WELCOME WELCOME School NursesSchool Nurses Immunization

Review and UpdatesTamara Yates, BSN, RN

Nurse Education Consultant

HENRY

PUTNAM

LAWRENCE

PIKE

ADAMS

ATHENS

COSHOCTON

HOLMES

FAIRFIELD

HOCKING

JACKSON

SCIOTO

HIGHLAND

ROSS

FAYETTE

PICKAWAY

GREENE

BELMONT MUSKINGUM

MEIGS

VINTON

WASHINGTON

MORGAN

PERRY

MONROE

GUERNSEY

P0RTAGE

HARRISON

JEFFERSON

RICHLAND

SENECA

HARDIN

SANDUSKY

LICKING

DELAWARE

MADISON

FRANKLIN

CHAMPAIGN MIAMI

DARKE

PREBLE MONTGOMERY

CARROLL

BROWN

CLER-MONT

HURON

ERIE

TUSCARAWAS

ASHLAND

WYANDOT

CRAWFORD

WAYNE

CUYAHOGA

LORAIN

SUMMIT

LAKE ASHTABULA

TRUMBULL

GEAUGA

MAHONING

COLUMBIANA

STARK

NOBLE

GALLIA

CLINTON

WARREN

BUTLER

SHELBY

WILLIAMS

MERCER

ALLEN

AUGLAIZE

HANCOCK

VAN WERT

DEFIANCE

FULTON

LUCAS

WOOD

OTTAWA

LOGAN UNION

CLARK

HAMILTON

PAULDING

MARION MORROW

KNOX

MEDINA

Ohio Department of Health, Bureau of Infectious DiseasesVaccines for Children (VFC) / Immunization Territories - 2016

Updated 4/29/16

Julie Keegan – NWDO 419-245-2460

Edie LeDay – Columbus 614-466-0255

Adele Woodruff – SWDO 937-285-6130

Quinton Osborne – SWDO 937-285-6121

Kathy Duffy – NEDO 330-643-1316

Jennie Sharp – NEDO 330-643-8815

Tami Chrestoff – NEDO 330-643-1499

Vacant – Columbus 614-466-4643

Matt Slanoc – Columbus 614-995-4818

Cheryl Vitale – Columbus 614-644-0236

Vaccine-Preventable Diseases

Diphtheria Pertussis

Hepatitis A Polio

Hepatitis B Pneumococcal

Haemophilus influenza type b - HIB Shingles

Human papillomavirus - HPV Rabies

Influenza Rotavirus

Measles Rubella

Meningitis Tetanus

Mumps Varicella

IMMUNIZATION SUMMARY FOR SCHOOL ATTENDANCE

Four Day Grace PeriodFollow 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

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

Immunization ComplianceFull 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

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.

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.

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

Tdap/ Td intervalIn January 2011, ACIP stated a

dose of Tdap can be given regardless of interval since the

last tetanus- or diphtheria-toxoid containing vaccine.

MeningococcalAs 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 7 th 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.

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

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

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

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

03/28/01 35MOBI 2001

1 2 3Dose

4 weeks 8 weeks

16 weeks

AND at least 24 weeks of age

Minimum Intervalsfor Hepatitis B Vaccine

3rd dose:

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

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

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

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

Reporting Varicellain 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.

VARICELLA VACCINEKids 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, itdoesn’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

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

BREAKTHROUGH DISEASE

50% of vaccinated persons will get breakthrough disease when exposedUsually mild, less than 50 spots, no feverStill considered contagious Should be excluded until lesions crusted or no new spots are forming

IMMUNIZATIONS FOR CHILDCARE/HEAD START AND PRESCHOOLATTENDANCE

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.

Misc. immunization info

COMBINATION VACCINESProviders 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

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)

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

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

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

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

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)

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.

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)

Hepatitis A Havrix ® and VAQTA ®

•licensed for 12 months through18 yrs– 1 dose at 12 months– Booster 6-18 months after first dose

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

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

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

InfluenzaEVERYONE 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 olderAfluria – 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

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

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

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

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

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

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)

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

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

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

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

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!

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

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

Information to report• Demographics • Birth date• Onset of illness • Vaccination date• Severity of disease

Forward info to Local Health Dept

Immunization Level Reporting for Ohio

Schools2016-2017

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

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.

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

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

2. Immunization Survey Worksheets • Helpful forms to be used to assist in

preparing summary reports

3. Summary Reports (PDFs)

1

2

3

Summary Reports•Each category (i.e. kindergarten, 7th grade, etc.) will have its own summary form

Kindergarten 7th Grade 12th Grade New Pupils

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’)5. Number of pupils not complete

– No record– Need vaccine

6. Number of ‘In-process’ (vaccine specific)

1

2

3

4

5

6

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

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

All summaries must be reported online

• Summary reports should ONLY be printed and mailed in the event the online reporting module is unavailable

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

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)

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)

Worksheet packet (Page 1) 1. Summaries of minimum doses

needed to meet requirement • Lists minimum requirements

2. ‘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

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 file2. 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

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 file3. Record on file but indicates the need for a

specific vaccine or dose4. Total ‘in process’ or ‘in process’ for a specific

vaccine

a

1

III

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

2016-17 School Immunization Survey FAQs

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.

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.

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 page2. 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

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.

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)

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.

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.

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.

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.

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 page2. 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

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.

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)

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.

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.

School required immunizations may be available at a low cost

or free at your Local Health Department

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

OHIO DEPARTMENT OF HEALTH

COMMUNICABLE DISEASE CHART

http://www.odjfs.state.oh.us/forms/findform.asp?formnum=08087

FORM # JFS 08087

REVISED 9/2009

ResourcesYour Local Health

Departments

ODH Immunization Program 1-800-282-0546

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

Websiteswww.odh.ohio.govwww.cdc.govwww.immunize.orgwww.vaccineinformation.orghttp://www.odh.ohio.gov/odhPrograms/dis/ immunization/immindex1.aspx

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

Vaccines are one Vaccines are one of the most of the most

(if not (if not the mostthe most) ) effective effective

primary care primary care

interventionintervention

QUESTIONS?

For more information contactTamara Yates RN, BSNNurse Education ConsultantBureau of Infectious Diseases- Immunizations614-752-9685 1-800-282-0546Tamara.Yates@odh.ohio.gov