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Compulsory School Immunization Update. FL Association of MIS Conference, Tallahassee, FL June 14, 2011. Presenters. Dianne Mennitt, MS, APRN, School Nurse Consultant, USF Student Support Services Project, Bureau of Exceptional Education and Student Services dianne.mennitt@fldoe.org

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compulsory school immunization update

Compulsory School Immunization Update

FL Association of MIS Conference,

Tallahassee, FL

June 14, 2011

presenters
Presenters
  • Dianne Mennitt, MS, APRN, School Nurse Consultant, USF Student Support Services Project, Bureau of Exceptional Education and Student Services dianne.mennitt@fldoe.org
  • Chris Smith, Florida Department of Health, Division of Disease Control, Bureau of Immunization Christopher_Smith2@doh.state.fl.us
objectives
Objectives
  • To understand immunization requirements public & private schools in Florida
  • To discuss immunization updates for 2011-12 school year
  • To provide a brief overview of FLSHOTS “Parent Pin” function and proposed school retrieval of 680 functions
legal authority www 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 …
florida administrative code www 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)
immunization guidelines
Immunization Guidelines
  • Florida Schools, Child Care Facilities, and Family Day Care Homes (July 2008)
  • Available online at http://www.immunizeflorida.org/publications/misc.htm
2010 11 immunization requirements kindergarten
2010-11 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
2010 11 immunization results kindergarten
2010-11 Immunization Results: Kindergarten
  • Statewide Data: 91.3% of kindergarten students were reported as complete for required immunizations (DH 680: Part A, DOE Code 1).
  • Of Florida’s 67 counties, 37, or 55.2% achieved the goal that 95% or greater have received all required immunizations upon kindergarten entry/attendance.
2010 11 immunization exemptions kindergarten
2010-11 Immunization Exemptions: Kindergarten

Statewide Data: Students with exemptions from immunizations accounted for 8.6% of the total kindergarten population:

  • 12,634 Temporary Medical Exemptions, or 5.8%
  • 734 Permanent Medical Exemptions, or 0.3%
  • 2,387 Religious Exemptions, or 1.1%
  • 3,014 30-day Exemptions, or 1.4%
2010 11 immunization requirements seventh grade
2010-11 Immunization Requirements: Seventh 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
2010 11 immunization requirements seventh grade14
2010-11 Immunization Requirements: Seventh Grade
  • Statewide Data: 94.7% of seventh grade students were reported complete for required immunizations (DH 680: Part A, DOE Code 8).
  • Of Florida’s 67 counties, 64, or 95.5%, achieved the goal that 90% or greater receive all required immunizations for 7th grade entry/attendance.
2010 11 immunization exemptions seventh grade
2010-11 Immunization Exemptions: Seventh Grade

Statewide Data: Students with exemptions from immunizations accounted for 5.2% of the total 7th grade population:

  • 8,157 Temporary Medical Exemptions, or 3.7%
  • 721 Permanent Medical Exemptions, or 0.3%
  • 1,544 Religious Exemptions, or 0.7%
  • 1,064 30-day Exemptions, or 0.5%
temporary medical exemption
Temporary Medical Exemption
  • For K – 12 students with incomplete immunizations (DH 680: Part B, DOE Code 2)
  • Temporary Medical Exemption Invalid without an Expiration Date
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
2010 11 validation assessment results
2010-11 Validation Assessment Results
  • Kindergarten: 96.2% of students were fully immunized, which is significantly higher than 91.3% reported during Survey 2 (Target 95%)
  • Seventh Grade: 92.3% of students were fully immunized, which is lower when than 94.7% reported during Survey 2 (Target 90%)
  • Concern: 8.4% of students in kindergarten and 10.9% of students in 7th grade had improper or no documentation of immunizations.
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English, Spanish, & Haitian/Creole Flyers available at http://www.immunizeflorida.org/publications/flyers.htm

2011 12 seventh grade requirement
2011-12 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