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School Immunization Update FAMIS Conference, Tallahassee, FL June 12, 2012

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School Immunization Update. FAMIS Conference, Tallahassee, FL June 12, 2012. Presenters. Dianne Mennitt, School Nurse Consultant, USF Student Support Services Project, Bureau of Exceptional Education and Student Services [email protected] - PowerPoint PPT Presentation

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Page 1: School  Immunization Update

School Immunization Update

School Immunization Update

FAMIS Conference,

Tallahassee, FL

June 12, 2012

FAMIS Conference,

Tallahassee, FL

June 12, 2012

Page 2: School  Immunization Update

PresentersPresenters Dianne Mennitt, School Nurse Consultant,

USF Student Support Services Project, Bureau of Exceptional Education and Student Services [email protected]

Beth Cox, Training Consultant, Florida Department of Health, Bureau of Immunization, Florida SHOTS [email protected]

Dianne Mennitt, School Nurse Consultant, USF Student Support Services Project, Bureau of Exceptional Education and Student Services [email protected]

Beth Cox, Training Consultant, Florida Department of Health, Bureau of Immunization, Florida SHOTS [email protected]

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Page 3: School  Immunization Update

ObjectivesObjectives

Review immunization data for 2011-12 school year

Understand immunization requirements for 2012-13 school year

Discuss Florida SHOTS updates

Review immunization data for 2011-12 school year

Understand immunization requirements for 2012-13 school year

Discuss Florida SHOTS updates

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Page 4: School  Immunization Update

Legal Authoritywww.leg.state.fl.us

Legal Authoritywww.leg.state.fl.us

Section 1003.22, Florida Statutes Required immunizations shall be available

at no cost from the county health departments (CHD)

Each district school board and the governing authority of each private school shall …

Certification of immunization shall …

Section 1003.22, Florida Statutes Required immunizations shall be available

at no cost from the county health departments (CHD)

Each district school board and the governing authority of each private school shall …

Certification of immunization shall …

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Page 5: School  Immunization Update

Florida Administrative Codewww.flrules.org

Florida Administrative Codewww.flrules.org

Rule 64D-3.046, F.A.C., Immunization Requirements: Public and Nonpublic Schools, Grades Preschool, Kindergarten Through 12, Adult Education Classes. Annual statewide compliance reporting

requirement for all students attending kindergarten and seventh grade in Florida

Florida SHOTS (State Health Online Tracking System) authorization for access (http://www.flshots.com)

Rule 64D-3.046, F.A.C., Immunization Requirements: Public and Nonpublic Schools, Grades Preschool, Kindergarten Through 12, Adult Education Classes. Annual statewide compliance reporting

requirement for all students attending kindergarten and seventh grade in Florida

Florida SHOTS (State Health Online Tracking System) authorization for access (http://www.flshots.com)

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Page 6: School  Immunization Update

Immunization GuidelinesImmunization Guidelines Florida Schools, Child Care Facilities,

and Family Day Care Homes (July 2011)

Available online at http://www.doh.state.fl.us/Disease_ctrl/immune/resources/announcements/index.html#schoolguide

Florida Schools, Child Care Facilities, and Family Day Care Homes (July 2011)

Available online at http://www.doh.state.fl.us/Disease_ctrl/immune/resources/announcements/index.html#schoolguide

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Page 7: School  Immunization Update

Certificate of ImmunizationDH 680 Form

Certificate of ImmunizationDH 680 Form

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Page 8: School  Immunization Update

Electronic Certificate of Immunization DH 680 Form

Electronic Certificate of Immunization DH 680 Form

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Page 9: School  Immunization Update

Kindergarten & Seventh Grade Immunization Status

Report, 2011-2012

Kindergarten & Seventh Grade Immunization Status

Report, 2011-2012 http://www.doh.state.fl.us/Disease_ctrl/

immune/resources/surveys/state-surveys.html

Validation Assessment

http://www.doh.state.fl.us/Disease_ctrl/immune/resources/surveys/state-surveys.html

Validation Assessment

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Page 10: School  Immunization Update

2011-12 Immunization Requirements: Kindergarten

2011-12 Immunization Requirements: Kindergarten

Four or 5 doses of diphtheria, tetanus, and pertussis (DTaP) vaccine;

Three, four, or five doses of polio vaccine: If the fourth dose was administered prior to the 4th birthday, a fifth dose is required for kindergarten entry;

Two doses of measles, mumps, rubella (MMR) vaccine;

Three doses of hepatitis B vaccine; and Two doses of varicella (chicken pox) vaccine

Four or 5 doses of diphtheria, tetanus, and pertussis (DTaP) vaccine;

Three, four, or five doses of polio vaccine: If the fourth dose was administered prior to the 4th birthday, a fifth dose is required for kindergarten entry;

Two doses of measles, mumps, rubella (MMR) vaccine;

Three doses of hepatitis B vaccine; and Two doses of varicella (chicken pox) vaccine

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Page 11: School  Immunization Update

2011-12 Immunization Results: Kindergarten

(Public Schools)

2011-12 Immunization Results: Kindergarten

(Public Schools) Statewide Data: 92% of kindergarteners

had all required immunizations (DH 680: Part A, DOE Code 1).

Of Florida’s 67 counties, 33, or 49.3% achieved/exceeded the goal that 95% or greater have received all required immunizations upon kindergarten entry/attendance.

Statewide Data: 92% of kindergarteners had all required immunizations (DH 680: Part A, DOE Code 1).

Of Florida’s 67 counties, 33, or 49.3% achieved/exceeded the goal that 95% or greater have received all required immunizations upon kindergarten entry/attendance.

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Page 12: School  Immunization Update

2011-12 Immunization Exemptions: Kindergarten

2011-12 Immunization Exemptions: Kindergarten

Statewide Data: Students with exemptions from immunizations accounted for 7.2% of the total kindergarten population:

9,758 Temporary Medical Exemptions, or 4.3% 724 Permanent Medical Exemptions, or 0.3% 2,771 Religious Exemptions, or 1.2% 3,098 30-day Exemptions, or 1.4%

Statewide Data: Students with exemptions from immunizations accounted for 7.2% of the total kindergarten population:

9,758 Temporary Medical Exemptions, or 4.3% 724 Permanent Medical Exemptions, or 0.3% 2,771 Religious Exemptions, or 1.2% 3,098 30-day Exemptions, or 1.4%

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Page 13: School  Immunization Update

2011-12 Immunization Requirements: 7th Grade

2011-12 Immunization Requirements: 7th Grade

Completion of the hepatitis B series; Two doses of measles, mumps, rubella

(preferably MMR) vaccine; One dose of varicella (chicken pox)

vaccine; and One dose of tetanus, diphtheria, and

pertussis (Tdap) vaccine

Completion of the hepatitis B series; Two doses of measles, mumps, rubella

(preferably MMR) vaccine; One dose of varicella (chicken pox)

vaccine; and One dose of tetanus, diphtheria, and

pertussis (Tdap) vaccine

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Page 14: School  Immunization Update

2011-12 Immunization Requirements: 7th Grade

2011-12 Immunization Requirements: 7th Grade

Statewide Data: 95.4% of seventh grade students were reported complete for required immunizations (DH 680: Part A, DOE Code 8).

Of Florida’s 67 counties, 66, or 98.5%, achieved the goal that 90% or greater receive all required immunizations for 7th grade entry/attendance.

Statewide Data: 95.4% of seventh grade students were reported complete for required immunizations (DH 680: Part A, DOE Code 8).

Of Florida’s 67 counties, 66, or 98.5%, achieved the goal that 90% or greater receive all required immunizations for 7th grade entry/attendance.

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Page 15: School  Immunization Update

2011-12 Immunization Exemptions: 7th Grade2011-12 Immunization

Exemptions: 7th GradeStatewide Data: Students with

exemptions from immunizations accounted for 4% of the total 7th grade population: 5,837 Temporary Medical Exemptions, or 2.6% 622 Permanent Medical Exemptions, or 0.3% 1,738 Religious Exemptions, or 0.8% 783 30-day Exemptions, or 0.3%

Statewide Data: Students with exemptions from immunizations accounted for 4% of the total 7th grade population: 5,837 Temporary Medical Exemptions, or 2.6% 622 Permanent Medical Exemptions, or 0.3% 1,738 Religious Exemptions, or 0.8% 783 30-day Exemptions, or 0.3%

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Page 16: School  Immunization Update

2011-12 Validation Assessment Results2011-12 Validation

Assessment Results Kindergarten: 96.7% of students were fully

immunized, which is significantly higher than 92.6% reported during Survey 2 (Target: 95%)

Seventh Grade: 94.5% of students were fully immunized compared to 95.4% reported during Survey 2 (Target: 90%)

Concern: 12% of students in kindergarten and 8.2% of students in 7th grade had improper or no documentation of immunizations.

Kindergarten: 96.7% of students were fully immunized, which is significantly higher than 92.6% reported during Survey 2 (Target: 95%)

Seventh Grade: 94.5% of students were fully immunized compared to 95.4% reported during Survey 2 (Target: 90%)

Concern: 12% of students in kindergarten and 8.2% of students in 7th grade had improper or no documentation of immunizations.

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Page 17: School  Immunization Update

Temporary Medical Exemption

Temporary Medical Exemption

For K – 12 students with incomplete immunizations (DH 680: Part B, DOE Code 2)

Temporary Medical Exemption (TME) requires a valid Expiration Date

For K – 12 students with incomplete immunizations (DH 680: Part B, DOE Code 2)

Temporary Medical Exemption (TME) requires a valid Expiration Date

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Page 18: School  Immunization Update

Permanent Medical Exemption

Permanent Medical Exemption

DH 680: Part C, DOE Code 3 For medically contraindicated

immunizations List each vaccine with valid clinical

reason for exemption

DH 680: Part C, DOE Code 3 For medically contraindicated

immunizations List each vaccine with valid clinical

reason for exemption

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Page 19: School  Immunization Update

Religious ExemptionDH 681 Form, 7/08

Religious ExemptionDH 681 Form, 7/08

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Page 20: School  Immunization Update

Immunization Flyers available at http://www.doh.state.fl.us/Disease_ctrl/immune/resources/publications/flyers.html

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Page 21: School  Immunization Update

IMMUNIZATION GUIDELINES SCHOOL YEAR 2012/2013

Vaccine ↓Childcare /

Family DaycarePreschool / Pre-K Entry

Kindergarten through 12th

DTap √ √ √

Tdap No requirement No requirement 7th through 10th

IPV √ √ √

MMR 1 – 2 doses 1 – 2 doses 2 doses

Varicella √ 1 – 2 doses2 doses Kg – 41 dose 5 - 11

Hepatitis B No requirement √ √

Hib √ √ No requirement

PCV √ No requirement No requirement

Page 22: School  Immunization Update

2012-13 Seventh Grade Requirement

2012-13 Seventh Grade Requirement

Students entering, attending, or transferring to 7th grade in Florida schools:

One tetanus-diphtheria-pertussis (Tdap) DH 680: Part A, DOE Code 8:

Immunizations are complete for 7th grade

Students entering, attending, or transferring to 7th grade in Florida schools:

One tetanus-diphtheria-pertussis (Tdap) DH 680: Part A, DOE Code 8:

Immunizations are complete for 7th grade

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Page 23: School  Immunization Update

Comments/QuestionsComments/Questions

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