eighth grade in the school year beginning in 1998. In the
school year beginning in 1999, this requirement shall apply to the children
through the ninth grade. Each year thereafter the requirement shall be extended
one grade level so that in the school year beginning in 2002, children in all
grades shall be required to have the second dose of vaccine.
(4) Hepatitis B vaccine in three doses for
students of any age or two doses for students eleven through fifteen years of
age who complete the alternative dosage schedule providing that the alternative
schedule is fully documented. Such documentation must include the name of the
vaccine and the dosage received for each dose of that vaccine:
(A) before entering seventh and eighth grades
in 1998. In the school year beginning in 1999, this requirement shall apply to
the children entering the seventh through ninth grades. Each year thereafter
the requirement shall be extended one grade level so that in the school year
beginning in 2002, children in grades seven through twelve shall be required to
have the three doses of the vaccine.
(B) before entering kindergarten in 1998. In
the school year beginning in 1999, this requirement shall apply to the children
entering kindergarten and first grade. Each year thereafter the requirement
shall be extended one grade level so that in the school year beginning in 2004,
all children entering school shall be required to have the three doses of the
vaccine.
(5) Hepatitis A
vaccine in two doses with the first dose on or after the first birthday and the
second dose six to eighteen calendar months later:
(A) before entering kindergarten in 1998. In
the school year beginning in 1999, this requirement shall apply to the children
entering kindergarten and first grade. Each year thereafter the requirement
shall be extended one grade level so that in the school year beginning in 2004,
all children entering school shall be required to have the two doses of the
vaccine.
(B) before entering grade
seven in 1998. In the school year beginning in 1999, this requirement shall
apply to the children entering the seventh and eighth grade. Each year
thereafter the requirement shall be extended one grade level so that in the
school year beginning in 2003, children in grades seven through twelve shall be
required to have the two doses of the vaccine.
(6) Varicella (chickenpox) vaccine in one
dose on or after the first birthday: before entering kindergarten in 1998. In
lieu of vaccination, a parent's statement of a history of the disease
chickenpox will be accepted. In the school year beginning in 1999, this
requirement shall apply to the children entering kindergarten and first grade.
Each year thereafter the requirement shall be extended one grade level so that
in the school year beginning in 2010, all children entering school shall be
required to have the vaccine or a parent's statement of a history of the
disease chickenpox.
(c)
The minimum intervals between doses and minimum ages for doses shall be as
follows:
(1) DTP/DTaP:
(A) First and second dose - 4 weeks
(B) Second and third dose - 4
weeks
(C) Third and fourth dose - 4
months
(D) Fourth and fifth dose -
6 months
(E) For all fifth doses
given after January 1, 2003 the minimum age for the fifth dose is 4 years of
age
(2) Polio:
(A) First and second dose - 4 weeks
(B) Second and third dose - 4
weeks
(C) Third and fourth dose - 4
weeks
(3) MMR: First and
second dose - 4 weeks
(4) Hepatitis
B 3-dose series:
(A) First and second dose -
1 month (4 weeks)
(B) Second and
third dose - 2 months (8 weeks), and the third dose at least 4 months (16
weeks) after first dose, and the third dose not before 24 weeks of
age
(5) Hepatitis B
2-dose series: First and second dose - 4 months
(6) Hepatitis A: First and second dose -- 6
months and for all doses given on or after January 1, 2003, 6 months will be
defined as 6 calendar months
(7)
Four day grace period: Vaccine doses administered 4 days or less before the
minimum intervals or ages listed in the preceding sections will be counted as
valid.
(d) A child,
through his parent or guardian, may apply for an exemption from this
requirement by submitting a form to the Department. The school shall maintain a
copy of the approved application in the child's records. All exemptions
submitted prior to a student entering 7 th grade shall expire at the end of the
student's 6 th grade year. A new exemption is required to be completed and
submitted to the Oklahoma State Department of Health by the parent or guardian
prior to enrolling the child in 7 th grade.
(1) A request for exemption for medical
reasons shall contain a certificate signed by a physician stating that the
physical condition of the child is such that the immunization would endanger
the life or health of the child and that the child should be exempt for
immunization.
(2) Religious and
personal exemptions may be obtained after receiving an approved brief
instructional presentation provided by any local county health department
regarding the risks associated with not being vaccinated and the benefits
vaccinations provide to the individual and the community. To be approved, the
completed exemption form along with evidence of completed instruction is
required.
(e) A child
participating in a pre-kindergarten school program shall have received or be in
the process of receiving the appropriate immunization for the listed diseases
based on the child's age.
(f) The
Department may grant exemptions or substitutions in the immunization schedule
based on a medical history of a physical condition such that the immunization
would endanger the life or health of the child or a medical history stating the
child is likely to be immune as a result of having had a vaccine-preventable
disease if the following are met:
(1) A
history of having had diphtheria and/or tetanus is not acceptable as proof of
immunity since infection with diphtheria or tetanus may not render an
individual immune to either of these diseases,
(2) A history of having had polio, pertussis,
rubella, mumps, hepatitis B, or hepatitis A must be supported by laboratory
evidence to be acceptable as proof of immunity to these diseases,
(3) A history of having had measles must be
accompanied by a statement from a physician, public health authority, or
laboratory evidence to be acceptable as proof of immunity to measles,
(4) A parental history of having
had varicella is acceptable evidence of immunity to varicella.
(g) Haemophilus influenzae type B
(Hib) vaccine is not a requirement for children attending pre-kindergarten,
kindergarten, or school.
(h) In
some circumstances, the United States Food and Drug Administration may approve
the use of an alternative dosage schedule for an existing vaccine. These
alternative schedules may be used to meet the requirements only when the
alternative schedule is fully documented. Such documentation must include the
name of the vaccine and dosage received for each dose of that vaccine.
Amended at 13 Ok Reg
1795, eff 4-18-96 (emergency); Amended at 14 Ok Reg 1749, eff 5-27-97; Amended
at 15 Ok Reg 4163, eff 7-29-98 (emergency); Amended at 16 Ok Reg 1400, eff
5-27-99; Amended at 17 Ok Reg 3448, eff 8-29-00 (emergency); Amended at 18 Ok
Reg 1717, eff 5-25-01; Amended at 19 Ok Reg 2919, eff 7-26-02 (emergency);
Amended at 20 Ok Reg 1661, eff 6-12-03; Amended at 22 Ok Reg 1132, eff 5-26-05;
Amended at 23 Ok Reg 1344, eff 5-25-06; Amended at 24 Ok Reg 1987, eff 6-25-07;
Amended at 27 Ok Reg 2531, eff 7-25-10
