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School Immunization Update

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 Dianne.Mennitt@fldoe.org

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School Immunization Update

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

  2. Presenters • Dianne Mennitt, School Nurse Consultant, USF Student Support Services Project, Bureau of Exceptional Education and Student Services Dianne.Mennitt@fldoe.org • Beth Cox, Training Consultant, Florida Department of Health, Bureau of Immunization, Florida SHOTS Beth_Cox@doh.state.fl.us

  3. Objectives • Review immunization data for 2011-12 school year • Understand immunization requirements for 2012-13 school year • Discuss Florida SHOTS updates

  4. 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 …

  5. 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)

  6. Immunization 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

  7. Certificate of ImmunizationDH 680 Form

  8. Electronic Certificate of ImmunizationDH 680 Form

  9. Kindergarten & Seventh Grade Immunization Status Report, 2011-2012 • http://www.doh.state.fl.us/Disease_ctrl/immune/resources/surveys/state-surveys.html • Validation Assessment

  10. 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

  11. 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.

  12. 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%

  13. 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

  14. 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.

  15. 2011-12 Immunization Exemptions: 7th Grade 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%

  16. 2011-12 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.

  17. 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

  18. Permanent Medical Exemption • DH 680: Part C, DOE Code 3 • For medically contraindicated immunizations • List each vaccine with valid clinical reason for exemption

  19. Religious ExemptionDH 681 Form, 7/08

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

  21. 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

  22. Comments/Questions

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