Vaccination part2

GEORGIA

Georgia Immunization Requirements

Authority: Education, Part III, Health, Ga. Code Ann. 20-2-771. Rules of Department of Human

Resources Public Health, Ga. Comp. R. & Regs.§ 290-5-4-. 01 to .09.

General Rule: No child shall be admitted to or attend any school or facility in this state unless

the child shall first have submitted a certificate of immunization to the responsible official of the

school or facility. - GCA § 20-2-771 (b). The Department of Human Resources shall promulgate

rules and regulations specifying those diseases against which immunization is required and the

standards for such immunizations. GCA § 20-2-771 (c).

Exceptions:

1) There is a 30 day waiver, extendable to 90, granted after request to a school official, in order

to allow the parents time to immunize the child. GCA § 20-2-771 (b).

2) If a child has a physical disability that would make immunization undesirable, the child may

be granted an exemption certificate until the problem is relieved. GCA § 20-2-771 (d).

3) A child may be exempted on religious grounds if a parent furnishes an affidavit swearing that

the immunization required conflicts with the religious beliefs of the parent. The immunization

may be required in cases when such disease is in epidemic stages. GCA § 20-2-771(e). Religious

belief in divine healing through faith not to excuse refusal to have children vaccinated. Son v.

State, 84 Ga. App. 259, 65 S.E. 2d 848 (1951).

Definitions:

Immunization - the presumptive presence in the body of an immunized person of sufficient

protective antibodies or of cellular immunity, as a result of previous infection or introduction of

specific antigenic agents, or a presumptive state of being so conditioned by previous experience

with a particular disease so as to provide an immediate and protective response upon exposure to

specific infectious agents of that disease. GCRR 290-5@-01(a).

Facility - any public or private daycare center or nursery intended for the care, supervision, or

instruction of children.' GCA § 20-2-771 (a)(2).

Responsible Official - a county school superintendent, a school principal, or a chief operating

officer of a school or facility.' GCA § 20-2-771 (a)(3). School--any public or private educational

program or institution instructing children at any level or levels, K-12, or children of ages five

through 19 if grade divisions are not used.' GCA § 20-2-771 (a)(4).

Designated Diseases: Diphtheria, pertussis, tetanus, poliomyelitis, measles, rubella, mumps and

haemophilus Influenzae type b in child care facilities only. GCRR 290-5-4-.02(l).

Penalty: Any responsible official or parent permitting a child to remain in school in violation of

the immunization rules shall be guilty of a misdemeanor and shall be punished with a fine of not

over $100 or imprisonment of not more than 12 months. GCA § 20-2-771 (h).

HAWAII

Hawaii Immunization Requirements

Authority: Education. Schools and Attendance. Generally, Haw. Rev. Stat. § 298-41 to 52.

General Rule: "No child shall attend any school in the State unless such child presents to the

appropriate school official certification from a licensed physician stating that the child has

received immunizations against communicable diseases as required by the department of

health." HRS § 298-42(a) Additionally, "no child shall be admitted to any school for the first

time" without presenting a certificate that "the child has received a tuberculin test or x-ray" and

is free from it in its communicable form. HRS § 298-42(b)

Exceptions: There are two major exemptions, HRT § 298-44:

1) If a doctor certifies that "the physical condition of the child is such that immunizations would

endanger his life or health.'

2) If the parent or guardian objects "in writing on the grounds that such immunization conflicts

with his bona fide religious tenets and practices. Upon showing the appropriate school official

satisfactory evidence of such exemption, no certificate or other evidence of immunization shall

be required for entry into school.

Provisional Entrance: A child may enter school provisionally upon showing proof that the

process of immunization is proceeding. Certificate of completion of required immunizations

must be given no later than three months after the child first entered school. HRT § 298-43.

Epidemic: No exemptions will be recognized if the department of health suspects a danger of

epidemic. Quarantine shall be a legal alternative to immunization. HRS § 298-45.

Definitions: School - Any day care center, child care facility, headstart program, preschool,

kindergarten, elementary, or secondary school, public or private, including and special school for

children in the State." HRS § 298-41.

Certificate: The department of education provides health certificate forms for immunization,

which when signed by a doctor are acceptable. HRS § 298-48.

IDAHO

Idaho Immunization Requirements

LEGAL AUTHORITY. (IDAPA 16.02.15.000)

The Idaho Legislature has granted to the Board of Health and Welfare, in cooperation with the

State Board of Education and the Idaho School Boards Association, the authority to adopt rules

for the administration and enforcement of an immunization program for Idaho school children,

pursuant to Section 39-4801, Idaho Code. Effective Date: (1-25-79)

TITLE AND SCOPE.

01. Title. These rules are to be cited as Idaho Department of Health and Welfare Rules, IDAPA

16, Title 02, Chapter 15, "Immunization Requirements for Idaho School Children." Effective

Date: (1-25-79)

02. Scope. These rules contain the legal requirements for the administration of an immunization

program for children enrolled in grades preschool, kindergarten through twelve (12) of any Idaho

public, private, or parochial school. Effective Date: (10-13-92)

IMMUNIZATION PROGRAM.

The immunizations listed in Subsections 100.01 through 100.04 are required of children who are

to attend preschool, kindergarten through grade twelve (12) in any Idaho public, private, or

parochial school and must be administered in the manner and in accordance with medical

standards recognized by the Idaho Board of Medicine and with the "Immunization

Recommendations" available from the Bureau of Communicable Disease Prevention within the

Department. Effective Date: (10-13-92)

01. Measles, Rubella, and Mumps. One (1) dose of Measles, Rubella and Mumps vaccine

administered to the child on or after his first (1st) birthday; and Effective Date: (10-13-92)

02. Diphtheria, Tetanus, Pertussis (DTP), Diphtheria, Tetanus (DT Pediatric) and/or Tetanus,

Diphtheria (Td). Any combination of four (4) or more doses of DTP (Diphtheria, Tetanus,

Pertussis), DT (Diphtheria, Tetanus) and/or Td (Tetanus, Diphtheria) vaccine, unless fewer

doses are medically recommended (see Subsection 110.01); and Effective Date: (3-14-95)L

03. Polio. Three (3) or more doses of Polio vaccine, unless fewer doses are medically

recommended (see Subsection 110.01). Effective Date: (12-31-91)

04. Hepatitis B. Three (3) doses of Hepatitis B vaccine administered to children born after

November 22, 1991, unless fewer doses are medically recommended (see Subsection 110.01).

Effective Date: (3-14-95)

102. EVIDENCE OF IMMUNIZATION STATUS.

01. Immunization Certification Statement. Within the deadlines established in Section 101, a

legal parent, custodian, or guardian of each child must present to school authorities an

immunization certification statement signed by a physician or a physician's representative stating

the type, number and dates of immunizations received. Effective Date: (10-13-92)

02. Schedule of Intended Immunizations. A statement by a legal parent, custodian or guardian of

any child who is not immunized, excepted or exempted, and who is in the process of receiving,

or has been scheduled to receive the required immunizations, must be in the possession of

school authorities at the time of first admission and before attendance on a form provided by the

Department or one substantially similar, to include the following information: Effective Date:

(10-13-92)

a. Name and age of child; and Effective Date: (7-9-90)

b. School attending and grade in which enrolled; and Effective Date: (7-9-90)

c. Type, number and dates of immunizations to be administered; and Effective Date: (7-9-90)

d. Signature of the legal parent, custodian or guardian providing the information; and Effective

Date: (10-13-92)

e. Signature of a physician or physician's representative. Effective Date: (7-9-90)

03. Children Admitted to School and Failing to Continue the Schedule of Intended

Immunizations. A child who does not receive the required immunizations as scheduled in

Subsection 102.02, shall be excluded by school authorities until documentation of the

administration of the required immunization(s) is provided to school authorities by the child's

legal parent, custodian, or guardian. Effective Date: (10-13-92)

105. EXCEPTIONS TO IMMUNIZATION REQUIREMENT.

A child who meets one (1) or more of the following conditions, if supporting documentation is

in the possession of school authorities at the time of first admission and before attendance, will

not be required to undergo the required immunizations: Effective Date: (10-13-92)

01. Laboratory Proof. Laboratory proof of immunity to any of the seven (7) childhood diseases

listed in Section 100; or Effective Date: (10-13-92)

02. Disease Diagnosis. Signed statement of a licensed physician stating child had Measles or

Mumps disease diagnosed by the MD upon personal examination. Effective Date: (1-25-79)

110. EXEMPTIONS TO IMMUNIZATION REQUIREMENT.

A child who meets one (1) or both of the following conditions, if supporting documentation

from the legal parent, custodian or guardian is in the possession of school authorities at the time

of first admission and before attendance, will not be required to undergo the required

immunization(s) for which the condition(s) exists: Effective Date: (10-13-92)

01. Life- or Health-Endangering Circumstances. A signed statement of a licensed physician that

the child's life or health would be endangered if any or all of the required immunizations are

administered; or Effective Date: (8-15-79)

02. Religious or Other Objections. A signed statement of the legal parent, custodian or guardian

on a form provided by the Department or on one containing substantially similar information, to

include the following information: Effective Date: (10-13-92)

a. Name of child; and Effective Date: (1-25-79)

b. A statement of objection on religious or other grounds. Effective Date: (1-25-79)

150. ENFORCEMENT OF IMMUNIZATION REQUIREMENT.

01. Noncompliance. Any child not in compliance with this chapter upon first admission in

preschool, kindergarten through grade twelve (12) in any Idaho public, private or parochial

school shall be denied attendance by school authorities Effective Date: (10-13-92)

02. Length of Exclusion. Any child denied attendance in accordance with Subsection 150.01

shall not be allowed to attend any Idaho public, private or parochial school until they are in

compliance with the requirements of this chapter. Effective Date: (10-13-92)

200. REPORTS BY SCHOOL AUTHORITIES.

01. Responsibility and Timeliness. School authorities must transmit copies of a report of each

school's immunization status, by grade, to the State Department of Education on or before the

first (1st) day of November of each year. Effective Date: (10-13-92)

02. Form and Content of Report. On a form provided by the Department, the following

information by school and by grade must be reported: Effective Date: (10-13-92)

a. School and enrollment identification information including; Effective Date: (10-13-92)

i. Inclusive dates of reporting period; Effective Date: (10-13-92)

ii. Name/address of school, school district/county in which located; Effective Date: (10-13-92)

iii. Grade reported/total children enrolled in each grade; and Effective Date: (10-13-92)

iv. Signature and title of the person completing the report form. Effective Date: (10-13-92)

b. Total children enrolled and attending school in each grade who: Effective Date: (10-13-92)

i. Meet all of the required immunizations listed in Section 100; and Effective Date: (12-31-91)

ii. Do not meet all of the required number of immunizations by specific immunization types for

the following reasons: Effective Date: (8-15-79)

(1) They do not meet the immunization requirement but are in the process of receiving the

required immunizations; or Effective Date: (10-13-92)

(2) They claimed exemption to the required immunizations as allowed in Section 110. Effective

Date: (10-13-92)

ILLINOIS

Illinois Immunization Requirements

Authority: the School Code, Ill. Ann. Stat. ch. 122 para. 27-8.1 (Smith-Hurd). IAS 111 1/2 &

22.11 IAS 122 && 26-1 and 26-10.

General Rule: "In compliance with rules and regulations which the Department of Public Health

shall promulgate, and except as hereinafter provided, all children in Illinois shall have a health

examination as follows: Within one year prior to entering Kindergarten or the first grade of any

public, private or parochial school; prior to entrance into any public, private or parochial nursery

school; and, irrespective of grade, immediately prior or upon entrance into any public, private or

parochial school, or nursery school, each child shall present proof of having been examined in

accordance with this Section and the rules and regulations promulgated hereunder." IAS 122 &

27-8.1(1).

"Every child shall, at or about the same time as he receives a health examination as required by

subsection (1) of this Section, present to the local school, proof of having received such

immunizations against preventable communicable diseases as the Department of Public Health

shall require by rules and regulations promulgated pursuant to this Section and "An Act in

relation to the prevention of certain communicable diseases", approved July 5, 1967, as

amended" IAS 122 & 27-8.1(3).

"It is declared to be the public policy of this State that all children shall be protected, as soon

after birth as medically indicated, by the appropriate vaccines and immunizing procedures to

prevent communicable diseases which are or which may in the future become preventable by

immunization." IAS 111 1/2 & 22.11.

Exceptions: IAS 122 & 27-8.1(8).

1) "Children whose parents or legal guardians object to health examinations or any part thereof,

or to immunizations, on religious grounds shall not be required to submit their children or wards

to health examinations or immunizations if such parents or legal guardians present to the

appropriate local school authority a signed statement of objection, detailing the grounds for such

objection."

2) "If the physical condition of the child is such that any one or more of the immunizing agents

should not be administered, the examining physician responsible for the performance of the

health examination shall endorse such fact upon the health examination form."

Provisional: "If a child does not submit proof of having had either the health examination or the

immunization as required, then the child shall be examined or receive the immunization, as the

case may be, and present proof by October 15 of the current school year; provided, if for medical

reasons one or more of the required immunizations must be given after October 15 of the current

school year, then the child shall present, by October 15, a schedule for the administration of the

immunizations and a statement of the medical reasons causing the delay. If a child does not

comply by October 15 of the current school year with the requirements of this subsection, then

the local school authority shall exclude that child from school until such time as the child

presents proof of having had the health examination as required, and presents proof of having

received those required immunizations which are medically possible to receive immediately.

During a child's exclusion from school for noncompliance with this subsection, the child's

parents or legal guardian shall be considered in violations of Section 26-1 and subject to any

penalty imposed by Section 26-10. IAS 122 & 27-8.1(5)

INDIANA

Indiana Immunization Requirements

Authority: Education--Pupils, Chapter 7 Health Measures, Ind. Code Ann. §§ 20-8.1-7-7.1 to

11. Indiana State Department of Health, Ind. Admin. Code tit. 410, r, 1-1-1 to 1-1-4.

General Rule: The governing body of each school corporation shall require the parents of a child

who has enrolled in a school to furnish no later than the first day of school a written statement of

the child's immunization, accompanied by the physician's certificates or other documentation's,

unless a written statement of this nature is on file with the corporation. ICA §§ 20-8.1-7-10.1.(a)

Exceptions: There are 3 exceptions:

1) "...... no school child shall be required to undergo any testing, examination, immunization or

treatment required under this chapter when his parent objects" in a writing that is signed "and

delivered to the child's teacher or to the individual who might order a test, exam, immunization

or treatment absent the objection." ICA &20-8.1-7.2.

2) The school gives the parents of the child a waiver, which may not exceed a period of 20 days.

ICA &20-8.1-7-10.1. ( c )(1).

3) The health department or a doctor "determines that the child's immunization schedule has

been delayed due to extreme circumstances" and "will not be completed before the first day of

school." "In this case, the parent," "shall furnish a written statement and a time schedule,

approved by the health department" or doctor, for the completion of the immunizations. ICA &

20-8.1-7-10.1. ( c )(2).

Certificate: "The physician who administers the required vaccines to a child shall give a

certificate or other documentation of the immunizations to the person who presented the child

for immunization. This certificate or other documentation shall be presented on required to the

local health department or its authorized representative." ICA & 20-8.1-7-9.6(b).

Designated Diseases: Diphtheria, whooping cough, tetanus, measles, rubella, poliomyelitis,

mumps. ICA &20-8.1-7-9.5

Strategy: The first exemption is extremely broad and allows a parent to object to any one or all

immunizations simply by filing a signed statement with the governing body of the school.

IOWA

Iowa Immunization Requirements

Authority: Public Health, Communicable and Reportable Diseases, Iowa Code Ann. g 139.9.

Public Health, Chapter 7, Immunization of Persons Attending Elementary or Secondary Schools

or Licensed Child-Care Centers, Iowa Admin. Code r. 641-7.1(139) to 7. 10(139).

General Rule: "No person shall be enrolled in any Licensed day care center, elementary or

secondary school in Iowa without evidence of adequate immunization against" the designated

diseases. ICA 139.9.2. Persons included. The immunization requirements specified elsewhere in

these rules apply to all persons enrolled or attempting to enroll in a licensed child-care center or

a public or nonpublic elementary of secondary school in Iowa. L4C 641-7.2(139).

Exceptions: There are two major exceptions ICA 139.9.4.:

1) "A statement signed by a doctor," "in which it is stated that," "the immunizations required

would be injurious to the health and well-being of the applicant."

2) 'An affidavit signed by the applicant or, if 1 minor, by a legally authorized representative,

stating that the immunization conflicts with the tenets and practice of a recognized religious

denomination of which the applicant is an adherent or member.

Provisional Enrollment: "A person may be provisionally enrolled,' "if the person has begun the

required immunizations" and will receive the necessary ones 'as rapidly as medically feasible."

ICA 139.9.5.

Epidemic: Religious exemption does not apply in times of emergency/epidemic. ICA 139.9.4(b).

Definitions LIC 641-7.1(139):

Elementary School - "means kindergarten if provided, and grades 1 through 8 or grades 1

through 6 when grades 7 and 8 are included in a secondary school."

Secondary School - "means (a) a junior high school comprising grades 7, 8 and 9, and a senior

high school; (b) a combined junior-senior high school comprising grades 7 through 12; (c) a

junior high school comprising grades 7 and 8 and a high school comprising grades 9 through 12;

(d) a high school comprising grades 9 through 12."

Certificate: "Applicants, or their parents or guardians, shall submit a valid Iowa department of

public health certificate of immunizations to the admitting official of the school or licensed

childcare center in which the applicant wishes to enroll. To be valid, the certificate shall be

signed by a doctor, or a physician's assistant, or a registered nurse, or a school nurse, or an

official of a local health department LIC 641-7,5(139)(1).

Designated Diseases: Diphtheria, pertussis, tetanus, poliomyelitis, rubeola, and rubella. ICA

139.9.1.

Responsibility of Parents: "Every parent or legal guardian shall assure that the person's minor

children residing in the state have been adequately immunized against' the designated diseases.