5320 - IMMUNIZATION

Upper Arlington City School District

Administrative Guidelines

5320 - IMMUNIZATION
Immunizations Which are Medically Contraindicated

A written statement from any licensed physician that an immunization is medically contraindicated for a specified period of time and the reasons for the medical contraindications will exempt a student from the specific immunization requirements. (see Form 5320 F2)

The physician's statement shall be maintained by the school as part of the immunization record of the student.

Immunization Requirements

Chicken Pox	-	Varicella vaccine (varivax) in accordance with the Department of Health and Human Services' immunization schedule or as prescribed by physician.

		One (1) dose of Varicella vaccine must be administered on or after the first (1st) birthday.

		Students who start kindergarten during or after the school year beginning in 2006 must be immunized against chicken pox.

		Similar to other immunizations, the Ohio Department of Health has determined that the requirements for immunization against chicken pox will be progressive.

Exception: Children who have had varicella disease (chickenpox) are exempt from this requirement. A written statement from the parent/guardian or healthcare provider is acceptable to fulfill the requirement. This written statement will be placed in the child's school health file. (see Form 5320 F3)


Diphtheria/Tetanus/ Pertussis (DPT, DtaP, DT, Td)	-	A minimum of four (4) doses are required. If the fourth (4^th) dose was administered before the fourth (4^th) birthday, a fifth (5^th) dose is required for kindergarten students.
		For Grades 1-12, three (3) to four (4) doses of STaP, DTP, DT or Td or any combination.

Measles	-	Two (2) doses of MMR. Dose 1 administered on or after the first (1^st) birthday. The second dose must be administered at least twenty-eight (28) days after dose 1. (See Form 5320 F1.)

Hepatitis B	-	Three (3) doses. The second dose must be at least twenty-eight (28) days after the first. The third dose must be given at least sixteen (16) weeks after the first dose and at least eight (8) weeks after the second dose. The last dose in the series (third or fourth dose) must not be administered before age twenty-four (24) weeks.

		Students who start kindergarten during or after the school year beginning in 1999 must be immunized against Hepatitis B or be in the process of being immunized.

		Similar to other immunizations, the Ohio Department of Health has determined that the requirements for immunization against Hepatitis B will be progressive.

Mumps	-	Same as measles.

		Polio	-	Four (4) doses always if a combination of OPV or IPV was administered.

				Four (4) doses of all OPV or all IPV if the third dose of either vaccine was administered prior to the fourth (4^th) birthday.

		Tetanus	-	Four (4) Td (see Diphtheria)

		HIB	-	Required of all students entering a licensed day-care are or nursery school program as follows:

				Age	Requirement
				2-3 Months	One Dose
				4-6 Months	Two Doses
				6-14 Months	Two Doses
				15 Months to Four Years	Complete series unless first dose was given after 15 Months

	Ohio Revised Code, Sections 3313.671, 3701.13, and 5104.011A(5) mandates that a complete record of immunization be filed within fourteen (14) days after school admission.

The School District will consult with the Ohio Department of Health and/or refer to its website (www.odh.gov) regarding the progressive nature of the above immunization requirements on a yearly basis.

Exemptions: Parent Objections (see Form 5320 F2)

	A.	A student shall be exempted from mandatory immunization if the parent objects in a written signed statement upon the grounds that the parent declines to have the student immunized for reasons of conscience, including religious convictions.
	B.	This statement will be kept by the school as part of the student's immunization record.

Provisional Admission to School

	A.	A student may be admitted to school on a provisional basis if a physician or health department indicates that immunization of the student has been initiated and that the student is in the process of complying with all immunization requirements.
	B.	Such provisional admission shall be only for a length of time necessary to complete the inoculations.

Documents Accepted as Evidence of Immunization

The following documents will be accepted as evidence of a student's immunization history provided they comply with State requirements and contain the date when each immunization was administered.

Required Records

	A.	Each school shall maintain a record of immunization for every student which shall include the date of each individual immunization.
	B.	If a student transfers to another school, this record or a copy thereof shall be sent to the new school.

Reports to be Sent to State Health Department

A report of the immunization status of the students in each school shall be sent each year to the State Department of Health by the principal on the report forms provided by the State Department of Health.

Records Available for Inspection

The principal shall make immunization records available for inspection by authorized representatives of the State Department of Health or the Franklin County Health Department.

Preservation of Academic Standing

In the case of a chicken pox epidemic in the school's population, the Superintendent may deny admission to a student who has been exempted from the chicken pox immunization requirement. The following methods are prescribed whereby the academic standing of a student who is denied admission during a chicken pox epidemic is preserved:

	A.	The principal will arrange for the plans, textbooks, and supplies to be provided to the parent(s) for use during the term of the student's denial of admission. S/He will also serve as a liaison between the parent(s) and the student's regular classroom teacher(s). As such, s/he will also coordinate with the student's teacher(s) and parent(s) the necessary documentation of work assigned and completed and the successful return of the student to the school setting.
	B.	When a student is denied admission during an epidemic, the teacher should prepare activity assignments in the general subject area which the student can work at on his/her own to reinforce and/or extend acquired learning of content and/or skill or develop new knowledge or skill.
	C.	The teacher should keep a record of the activity assignments and work completed for communication with the parent(s) and for grading purposes.
	D.	With the approval of the principal, the teacher may implement AG 2370A � Independent Study for a student who has been denied admission during an epidemic.
	E.	Whenever a principal is notified that an identified student with disabilities will be denied admission, s/he should contact the Director of Intervention Services to arrange for that student's I.E.P. Team to be convened and the IEP revised accordingly. AG 2412 - Homebound Instruction should be followed if so designated by the I.E.P. Team.

During the course of an outbreak of any of the aforementioned vaccine preventable diseases, the student may be subject to exclusion from school for the duration of the outbreak.

The principal shall make sure that the academic standing of a student who is denied admission during a chicken pox epidemic is preserved. The denial of admission will cease to exist when the Director of the State Department of Health notifies the Superintendent that the epidemic no longer exists.

Revised 2/29/08