2011-2012 Missouri School Immunization Requirements
• All students must present documentation of up-to-date immunization status, including month, day, and year of each immunization before they can attend school.
• The Advisory Committee on Immunization Practices allows a 4-day grace period, so students in all grade levels may receive immunizations up to 4 days before they are due.
• For children beginning kindergarten during or after the 2003-04 school year, required immunizations should be administered according to the current Advisory Committee on Immunization Practices Schedule, including all spacing, (http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm).
• To remain in school, students "in progress" must have an Imm.P.14 form (which includes appointment date for needed immunization(s)) on file and must receive immunizations as soon as they become due. In progress means that a child has begun the vaccine series and has an appointment for the next dose. This appointment must be kept and an updated record provided to the school. If the appointment is not kept, the child is no longer in progress and is noncompliant. (For example, hep B vaccine series was started but the child is not yet eligible to receive the next dose in the series.)
In progress does not apply to the Tdap or Td booster.
• Religious (Imm.P.11A) and Medical (Imm.P.12) exemptions are allowed. The appropriate exemption card must be on file. Unimmunized children are subject to exclusion from school when outbreaks of vaccine-preventable diseases occur.
School Children
Second dose of varicella (chickenpox) vaccine for all children entering kindergarten.
If the kindergarten child has had varicella (chickenpox) disease, a licensed doctor of medicine (MD) or doctor of osteopathy (DO) may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease as satisfactory evidence of having had the disease. Parental or guardian statements of disease will no longer be accepted beginning with the 2010-2011 school year for children entering kindergarten. This rule change applies to children entering kindergarten and thereafter. For children enrolled in grades one (1) through five (5), only one dose of varicella (chickenpox) vaccine is required. Parental or guardian statements of disease continue to be acceptable.
Tdap (tetanus, diphtheria, and pertussis) vaccine will be required for all incoming eighth (8th) grade students if the child has completed the recommended childhood DTaP/DTP vaccination series and has not received a Td booster within the past two (2) years.
For children enrolled in grades nine (9) through twelve (12) who have not received a single dose of Td, it is highly recommended they receive a single dose of Tdap as their catch-up booster instead of Td or receive one dose of Tdap two years after the last Td dose.
| File | Description | Creator | File size | Last modified |
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 2011-2012_School_Requirements.pdf | Admin | 67 Kb | 01/31/12 23:11 |