(2) For
diseases listed below, a child or student shall show acceptable evidence of
vaccination prior to entry, attendance, or transfer to a child-care facility or
public or private elementary or secondary school.
(A) Children enrolled in child-care
facilities, pre-kindergarten, or early childhood programs shall be immunized
against: diphtheria, pertussis, tetanus, poliomyelitis,
Haemophilus
influenzae type b (Hib), measles, mumps, rubella, hepatitis B,
hepatitis A, invasive pneumococcal, and varicella diseases. In recognition of
the fact that immunization needs vary depending on the age of the child, the
minimum number of doses required for each vaccine is indicated in the schedule
below:
Attached
Graphic
(B)
Students in kindergarten through twelfth grade shall have the following
vaccines, according to the schedule listed.
(i) Poliomyelitis.
(I) Kindergarten through twelfth grade.
Students are required to have four doses of polio vaccine--one of which must
have been received on or after the fourth birthday. Or, if the third dose was
administered on or after the fourth birthday, only three doses are required.
Four doses of oral polio vaccine (OPV) or inactivated poliovirus vaccine (IPV)
in any combination by age four to six years old is considered a complete
series, regardless of age at the time of the third dose.
(II) Polio vaccine is not required for
persons eighteen years of age or older.
(ii) Diphtheria/Tetanus/Pertussis.
(I) Kindergarten through sixth grade.
Students are required to have five doses of a
diphtheria/tetanus/pertussis-containing vaccine -- one of which must have been
received on or after the fourth birthday. Or, if the fourth dose was
administered on or after the fourth birthday, only four doses are
required.
(II) Students seven years
of age or older. Students seven years of age or older are required to have at
least three doses of a tetanus/diphtheria-containing vaccine, provided at least
one dose was administered on or after the fourth birthday. Any combination of
three doses of a tetanus/diphtheria-containing vaccine will meet this
requirement.
(III) Tdap.
(-a-) Seventh grade. Students are required to
have one booster dose of a tetanus/diphtheria/pertussis-containing vaccine for
entry into the 7th grade, if at least five years have passed since the last
dose of a tetanus-containing vaccine. If five years have not elapsed since the
last dose of a tetanus-containing vaccine at entry into the 7th grade, then
this dose will become due as soon as the five-year interval has passed. Td
vaccine is an acceptable substitute, if Tdap vaccine is medically
contraindicated.
(-b-) Grades 8 -
12. Students who have not already received Tdap vaccine are required to receive
one booster dose of Tdap when ten years have passed since the last dose of a
tetanus-diphtheria-containing vaccine.
(IV) Children who were enrolled in school,
grades K - 12, prior to August 1, 2004, and who received a booster dose of DTaP
or polio vaccine in the calendar month of (or prior to) their fourth birthday,
shall be considered in compliance with clause (i)(I) (polio) and clause (ii)(I)
(DTaP) of this subparagraph.
(iii) MMR. Beginning SY 2016 - 2017, students
enrolling in kindergarten through 12th grade are required to have two doses of
MMR vaccine with the first dose received on or after the first birthday.
Students vaccinated prior to 2009 with two doses of measles and one dose each
of rubella and mumps satisfy this requirement.
(iv) Hepatitis B.
(I) Students enrolling in kindergarten
through 12th grade are required to have three doses of hepatitis B
vaccine.
(II) In some
circumstances, the United States Food and Drug Administration may officially
approve in writing the use of an alternative dosage schedule for this vaccine.
Such an alternative regimen may be used to meet the requirements under this
section only when alternative regimens are fully documented. Such documentation
must include vaccine manufacturer and dosage received for each dose of that
vaccine.
(v) Varicella.
Beginning SY 2016 - 2017, students enrolling in kindergarten through 12th grade
are required to have two doses of varicella vaccine received on or after the
first birthday.
(vi) Hepatitis A.
For SY 2016 - 2017, students are required to have two doses of hepatitis A
vaccine with the first dose received on or after the first birthday for the
following grades and school years:
(I) SY
2016 - 2017: K - 7;
(II) SY 2017 -
2018: K - 8;
(III) SY 2018 - 2019:
K - 9;
(IV) SY 2019 - 2020: K -
10;
(V) SY 2020 - 2021: K - 11;
and
(VI) SY 2021 - 2022: K -
12.
(VII) Effective SY 2022-2023,
students enrolling in kindergarten through 12th grade are required to have two
doses of hepatitis A vaccine with the first dose received on or after the first
birthday.
(vii)
Meningococcal. Effective SY 2016 - 2017, students enrolling in 7th - 12th
grades are required to have one dose of quadrivalent meningococcal conjugate
vaccine (MCV4) on or after the student's 11th birthday.
