immunizations for pre-school children 2015 f2f ppt.pdf · immunizations for pre-school children...

Immunizations for

Pre-School Children 2015

Bureau of Communicable Diseases

Immunization Section

Objectives:

• Review recommended immunizations

• Review required immunizations

• Review DH680 Forms

– Certification

Florida State Health On-line Tracking System

(Florida SHOTS)

Immunizations for


Immunizations for


http://www.floridahealth.gov/programs-and-

services/immunization/publications/_documents/general-recommened-required.pdf

Recommended Vaccines for Young Children

• DTaP

– Protects against diphtheria,

lockjaw and whooping cough

• HIB

– Protects against meningitis

and pneumonia

• Polio

– Protects against polio which

can cause paralysis

• MMR

– Protects against measles,

mumps and rubella (German

measles)

• Varicella

– Protects against chickenpox

• Hepatitis B and A

– Protects infection of the liver

caused by a virus

• Pneumococcal Conjugate

– Protects against a serious kind

of pneumonia (and decreases

the frequency of ear infections)

• Influenza

– Protects against a highly

contagious infection of the

nose, throat, and lungs

• Rotavirus

– Protects against the most

common cause of vomiting and

severe diarrhea

Immunizations for


Immunizations for


Required Vaccines for Child Care & Head Start

• DTaP

– Protects against diphtheria,

lockjaw and whooping cough

• HIB

– Protects against meningitis

and pneumonia

• Polio

– Protects against polio which

can cause paralysis

• MMR

– Protects against measles,

mumps and rubella (German

measles)

• Varicella

– Protects against chickenpox

• Hepatitis B and A

– Protects infection of the liver

caused by a virus

• Pneumococcal Conjugate

– Protects against a serious kind

of pneumonia (and decreases

the frequency of ear infections)

• Influenza

– Protects against a highly

contagious infection of the

nose, throat, and lungs

• Rotavirus

– Protects against the most

common cause of vomiting and

severe diarrhea

Immunizations for


Required Vaccines

for Child Care

http://www.immunizeflorida.org/files/daycare_requirements_ENG_web.pdf

Immunizations for


• Each child shall have a Form DH680 on file documenting

age-appropriate doses of required immunizations

• At 18 months to 4 years, children should have at least the following:

Immunization Guidelines 2013, pp 3-4

– 4 DTaP

– 3 Hib

– 3 Polios

– 1 MMR

– 3 Hepatitis B

– 1 Varicella

– 4 Pneumococcal Conjugate vaccine

Toddlers and Pre-Schoolers

Immunizations for


Pneumococcal Conjugate vaccines

• Pneumococcal Conjugate vaccine is required child care and family

day care home attendees (Effective January 1, 2012 for children 2

to 59 months of age)

• The number of doses required is dependent on the child’s age at the

time of administration and the type of vaccine used as based on the

American Academy of Pediatrics (ACIP)

Immunizations for


Immunization Guidelines

Florida Schools, Childcare

Facilities and Family DayCare

Homes

March 2013

http://www.immunizeflorida.org/schoolguide.pdf

Immunizations for


Certificates of Immunization

• DOH 680 forms - must be signed and dated in

the appropriate part of the card to be valid

– Part A-1 (Kindergarten and/or 12th grade)

– Part A-2 (7th Graders)

– Part B (Pre-Schoolers)

– Part C (Any child with a serious health problem)

Immunizations for


DH 680: Part A-1 Certificate of Immunization for Kindergarten – 12th Grade

Used for:

• Children entering into Kindergarten either as a new student or as a transfer from another school, or preschool children and children in day care who have met all immunization requirements for Kindergarten

• Must be dated and signed or electronically certified

Immunizations for


DH 680: Part A-1 Certificate of Immunization for Kindergarten – 12th Grade

Immunizations for


DH 680: Part B Temporary Medical Exemption

Immunization Guidelines 2013, p 8

• Preschool children, children in day care, and school children who

are incomplete for immunizations in A-1

• Children in the process of receiving immunizations

Temporary Medical Exemptions MUST have the:

– Physician’s or clinic’s name

– The provider’s signature

– An expiration date (15 days after next

immunization appointment)

Immunizations for


Updating Temporary Medical Exemptions


• When immunizations are needed, two weeks before expiration:

– Make a photo copy of the child’s DH 680 form to maintain in

the records

– Provide the “original” DH 680 form to the parent to take to the

physician/clinic for updating

– Follow-up with the parent to assure that the DH 680 form is

returned prior to its expiration date

– Return the updated DH 680 form to the child’s record once

the required immunizations are obtained and documented

– If appropriate documentation is not provided by the expiration

date, the child is out of compliance

Immunizations for


OOPS … Improperly signed cards

• Immunization Guidelines 2013, p 9

If a preschool, child care facility, or family day care

home attendee has:

• received at least 4 DTaPs, 3 Polios, 1 MMR, 1 VZV,

appropriate HIB, and appropriate pneumococcal

conjugate shots, and

• these shots are posted on the DH 680 form, and

• the card is signed/certified by a physician or clinic

the form will not be judged as “out of compliance” if

the form is signed on wrong section.

Immunizations for


DH 680: Part C Permanent Medical Exemption

• Immunizations Guidelines 2013, p 10

• Documentation of medical problems that do not allow

for immunization(s)

• The medical problem must be valid, specific to a

vaccine, and documented in Part C

• Must be dated and signed by a medical doctor

Immunizations for


Religious Exemptions


• All children who attend a child care center, family day

care, or preschool and claim a religious exemption from

receiving immunizations must have a signed and dated

Religious Exemption from Immunization form

• Religious Exemption forms can only be issued from the

County Health Department

Immunizations for


Ensuring proper documentation...

• Immunization Guidelines 2013, p 9

• It is the school, child care facility or family day care home

operator’s responsibility to ensure proper documentation

is on file.

• This responsibility includes notifying parents of expiring

temporary medical exemptions.

Immunizations for


Examples of

Valid DH 680 Forms

Unacceptable Forms

Immunizations for


Things to know…

• Legal requirements in the

determination of validity of a

DH 680 form

– Must be a DOH from (either from

Florida SHOTS or pre-printed

blank form

– Must be legible

– Must have the signature of

healthcare provider:

• By hand

• Electronic signature verification

ID from Florida SHOTS

Immunizations for


Benefits to Schools, Head Start, Child Care Centers

- reduce staff time required to check student immunization

status

- instant access and print out of DH 680

- greater accuracy of records and duplication of immunizations

Immunizations for


Immunization Resources

Florida Department of Health Immunization Section http://www.immunizeflorida.org/

Florida State Health On-line Tracking System

http://www.flshots.com

National Immunization Program http://www.cdc.gov/nip/home-hcp.htm

Immunization Action Coalition http://www.immunize.org

Immunizations for


Immunization Contacts

Helen Mores

Operations and Management Consultant I

Manager, Area 1 Field Office


(850) 484-5084 option 1

Melissa Becker

Operations Analyst I

Area I Field Office


(850) 484-5084 option 2

Immunizations for


Questions?

Immunizations for


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