Welcome to the Immunization Requirements Webinar for Public Schools!

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•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:

www.doh.wa.gov/Portals/1/Documents/Pubs/May27WebinarAnnouncement.pdf

School Immunization Requirements

Washington Department of HealthOffice of Immunization and Child Profile

May 27, 2015

•School year 2014-15 school immunization data

•School year 2015-16 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

2014-15 School Year Immunization Data

1998-99

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

0%

20%

40%

60%

80%

100%

School year

Perc

ent o

f kin

derg

artn

ers

% Complete

% Conditional% Exempt% Out of compliance

2 doses of Varicella re-quired for kindergarten en-

try

Immunization status of kindergarteners, 1998 - 2015The 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%

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-150%

2%

4%

6%

8%

School year

Perc

ent o

f kin

derg

artn

ers Any kind of exemption

4.5% (-0.1% change from last year)

Non-medical exemptions3.4% (-0.2% change from last year)

Medical exemptions1.2% (unchanged from last year)

School immunization exemptions among kindergarteners, 2005 - 2015Exemption 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 2012-13.

13

School Year

Number of reports

received

# Kinder-gartners reported

Non-reporting schools

% Kinder-gartners complete

% Kinder-gartners OOC

2011-2012 1,934 75,870 32%(N = 907) 85% 9%

2012-2013* 2,430 79,624 9%(N=249) 86% 8%

2013-2014* 2,327 83,495 12%(N=308) 83% 10%

2014-2015 2,447 85,887 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.

*Data are weighted to account for schools that did not report. Data source: WA DOH OICP school immunization data through 2014-2015.

http://www.doh.wa.gov/DataandStatisticalReports/HealthBehaviors/Immunization/SchoolReports

• Data for kindergartners, 6th 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 6-12th 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 6th 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

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-8th grade: Dose 3 must be given min age of 24 weeks

9th-12th 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, 2009

Must be given >4 years of age

Separated from dose 3 by >6 months

K-4th Grade

2 doses required for K-8th grade for upcoming school year

At least 4 weeks must separates doses

Exception: 3 doses required if 4th dose given >4th birthday

Washington State Department of Health

Immunization Requirements - Varicella

Printing the CIS

Printing instructions: www.doh.wa.gov/Portals/1/Documents/Pubs/348-389-CIS-PrintingInstructions.pdf

Printing the CIS

Printing the CIS

IIS Forecasting Tool

Change in Varicella Requirement for School Year 2015-16

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-8th 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 reviewAll new students from out of state must get provider verification

Parent vs. Provider VerificationK-7th Grade School Year 2015-16

8th grade

No provider or parent verification

Get provider verification

Got provider verification

No further action

Got parent verification before school year

2014-15

Allowed, no further action

All new students from out of state must get provider verification

Parent vs. Provider Verification8th Grade School Year 2015-16

2 doses of varicella vaccine required for K-12th grade

Varicella Requirement

By school year 2016-17

Washington State Department of Health

www.doh.wa.gov/YouandYourFamily/Immunization/FormsandPublications/Forms

Varicella Flyer

Changes to the Certificate of Immunization Status

Washington State Department of Health

New Certificate of Exemption

2011

Washington State Department of Health

2015Side A

2015Side B

Main school and child care web page: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization.aspx

Vaccines Required for School Attendance chart: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/VaccineRequirements.aspx

Vaccines Required for Child Care/Preschool Attendance chart: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/VaccineRequirements.aspx

Individual Vaccine Requirements Summary (IVRS): www.doh.wa.gov/Portals/1/Documents/Pubs/348-284-IndividualVaccineReqs2015-16.pdf

School Immunization Manual: www.doh.wa.gov/CommunityandEnvironment/Schools/Immunization/SchoolManual

Resources

Washington State Department of Health

For clinical questions about compliance, send an email to DOH nurses at immunenurses@doh.wa.gov

For school requirement or reporting questions, send an email to oicpschools@doh.wa.gov

Resources

Washington State Department of Health

Washington State Department of Health

Please take a few minutes to complete an evaluation that will be emailed to you after the webinar.

A certificate of completion is available after you complete the evaluation: www.doh.wa.gov/Portals/1/Documents/Pubs/May27WebinarAnnouncement.pdf

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