Proposed Immunization Ruling from Texas Registry for August 22, 2008 for Immunization

If passed, it will not go into effect until August 2009

On July 9, 2008, 25 Texas Administrative Code, Chapter 97, Subchapter B, §§97.61; 97.63-97.72 concerning immunization requirements in Texas elementary and secondary schools and institutions of higher education, was presented before the State Health Services Council.  After reviewing the rules, the Council recommended to the Texas Health & Human Services Commission to publish these rules for 30 days in the Texas Register as a proposal.  It is anticipated that these rules will be published in the Texas Register sometime in either late August or early September 2008.  During that 30-day period, formal comments pertaining to §§97.61; 97.63-97.72 will be collected.

The following is a highlight of proposed revisions to rules for school and child-care facility immunization requirements:

• Meningococcal Vaccine*
• Beginning SY 2009-10, 7th grade requirement
• Varicella Vaccine
• Beginning School Year (SY) 2009-10, 2 dose requirement for kindergarten and 7th grade entry;
• Tdap Vaccine
• Beginning SY 2009-10, a booster dose requirement for Tdap for 7th grade;
• MMR Vaccine
• Beginning SY 2009-10, 2 dose requirement of MMR vaccine for kindergarten entry;
• Hepatitis A Vaccine
• Beginning SY 2009-10, 2 dose requirement for kindergarten entry statewide
• General revisions incorporated that clarify or simplify language throughout the rules relating to the school and child care requirements.

Online Order Form from DSHS of various forms, brochures, posters, statements, etc. has links to Portable Document Format (PDF) versions of the items for you to print at your leisure. For all questions pertaining to the literature list or order form, please call Immunization Branch at 1-800-252-9152.

Childhood and Adolescent Schedules with Footnotes  0-6 age

• Minimum State Vaccination Requirements
• Information for Schools and Childcare Facilities

Adolescent to 18 years of age Schedule of Immunization with Footnotes

Catch-up Immunization Schedule for age 4 months through 18 years of age

• Who start late or who are more than 1 month behind

New Adult Schedule

Recommendation Immunization Schedule  MMWR
The recommended immunization schedules for persons aged 0 through 18 years and the catch-up immunization schedule for 2009 have been approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP). This version also serves as a text-only for screen-reader devices.

CDC’s Advisory Committee on Immunization Practices (ACIP) currently recommends these 3 vaccines for administration beginning with your child’s 11-12 year-old checkup (or as soon as possible and recommended, if your child is older and has not received the vaccines).

• Tetanus-diphtheria-acellular pertussis vaccine (Tdap)
• Meningococcal vaccine (MCV4)
• Human papillomavirus (HPV) vaccine series
  

Vaccines Needed for Teens & College Students

• Tetanus-diphtheria-acellular pertussis vaccine (Tdap)
• Meningococcal vaccine*
• HPV vaccine series
• Hepatitis B vaccine series
• Polio vaccine series
• Measles-Mumps-Rubella (MMR) vaccine series
• Varicella (chickenpox) vaccine series
• Influenza vaccine
• Pneumococcal polysaccharid (PPV) vaccine
• Hepatitis A vaccine series

* Recommended for previously unvaccinated college freshmen living in dormitories.

HPV

• HPV Resources for Family
• Talking Points on HPV from Texas School Nurse Organization
  
  

Older children should get the following vaccinations if they did not receive all recommended doses when younger:                

• Hepatitis B series
• Polio series
• Measles-mumps-rubella (MMR) series
• Varicella (chickenpox) series    – A second catch-up varicella shot is now recommended for children, adolescents, and adults who have previously received one dose.
  
  

Some children may need additional vaccines either due to their own specific health conditions or exposure in households to other people with age-related or health-related risks. The additional vaccines for which your child should be assessed include:

• Influenza
• Pneumococcal polysaccharide (PPV)
• Hepatitis A
• Hepatitis A New school rule coming

Meningococcal Information for Parent

Hepatitis B
Every day, teens are infected with hepatitis B
Includes information on how teens get Hepatitis B (sex with infected person; sharing objects with blood of an infected person, e.g., needles, toothbrushes, razors, washcloths, etc.; getting a tattoo or body piercing with unsterile equipment)

Parent hand out links for most vaccines

ON-LINE Course for Nurses

Epidemiology & Prevention of Vaccine-Preventable Diseases is a comprehensive overview of the principles of vaccination, general recommendations, immunization strategies for providers, and specific information about vaccine-preventable diseases and the vaccines that prevent them.

12 hours TYPE 1 Credit--Four 3-hour sessions

Handout slides for training