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New Rules for Child Care and School Immunizations Take Effect January 1

Posted 12/27/17 (Wed)

The ND Dept. of Health reports that changes to the North Dakota Administrative Rule 33-06-05 for child care and school immunizations will go into effect starting January 1st.

Following is a summary of the changes:

  • Hepatitis B vaccine is now required for child care entry. It was previously only required for school entry.
  • Tetanus, diphtheria, and acellular pertussis vaccine (Tdap) has been required for school since the 2008 – 2009 school year, however, it has only been required for entry into seventh grade. In order to ensure catch-up vaccination of children moving into the state or who missed the seventh grade requirement, additional grades were added. Starting with the 2018 – 2019 school year, a dose of Tdap is required for eighth through twelfth grade, if missed at seventh grade.
  • Meningococcal conjugate vaccine (MCV4) has been required for school since the 2008 – 2009 school year; however, it has only been required for entry into seventh grade. In order to ensure catch-up vaccination of children moving into the state or who missed the seventh grade requirement, additional grades were added. Starting with the 2018 – 2019 school year, one dose of MCV4 is required for eighth through tenth grade. MCV4 is a two-dose series, with the second dose recommended at age 16, therefore, with the change, children are required to receive a second dose of MCV4 before being admitted to eleventh and twelfth grades.
  • History of disease exemptions were added for all diseases that could potentially have an applicable history of disease, including hepatitis A, hepatitis B, measles, mumps, or rubella. Previously, history of disease exemptions were only allowed for varicella (chickenpox). A physician signature is required for a history of disease examption. Previously, a parent could provide a signature for a history of disease exemption.
  • The time period for when schools are required to exclude children who are not up-to-date or who haven’t submitted a record was changed from 30 days after enrollment to October 1st or 30 days after enrollment if enrolling after the 1st.

CHILD CARE IMMUNIZATION REQUIRMENTS CHART

SCHOOL IMMUNIZATION REQUIRMENTS CHART

Contact the North Dakota Department of Health Immunization Program at 701.328.3386 or 800.472.2180 (toll-free) with any questions regarding childcare and school immunization requirements.

 

 

 

 

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