UPDATE ON 2014 ACIP SCHEDULE AND VACCINE REQUIREMENTS FOR SCHOOL ENTRY

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UPDATE ON 2014 ACIP SCHEDULE AND VACCINE REQUIREMENTS FOR SCHOOL ENTRY 2014-2015

1 UPDATE ON 2014 ACIP SCHEDULE AND VACCINE REQUIREMENTS FOR SCHOOL ENTRY Illinois Immunization Program Illinois Department of Public Health May 23, 2014 Janet Daniels, BS

2 Continuing Medical Education For those of you wanting to receive CME credits for your participation in today s webinar: You must successfully complete the evaluation that will be ed to webinar participants after the webinar. Upon submission of the evaluation, participants will receive their CME certificates via within 14 days of completing the evaluation. 2

3 This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Pediatrics (AAP) and the Illinois Chapter of the American Academy of Pediatrics (ICAAP). The American Academy of Pediatrics is accredited by the ACCME to provide continuing medical education for physicians. The AAP designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is acceptable for a maximum of 1.00 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics. The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME. Physician assistants may receive a maximum of 1.00 hours of Category 1 credit for completing this program. This program is accredited for 1.00 NAPNAP CE contact hours of which 0 contain pharmacology (Rx) content, (0 related to psychopharmacology), per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines. 3

4 Illinois Chapter, American Academy of Pediatrics (ICAAP) developed this program with funding and guidance from the Chicago and Illinois Departments of Public Health. 4

5 ICAAP WEBINAR SCHEDULE July 9, 2014, 1:00-2:30pm Business Side of Vaccines: Coding for Immunization Administration Services Becky Dolan, MPH, CPC, CPEDC, Health Policy and Coding Specialist, American Academy of Pediatrics August 1, :00-1:00pm Effective Community Vaccination Program Models Katherine Lee-Mosio, PharmD, Assistant Director of University Village Pharmacy at the University of Illinois Hospital & Health Sciences Systems, Clinical Assistant Professor at the University of Illinois at Chicago College of Pharmacy 5

6 Disclosure I have no relevant financial relationships with the manufacturer(s) of any commercial products(s) and/or provider(s) of commercial services discussed within this CME activity. I do NOT intend to discuss an unapproved or investigative use of a commercial product/device in my presentation. 6

7 LEARNING OBJECTIVES Participants will be able to: Identify the immunization requirements for school attendance. Describe the roles of the school and the healthcare provider. Demonstrate the use of I-CARE for school physical forms. 7

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9 School Compliance Mandated Intervals Between Shots 1 Month = 4 Weeks / 28 Days 2 Months = 8 Weeks / 56 Days 4 Months = 16 Weeks/112 Days One year of age = On or after the first birthday For Preschool hepatitis B only: 6 months of age = 24 weeks = 168 days Doses administered > 5 days earlier than the minimum interval or age should not be counted as valid doses and should be repeated as age appropriate. A 4 day grace period can only be allowed with a provider note; counts as a medical exemption. 9

10 Nonsimultaneous Administration of Two Live Virus Vaccines Interference can occur between two live vaccines given less than 28 days apart If two live virus vaccines (includes live intranasal influenza vaccines) are given less than 28 days apart, the vaccine administered second is not considered valid and should be repeated The 4 day grace period not accepted for the 28 day interval between 2 live-virus vaccines (i.e. MMR, Varicella or FluMist). 10

11 School Compliance Laboratory Evidence of Immunity + IgG or titers accepted for measles, rubella, mumps and varicella. Hepatitis B infection: HBsAg, anti-hbc and/or anti-hbs Lab evidence of immunity is not allowed for Hib, pneumococcal, diphtheria, tetanus, pertussis and polio vaccines. Students Affected Public AND Private Schools Rules target students by grade Students attending ungraded school programs (including special education) must comply in accordance with grade equivalent: Kindergarten = 5 years of age 6 th graders = 11 years of age 9 th graders = 15 years of age 11

12 Physicians notes that state adequately immunized or no need for additional vaccine, will be submitted to regional IDPH Immunization staff, by the school (Section ). When a physical and/or doctor s note is submitted for review. Students will be considered In Compliance but Unprotected pending further notice. These students will be put on the susceptible list (Section ) 12

13 SUSCEPTIBLE LISTS Child Health Examination Code/Part665 Section A current and accurate list shall be maintained at every attendance center for all children who have not presented proof of immunity against all the required immunizations as noted in Section (a-j) 13

14 IDPH has not changed their requirements IDPH does not accept blanket 4 day grace periods These notes are to be sent in to IDPH for review on an individual basis. The provider note must be acquired for each vaccine administered out of stated intervals 14

15 SCHOOL REQUIREMENTS:

2014-2015 School Year Vaccination Requirement Changes Preschool and Day Care Adding Pneumococcal Conjugate Vaccine (PCV13) Grades Kindergarten-12 All K-12 th graders: 2 doses Rubella and Mumps Age at

16 School Year Vaccination Requirement Changes Preschool and Day Care Adding Pneumococcal Conjugate Vaccine (PCV13) Grades Kindergarten-12 All K-12 th graders: 2 doses Rubella and Mumps Age at 1 st dose (Months) Pneumococcal Primary Series Booster doses, 2 months apart months Total Doses Required 4 Hep B requirement moves to 6 th grade doses, 2 months apart 1-15 months doses, 2 months apart Roll-out of 2 doses Varicella for K, 6 and 9 th graders (healthy children) 1 dose (children at high risk 2 doses, 2 months apart

17 Roll-out for 2 Varicella Requirement Kindergarten, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, Kindergarten, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, Kindergarten, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, Kindergarten, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, Kindergarten, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, Kindergarten, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 Or physician documented history of varicella disease 17

2015-2016 School Year Vaccination Requirement Changes Meningococcal Requirement (MCV4) for 6 th and 12 th graders 6 TH graders must show 1 dose of MCV4 at school entry 12 TH graders must show 2 doses

18 School Year Vaccination Requirement Changes Meningococcal Requirement (MCV4) for 6 th and 12 th graders 6 TH graders must show 1 dose of MCV4 at school entry 12 TH graders must show 2 doses of MCV4 at school entry Second dose must be administered on or after 16 th birthday If first dose of MCV4 administered > 16 th birthday: Then only one dose required for entry to 12 TH grade. Child Health Examination Form revisions will occur to accommodate the Meningococcal Requirement 18

School Compliance Exemptions: Medical and Religious MEDICAL OBJECTION Must indicate what the medical condition is that contraindicates the specific immunization Must be written by a M.D., D.O., APN or P.

19 School Compliance Exemptions: Medical and Religious MEDICAL OBJECTION Must indicate what the medical condition is that contraindicates the specific immunization Must be written by a M.D., D.O., APN or P.A. RELIGIOUS OBJECTION NO LEGAL FORM for religious objection Personal religious belief--local school authority accepts or denies request of objection Must detail specific religious belief which conflicts with the specific immunization and or exam Local school authority is responsible for determining whether written statement constitutes a valid religious objection 19

Rockford Region 1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH IMMUNIZATION SECTION Regional Contacts for Medical Exemption Reviews West Chicago Region 7 Updated 9/4/13 1 ROCKFORD REGION Covered by: Carol

20 Rockford Region 1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH IMMUNIZATION SECTION Regional Contacts for Medical Exemption Reviews West Chicago Region 7 Updated 9/4/13 1 ROCKFORD REGION Covered by: Carol Gibson Finley 525 W. Jefferson St. Springfield, IL Fax carol.finley@illinois.gov Chicago/Cook County Region 8 2 PEORIA REGION Mark Andreasen 5415 N. University St. Peoria, IL Fax mark.andreasen@illinois.gov Peoria Region 2 Champaign Region 6 4 EDWARDSVILLE REGION Marla Jentsch 22 Kettle River Dr. Glen Carbon, IL Fax marla.jentsch@illinois.gov 5 MARION REGION Covered by: Carol Gibson Finley 525 W. Jefferson St. Springfield, IL Fax carol.finley@illinois.gov 6 CHAMPAIGN REGION Debbie Reynolds 2125 S. First St. Champaign, IL Fax debbie.reynolds@illinois.gov Edwardsville Region 4 If you have questions concerning immunizations, please call TTY (hearing impaired use only) Marion Region 5 7 WEST CHICAGO REGION Janet Daniels 245 W. Roosevelt Road, Bldg #5 West Chicago, IL Fax janet.daniels@illinois.gov CHICAGO/COOK CO REGION Covered by: Bill Moran W. Jefferson St. Springfield, IL Fax william.moran@illinois.gov

21 Valid Certificate of Child Health Exams What health exam forms can be submitted and accepted for school year ? The new version will be required starting with school year (The only change on the form is the removal of the words for one year from the sports participation authorization section.) Some electronic forms have been approved for use and a statement denoting that approval will appear on the form. These forms will closely resemble the State mandated form. The approved forms will include the statement Approved SHP (date of approval) 21

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25 By Clicking on the Additional Info Tab, and then clicking on the Add New drop down button, it allows you to add school information, patient s notes, blood Hb/Hct, lead screening, TB skin test and vitals/bmi

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29 You may also print out the Patient Immunization Report which will list the valid immunizations and is accepted by the schools for the required immunizations. The attached immunization record must be signed and dated by the health care provider or local health department

30 Contact Information For I-Care Illinois Department of Public Health Phone -217/ VFC: EMR Interface: I-CARE : Dph.icare@illinois.gov HL7 and EMR contact - dph.hl7icare@illinois.gov Password Support: 800/ Illinois Chapter, American Academy of Pediatrics Immunization Initiatives : cwicaap@gmail.com

31 Contact Information Questions regarding the compliance with waivers based on religious objection, and general questions regarding requirements in the School Code: Jessica Gerdes, ISBE, , Questions regarding general health requirements and child health exams or approved forms: Vyki Jackson, IDPH, 217/ , Questions regarding the specific immunization requirements and medical waivers: IDPH-Immunization Program 217/ ; or refer to the Immunization Regional Contacts list for your area Questions regarding Vision and Hearing Screening and Referral: IDPH Vision & Hearing Program, 217/ Questions regarding Dental Examinations: IDPH Division of Oral Health 217/

2014 CCDPH Annual School Nurse Update Thursday, April 24, IMMUNIZATION UPDATE IMMUNIZATION PROGRAM ILLINOIS DEPARTMENT OF PUBLIC HEALTH

2014 CCDPH Annual School Nurse Update Thursday, April 24, 2014 2014 IMMUNIZATION UPDATE IMMUNIZATION PROGRAM ILLINOIS DEPARTMENT OF PUBLIC HEALTH CONFLICT OF INTEREST THE PRESENTER HAS NO RELEVANT, FINANCIAL,