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Chris Finley and Karen Halverson. Ensuring Herd Immunity Immunization Rules for Schools and Child Care. Today’s objectives. Rationale for immunization regulations Reporting requirements Statewide variations in rates Addressing challenges. State Immunization Rules.
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Chris Finley and Karen Halverson Ensuring Herd ImmunityImmunization Rules for Schools and Child Care
Today’s objectives • Rationale for immunization regulations • Reporting requirements • Statewide variations in rates • Addressing challenges
State Immunization Rules Prevent disease transmission Reduce risk in group settings Support herd immunity
Measles at Vermont’s borders Massachusetts, New York and New Hampshire 50 cases 1/1/11-10/8/11 Only religious and medical exemptions allowed No philosophic exemptions
Measles at Vermont’s borders Quebec 745 cases 4/3/11 -10/5/11 11% of cases hospitalized No vaccination requirements for school
Development of Immunization Rules Specific state statutes Rules provide details for implementation Defined process for passage of rules Opportunity for public input Reviewed by two committees
Vermont’s Immunization Rules Immunizations required for enrollment Application in child care and school settings Annual reporting period
Child Care Requirements Who do the rules apply to? How are these different than school rules? Who completes child care reports?
Information for Child Care Providers Put in pictures of 2 brochures and manual
School Requirements • Align with Advisory Committee on Immunization Practices (ACIP) recommendations • Allow for exemptions • Provisional admittance limit of one year
Measles outbreak risk in Vermont Herd immunity threshold for measles: 95% 2010-11 kindergarteners with 2 doses MMR: 90.9% Schools with coverage below 95%: 136
School Site Visits January - May 2011 Pilot visits to selected schools by Immunization Program staff Sept 2011 - May 2012 Site visits to all schools conducted by District Office school liaisons Sept 2011 - May2012 Quality improvement project visits for 15 schools conducted by VCHIP/VDH
Increasing Compliance with Vermont Vaccine Requirements • Utilize electronic data sources VT Immunization Registry school health software programs
Increasing Compliance with Vermont Vaccine Requirements • Outreach at enrollment before vacation and holiday breaks newsletters, websites, PTO
Immunization Program Support • Vermont Immunization Program 1-800-640-4374 immunizationprogram@state.vt.us • District Office staff School liaison Immunization Designee