For Higher Education Students
|Public Act No. 89-90, now Connecticut General Statute Section 10a-155|
|Certificate of Immunization: Evidence of Immunity|
|Exclusion from School|
|Records and Record-Keeping|
|Meningococcal Vaccine Requirements|
PUBLIC ACT NO. 89-90, now Connecticut General Statutes Section 10a-155
AN ACT CONCERNING PROOF OF IMMUNIZATION AGAINST MEASLES AND RUBELLA FOR CERTAIN PERSONS AT INSTITUTIONS OF HIGHER EDUCATION.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Subsection (a) of section 10a-155 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2003):
(a) Each institution of higher education shall require each full-time or matriculating student born after December 31, 1956, to provide proof of adequate immunization against measles and rubella before permitting such student to enroll in such institution. Any such student who (1) presents a certificate from a physician stating that in the opinion of such physician such immunization is medically contraindicated, (2) provides a statement that such immunization would be contrary to his religious beliefs, (3) presents a certificate from a physician, or from the director of health in the student's present or previous town of residence, stating that the student has had a confirmed case of such disease, [or] (4) is enrolled exclusively in a program for which students do not congregate on campus for classes or to participate in institutional-sponsored events, such as students enrolled in distance learning programs for individualized home study or programs conducted entirely through electronic media in a setting without other students present, or (5) graduated from a public or nonpublic high school in this state in 1999 or later and was not exempt from the measles and rubella vaccination requirement pursuant to subdivision (2) or (3) of subsection (a) of section 10-204a shall be exempt from the appropriate provisions of this section.
Approved April 29, 2003
(b) Each institution of higher education shall keep uniform records of the immunizations and immunization status of each student, based on the certificate of immunization or other evidence acceptable pursuant to subsection (a) of this section. The record shall be part of the student’s permanent record. By November first of each year, the chief administrative officer of each institution of higher education shall cause to be submitted to the commissioner of health services, on a form provided by the commissioner, a summary report of the immunization status of all students enrolling in such institution.
Sec. 2. (NEW) When a public health official has reason to believe that the continued presence in an institution of higher education of a student who has not been immunized against measles or rubella presents a clear danger to the health of others, the public health official shall notify the chief administrative officer of such institution. Such chief administrative officer shall cause the student to be excluded from the institution, or confined in an infirmary or other medical facility at the institution, until the student presents to such chief administrative officer a certificate from a physician stating that, in the opinion of such physician, the presence in the institution of the student does not present a clear danger to the health of others.
Sec. 3. This act shall take effect July 1, 1989.
GUIDELINES – PUBLIC ACT 89-90 7/12/89
AN ACT CONCERNING PROOF OF IMMUNIZATION AGAINST MEASLES AND RUBELLA FOR CERTAIN PERSONS AT INSTITUTIONS OF HIGHER EDUCATION
These guidelines are issued by the Commissioner of the Department of Health Services (now Department of Public Health) to assist with the implementation of the post-secondary school immunization law. They present the standards for required immunizations and exclusion periods, and further define the school’s record keeping and reporting requirements.
The definitions in these guidelines are:
A. "Proof of adequate immunization" means a written statement from a physician, nurse, or health official who has administered an immunizing agent to a student, specifying the vaccine administered and the date it was administered. Secondary school health records, having been compiled and maintained as an official document based on certificates of immunization, which provide at a minimum the month and year that immunizations were administered and/or which contain copies of laboratory evidence of immunity, may also be accepted as proof of immunization.
B. "Chief administrative officer" means the person designated by the legal governing authority as president, administrator, or director of a public or private post-secondary school.
C. "Disease" means measles and/or rubella.
D. "Immunizing agent" means a vaccine used to protect an individual against measles or rubella or both.
E. "Parent" means a student’s parent, legal guardian or custodian. A person shall be regarded as a student’s custodian if that person is an adult and has assumed legal charge and care of the student.
F. "Public health official" means a local health officer, the Commissioner of the Department of Health Services, or any designated employee or agent of the Department of Health Services.
G. "Institution of Higher Learning" means any public or private, post secondary school in the State including but not limited to colleges, universities, and vocational-technical institutes and schools for the health professions. The word "school" is used in lieu of Institution of higher learning.
H. "Student" means any person attending school who was born after December 31, 1956 who attends school full time or who is a candidate for a degree or a diploma or graduate certificate. Part time students, who are degree candidates, are included under this definition.
I. "Certificate that the student does not present a clear danger to the health of others" means that the physician has determined by laboratory testing that the student is not susceptible to measles or rubella as appropriate or that appropriate immunizing agents have been administered (Reference Exclusion from School 6. A).
- Except as otherwise provided by law, it is the responsibility of every student or parent in the case of a student who has not reached the age of majority, to insure that required doses of immunizing agents have been administered to the student or that the student is otherwise protected against the diseases as defined.
- No chief administrative officer may permit any student to be enrolled in or to attend school without a certificate of immunization for each disease or other acceptable evidence of immunity to each disease.
A student who dose not meet the immunization/immunity requirements may attend school under the following conditions:
- The student or parent, if the student is a minor, presents to the school a physician’s written statement
that immunization against one or more of these diseases is medically inadvisable. The physician’s statement must specify the reason the vaccine is contraindicated and that reason should be consistent with the United States Public Health Service Advisory Committee’s statement regarding contraindications. If the statement does not include all diseases, the student must meet the immunization/immunity requirements for those diseases not covered by the statement.
- The student of parent states in writing an opposition to immunization because of a sincere religious belief.
CERTIFICATE OF IMMUNIZATION: EVIDENCE OF IMMUNITY
- Certificate of Immunization
To demonstrate proper immunization against each disease, a student shall present the school with Proof of Immunization from a physician, nurse, or health official who has administered the immunizing agent(s) to the student. The certificate shall specify the immunizing agent, and the date(s) on which it was administered. Adequately prepared school health records (i.e. showing month and year of vaccine administered) will be considered acceptable for the purpose of meeting this requirement.
- Proof of Immunity
To demonstrate that a student is immune to any of the diseases, the student shall present the school with laboratory evidence demonstrating immunity.
Note: It is not acceptable to use as evidence of immunization a questionnaire or similar form completed by the student or the students’ parent or guardian. A certificate o immunization or proof of immunity must be presented. The fact that appropriate documentation was presented must be recorded in the student health record.
The presentation of acceptable proof of immunization/immunity must be made prior to the students’ attendance at class or participation in other activities conducted by the school.
The following schedule is the schedule of minimum requirements for immunizing agents administered to students entering school who were born after December 31, 1956.
Measles: (a) Students entering prior to January 1, 1990. One dose of measles vaccine, administered on or after January 1, 1969 and on or after the student has reached the first birthday.
(b) Students matriculating on or after January 1, 1990. Two doses of measles vaccine administered at least one month apart. The second dose must have been given on or after January 1, 1980.
NOTE: In the event that a case of measles occurs on campus, it will be required that all students on campus achieve the immunization requirements of those matriculating on or after January 1, 1990.
Rubella (German Measles): One dose of rubella vaccine, administered after the student’s first birthday.
Any such immunizing agent must meet the standards for such biological products as are Approved by the United States Public Health Service.
Note: Vaccines may be given in several different combined preparations, which if given after the student attained 12 months of age are all acceptable – M/R Vax (measles and rubella); MMR Vax (measles, mumps, and rubella); or Biovax (rubella and mumps). If Biovax is administered evidence of protection against measles is required.
A. Exclusion By Order Of Public Health Official
A student exempted from immunization requirements or otherwise not immunized or immune from a disease shall be excluded from school when in the opinion of a public health official the student’s continued presence in school poses a clear danger to the health of others. Such danger is usually deemed to exist when there is immediate potential for that student to be exposed to measles or rubella. The chief administrative officer shall exclude the student from school for one incubation period following the onset of symptoms of the most recently identified case. An otherwise exempted student may be permitted to return to school by providing proof of immunity through laboratory results. A previously exempted student who receives immunization following the identification of a disease must wait one incubation period following the date of immunization before returning to school.
The documented occurrence of a single case of any of these diseases may be interpreted as a clear danger to the health of others. The following are defined as the relevant incubation period for each disease:
Measles: 18 days from the onset of symptoms of the last identified case.
Rubella: 23 days from the onset of symptoms of the last identified case.
RECORDS AND RECORD-KEEPING
- Designated Record Keeping
The chief administrative officer shall be responsible for the maintenance of immunization records. The chief administrative officer may designate a person to be responsible for record keeping.
- Individual Health Records
Within each school, a uniform permanent health record for maintaining information regarding the immunization status of each student shall be adopted.
The school health record for each student enrolled shall include at a minimum the month and year that each immunizing agent was administered.
Where an exemption has been granted for religious reasons, the written request for exemption must be on file with the school health record. Where laboratory evidence of immunity has been submitted, a copy of the documentation must be on file.
- List of Non-Immunized Students
The designated record keeper in each school should keep a listing of the names of all students within the school who are not currently immunized against each disease. This list should include the names of all students with authorized exemptions from immunization as well as any who might not be in compliance with the law. The purpose of the list is to provide efficient access to non-immunized students in times of disease outbreaks.
- Chief Administrative Officer’s Responsibility
The chief administrative officer is responsible for submitting a summary report on the immunization status of students by November 1 of each year for each school on forms prescribed by the Department of Health Services (now Department of Public Health), to the Director of the State’s Immunization Program.
- Summary Report
The summary report will include the following information at a minimum: Specific information identifying the school, the chief administrative officer, the total student enrollment, the number of new students identified as either immunized (by vaccine type), immune, exempt or out of compliance, and the number of students who are previously enrolled and unimmunized. The summary report, to be submitted on forms provided by the State Department of Health Services (now Department of Public Health), will be constructed so as to reflect meaningful data by broad groupings, but with entering students treated separately. Each report shall be signed by the school’s chief administrative officer as a certification that the information is correct.
The Immunization Program will from time to time arrange with schools to select a small sample of student health records for the purpose of comparing reported results against the criteria delineated in these rules. The results of this sample survey will be shared with school administrators for the purpose of identifying problem areas that may be occurring in the completion of their post secondary school health records. Individual students and individual schools need not be identified by name.