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Central District Health DepartmentThe Shot LineImmunizationsThe Changes to Idaho’s Immunization RulesBack issues of this publicationare available on our website:cdhd.idaho.govIN THIS ISSUE: Changes to Idaho’sImmunization Rules Welcome Stephanie Sweley A New Voice on theShot Line Congratulations Childcare Worksheet Boise Hawks andImmunizationsWith the close of the 2011 Legislative sessionnew rules governing childhood immunizations went into effect. Now children entering childcare, kindergarten and the seventhgrade are required to have age appropriateimmunizations in order to attend.Here’s a brief summary of the changes:Childcare Requirements:To attend a licensed childcare facility inIdaho, a child must receive the followingage appropriate immunizations: DTaP (Diphtheria, Tetanus, Pertussis) CDHD Provides Servicesto Student Athletes Polio Just a Reminder Hepatitis B Booster Dose Confusion Questions and Answers Thank You! MMR (Measles, Mumps, Rubella) Hib (Haemophilus influenza type b) Varicella (Chicken Pox) Hepatitis A Pneumococcal RotavirusWe’re A Tobacco Free ZoneMinimum ImmunizationRequirements for School Entry:To enroll in or attend a public, private,or parochial school in Idaho, a childborn after September 1, 2005 mustreceive the following immunizations: Five doses of DTaP (Diphtheria,Tetanus, Pertussis)7th Grade Requirement:Effective with the 2011-2012 school year,in addition to the school entry requirements,a child must receive the following immunizations prior to admission into the seventhgrade: One dose of Tdap (Tetanus, Diphtheria,Pertussis) booster One dose of MeningococcalThe meningococcal booster is also arecommendation for students headingoff to college.Schedules of required immunizationsfor children of all ages are available atwww.immunizeidaho.org.Under Idaho law parents are allowed to claiman exemption from immunization requirements for their child for medical, religiousor personal reasons. All exemptions must bedocumented on the official State of Idahoform provided by the Idaho Department ofHealth and Welfare, Immunization Program.CDHD encourages parents to contact theirmedical provider to ensure their children areup-to-date with the new vaccination requirements. CDHD also offers childhood immunizations. To make immunization appointmentsat CDHD, call the Boise office at 327-7450,the Mountain Home office at 587-4407, orthe McCall office at 630-8006. Four doses of PolioTo protect the health of everyone atCDHD, no smoking or other tobacco useis permitted in our facilities or on ourproperty, both indoors and out. Two doses of MMR (Measles, Mumps,Rubella)Thank you for your cooperation. Two doses of Hepatitis A Three doses of Hepatitis B Two doses of VaricellaThere are no changes to the minimumimmunization requirements for school entryfor children born before September 1, 2005.SUMMER 2011CDHD.IDAHO.GOV

WelcomeStephanie SweleyWhom to Contact:For medical questions aboutvaccines for children (VFC)(schedules, updates, vaccinestorage and handling, etc.)please contact:Sharon Brown, LPNMedical Provider Liaison(208) 327-8585sbrown@cdhd.idaho.govFor user support and training ofIRIS; how IRIS can benefit yourclinic practice or daycare; or toschedule a demonstration of IRIS,please contact:IRIS Help Desk(208) 334-5995iris@dhw.idaho.govFor general immunizationquestions or concerns, pleasecontact:Teresa Collins, RNProgram Manager,Immunizations,(208) 327-8515tcollins@cdhd.idaho.govStephanie Sweley, RN, has joined the ImmunizationsDepartment as the new Nurse Educator.Most recently, Stephanie worked for the Meridian School District and Intermountain Hospital.She’s excited to get back into public health nursing, a field she worked in for the County of SanDiego before moving to Idaho.When she isn’t working, Stephanie breeds huskies and she is starting to learn how to sled withher dogs. Stephanie has three teenage children, two daughters and a son, who make it verydifficult for her to watch her favorite TV show; Grey’s Anatomy. She enjoys skiing, running,exploring Idaho and our surrounding states, reading, and watching her son play sports.A New Voice on the Shot LineSharon Brown, an 18 year veteran of the Immunizations Department at CDHD, is the newMedical Provider Liaison, the person who answers your questions when you call the ShotLine, 321-BABY (321-2229). Sharon replacesCata Ingalls who left our service when herhusband found employment in California.Over the years Sharon’s primary role hasbeen vaccinating children but she has alsoworked in international travel vaccinationsand with the Boise Police Department’s KidsCorner. She also teaches classes off-site atHoly Nativity Episcopal Church in Meridianand at St. Michael’s in Boise for the BabySteps program.In a recent interview Sharon said, “I’m excitedto be learning new things and new skills.”Sharon is married and lives in Boise. She hasthree grown children and three grand children. When not working she enjoys gardening, sewing, camping and reading.Sharon will be answering your questionsabout vaccinations on the Shot Line Mondaythrough Friday from 8:00 a.m. to 5:00 p.m.Congratulations!CDHD’s Melissa Sanders recently celebrated 36 years ofservice to the people of Idaho. After so many years shesays she is starting to see the third generation of familiesshe has protected with vaccine preventable diseases.Thank you Melissa for all your had work and dedication.Page 2

Childcare Immunizations WorksheetLast NameFirst NameMiddle NameParent /Guardian NameImmunizationDTP, DTaP*(Diptheria, Tetanus,and Pertussis)Type ofVaccineDose1251234*Pedvax or Comvax is a3 dose series. No doseis given at 6 months.Rotavirus*(Rotarix is a 2 doseseries given at 2 and 4months. Rotateq is a 3dose series given at 2,4, and 6 months)Date GivenMo4HIB*(Haemophilus influenzatype b)FBirth DateDaytime Phone #3OPV or es,Mumps, Rubella)Hepatitis B(3 doses required, last dosemust be given at6 months of ageor older. Somechildren mayhave 4 doses)Hepatitis A(There must be6 calendar mo.between doses)PCV 7 or icella(Chickenpox)Day224Date Given12OTHER3All vaccines given must meet the minimum age and minimum interval for that dose in order to be considered valid.*DTaP: 5th dose is not necessary if the 4th dose given on or after the 4th birthday and at least 6 months have elapsed since the3rd dose.*Polio: 4th dose is not necessary if the 3rd dose was given on or after the 4th birthday and at least 6 months elapsed since the2nd dose.*Hib and PCV: If a child begins the series age 7 months or later not all 4 doses will be required. At least 1 dose must be givenon or after the 1st birthday. Not given after 59 months of age.Rotavirus: should not be started for infants 15 weeks 0 days or older. The maximum age for the final dose is 8 months 0 days.Refer to the 2011 GUIDE TO THE IDAHO IMMUNIZATION REQUIREMENTS for CHILDCARE FACILITIESfor further informationner 7/1/11Page 3

CDHD ProvidesServices toStudent AthletesWhen athletes in MountainHome, Boise and Meridian takethe field this fall, they’ll beable to play defense againstdisease thanks to the effortsof the Central District HealthDepartment. CDHD organizedimmunization records reviews atthe high school sports physicalsevent at Boise State UniversityJune 9th. Students from Meridian and Boise were invited tothe event. CDHD staff reviewedthe immunizations records ofthe athletes and provided Tdapand Meningococcal vaccine forthose needing it. Staff reviewedthe records of 170 athletes andprovided 107 MCV4 vaccinationsand 98 Tdap vaccinations.CDHD provided the same serviceat Mountain Home High Schoolfor the district-wide sportsphysicals event on August 11th.Eighteen students receivedMCV4 vaccinations and 11 gotthe Tdap vaccination.Based on this record of success,CDHD plans to continue beinga partner in school physicalevents.Boise Hawks andImmunizationsThe Immunization program at Central DistrictHealth teamed up with the Boise Hawks thissummer to reward kids who’ve hit a homerun with their immunizations. Through a newand innovative program, kids ages 4 – 13 whowere up-to-date on immunizations got a freeticket to one of two Hawks Immunizationnights at Memorial Stadium. Area providersand CDHD gave vouchers to the kids with allthe shots they need for school enrollment.The program was very successful, with 101vouchers being used. The summer-long campaign also included a billboard in the park.The Hawks organization also posted information on its website and made announcementsin the stadium during the games and duringradio broadcasts.Based on the success of the program thisyear, CDHD plans to be back with the boysof summer again next year.“The Boise Hawks really helped us geta message to parents about the importanceof immunizations before school starts.The team’s unique demographics areexactly the audience we hoped to reach.” Teresa Collins, CDHD Immunizations ManagerJust a ReminderCheck the brand of Hib vaccine your office uses and review the records brought in fromother providers very carefully to see what brand they’re using. The brand used determinesthe timing and number of doses of vaccine needed, based on the age of the child whenvaccine was first administered. This is especially important because the different brandsmay have the same CPT code.ACIP – Recommended Haemophilus Influenza type b (Hib)Routine Vaccine ScheduleVaccine2 Months4 Months6 Months12–15 MonthsPRP-T ActHIBDose 1Dose 2Dose 3Dose 4PRP-OMP PdevaxHIBDose 1Dose 2Dose 3Note: Hiberix brand PRP-T vaccine is approved for the last dose of Hib series among children12 months of age and older.Page 4

Booster DoseConfusionQuestions & AnswersQuestion:Question:Have you been confused withthe new recommendation fora booster dose of Meningitis/MVC-4? CDHD’s Melissa Sanders,LPN put together the followingchart which has been a big help.It is based on the age of the teenwhen they received their firstdose.Our practice has an 18 month old who hasa grandmother on chemotherapy. The childneeds MMR and Varicella vaccine. Is it okayto vaccinate the child when grandma isimmune-compromised?Our child care has several children underage 5 who have had four doses of PVC7.Does this meet the new State Law ChildCare requirement or do they still need adose of PCV13?Answer:Answer:Yes, giving the child MMR vaccine is not aproblem. Varicella can also be given, but thechild needs to be watched for a presumedvaccine-related rash outbreak 7—25 daysafter vaccination. If a rash does develop, thechild should avoid direct contact withgrandma until the rash dries up. This is alsotrue for parents and siblings. We do wantthese children protected, because havingthem expose an immune-compromisedperson to the disease would be much worse.We went to Carmela Kerns-Gupta, MPH,School and Childcare ImmunizationCoordinator at the Idaho ImmunizationProgram for answers. She states thataccording to Idaho Code (IDDAPA 16.02.11)children attending licensed childcare facilitiesin Idaho must be age-appropriatelyimmunized with all required immunizations.Furthermore, these immunizations mustbe administrated age-appropriatelyaccording to the “ACIP RecommendedSchedule.” As Pneumococcal vaccine isrequired for licensed childcare in Idaho,Children aged 14 through 59 months whohave received a completed 4-dose or otherage appropriate series of PCV7, must alsoreceive a supplemental dose of PCV13.11–12Years OldBoosterRecommended 16 years oldBornReturn1 99720131 99820141 9992 0152 000201613–15Years OldBoosters 3years fromthat dose16–18Years OldNo BoosterNeededPage 5Source: Quick Guide to CommonlyMisperceived as Contraindications toVaccination