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Immunizations

IMMUNIZATIONS!!

 
 

Alaska State Law requires entering students be adequately immunized PRIOR to entering school. The parent/guardian must provide the school with a valid immunization record from a clinic, health department or private physician showing the dates of all immunizations.  This record will be checked and verified by the school nurse during the registration period at your student’s school.  Students without valid immunization records will not be allowed to start school.  (Provisions are available for medical or religious exemptions.)

 
 
 

Immunizations required for K-12 students

 

Diphtheria, Tetanus, Pertussis

(DTP/DTaP/DT/Td/Tdap)

Dose #

Minimum

Maximum

1

Not valid before

6 weeks of age

Before facility

entry

2

1 month

after #1

3 months

after #1

3

current age less than 7 years

1 month

after #2

3 months

after #2

current age 7 years or older

6 months

after #2

1 year

after #2

4

current age less than 7 years

4 months

after #3

1 year

after #3

current age 7 years or older

Only 3 valid doses required

5*

current age less than 7 years

6 months

after #4 and

after 4 years of age

Before facility

entry

current age 7 years or older

Only 3 valid doses required

 

An additional dose is required if minimum spacing requirements are not met.

*Dose #5 is not required if an appropriately-spaced dose #4 was received after 4 years of age.

A child who has received 6 or more doses does not require more, regardless of spacing.

10 year

Td Booster

Required within 10 years of last tetanus/diphtheria.

 

 

Polio

(OPV, IPV)

Dose #

Minimum

Maximum

 

1

Not valid before

6 weeks of age

Before facility

entry

 

2

1 month

after #1

3 months

after #1

 

3

1 month

after #2

1 year

after #2

 
 

An additional dose is required if minimum spacing requirements are not met.

Polio is not required after 18 years of age.

 

 

 

Measles, Mumps, Rubella

(MMR)

Dose #

Minimum

Maximum

 

1

Not valid before

1st birthday

Before facility

entry

 

2

1 month

after #1

(measles only)

3 months

after #1

(measles only)

 
 

An additional dose is required if minimum spacing requirements are not met.

Rubella is not required after 12 years of age.

Second dose

A second dose of measles only is required. However, mumps and rubella often are received as a component of MMR vaccine.

 

 

 

Hepatitis A

Dose #

Minimum

Maximum

1

Not valid before

1st birthday

Before facility

entry

2

6 months

after #1

19 months

after #1

 

An additional dose is required if minimum spacing requirements are not met.

 

 

Hepatitis B

Dose #

Minimum

Maximum

1

At birth

Before facility

entry

2

1 month

after #1

3 months

after #1

3

2 months after #2 and

at least 4 months after #1

18 months

after #2

 

2-dose option for adolescents

Three (3) appropriately-spaced doses of hepatitis B are required unless a copy of a medically-verified record that clearly documents receipt of 2 doses that meet all the following criteria is maintained at school/child care:

Vaccine Used

  • Merck RecombivaxHB®

  • "Adult" formulation (contains 10 mcg of hepatitis B surface antigen)

Age when BOTH doses were received

  • 11 through 15 years

Interval

  • at least 4 months between doses

  • compliance "maximum" = 7 months after #1

 

 

Varicella "chickenpox"

Required only in grades kindergarten through 6

Dose #

Minimum

Maximum

1

Not valid before first birthday

Before facility

entry

2

1 month

after #1

4 months

after #1

 

An additional dose is required if minimum spacing requirements are not met.

Two doses of varicella are required for kindergarten through 6th grades only.

Varicella is not required for grades 7 - 12.

 

 

For compliance purposes:

Age = age in calendar weeks or months (e.g. "by 6 wks of age" or "by 2 mos of age")

Interval between doses calculated as 28 days = 1 month

Kindergarten - For purposes of these guidelines, a "child in kindergarten" is one who was born by August 15th at least five years prior to kindergarten entry. For example, a child entering kindergarten in 2008 must have been born before August 15, 2003. Definition follows kindergarten age criteria established by the Alaska Department of Education and Early Development.

Maximum (under Required Spacing) - refers to the maximum time period before a child who has not received the required number of doses would be considered out of compliance. Doses received after the "maximum" intervals are medically acceptable and bring the child back to into agreement with compliance standards.