Mich. Admin. Code R. 325.176 - Immunizations required of children attending group programs or entering school
Rule 6.
(1) As used
in this rule:
(a) "Certificate of
immunization" means a medical, health department, school, or personal record
which indicates the dates when each dose of a vaccine was given to an
individual and which is certified by a health professional or local health
department.
(b) "Exemption" means a
temporary or permanent waiver of 1 or more of the specific immunization
requirements for medical, religious, or other reasons.
(c) "Medical exemption" means a written
statement from a physician that a vaccination is medically contraindicated for
a particular child for a specified period of time.
(d) "Religious or other exemption" means a
written statement which is signed by the parent, guardian, or person in loco
parentis of a child, which certifies that immunization is in conflict with
religious or other convictions of the signer, and which includes the name and
date of birth of the child.
(e)
"Vaccine" means an agent for immunization against an infection or disease
caused by an infectious agent.
(2) A child who is 2 months through 3 months
of age and who is registered in a program of group residence or care shall have
received at least all of the following vaccines:
(a) One dose of any appropriate diphtheria
vaccine.
(b) One dose of any
appropriate tetanus vaccine.
(c)
One dose of any appropriate pertussis vaccine.
(d) One dose of any appropriate poliovirus
vaccine.
(e) One dose of any
appropriate Haemophilus influenzae type B vaccine.
(f) One dose of any appropriate hepatitis B
vaccine or a laboratory finding of hepatitis B immunity or disease satisfies
this requirement.
(g) One dose of
any appropriate pneumococcal conjugate vaccine.
(3) A child who is 4 months through 5 months
of age and who is registered in a program of group residence or care shall have
received at least all of the following vaccines:
(a) Two doses of any appropriate diphtheria
vaccine.
(b) Two doses of any
appropriate tetanus vaccine.
(c)
Two doses of any appropriate pertussis vaccine.
(d) Two doses of any appropriate poliovirus
vaccine.
(e) Two doses of any
appropriate Haemophilus influenzae type B vaccine.
(f) Two doses of any appropriate hepatitis B
vaccine or a laboratory finding of hepatitis B immunity or disease satisfies
this requirement.
(g) Two doses of
any appropriate pneumococcal conjugate vaccine.
(4) A child who is 6 months through 15 months
of age and who is registered in a program of group residence or care shall have
received at least all of the following vaccines:
(a) Three doses of any appropriate diphtheria
vaccine.
(b) Three doses of any
appropriate tetanus vaccine.
(c)
Three doses of any appropriate pertussis vaccine.
(d) Two doses of any appropriate poliovirus
vaccine.
(e) Two doses of any
appropriate Haemophilus influenzae type B vaccine.
(f) Two doses of any appropriate hepatitis B
vaccine or a laboratory finding of hepatitis B immunity or disease satisfies
this requirement.
(g) Pneumococcal
conjugate vaccine as shown by either of the following:
(i) Three doses of any appropriate
pneumococcal conjugate vaccine.
(ii) Receipt of an age appropriate complete
series of any appropriate pneumococcal conjugate vaccine.
(5) A child who is 16 months
through 18 months of age and who is registered in a program of group residence,
care, or camping shall have received at least all of the following vaccines:
(a) Three doses of any appropriate diphtheria
vaccine.
(b) Three doses of any
appropriate tetanus vaccine.
(c)
Three doses of any appropriate pertussis vaccine.
(d) Two doses of any appropriate poliovirus
vaccine.
(e) Haemophilus Influenzae
type B vaccine age as shown by either of the following:
(i) Receipt of 1 dose of any appropriate
haemophilus influenzae type B vaccine at or after 15 months of age.
(ii) Receipt of a complete series of any
appropriate haemophilus influenzae type B vaccine.
(f) One dose of any appropriate live measles
vaccine at or after 12 months of age. A laboratory finding of measles immunity
satisfies this requirement.
(g) One
dose of any appropriate live mumps vaccine at or after 12 months of age. A
laboratory finding of mumps immunity satisfies this requirement.
(h) One dose of any appropriate live rubella
vaccine at or after 12 months of age. A laboratory finding of rubella immunity
satisfies this requirement.
(i) Two
doses of any appropriate hepatitis B vaccine or a laboratory finding of
hepatitis B immunity or disease satisfies this requirement.
(j) Pneumococcal conjugate vaccine as shown
by either of the following:
(i) Four doses of
any appropriate pneumococcal conjugate vaccine.
(ii) Receipt of an age appropriate complete
series of any appropriate pneumococcal conjugate vaccine.
(6) A child who is 19 months
through 4 years of age and who is registered in a program of group residence,
care, or camping shall have received at least all of the following vaccines:
(a) Four doses of any appropriate diphtheria
vaccine.
(b) Four doses of any
appropriate tetanus vaccine.
(c)
Four doses of any appropriate pertussis vaccine.
(d) Three doses of any appropriate poliovirus
vaccine.
(e) Haemophilus influenzae
type B vaccine as shown by either of the following:
(i) Receipt of 1 dose of any appropriate
Haemophilus influenzae type B vaccine at or after 15 months of age.
(ii) Receipt of a complete series of any
appropriate Haemophilus influenzae type B vaccine.
(f) One dose of any appropriate live measles
vaccine at or after 12 months of age. A laboratory finding of measles immunity
satisfies this requirement.
(g) One
dose of any appropriate live mumps vaccine at or after 12 months of age. A
laboratory finding of mumps immunity satisfies this requirement.
(h) One dose of any appropriate live rubella
vaccine at or after 12 months of age. A laboratory finding of rubella immunity
satisfies this requirement.
(i)
Three doses of any appropriate hepatitis B vaccine or a laboratory finding of
hepatitis B immunity or disease satisfies this requirement.
(j) Have evidence of varicella immunity as
shown by any of the following:
(i) One dose of
any appropriate varicella vaccine at or after 12 months of age.
(ii) Laboratory evidence of varicella
immunity.
(iii) A parent, guardian,
person in loco parentis, or physician statement that the child has had
varicella disease.
(k)
Pneumococcal conjugate vaccine as shown by either of the following:
(i) Four doses of any appropriate
pneumococcal conjugate vaccine.
(ii) Receipt of an age appropriate complete
series of any appropriate pneumococcal conjugate vaccine.
(iii) Receipt of 1 dose of any appropriate
pneumococcal conjugate vaccine at or after 24 months of age.
(7) A child who is 5
years of age and who is registered in a program of group residence, care, or
camping shall have received at least all of the following vaccines:
(a) Four doses of any appropriate diphtheria
vaccine.
(b) Four doses of any
appropriate tetanus vaccine.
(c)
Four doses of any appropriate pertussis vaccine.
(d) Three doses of any appropriate poliovirus
vaccine.
(e) One dose of any
appropriate live measles vaccine at or after 12 months of age. A laboratory
finding of measles immunity satisfies this requirement.
(f) One dose of any appropriate live mumps
vaccine at or after 12 months of age. A laboratory finding of mumps immunity
satisfies this requirement.
(g) One
dose of any appropriate live rubella vaccine at or after 12 months of age. A
laboratory finding of rubella immunity satisfies this requirement.
(h) Three doses of any appropriate hepatitis
B vaccine or a laboratory finding of hepatitis B immunity or disease satisfies
this requirement.
(i) Have evidence
of varicella immunity as shown by any of the following:
(i) One dose of any appropriate varicella
vaccine at or after 12 months of age.
(ii) Laboratory evidence of varicella
immunity.
(iii) A parent, guardian,
person in loco parentis, or physician statement that the child has had
varicella disease.
(8) A child who is 4 years through 6 years of
age and who is entering school shall be in compliance with all of the following
immunization requirements:
(a) Have received 4
doses of any appropriate diphtheria vaccine and, if a dose was not received on
or after the fourth birthday, a booster dose at school entry.
(b) Have received 4 doses of any appropriate
tetanus vaccine and, if a dose was not received on or after the fourth
birthday, a booster dose at school entry.
(c) Have received 4 doses of any appropriate
pertussis vaccine and, if a dose was not received on or after the fourth
birthday, a booster dose at school entry.
(d) Have received 4 doses of any appropriate
polio vaccine. If dose 3 was administered on or after the fourth birthday only
3 doses are required.
(e) Have
evidence of measles immunity as shown by either of the following:
(i) Two doses of any appropriate live measles
vaccine received after the first birthday, not less than 28 days
apart.
(ii) Laboratory evidence of
measles immunity.
(f)
Have evidence of mumps immunity as shown by either of the following:
(i) Two doses of any appropriate live mumps
vaccine received after the first birthday, not less than 28 days
apart.
(ii) Laboratory evidence of
mumps immunity.
(g) Have
evidence of rubella immunity as shown by either of the following:
(i) Two doses of any appropriate live rubella
vaccine received after the first birthday, at least 28 days apart.
(ii) Laboratory evidence of rubella
immunity.
(h) Three
doses of any appropriate hepatitis B vaccine or a laboratory finding of
hepatitis B immunity or disease satisfies this requirement.
(i) Have evidence of varicella immunity as
shown by any of the following:
(i) Two doses
of any appropriate live varicella vaccine at or after 12 months of
age.
(ii) Laboratory evidence of
varicella immunity.
(iii) A parent,
guardian, person in loco parentis, or physician statement that the child has
had varicella disease.
(9) A child who is 7 through 18 years of age
and who is entering school or enrolled in grade 7, shall be in compliance with
all of the following immunization requirements:
(a) Have received 4 doses of any appropriate
diphtheria vaccine - 3 doses if the first dose was received on or after the
first birthday.
(b) Have received 4
doses of any appropriate tetanus vaccine - 3 doses if the first dose was
received on or after the first birthday.
(c) Have received a dose of Tdap vaccine for
grades 7 and higher with children 11 years of age and older.
(d) Have received 4 doses of any appropriate
poliovirus vaccine. If dose 3 was administered on or after the fourth birthday
only 3 doses are required.
(e) Have
evidence of measles immunity as shown by either of the following:
(i) Two doses of any appropriate live measles
vaccine received after the first birthday, not less than 28 days
apart.
(ii) Laboratory evidence of
measles immunity.
(f)
Have evidence of mumps immunity as shown by either of the following:
(i) Two doses of any appropriate live mumps
vaccine received after the first birthday, not less than 28 days
apart.
(ii) Laboratory evidence of
mumps immunity.
(g) Have
evidence of rubella immunity as shown by either of the following:
(i) Two doses of any appropriate live rubella
vaccine received after the first birthday, not less than 28 days
apart.
(ii) Laboratory evidence of
rubella immunity.
(h)
Receipt of a complete series of any appropriate hepatitis B vaccine or a
laboratory finding of hepatitis b immunity or disease satisfies this
requirement.
(i) Have evidence of
varicella immunity as shown by any of the following:
(i) Two doses of any appropriate live
varicella vaccine at or after 12 months of age.
(ii) Laboratory evidence of varicella
immunity.
(iii) A parent, guardian,
person in loco parentis, or physician statement that the child has had
varicella disease.
(j)
Have received 1 dose of meningococcal conjugate vaccine for grades 7 and higher
with children 11 years of age and older.
(10) To satisfy the requirements in subrules
(2) to (9) of this rule, each vaccine shall have been administered in
accordance with the manufacturer's instructions. A 4-day grace leniency is
allowed on the minimum ages and intervals for each vaccine.
(11) If the requirements for immunization
cannot be completed due to medical reasons within 4 months of admittance, a
child may remain enrolled in a school or group program for a reasonable length
of time that is consistent with good medical practice. A statement requesting
the enrollment of the child beyond the exclusion date shall be signed by a
physician or local health officer and shall certify that the child is in the
process of complying with all immunization requirements. This medical exemption
shall be filed with the child's school or group program immunization records
until it can be replaced with proof that the vaccines for which an exemption
was granted have been received. Upon completion of the required immunizations,
a parent shall present the school or group program with a certificate of
immunization.
(12) When presented
with a medical exemption, religious or other exemption, the administrator of a
child's school or operator of a child's group program shall recognize the
exemption status of the child. Each nonmedical exemption filed at the childs
school or group program of a child entering a program after December 31, 2014
shall be certified by the local health department that the individual received
education on the risks of not receiving the vaccines being waived and the
benefits of vaccination to the individual and the community. All waivers shall
be submitted using the waiver form prescribed by the department.
(13) A standard record of the immunizations
required by this rule and exemptions shall be maintained by every school for
every pupil on forms supplied by the department. When a pupil transfers to
another school or school district, the record of immunization, or a true copy
of the record, shall be sent to the new school by the original
school.
(14) All of the following
information shall be provided to fulfill the requirements of section 9209(1) of
the code:
(a) A listing, by child, of the
number of doses of each vaccine received.
(b) The date of each immunization for each
vaccine received in the series.
(c)
A listing, by type of exemption granted, of the children who have
exemptions.
(15) Not
less than 95% of entering students in a school,
-- less the entering students who have
medical, religious, or other exemptions,
-- shall have received vaccinations as
outlined in subrules (8) and (9) of this rule.
(16) A principal of a school or operator of a
group program shall make immunization records available for inspection by
authorized representatives of the department or the appropriate local health
department. The local health officer shall also make public clinic immunization
records available to local schools or group programs for the purpose of
verifying pupil immunizations.
(17)
A requirement for immunization with a specific vaccine may be suspended
temporarily at the request of the department director for reasons of inadequate
vaccine supply.
Notes
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No prior version found.