Post on 23-Jan-2021
Immunization Law in Oregon Schools & Children’s FacilitiesOregon Immunization Program
Where are immunizations required?
• Public• PrivateSchools
• Preschool• Child Care• Head Start
Children’s Facilities
Immunization Review Process: Three Parts
• RecordsPart 1
• ReportsPart 2
• RatesPart 3
• RecordsPart 1
Who do you need to collect immunization
records for?• Every child in your program*
*who attends 5 or more days per year (applies to drop-in child care sites)
*who isn’t counted by another site (for example, afterschool care kids are counted by the school)
When do you need the immunization records?
• Before a child starts attending your program*
*Almost always
New enterers must have one of the following BEFORE ATTENDANCE:• A record showing at least one dose of
each vaccine required for the child’s age• Or an exemption
Entering childcare or preschool Starting kindergarten
Entering any grade from outside the U.S.
Entering any grade from home school
New Enterers
What records are required?
All shot dates must be on one of the following:
• CIS—Certificate of Immunization Status• ALERT—Immunization Information System
printout
CIS (front)Required vaccines:• Diphtheria/Tetanus/
Pertussis• Tdap (grades 7-12)• Polio• Varicella• Measles/Mumps/Rubella• Hepatitis B• Hepatitis A (childcare,
preschool, kindergarten, and grades 1-10)
• Hib
CIS (back)• Recommended
vaccines
• Medical Exemptions and Immunity Documentation
• Nonmedical Exemptions
How do you assess an immunization record?
• ALERT IIS• Transparent overlays• Approved computer
system
Immunization dates
Transparent Overlay:18 months up to Kindergarten
Approved computer system printout
Computer tracking systems must be approved by the State for immunization assessment and reporting in Oregon.
Nonmedical Exemptions
• Two documents needed for new nonmedical exemptions:1. Vaccine Education Certificate2. CIS form
www.healthoregon.org/vaccineexemption
Vaccine Education Certificate
CIS Section
Medical Exemptions
• Must be signed by a physician• Must list a specific medical reason• Send a copy to the Local Health
Department for review
Immunity Documentation• Used when a child:
• Had the disease• Has blood test results showing immunity
• Should be counted as “complete”
• ReportsPart 2
Important DatesSchools/facilities submit Primary Review Summary (PRS) pages 1-2 to the county health department
January 16, 2019
Exclusion orders mailed by the county health department February 6, 2019
Exclusion Day February 20, 2019
Schools/facilities submit updated PRS pages 2, 3 and 4 to the county health department
March 4, 2019
School and Children’s Facility
Immunization Timeline
Timeline—Fall
Timeline—Fall
• Receive reporting packet from County Health Department. Read the materials and call the County with any questions.
• Review immunization records for all children.
Timeline—Fall• Notify parents if immunization
records are incomplete.• Let parents know they will be getting
an exclusion letter from the County and their child will be excluded if records aren’t updated.
Now the fun begins!
Timeline—Winter
Primary Review
Summary—Page 1
Due to County on: January 16, 2019
Always 5 weeks before exclusion
day!
Primary Review Summary-Page 1
100298
923
002
1
Primary Review Summary-Page 2
Primary Review Summary-Page 2• Attach:
• Photocopies of CIS forms, or• Printout from an approved computer
system
Donald Duck K Daffy Duck1-1-12 800 NE Oregon St., Portland, 97232
Minnie Mouse K Goofy2-2-12 1234 SE Abc St., Portland, 97202x
(County Health Department completes this section)
Y 2-1-18 DTaP 5, Polio 4
No—Complete ALERT record found, copy enclosed
2-15-18 N
Section B due to County on:• January 16, 2019
Section D due to County on:• March 4, 2019
• County Health Department will mail exclusion orders by the 1st Wednesday in February
Timeline—February
Timeline—Exclusion Day
• Exclude any children on Exclusion Day if their records have not been updated as specified on the exclusion order
3rd Wednesday in February
Timeline—February/March
• Send updated page 2 and page 3 of the Primary Review Summary to the County Health Department
Primary Review
Summary –Page 3
Due to County on March 4, 2019
Always 12 days after exclusion
day!
Primary Review Summary Page 3
6046
50
49 49
48 49
49 49
49
48
002
20
1 12 11 1
1 111
Primary Review
Summary –Page 4
Due to County on March 4, 2019
Always 12 days after exclusion
day!
Timeline—March
• You are done with immunization review and exclusion for the year!
• Keep copies of the Primary Review Summary Reports and Exclusion Orders for 1 year.
Timeline—Spring-Fall
Timeline –Spring - Fall
Rates
Part 3Part 3Rates
Part 3Rates
Rates
Part 3 Rates
Timeline—Spring-Fall
• All site with 10 or more children are required to share their site’s and their county’s immunization rates twice a year:• Within 30 days of the start of the school
year• Within 30 days after Exclusion Day
Sharing Immunization Rates
• You must share rates in 3 ways:• Post on your website• Make available in your main office• Send to parents electronically or on paper
(email, newsletter, etc.)
• You can calculate your immunization rates at www.healthoregon.org/immdata
Timeline—Spring-Fall
• This is a good time to organize records• Remove records of children no longer in
attendance• Review records of children currently
enrolled to notify parents and get ahead for next year
• Validation surveys and trainings with state or county immunization staff
Oregon Immunization Law: Schools, Children’s Facilities &
CollegesOregon Revised Statutes433.235 through 433.284
(Disease Control in Schools)
Oregon Administrative Rules333-050-0010 through 333-050-0140
(School Immunization Rules)http://public.health.oregon.gov/PreventionWellness/Vaccines
Immunization/RulesLaws/Pages/index.aspx
Oregon Immunization ProgramSchool Law Team
Stacy de Assis Matthews971-673-0528
stacy.d.matthews@state.or.us
Mallory Metzger971-673-0282
mallory.s.metzger@state.or.us
http://1.usa.gov/OregonSchool