. 2017 Student Vaccine Requirements in Nevada and the New HPV Vaccine Schedule Pamela Forest MD Provider Quality Assurance Manager Nevada State Immunization Program 775-684-5903 or pforest@health.nv.gov Helping People. It’s who we are and what we do. 1 .
. Objectives 1. Name the six vaccine series required for Kindergarten enrollment in NV 2. Name the seven vaccine series required for 7 th grade enrollment in NV 3. Name the vaccines required for university enrollment in NV 4. Name the acceptable vaccine exemptions in Nevada and how to document them 5. Discuss the recent ACIP vaccine schedule change for the HPV vaccine Helping People. It’s who we are and what we do. 2 .
. Public and Private School Vaccine Requirements • Public Schools – NRS 392.435 and NAC 392.105 http://www.leg.state.nv.us/NRS/NRS-392.html#NRS392Sec435 http://www.leg.state.nv.us/NAC/NAC-392.html • Private Schools – NRS 394.192 and NAC 394.250 http://www.leg.state.nv.us/NRS/NRS-394.html#NRS394Sec192 http://www.leg.state.nv.us/NAC/NAC-394.html#NAC394Sec250 Helping People. It’s who we are and what we do. 3 .
. NRS 392.435 and 394.192 • Unless excused because of religious belief o r medical condition …,a child may not be enrolled in a public school within this State unless the child’s parents or guardian submit … a certificate stating that the child has been immunized and has received proper boosters for that immunization or is complying with the schedules established by regulation pursuant to NRS 439.550 for the following diseases: Helping People. It’s who we are and what we do. 4 .
. NRS 392.435 and 394.192 (a) Diphtheria; • (b) Tetanus; • (c) Pertussis if the child is under 6 years of age; • (d) Poliomyelitis; • (e) Rubella; • (f) Rubeola; and • (g) Such other diseases as the local board of health or the State • Board of Health may determine Helping People. It’s who we are and what we do. 5 .
. NAC 392.105 and NAC 394.250 • 1. The State Board of Health hereby declares the diseases of: (a) Mumps; • (b) Hepatitis A; • (c) Hepatitis B; • (d) Varicella; and • (e) Bordetella pertussis if a child is 6 years of age or older; and • (f) Neisseria meningitidis, • to be communicable diseases. Helping People. It’s who we are and what we do. 6 .
. Kindergarten Required Vaccines • DTaP • Polio • MMR • Varicella • Hepatitis A • Hepatitis B Helping People. It’s who we are and what we do. 7 .
. Advisory Committee on Immunization Practices Helping People. It’s who we are and what we do. 8 .
. DTaP Schedule Helping People. It’s who we are and what we do. 9 .
. Polio Vaccine Schedule Helping People. It’s who we are and what we do. 10 .
. MMR Vaccine Schedule Helping People. It’s who we are and what we do. 11 .
. Varicella Vaccine Helping People. It’s who we are and what we do. 12 .
. Hepatitis B Vaccine Helping People. It’s who we are and what we do. 13 .
. Hepatitis A Vaccine Helping People. It’s who we are and what we do. 14 .
. Can this child be enrolled in school? Birth Date Vaccine Dose 1 Dose 2 Dose 3 Dose 4 10/16/2010 DTaP,DTP 12/15/2010 3/18/2011 8/14/2014 2/25/2015 10/16/2010 Polio 12/15/2010 3/18/2011 8/14/2014 2/25/2015 10/16/2010 MMR 11/4/2011 8/25/2015 10/16/2010 Hep B 10/16/2010 11/16/2010 8/14/2014 10/16/2010 Varicella 11/4/2011 8/25/2015 10/16/2010 Hep A 11/4/2011 8/14/2014 Helping People. It’s who we are and what we do. 15 .
. Can this child be enrolled in kindergarten? Birthdate Vaccine Dose 1 Dose 2 Dose 3 Dose 4 3/21/2011 DTaP,DTP 5/17/2011 8/1/2016 9/16/2016 3/21/2011 Polio 5/17/2011 8/1/2016 3/21/2011 MMR 7/25/2012 8/1/2016 9/16/2016 3/21/2011 Hep B 3/21/2011 5/17/2011 8/1/2016 3/21/2011 Varicella 5/17/2011 7/25/2012 8/1/2016 11/1/2016 3/21/2011 Hep A 8/1/2016 Helping People. It’s who we are and what we do. 16 .
. Can this child be enrolled in kindergarten? Birth Date Vaccine Dose 1 Dose 2 Dose 3 Dose 4 Dose 5 9/20/2010 DTaP,DTP 12/3/2010 4/1/2011 8/30/2011 2/24/2012 6/15/2015 9/20/2010 Polio 12/3/2010 4/1/2011 8/30/2011 6/15/2015 9/20/2010 MMR 11/3/2011 6/15/2015 9/20/2010 Hep B 9/20/2010 12/3/2010 2/1/2011 9/20/2010 Varicella 11/3/2011 6/15/2015 9/20/2010 Hep A 11/3/2011 8/6/2012 Helping People. It’s who we are and what we do. 17 .
. Can this child be enrolled in kindergarten? Birth Date Vaccine Dose 1 Dose 2 Dose 3 Dose 4 Dose 5 9/20/2010 DTaP,DTP 12/3/2010 4/1/2011 8/30/2011 2/24/2012 6/15/2015 9/20/2010 Polio 12/3/2010 4/1/2011 8/30/2011 6/15/2015 9/20/2010 MMR 9/10/2011 6/15/2015 9/20/2010 Hep B 9/20/2010 12/3/2010 3/20/2011 9/20/2010 Varicella 9/10/2011 6/15/2015 9/20/2010 Hep A 11/3/2011 8/6/2012 Helping People. It’s who we are and what we do. 18 .
. Conditional Enrollment • Vaccination series is not complete but booster doses cannot be administered because the minimum interval has not passed. • Example: Hepatitis A dose #1 administered 6/1/17. Dose #2 cannot be administered until 12/1/17. IF ALL REQUIRED VACCINE DOSES CAN BE PROVIDED IN ONE VISIT, THEN CONDITIONAL ENROLLMENT DOSE NOT APPLY!!! Helping People. It’s who we are and what we do. 19 .
. 7 TH Grade Vaccine Requirements • All vaccines required for kindergarten enrollment • Tdap – Adacel or Boostrix • MCV4 – Menactra or Menveo - On or after the 10 th birthday • Varicella – 2 dose requirement for those students who entered the school district 2011 – 2012 school year and all subsequent years. Helping People. It’s who we are and what we do. 20 .
. MCV 4 Vaccine Helping People. It’s who we are and what we do. 21 .
. Can this 7 th grader enroll in school? Birth date Vaccine Dose #1 Dose #2 Dose #3 Dose #4 5/16/2004 DTaP-DTP 9/21/2007 2/5/2008 8/16/2008 4/23/2010 5/16/2004 Polio 2/5/2008 8/16/2008 4/23/2010 5/16/2004 MMR 9/21/2007 8/16/2008 5/16/2004 HepB 2/5/2008 8/16/2008 4/23/2010 5/16/2004 Varicella 9/21/2007 2/11/2013 5/16/2004 HepA 9/21/2007 8/16/2008 5/16/2004 Tdap 6/13/2016 5/16/2004 MCV4 6/13/2016 Helping People. It’s who we are and what we do. 22 .
. Can this 7 th grader enroll in school? Birth date Vaccine Dose #1 Dose #2 Dose #3 Dose #4 Dose #5 Dose #6 6/16/2004 DTaP-DTP 8/19/2004 10/21/2004 12/16/2004 1/17/2005 7/14/2009 8/11/2014 6/16/2004 Polio 8/19/2004 10/21/2004 6/30/2005 7/14/2009 6/16/2004 MMR 6/30/2005 7/14/2009 6/16/2004 HepB 6/16/2004 7/16/2004 3/17/2005 6/16/2004 Varicella 6/30/2005 7/14/2009 6/16/2004 HepA 7/19/2007 4/24/2008 6/16/2004 MCV4 8/11/2014 Helping People. It’s who we are and what we do. 23 .
. Can this 7 th grader enroll in school? Birth date Vaccine Dose #1 Dose #2 Dose #3 Dose #4 1/13/2004 DTaP-DTP 5/14/2010 6/14/2010 7/14/2010 1/13/2004 Polio 5/14/2010 6/14/2010 12/14/2010 1/13/2004 MMR 5/14/2010 8/14/2010 1/13/2004 HepB 5/14/2010 6/14/2010 11/14/2010 1/13/2004 Varicella 5/14/2010 8/14/2010 1/13/2004 HepA 5/14/2010 11/14/2010 1/13/2004 Tdap 1/14/2011 1/13/2004 MCV4 5/20/2015 Helping People. It’s who we are and what we do. 24 .
. University Vaccine Requirements NAC 441A.755 Except as otherwise provided in subsection 10 or unless excused because of religious belief or medical condition, a person shall not attend a university until he or she submits to the university proof of immunity to tetanus, diphtheria, measles, mumps, rubella and any other disease specified by the State Board of Health. The Division shall establish the immunization schedule required for admission of the student. Helping People. It’s who we are and what we do. 25 .
. University Vaccine Requirements Except as otherwise provided in subsection 10 or unless excused because of religious belief or medical condition, a person who: (a) Is less than 23 years of age; and (b) Is enrolled as a freshman; shall not attend a university until he or she submits to the university proof of immunity to Neisseria meningitidis . Helping People. It’s who we are and what we do. 26 .
. University Vaccine Requirements • Tdap or Td • MMR • MVC4 - Menactra or Menveo Helping People. It’s who we are and what we do. 27 .
. Medical Exemptions If the medical condition of a child will not permit the child to be immunized to the extent required …, a written statement of this fact signed by a licensed physician and presented to the governing body by the parents or guardian of such child shall exempt such child from all or part of the provisions ….., for enrollment purposes. Helping People. It’s who we are and what we do. 28 .
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