10. Four Day Grace Period
Follow minimum interval and minimum age recommendations
when scheduling appointments
The 4 day “grace” period applies to all age
and interval minimums (* see next slide)
For any doses given too early:
– Consider valid if <4 days before the minimum age or
interval
– Not valid if >4 days before the minimum
age or interval
11. Four Day Grace Period
If 2 LIVE viruses (MMR and Varicella) have not been given on the
same day they must be separated by 28 days with no grace
period
If an invalid dose is given, administer the next dose after waiting
the minimum interval from the invalid dose and reaching the
minimum age
12. Immunization Compliance
Full dates (including Hep B birth dose)
– Month/day/year
– “At hospital” or “at birth” is not acceptable
Only accept full doses of vaccine using proper intervals
There is no need to restart the series because of extended
interval between doses
Exemptions – the parent needs to notify the school in writing with the
understanding that the child may be excluded during an outbreak; have them
sign and date the note each year
Exclusion –due to “disease outbreak” are not to be applied unless the case is
medically confirmed and ODH is notified
13. Students are attending school in violation
of Ohio law if after 15 school days:
• An immunization record is still not on file
• They still need MMR and Varicella
vaccines
• They still need a dose of DTaP/DT/Tdap,
Meningococcal, Polio,or Hepatitis B, to be
considered “in process” of obtaining the
minimum doses.
14. Updates to the Schedule
• Diphtheria Tetanus Acellular
Pertussis (DTaP) Vaccine
– Recommended interval
between doses 3 and 4 is six
months
– Exception: If the 4th dose is
administered at least 4
months after the third dose
and at the appropriate age, it
can be counted as a valid
dose. (effective 2015)
• Influenza
– 2016 ACIP does NOT
recommend the use of
the Intranasal Flumist
vaccine.
15. DTaP/Tdap Vaccine
for school attendance
• Minimum of 4 doses
• Any combination of DTaP or DT
• 5th
dose is required for kindergarten only when the 4th
dose was given
before age 4
• Grades 1-12 : 3-4 DTaPs required
• For students age 7 or older, if the third dose is Td or Tdap,
a fourth dose is not required
• 1 dose of Tdap prior to entry of 7th
Grade
16. Tdap/ Td interval
In January 2011, ACIP stated a
dose of Tdap can be given
regardless of interval since the
last tetanus- or diphtheria-
toxoid containing vaccine.
17. Meningococcal
As of the 2016-2017 School Year the Meningococcal
vaccine will be a required vaccination for school
entry.
• 1 dose of Meningococcal (A,C,W,Y) must be administered
prior to entry to 7th
grade
• 2 doses must be administered prior to entry to 12th
grade
• Doses must be spaced 8 weeks apart
• If the first dose is not administered until the 16th
bday the 2nd
dose is not required but recommended.
18. NEW in 2010
IPV for Kindergarten
The final dose of polio must be
administered on or after the 4th
birthday
regardless of how many doses the child
received BEFORE the age of 4 years
and with at least 6 months between
the final and previous doses
Progressive: 2016-17 : grades K-6
19. Polio Vaccine
for school attendance
• For 2016-2017,
K-6 need 3+ doses IPV
• FINAL dose must be on
or after 4th
birthday
• 6 months between final
and previous doses
• For 2016-2017
Grades 7-12 need 3+
doses of IPV or OPV
• If third dose is prior to
4th
birthday, a fourth
dose is required
20.
21. MMR Vaccine
for school attendance
2 doses are required for Grades K-12
–1st
dose on or after 1st
birthday
–2nd
dose at least 28 days after 1st
ACIP recommends first dose at
12 months and second at 4-6 yrs
22. Hep B Vaccine
for school attendance
• 3 doses required for K-12
• The minimum age for the third
dose is 24 weeks of age
• Be sure all the other spacing is
correct
23. 03/28/01
35MOBI 2001
1 2 3Dose
4 weeks 8 weeks
16 weeks
AND at least 24 weeks of age
Minimum Intervals
for Hepatitis B Vaccine
3rd
dose:3rd
dose:
24. 44 dose series of Hep B when
using combination vaccines
• Hep B birth dose plus
Pediarix 2-4-6 or Comvax 2-4-12
• The dose at 4 months (dose #3) is “invalid”
because the child is NOT 24 weeks old
• A 4th dose at 6 or 12 months is needed to
complete the series
• Be sure to also look at the dates of doses;
NOT just the number of doses
25. Hepatitis B Vaccine
Alternate Adolescent Dosage Schedule
• Two dose adolescent schedule
• Recombivax HB®
only (Merck)
• Age 11-15 years
• Two 10 mcg (adult) doses
• 4-6 months apart
26. Varicella Vaccine
for school attendance
•In 2016-17, 1 dose is required
for grades 7-10 on or after the
1st
birthday
•Progressive each year by grade
27. Varicella Vaccine
for school attendance
In 2016-17, 2 doses are
required for grades K-6
•Dose 1: on or after the 1st
birthday
•Dose 2: should be administered at least 3 months
after the first dose; however, if there are at least 28
days, the dose is considered valid
Progressive each year by grade
28. Reporting Varicella
in the school record
• Physician diagnosis of varicella
• School/childcare/preschool/head start staff
diagnosis of varicella
• Parental description consistent with
varicella
§ 3313.671. Required immunizations B(3) A pupil who
has had natural chicken pox, and presents a
signed statement from the pupil's parent, guardian,
or physician to that effect, is not required to be
immunized against chicken pox.
29. VARICELLA VACCINE
Kids 12 months to 12 years who have not had
chickenpox disease should get two doses,
separated by 3 months; however if at
least 28 days separate the 2 doses, it doesn’t
need to be repeated
ACIP recommends at 12 months and 4-6 years
13 years of age and older who have not had
chickenpox disease should get two doses,
separated by 4 weeks
30. VARICELLA DISEASE
If one dose administered and then have a
breakthrough case of the chickenpox…
•If confirmed, then don’t need a 2nd
dose
•If not confirmed as varicella
give 2nd
dose
31. BREAKTHROUGH DISEASE
50% of vaccinated persons will get
breakthrough disease when exposed
Usually mild, less than 50 spots, no fever
Still considered contagious
Should be excluded until lesions
crusted or no new spots are forming
34. State of Ohio Immunization Laws
• Preschool/Daycare Law
• ORC 3301.53 states in (B) the state board of
education...under sections 3301.52 and
3301.58...are consistent with and meet or exceed
the requirements of Chapter 5104 of the Revised
Code with regard to child day care centers.
37. COMBINATION VACCINES
Providers should document all components – not just vaccine name
Pentacel ®
(DTaP-IPV- Hib)
Kinrix ®
(DTaP and IPV)
Pediarix®
(DTaP-IPV-Hep B)
Comvax®
(Hib-Hep B)
ProQuad ®
(MMR-VZV)
TriHibit®
(Hib and DTaP)
– Reconstituted ActHIB®
and Tripedia®
– May be used only as a booster dose
38. Pentacel®
• Licensed June 2008
• DTaP-IPV- Hib vaccines
• Protects against five serious infections;
diphtheria, tetanus, pertussis, polio, and
haemophilus influenzae type b (Hib)
• Administered at 2, 4, 6, & 15-18 months of age
(not approved for 5th
Dtap booster dose)
• Children 6 weeks through 4 years of age (prior to
fifth birthday)
39. Kinrix®
• Licensed June 2008
• DTaP and IPV vaccines
• Protects against four serious infections
diphtheria, tetanus, pertussis, and polio
• Indicated for the fifth DTaP and fourth dose
IPV
• Children 4 through 6 years of age
40. Pediarix®
• Licensed 2002
• DTaP-IPV- Hep B vaccines
• Protects against five serious infections;
diphtheria, tetanus, pertussis, polio, and
hepatitis B
• Administered at 2, 4, & 6, months of age (not
approved for 4th
& 5th
booster doses)
• Children 6 weeks through 6 years of age
41. Proquad®
• Licensed 2005
• MMRV vaccines
• Protects against four serious infections; measles,
mumps, rubella and varicella
• Administered at 12 months and 4-6 yrs of age
• Though it is licensed for use on 12 months of
age, the CDC recommends that the 1st
MMR
and Varicella be administered separately
42. TriHibit®
• Licensed June 2008
• DTaP - Hib vaccines
• Protects against four serious infections;
diphtheria, tetanus, pertussis, and haemophilus
influenzae type b (Hib)
• Administered at 2, 4, 6, & 15-18 months of age
• Reconstituted ActHIB®
and Tripedia®
• May be used only as a booster dose
43. DTaP (Diphtheria, Tetanus ,acellular
Pertussis)
Daptacel®, Infanrix®, Tripedia®
•Licensed for 6 weeks to 7 yrs
- dose at age 2,4,6, 15-18 months, and one dose at
age 4-6.
- Many of the infant vaccines are given as part of
a combo vaccine. (Pentacel® or Pediarix®)
- The fifth dose can be given as Kinrix®(IPV/DTAP)
44. Tdap (Tetanus, diphtheria, acellular
Pertussis
Adacel® & Boostrix® were licensed in 2005
• Licensed for use in children 10 years of age and older
• Adolescents aged 11 through 18 require a single booster dose.
• For adults aged 19 through 64 years who previously have not
received a dose of Tdap, a single dose is recommended.
• Those age 65 and older who anticipate having close contact
with an infant aged less than 12 months and who previously
have not received Tdap should receive a single dose.
• Those age 65 and older who have not received a single dose of
Tdap
• Women who are pregnant should receive a single dose
between 27-36 weeks of pregnancy.
45. HIB (Haemophilus Influenzae type B)
ACTHib® and PedVaxHib®
• ActHIB – 3 dose series 2,4 and 6
months
• PedvaxHIB- 2 dose series at age 2
months with 1 dose 2 months later.
• Both require a booster dose at age
12-15 months ( given at least 2 months
after previous dose)
46. Hepatitis A
Havrix ®
and VAQTA ®
•licensed for 12 months through18 yrs
– 1 dose at 12 months
– Booster 6-18 months after first dose
47. Hepatitis B
Recombivax HB® and Engerix-B®
•licensed for Birth to adult
– dose at Birth, 1 and 6 months
– Engerix-B®-There should be at least 4
weeks between doses #1 and #2 and at
least 8 weeks between doses #2 and #3.
– Recombivax HB®- if not started until 11
yrs of age 10 mcg dose spaced 6 months
apart
48. Human Papillomavirus (HPV)
• Gardasil®
licensed February 3, 2006
• 3 dose series
• Considered highly effective in preventing
infections that are the cause of most cervical
cancers
• Effective against anal/penile/genital warts
• Prevention of some throat/neck cancers
• Licensed for females and males 9-26 years
• Routinely given at age11-12 years
49. Human Papillomavirus (HPV)
• Gardasil 9 approved December 2014
• 3 dose series
• Considered highly effective in preventing
infections caused by 9 HPV
strains(6,11,16,18,31,33,45,52,and 58)
• Licensed for females and males 9-26 years
• To be given at age11-12 years
50. Influenza
EVERYONE 6 mo. and older should get the flu
vaccine!
Quadrivalent (2 “A” strains/2 “B” strains)
Fluzone - 6 months and older
Fluarix - 3 years and older
FluLaval – 18 years and older
Fluvirin – 4 years and older
Afluria – 9 years and older (may be used in 5-9 year old children only if no alternative flu vaccine
is available. Those less than 9 years old have an increased risk of fevers and other side
effects.)
Fluzone- High Dose TIV- 65 years and older only
Fluzone Intradermal- FDA licensed May 2011 for persons 18-64 years of age
51. MMR II (Measles, Mumps and Rubella)
• MMR vaccine was licensed in 1971
• Licensed for children 12–15 months of age
with 2nd
dose at 4–6 years of age (may be
given earlier, if at least 28 days after the 1st
dose)
• Generally, anyone 18 years of age or older
who was born after 1956 should get at least
one dose of MMR vaccine
52. Meningococcal Conjugate/MCV4
• Menactra ®
licensed January 2005
• Licensed for 9 months-55 year olds
• Recommended for:
– All 11-12 year olds with a booster dose at age 16,
if they did not receive until after age 16 only one
dose is required.
– New 2014: Administration authorized for children
ages 2 months -10 yrs of age for those who are
high risk (anatomic or functional asplenia, or
persistent complement component deficiency)or
traveling to high risk areas
53. Meningococcal MenACWY-CRM
• Menveo®
licensed 2010
• Licensed for 2 months-55 year olds
• Recommended for:
– All 11-12 year olds with a booster dose at age 16,
if they did not receive until after age 16 only one
dose is required.
– New 2014: Administration authorized for children
ages 2 months -10 yrs of age for those who are
high risk (anatomic or functional asplenia, or
persistent complement component deficiency)or
traveling to high risk areas
54. Meningococcal Group B
• Trumenba®
licensed October 2014
• Licensed for age 10 through 25 years
• Recommended for:
– All adolescents and adults age 10-25 years of
age
– 3 dose series at 0,2 and 6 month interval
– recommend meningococcal B vaccine for
persons aged > 10 years who are at increased
risk for meningococcal disease
55. Pneumococcal- Prevnar 13®
• Prevnar 13® licensed in February 2010
• Licensed for 6 weeks to 17 years, 50 years
and older
• Recommended for:
• Children 6 weeks to 5 years of age
• Given at 2,4,6 and 12-15 months
• Adults over 50 a one time dose
56. Pneumococcal Polysachharide- 23
• Pneumovax 23® licensed in 1983
• Licensed for use in adults age 50 years and older,
and children ≥ 2 years who are at increased risk
• Recommended for:
• All adults age 65 and older
• Children and adults age 2-64 years who are at high risk
• One dose is recommended (however 2 dose may be
required in specific cases, spaced 5 years apart)
57. Polio
• IPOL was licensed in 1987
• Licensed for children age 6 weeks to adult
• Recommended for:
• Children 6 weeks to 6 years of age
• Given at 2,4,6-18 months and 4-6 years
• Final dose to be given at ≥ 4 years of age
• Adults who are at risk and have not been vaccinated or
who have not completed the series
58. Rotarix®
• Licensed July 2008
• Helps prevent cases of
diarrheal illnesses among infants
• 2 dose series – oral
– #1 6 – 14 weeks
– #2 4 weeks after #1; by 24 weeks
59. RotaTeq®
• RotaTeq®
licensed 2006
• Helps prevent cases of diarrheal
illnesses among infants
• 3 dose series – oral
– #1 6-12 weeks (don’t start after 12 weeks)
– #2 4 weeks after #1
– #3 4 weeks after #2 and by 32 wks
60. Varicella
• Varivax® was licensed 1995
• Licensed for use in ages 12 months and
older
• 2 dose series-
• #1 given at age 12-15 months
• #2 given age 4-6 years old
• The 2nd
dose can be given before 4 years
of age as long as 3 months has lapsed
since the 1st
dose
61. Risks of not vaccinating
•Pertussis, measles, Hib and polio are diseases
that used to kill or handicap many young
children. All have been controlled with
vaccination
•But when vaccination rates fall, epidemics can
occur, because disease-causing viruses and
bacteria still exist in nature; plane ride away
from being here!
62. Risks of not vaccinating
•Immunizing protects the health of
children and the emotional and
financial well-being of their families
and communities
•Immunizing protects the health of children who
cannot be vaccinated, such as children with
immune deficiencies or weakened immune
systems due to medical treatments like
chemotherapy
63. If you suspect a positive case
• Contact your local health department
• Review school policies and protocols
regarding exemptions
• These may vary based on area and type of school
64. Information to report
• Demographics
• Birth date
• Onset of illness
• Vaccination date
• Severity of disease
Forward info to Local Health Dept
66. Ohio Revised Code section
3313.671 states:
•All Ohio schools are required to report a
summary of the immunization status of
pupils by October 15 of each year
67. Ohio Department of Health (ODH) surveys all
schools in Ohio for:
•Kindergarten immunization summaries
•7th
grade immunization summaries
•12th
grade immunization summaries
•‘New pupils’ grades 1-6 & 8-11 immunization summaries
Each school or portion of school that has its own IRN Number* must submit a
separate report for each category applicable
*IRN: Informational Retrieval Number is a six-digit number assigned by Ohio
Department of Education to an education or education-related entity.
68. All summaries must be reported
online at:
http://schoolreporting.odh.ohio.gov
•Documents needed for completing reports can be
found online
•Summary reports should ONLY be printed and mailed
in the event the online reporting module is unavailable
69. Helpful forms can be found online (
http://schoolreporting.odh.ohio.gov)
1. Instructions for Immunization Level
Reporting
• Reporting Instructions
• Immunization Requirements and
Documentation
• Immunization Summary for School
Attendance, 2016-2017
• ‘In Process’ and ‘New to
District/System’ definition
1. Immunization Survey Worksheets
• Helpful forms to be used to assist in
preparing summary reports
1. Summary Reports (PDFs)
1
2
3
70. Summary Reports
•Each category (i.e. kindergarten, 7th
grade, etc.)
will have its own summary form
Kindergarten 7th
Grade 12th
Grade New Pupils
71. Information you will need to submit on the
summary:
1. Demographics
2. Number of pupils enrolled
3. Number of pupils with all required
immunizations
4. Number of Exemptions
– Medical
– ‘Good Cause’
– Vaccine specific exemptions
(medical or ‘Good Cause’)
1. Number of pupils not complete
– No record
– Need vaccine
1. Number of ‘In-process’ (vaccine
specific)
1
2
3
4
5
6
72. Each school or portion of school that has its own IRN
Number must submit a separate summary report for
each category applicable
Example:
If your school is an elementary school with grades kindergarten
through 6th
grade, you will need to submit a summary for your
kindergarten and new pupils grade 1-6 (total of 2 summaries)
Kindergarten New Pupils
73. Each school or portion of school that has its own IRN
Number must submit a separate summary report for
each category applicable
Example:
If your school is a high school (7th
through 12th
grades), you will
need to submit a summary for your 7th
grade, 12th
grade and new
pupils grade 8-11 (total of 3 summaries)
7th
Grade 12th
Grade New Pupils
74. All summaries must be reported
online
• Summary reports should
ONLY be printed and
mailed in the event the
online reporting module is
unavailable
75. How to submit a summary online:
•Go to: http://schoolreporting.odh.ohio.gov
•Click on box titled, ‘Submit a summary report on the immunization status of
pupils in Kindergarten, Grade 7, Grade 12 and New Pupil Grades 1-6 & 8-11’
•Search for school (either by IRN or zip code)
•Select type of report (e.g. kindergarten, etc.)
•Click ‘Continue’
•Complete report
•Click ‘Save’ or ‘Submit’
– ‘Save’: will keep information entered and allow you to go back to edit it
– ‘Submit’: will submit report, you will not be able to edit information
76. Helpful Forms: Worksheets
•Use the worksheet(s) to assist you in gathering data before entering your
report online. This will save you time and ensure your summary is accurate
and complete.
•Each category (e.g. kindergarten, 7th
grade, etc.) will have its own worksheet
•Worksheet packets will include the following helpful information:
– Summaries of minimum doses needed to meet requirement (p.1)
– ‘In Process’ Definition (p.1)
– Exemption Line List (p. 2)
– Pupils Not Complete Lind List (p.3)
– Summary Form (p.4)
77. Helpful Forms: Worksheet packet
Summaries of minimum
doses needed to meet
requirement &
‘In Process’ Definition
(Page 1)
Pupils Not Complete
Line List
(Page 3)
Exemption Line List
(Page 2)
78. Worksheet packet (Page 1)
1. Summaries of minimum doses
needed to meet requirement
• Lists minimum requirements
1. ‘In Process’ Definition
• Pupils who have not received the
minimum number of immunizations
and are not otherwise exempt
• Pupils must finish the series as soon
as the scheduled minimum interval
between doses permits. These
pupils, while listed as incomplete,
are considered “in process.”
1
2
79. Worksheet packet (Page 2)
1. Exemption Line List
a) Pupils who have an exemption on file
either medical or ‘Good Cause’
b) Specific vaccine(s) for which the pupil
has an exemption
• You can use this list to gather the ‘count’ for
the following questions in your summary
report:
1. Number of pupils who have a medical
contraindication on file
2. Number of pupils who have a reason of
conscience/religious objection on file
(‘Good Cause’)
3. Number of pupils with exemptions for
specific antigens
1
a b
80. Worksheet packet (Page 3)
1. Pupils Not Complete Line List
a) Pupils not complete with no exemption on
file.
b) Reason not complete:
I. Record not on file (e.g. has no immunization
record on file)
II. Record on file but needs at least one required
vaccine (e.g. pupils missing at least one
vaccine or dose within a series or ‘in-process’)
• You can use this list to gather the ‘count’ for the
following questions in your summary report:
1. Number of pupils NOT complete and have
NO exemption on file (include pupils ‘in
process’)
2. Record not on file
3. Record on file but indicates the need for a
specific vaccine or dose
4. Total ‘in process’ or ‘in process’ for a specific
vaccine
a
1
I
II
81. Why should you use ‘Exemption’ and ‘Pupils
Not Complete’ Worksheets?
Will help you complete summary reports
Lists pupils who are not fully immunized so they can easily be
identify in a case of an outbreak
List pupils who are not in compliance with requirements and
need follow-up
Please note: These lists have patient specific information, please
kept for your records only. DO NOT send patient specific
information to ODH
83. Q: How do I confirm I have
submitted my report?
• Once a form is completed, there are two options, ‘Save’ or ‘Submit’
• If you click on ‘Save’, the information you have entered is saved, but the
form is not yet submitted. You will be able to go back in and edit
information you have entered.
• If you click on ‘Submit’, you will be taken to a screen confirming the
report has been submitted.
• There is a ‘Print’ button you can use to print the confirmation for their
records.
84. Q: Why won’t the computer let
me submit my report?
• If you click ‘Submit’ and are not directed to the confirmation page, it
means either you have not completed all the required fields or that the
information entered violates the ‘math checks’
• Once all the required fields are completed and the ‘math checks’ are
correct, you will be able to submit the form.
• Note:
– All of the numeric fields are required. If your school does not have any
students that fall into that category, you should enter “0”.
– All fields that are a sub category (e.g. vaccine specific exemptions, reasons for
not complete status, ‘in process’, etc.) must be less than or equal to the main
category they fall under.
85. Q: How do I print out a summary
of the information I entered?
• You can print out a summary of the information you
submitted to ODH for your records by doing the
following:
1. Go to the main reporting page
2. Find your school (either IRN or zip code)
3. Select report type (e.g. kindergarten, grades 1-12, etc.)
4. Click ‘Continue’
5. You will be directed to the completed reporting page for
your school which can be printed for your records
86. Q: My school does not show up in
the drop-down menu?
• Search separately by both zip code and IRN. If your school
recently changed names you may need to look under the
former name.
• If you are still unable to find your school, you can add it by
clicking on the ‘Add School’ button. You will be required to
enter IRN, address, city, and zip code.
• Once you click ‘Save’, you will be directed back to the search
screen and you will have to search again by either zip code or
IRN.
87. Q: My IRN/License number/other
contact information is not correct.
• If your school name is incorrect, but the IRN
number and other identifying information (i.e.
address) is correct, report online.
• If all of your information is incorrect, create a
new school (see instructions on previous
slide)
88. Q: How do I know if a student is
‘new’?
• Transfer students entering your school(s) during the year must be
reviewed for immunization compliance. The immunization requirements
are to be enforced throughout the school year
• New to the district/system examples:
– Pupil changed from a private system to a public school district. Even though they are in
the same geographic area, they changed districts.
– Pupil moved from a public district to a private system (visa versa).
– Pupil moved from one private system to another private system, even though they are
in the same city or geographic area.
– Pupil moved to a new public school district.
• Note: ‘new’ kindergarten, 7th
and 12th
grade pupils should be included in your
summary reports for kindergarten, 7th
and 12th
grade (respectfully). You will not
include them in the ‘new pupil’ summary report.
89. Q: Do foreign exchange students
have to meet the minimum
requirements?
• Yes. Even if the child is only going to be in the
U.S. for part of the school year, the same
requirements apply.
90. Q: How do I confirm I have
submitted my report?
Once a form is completed, there are two options, ‘Save’ or ‘Submit’
If you click on ‘Save’, the information you have entered is saved, but the
form is not yet submitted. You will be able to go back in and edit
information you have entered.
If you click on ‘Submit’, you will be taken to a screen confirming the report
has been submitted.
There is a ‘Print’ button you can use to print the confirmation for their
records.
91. Q: Why won’t the computer let
me submit my report?
If you click ‘Submit’ and are not directed to the confirmation page, it means
either you have not completed all the required fields or that the
information entered violates the ‘math checks’
Once all the required fields are completed and the ‘math checks’ are correct,
you will be able to submit the form.
Note:
– All of the numeric fields are required. If your school does not have any
students that fall into that category, you should enter “0”.
– All fields that are a sub category (e.g. vaccine specific exemptions, reasons for
not complete status, ‘in process’, etc.) must be less than or equal to the main
category they fall under.
92. Q: How do I print out a summary
of the information I entered?
You can print out a summary of the information you
submitted to ODH for your records by doing the
following:
1. Go to the main reporting page
2. Find your school (either IRN or zip code)
3. Select report type (e.g. kindergarten, grades 1-12, etc.)
4. Click ‘Continue’
5. You will be directed to the completed reporting page for
your school which can be printed for your records
93. Q: My school does not show up in
the drop-down menu?
Search separately by both zip code and IRN. If your school
recently changed names you may need to look under the
former name.
If you are still unable to find your school, you can add it by
clicking on the ‘Add School’ button. You will be required to
enter IRN, address, city, and zip code.
Once you click ‘Save’, you will be directed back to the search
screen and you will have to search again by either zip code or
IRN.
94. Q: My IRN/License number/other
contact information is not correct.
If your school name is incorrect, but the IRN
number and other identifying information (i.e.
address) is correct, report online.
If all of your information is incorrect, create a
new school (see instructions on previous
slide)
95. Q: How do I know if a student is
‘new’?
Transfer students entering your school(s) during the year must be reviewed
for immunization compliance. The immunization requirements are to be
enforced throughout the school year
New to the district/system examples:
– Pupil changed from a private system to a public school district. Even though they are in
the same geographic area, they changed districts.
– Pupil moved from a public district to a private system (visa versa).
– Pupil moved from one private system to another private system, even though they are
in the same city or geographic area.
– Pupil moved to a new public school district.
Note: ‘new’ kindergarten, 7th
and 12th
grade pupils should be included in your
summary reports for kindergarten, 7th
and 12th
grade (respectfully). You will not
include them in the ‘new pupil’ summary report.
96. Q: Do foreign exchange students
have to meet the minimum
requirements?
Yes. Even if the child is only going to be in the
U.S. for part of the school year, the same
requirements apply.
98. OHIO’S IMMUNIZATION REGISTRY
“IMPACT SIIS”
YOU CAN HAVE ACCESS!!
To look up records and enter data!
•Web based
•Immunization record data base
•Go to the school nursing ODH website to obtain
the security agreement instructions and forms
•Pam Hatchett -614-728-9614
•Impact SIIS call center 1- 866-349-0002
•If take the OhioTrain training, can add historical
shots
99. OHIO DEPARTMENT OF HEALTH
COMMUNICABLE DISEASE CHART
http://www.odjfs.state.oh.us/forms/findform.as
FORM # JFS 08087
REVISED 9/2009
102. Fast Vax App
• For Providers:
• Information on immunization safety concerns to share
with parents on a tablet in your office
• The ability to share facts and resources directly from the
app screen
• Conversation tactics to combat refusal
• For Parents:
• A series of short videos recorded by a pediatrician on
targeted topics that address the most common
immunization questions and concerns.
• An interactive immunization schedule customized by
child’s age
• Trusted answers to frequently asked questions
• Breaking news alerts on outbreaks, new research and
other important immunization headlines
• Pediatrician-approved links and resources
• Ability to share reliable facts and resources with friends
and family at the push of a button
104. Resources
Factual sites for parents to visit:
– American Academy of Pediatrics(AAP): http://www.aap.org/
Parenting corner
– Centers for Disease and Control: http://www.cdc.gov/ Look
under alphabet for certain disease, immunizations etc.
– The U.S. Department of Health and Human Services:
http://vaccines.gov/
– Shots by Shot: http://shotbyshot.org/ Parents stories about
vaccine-preventable diseases affecting their children
105. Vaccines are oneVaccines are one
of the mostof the most
(if not(if not the mostthe most))
effectiveeffective
primary careprimary care
interventionintervention
107. For more information contact
Tamara Yates RN, BSN
Nurse Education Consultant
Bureau of Infectious Diseases- Immunizations
614-752-9685
1-800-282-0546
Tamara.Yates@odh.ohio.gov
Editor's Notes
Schools use Pam Hatchett
Anthrax, Small pox, Yellow fever, Japanese Encephalitis, Typhoid
NOTE: Just an FYI - The 4 day grace period does not apply to the new ‘accelerated’ Twinrix schedule or to rabies vaccine.
Exclusion forms are per school, or district and not available from ODH
Tdap ???
handout
ORC handout
Twinrix : 18 years + older
(BEA) In June 2007, ACIP revised its recommendation to include routine vaccination of all persons aged 11--18 years with 1 dose of MCV4 at the earliest opportunity. Persons aged 11--12 years should be routinely vaccinated at the 11--12 years health-care visit as recommended by ACIP (2). ACIP continues to recommend routine vaccination for persons aged 19--55 years who are at increased risk for meningococcal disease: college freshmen living in dormitories, microbiologists routinely exposed to isolates of Neisseria meningitidis, military recruits, travelers to or residents of countries in which N. meningitidis meningitis is hyperendemic or epidemic, persons with terminal complement component deficiencies, and persons with anatomic or functional asplenia.
If at lest 28 days has passed between doses then the 2nd dose can be given and considered valid
Pertussis infant death rates in the news!
handout
Good for outbreak and 14 exclusion
go to the school nursing ODH website to obtain the security agreement instructions and forms. we have over 350 signed security agreements; send her the school nurse security agreement, the administrator&apos;s agreement and explain the training process and logistics of the &apos;School Nurse Access to ImpactSIIS&apos; program.
