2015-2016 Texas Minimum State Vaccine Requirements for Students

Houston
Independent
School
District
2015-2016 Texas Minimum State Vaccine Requirements for Students
Vaccine Required
Minimum Number of Doses Required by
Grade Level See Notes Section for Specifics
(Attention to notes
and footnotes)
Diphtheria/Tetanus/Pertussis
( DTaP/DTP/DT/Td/Tdap)1
PPCD, ECAP,
Community,
Speech & PK
KG-6th
7th
8th-12th
4 doses
5 doses
or 4 doses
3 doses
and 1 Tdap/Td
booster within
last 5 years
3 doses
and 1 Tdap/Td
booster within
last 10 years
Polio
3 doses
4 doses or 3 doses
Measles, Mumps, and Rubella 1,2
1 dose
2 doses
1
Hepatitis B
2
Meningococcal1
Hepatitis A
The 1st dose of varicella must be received on or after the 1st birthday.
For K-12th grade: 2 doses are required
1 dose
1,2
2 doses
Haemophilus influenza type B
(Hib)
Pneumococcal Conjugate Vaccine
(PCV-7, Pcv-13)
For K-12th: 4 doses of polio; one dose must be received on or after the 4th birthday.
However, 3 doses meet the requirement if the 3rd dose was received on or after the
4th birthday.
For students aged 11-15 years, 2 doses meet the requirement if adult hepatitis B vaccine
(Recombivax) was received. Dosage (10mcg/1.0mL) and type of vaccine (Recombivax)
must be clearly documented. If Recombivax was not the vaccine received, a 3-dose series
is required.
2 doses
1 dose
For K—6th: 5 doses of diphtheria-tetanus-pertussis vaccine one dose must have been
received on or after the 4th birthday. However, 4 doses meet the requirement if the
4th dose was received on or after the 4th birthday. For students aged 7 years and older,
3 doses meet the requirement if one dose was received on or after the 4th birthday.
For 7th grade: 1 dose of Tdap is required if at least 5 years have passed since the last
dose of tetanus containing vaccine. For 8th–12th grade: 1 dose of Tdap is required when
10 years have passed since the last dose of tetanus containing vaccine. Td is acceptable
in place of Tdap if a medical contraindication to pertussis exists.
The first dose of MMR must be received on or after the 1st birthday.
For K-6th grade, 2 doses of MMR are required.
3 doses
Varicella 1,2,3
***NOTES***
For 7th-12th grade, 1 dose of meningococcal vaccine is required upon enrollment. For students
11-12 years of age entering 7th grade, 1 dose of meningococcal vaccine is required
The first dose of hepatitis A must be received on or after the 1st birthday. For K-6th grade:
2 doses are required. Special note: a child will not be considered delinquent in this series
until 18 months have elapsed since receiving the 1st dose.
3 doses
A complete Hib series is two doses plus a booster dose on or after 12 months of age (three doses
total). If a child receives the first dose of Hib vaccine at 12-14 months of age, only one additional
dose is required (two doses total). Any child who has received a single dose of Hib vaccine on or
after 15 months of age is in compliance with these specified vaccine requirements.
4 doses
If the PCV series is started when a child is seven months of age or older or the child is delinquent
in the series, then all four doses may not be required. Children 24 months through 59 months meet
the requirement if they have at least three doses with one dose on or after 12 months of age, or
two doses with both doses on or after 12 months of age, or one dose on or after 24 months of age.
Otherwise, one additional dose is required.
Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization.
Seriologic confirmation of immunity to measles, mumps, rubella, hepatitis, Hepatitis A, or varicella or serologic evidence of infection in acceptable in place of vaccine.
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Previous illness may be documented with a written statement from a physician, school nurse, or the child’s parent or guardian containing wording such as: “This is to verify that (name of student)
had varicella disease ( chicken pox) on or about (date) and does not need varicella vaccine. This written statement will be acceptable of any all varicella vaccine does required.
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Exemptions
Texas law allows (a) physicians to write medical exemption statements that the vaccine(s) required would be medically harmful or injurious to the health and wellbeing of the child or household member, and (b) parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a
religious belief. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (for example, a record is lost or incomplete and
it is too much trouble to go to a physician or clinic to correct the problem). Schools and child-care facilities should maintain an up-to-date list of students with
exemptions, so they may be excluded in times of emergency or epidemic declared by the commissioner of public health.
Instructions for requesting the official exemption affidavit that must be signed by parents/guardians choosing the exemption for reasons of conscience,
including a religious belief, can be found at www.ImmunizeTexas.com under “School & Child-Care.” Original Exemption Affidavit must be completed
and submitted to the school or child-care facility.
For children claiming medical exemptions, a written statement by the physician must be submitted to the school or child-care facility. Unless it is written in the
statement that a lifelong condition exists, the exemption statement is valid for only one year from the date signed by the physician.
Provisional Enrollment
All immunizations should be completed by the first date of attendance. The law requires that students be fully vaccinated against the specified diseases. A student
may be enrolled provisionally if the student has an immunization record that indicates the student has received at least one dose of each specified age-appropriate
vaccine required by this rule. To remain enrolled, the student must complete the required subsequent doses in each vaccine series on schedule and as rapidly as is
medically feasible and provide acceptable evidence of vaccination to the school. A school nurse or school administrator shall review the immunization status of a
provisionally enrolled student every 30 days to ensure continued compliance in completing the required doses of vaccination. If, at the end of the 30-day period, a
student has not received a subsequent dose of vaccine, the student is not in compliance and the school shall exclude the student from school attendance until the
required dose is administered.
Additional guidelines for provisional enrollment of students transferring from one Texas public or private school to another, students who are dependents of active
duty military, and students who are homeless can be found in the TAC, Title 25 Health Services, Sections 97.66 and 97.69.
Documentation
Since many types of personal immunization records are in use, any document will be acceptable provided a physician or public health personnel has validated it.
The month, day, and year that the vaccination was received must be recorded on all school immunization records created or updated after September 1, 1991.
Stock No. 6-14
Texas Department of State Health Services • Immunization Branch • MC-1946 • P. O. Box 149347 • Austin, TX 78714-9347 • (800) 252-9152
Rev. 06/2015
DISTRITO
ESCOLAR
INDEPENDIENTE
DE
HOUSTON
MÍNIMO DE VACUNAS REQUERIDAS PARA LOS ESTUDIANTES DEL ESTADO DE TEXAS 2015-2016
Vacuna que se requiere
(Vea las notas y el pie de página)
Difteria/tétanos/tos ferina
( DTaP/DTP/DT/Td/Tdap)1
Vea las notas para informarse sobre el número
mínimo de dosis que se requiere según el grado
PPCD, ECAP,
Community,
Speech & PK
K-6.º
4 dosis
5 dosis o
4 dosis
***NOTAS***
Para los grados K-6.º: Se requiere 5 dosis de la vacuna contra la difteria, el tétanos y la tos ferina.
Debe haber recibido por lo menos una dosis en o después del cuarto cumpleaños. Sin embargo,
8.º-12.º
7.º
con 4 dosis se cumple con el requisito si la cuarta dosis se recibió en o después del cuarto
cumpleaños. Para los estudiantes de 7 años y mayores, 3 dosis son suficientes para cumplir con el
requisito si se recibió una dosis en o después del cuarto cumpleaños. Para 7.º grado: Se requiere
1 dosis de TdaP si han transcurrido al menos 5 años desde la última dosis de la vacuna que
3 dosis y 1
3 dosis y 1
la del tétanos. Para los grados 8.º-12.º: Se requiere 1 dosis de TdaP si han transcurrido
refuerzo de refuerzo de TdaP/ contiene
10 años desde la última dosis de la vacuna que contiene la del tétanos. Se acepta la vacuna Td
TdaP/Td en los
Td en los
en lugar de la vacuna de la tos ferina TdaP, en caso de que exista alguna contraindicación médica
últimos 5 años últimos 10 años para recibirla.
Poliomielitis1
3 dosis
4 dosis o 3 dosis
Para los grados K-12.º: Se requiere 4 dosis de la vacuna contra la poliomielitis. Una de las dosis
debe haberse recibido en o después del cuarto cumpleaños. Sin embargo, con 3 dosis se cumple el
requisito si la tercera dosis se recibió en o después del cuarto cumpleaños.
Sarampión, paperas y rubeola 1,2
1 dosis
2 dosis
La primera dosis de la vacuna triple viral MMR debe recibirse en o después del primer cumpleaños.
Para los grados K-6.º se requiere 2 dosis de MMR.
Hepatitis B
2
Varicela 1,2,3
3 dosis
1 dosis
1 dosis
1,2
Vacuna contra la
Haemophilus influenzae
tipo B (Hib)
Vacuna neumocócica conjugada
(PCV-7, PCV-13)
La primera dosis de la vacuna contra la varicela se debe recibir en o después del 1er. cumpleaños.
Se requiere haber recibido 2 dosis de esta vacuna para los grados K-12.º.
2 dosis
Meningococo1
Hepatitis A
Para los estudiantes en las edades de entre 11 y 15 años, 2 dosis cumplen el requisito si se ha
recibido la vacuna contra la hepatitis B para adultos (Recombivax). Debe documentarse con total
claridad la dosificación (10 mcg / 1,0 ml) y el tipo de vacuna (Recombivax). Si no recibió la vacuna
Recombivax, se requiere una serie de 3 dosis.
2 dosis
Para los grados 7.º-12.º se requiere haber recibido 1 dosis de la vacuna contra el meningococo en el
momento de inscribirse. Para los estudiantes de entre 11 y 12 años de edad que entran al séptimo grado,
se requiere haber recibido1 dosis de la vacuna contra el meningococo.
La primera dosis de la vacuna contra la hepatitis A se debe haber recibido en o después del 1er.
cumpleaños. Para los estudiantes de los grados K-6.º se requiere 2 dosis. Nota especial: no se
considerará atrasado en las vacunas de esta serie a ningún niño a menos que hayan transcurrido
18 meses después de haber recibido la primera dosis.
3 dosis
Una serie completa de Hib consiste en dos dosis más una dosis de refuerzo en o después de los 12
meses de edad (tres dosis en total). Si los niños reciben la primera dosis de la vacuna Hib de los 12-14
meses de edad, se requiere sólo una dosis adicional (dos dosis en total). Los niños que han recibido una
dosis única de la vacuna Hib en o después de los 15 meses de edad cumplen con estos requisitos de
vacunación especificados.
4 dosis
Si se empieza la serie de PCV cuando los niños tienen siete meses de edad o más o el niño no está
al día en la serie, entonces todas las cuatro dosis podrían no requerirse. Los niños de 24 meses a 59
meses de edad cumplen con el requisito si llevan al menos tres dosis con una dosis en o después de los
12 meses de edad, odos dosis con ambas dosis en o después de los 12 meses de edad, o una dosis en
o después de los 24 meses de edad. De lo contrario, se requiere unadosis adicional.
Haber recibido la dosis hasta 4 días antes del cumpleaños, satisfará los requerimientos de inmunización para el ingreso a la escuela.
En lugar de la vacuna, se acepta la confirmación, por suero, de inmunidad al sarampión, paperas, rubeola, hepatitis, hepatitis A o varicela o la evidencia, por suero, de la infección.
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Se puede documentar el haber padecido la enfermedad previamente mediante la declaración escrita de un médico, una enfermera escolar o los padres o tutores del niño que diga algo como, “Verifico que (nombre del estudiante)
ha tenido la enfermedad de varicela en o alrededor de (fecha) y no necesita la vacuna contra la varicela”. Esta declaración escrita será aceptable y no se necesitará vacuna contra la varicela.
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