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New immunization requirements for school entry

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As summer vacation begins to wind down, now is a good time to make sure your child is up-to-date on his or her immunizations. Beginning Sept. 1, 2015, all children must have record of having received the immunizations listed below prior to starting school.

New York State health law requires schools to maintain records for all students and ensure that every child meets the requirements before starting school. Please contact your child's physician with any questions.

New York State Immunization Requirements for School Entrance/Attendance 1

Immunizations Required

 PK2

 K

 1

2-5

 6-7

 8-12

MMR (Measles, Mumps, Rubella)

  2 doses

  2 doses

  2 doses

  2 doses

  2 doses

  2 doses

DTaP (Diptheria, Tetanus, Pertussis)

  5 doses

  5 doses

  5 doses

  5 doses

  5 doses

  3 doses

Tdap (Diptheria, Tetanus, Pertussis booster)

1 dose

Polio

  3 doses

  4 doses  

  4 doses  

  3 doses  

  4 doses  

  3 doses  

Hepatitus B

  3 doses

  3 doses

  3 doses

  3 doses

  3 doses

  3 doses

Haemophilus influenzae type b (Hib)

  1 dose
 after 15   mos.

Pneumococcal Conjugate Vaccine (PCV)

  4 doses by
 15 mos.

Varicella (Chickenpox)6

  1 dose

  1 dose

  1 dose

  1 dose

  1 dose10


1 Demonstrated serologic evidence of either measles, mumps, rubella, hepatitis B or varicella antibodies is acceptable proof of immunity to these diseases. Diagnosis by a physician, physician assistant or nurse practitioner that a child/student has had measles, mumps, or varicella diseases is acceptable proof of immunity to those diseases.

2 Children in a Pre-kindergarten setting should be age appropriately immunized. The number of doses depends on the schedule recommended by the Advisory Committee on Immunization Practices (ACIP).

3 New York State requires 5 doses of diphtheria toxoid-containing vaccine and 3 doses of polio vaccine for entry into kindergarten and for any student entering a school in New York State for the first time. Children should receive 4 doses of polio vaccine unless the 3rd dose is given after 4 years of age.

4 DTaP is the vaccine currently recommended for diphtheria, tetanus and pertussis. Three doses of pertussis-containing vaccine are required for students 6 years of age or younger. One dose of Tdap is required for students 7 years of age or older who have not previously received 3 doses of DTaP.

5 Students enrolling in grades 6 through 12 includes students who are entering, repeating or transferring into grades 6 through 12 and students who are enrolling in gradeless classes and are the age equivalent of grades 6 through 12. Children ages 7-10 who have not been adequately vaccinated with DTP/DTaP, and for whom no contraindications exist, should receive a single dose of Tdap.

6 The New York State Department of Health’s Bureau of Immunization concurs with the ACIP which recommends that vaccine doses administered up to 4 days before the minimum interval or 12 months of age for measles, mumps, rubella and varicella be counted as valid.

7 Hepatitis B – For students in grades 7-12, 3 doses of Recombivax HB or Engerix-B are required, except for those students who received 2 doses of adult hepatitis B vaccine (Recombivax) which are recommended for children 11-15 years old.

8 Four doses of Haemophilus influenzae type b (Hib) are recommended by 15 months or more of age, however only 3 doses are required for day-care entry. If a child enters a day care on or after 15 months of age, and has not received 3 doses of Hib vaccine, only one dose on or after 15 months of age is required.

9 Unvaccinated children 7-11 months of age should receive 2 doses, at least 4 weeks apart, followed by a 3rd dose at age 12-15 months. Unvaccinated children 12-23 months of age should receive 2 doses of vaccine at least 8 weeks apart. Previously unvaccinated children 24-59 months of age should receive only 1 dose. PCV13 is the preferred vaccine for use in healthy unvaccinated/partially vaccinated children 2-71 months of age. A single supplemental dose of PCV13 is recommended for children 14-59 months who have already completed the age appropriate series of PCV7.

10 Two (2) doses of varicella vaccine are recommended for all students, but not required for school entry.

Questions?
If you have questions, please contact your physician or your school nurse:
    • Mrs. Linda Shortall, Middle/High School Nurse, Grades 9-12, (845) 292-5400 ext. 2016
    • Mrs. Kathy Zylko, Middle/High School Nurse, Grades 5-8, (845) 292-5400 ext. 2316
    • Mrs. Denise Rydell, Elementary School Nurse, Grades K-4, (845) 292-5400 ext. 2508

Click here for more information from the NYSDOH (PDF).

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