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Immunizations
 The Washington State Board of Health has authority
under
RCW 28A.210.140
to adopt rules relating to the immunization of children
in school and child care against certain
vaccine-preventable diseases.
The Board has adopted requirements which specify the
immunizations all children must receive before entering
schools, preschools, and child care centers under
WAC 246-100-166.
The
Advisory Committee on Immunization Practices (ACIP), The
American Academy of Pediatrics (AAP), and the American Academy
of Family Medicine (AAFM) recommend routine vaccination of
children against various diseases. The Board has
nine
criteria for assessing whether to require specific
vaccines as a condition of school entry.
Generally, the Board waits for two
years after the Department of Health has made a vaccine
available to providers in Washington State. (Under the
current system of universal purchasing, this would mean
that the state has purchased and distributed the vaccine
for two years.) As more vaccines meet this condition,
the Board may elect to convene a
Technical Advisory
Group (TAG) to apply the
nine
criteria to them and make
recommendations to the Board.
Links:
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Rule Making Activities |
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Adding
pneumococcal diseases, updating to the ACIP Recommended
Childhood and Adolescent Immunization Schedule, and
re-codifying WAC section 246-100-166
The Board convened a TAG on
July 25, 2007
to apply its criteria to vaccine preventable
pneumococcal diseases and to make recommendations to the
Board. The recommendations of the TAG were accepted by
the Board on
October 10, 2007.
A CR-103 was filed on December 26, 2008
which updated the reference to the ACIP Recommended
Childhood and Adolescent Immunization Schedule from the
2007 version to the 2008 version; added pneumococcal to the list of
vaccine-preventable diseases required to be vaccinated
against in order to attend child care and preschool; re-codified WAC section
246-100-166 into multiple sections within a new
chapter under WAC title 246; and clarified language.
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Meeting Date |
Item # |
Agenda Item Description |
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10/8/08 |
7 |
Public Hearing on Immunization Rule, Establishing Chapter 246-104 WAC
and Repealing WAC 246-100-166 |
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11/14/07 |
14 |
Reconsideration of Revisions to WAC 246-100-166,
Immunization of Child Care and School Children |
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10/10/07 |
6 |
Public Hearing on Proposed Revisions to WAC 246-100-166 Immunization
of Child Care and School Children |
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10/10/07 |
7 |
Technical Advisory Group Recommendations on
Vaccines to Prevent Pneumococcal Disease |
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1/10/07 |
6 |
Request for Rule Making, Requiring Pneumococcal
Vaccine for Child Care and School Entry, WAC 246-100-166 |
SBOH Contact:
Tara Wolff, 360-236-4101
DOH Contact:
Jeff
Wise, 360 236 3483
Vaccine shortage
The
rule does not allow conditional status for children who cannot obtain
certain required immunizations in the event of a vaccine shortage. The rule
was changed on a temporary, emergency basis from June to October 2002 to
grant the state health officer the power to declare a shortage in vaccine so
that schools and licensed child care facilities could allow children who
were not fully immunized to attend school in early September or any other
applicable time. The permanent rule is currently under review for
housekeeping (not substantive) changes.
- CR-101 filed April 26, 2002 as
WSR 02-10-066.
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Letter to interested
parties sent May 17, 2002.
- Board passed a temporary emergency rule on June 12, 2002 to allow
for conditional status when a vaccine shortage exists.
- CR-103 filed June
28, 2002 as
WSR 02-14-075 and expired on October 28, 2002.
- Housekeeping changes submitted April 23, 2003 as
WSR
03-09-126.
- CR-103 filed April 1, 2005 as
WSR
05-08-094.
SBOH Contact:
Tara Wolff,
360-236-4101
DOH Contact:
Vic Colman,
360-236-3731
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Other Immunization Related Board
Meeting Materials |
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Meeting Date |
Item # |
Agenda Item Description |
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1/13/10 |
9 |
Immunization Purchasing Policy following the
Elimination of State-funded Universal Purchasing |
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10/14/09 |
7 |
WAC 246-105-040, Update on Requirements Based on
National Immunization Guidelines |
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3/12/08 |
7 |
Discussion of Response to Shortages of Vaccines
Required for Child Care and School Entry, WAC 246-100-166 |
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2/21/08 |
3 |
Briefing on Haemophilus Influenzae Type B (Hib)
Vaccine Shortage and Review of Proposed Implementation Plan, WAC
246-100-166 |
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3/14/07 |
9 |
Strategies for Increasing Immunization Rates for
Health Care Workers |
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7/12/06 |
4 |
Public Hearing, Immunization Rule (2006
ACIP)-Chapter 246-100-166 WAC |
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6/14/06 |
7 |
Recommendations on Tetanus, Diphtheria, and
Pertussis Antigens; and Consideration of Final Report on
Immunization Criteria |
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4/12/06 |
5 |
Immunization Advisory Committee Report |
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1/12/06 |
7 |
Immunization Rule Implementation, Review 2006 ACIP Recommendations |
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7/13/05 |
7 |
WAC 246-100-166, Varicella Immunization Rule
Revision, CR-102 Hearing |
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5/11/05 |
13 |
Update on Requiring Varicella Immunization for
School Entry,
WAC 246-100-166 |
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3/9/05 |
9 |
WAC 246-100-166 Immunization CR-102 Hearing |
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11/10/04 |
9 |
Discussion of Influenza and Other Vaccine Shortage
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5/12/04 |
4 |
Vaccine
Rule Update, WAC 246-100-166, and Proposal for Future Process
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