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Ensuring Herd Immunity Immunization Rules for Schools and Child Care

Chris Finley and Karen Halverson. Ensuring Herd Immunity Immunization Rules for Schools and Child Care. Today’s objectives. Rationale for immunization regulations Reporting requirements Statewide variations in rates Addressing challenges. State Immunization Rules.

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Ensuring Herd Immunity Immunization Rules for Schools and Child Care

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  1. Chris Finley and Karen Halverson Ensuring Herd ImmunityImmunization Rules for Schools and Child Care

  2. Today’s objectives • Rationale for immunization regulations • Reporting requirements • Statewide variations in rates • Addressing challenges

  3. State Immunization Rules Prevent disease transmission Reduce risk in group settings Support herd immunity

  4. Herd Immunity

  5. Measles at Vermont’s borders Massachusetts, New York and New Hampshire 50 cases 1/1/11-10/8/11 Only religious and medical exemptions allowed No philosophic exemptions

  6. Measles at Vermont’s borders Quebec 745 cases 4/3/11 -10/5/11 11% of cases hospitalized No vaccination requirements for school

  7. Development of Immunization Rules Specific state statutes Rules provide details for implementation Defined process for passage of rules Opportunity for public input Reviewed by two committees

  8. Vermont’s Immunization Rules Immunizations required for enrollment Application in child care and school settings Annual reporting period

  9. Vermont Recommended Child and Teen Vaccination Schedule

  10. Child Care Requirements Who do the rules apply to? How are these different than school rules? Who completes child care reports?

  11. Information for Child Care Providers Put in pictures of 2 brochures and manual

  12. School Requirements • Align with Advisory Committee on Immunization Practices (ACIP) recommendations • Allow for exemptions • Provisional admittance limit of one year

  13. Kindergarten data 2010-11

  14. Measles outbreak risk in Vermont Herd immunity threshold for measles: 95% 2010-11 kindergarteners with 2 doses MMR: 90.9% Schools with coverage below 95%: 136

  15. School Site Visits January - May 2011 Pilot visits to selected schools by Immunization Program staff Sept 2011 - May 2012 Site visits to all schools conducted by District Office school liaisons Sept 2011 - May2012 Quality improvement project visits for 15 schools conducted by VCHIP/VDH

  16. Increasing Compliance with Vermont Vaccine Requirements • Utilize electronic data sources VT Immunization Registry school health software programs

  17. Increasing Compliance with Vermont Vaccine Requirements • Outreach at enrollment before vacation and holiday breaks newsletters, websites, PTO

  18. Immunization Program Support • Vermont Immunization Program 1-800-640-4374 immunizationprogram@state.vt.us • District Office staff School liaison Immunization Designee

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