Tomball Independent School District

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Immunization


POLIO - At least three (3) doses of oral polio vaccine (OPV). If the last dose was not received on, after or the month prior to the fourth birthday, a booster dose will be required no later than the child’s fifth birthday.

DTaP - At least four (4) doses of DPT/DTaP vaccines are required. If the last dose was not received on, after or the month prior to the fourth birthday, a booster dose will be required no later than the child’s fifth birthday. If a child is allergic to Pertussis, ONLY 3 doses of DTP/DTap/DT are required as long as the first does was received on or after the first birthday.

MEASLES - (Rubeola)
a. One (1) dose of measles vaccine on or after, the first birthday.
b. Second dose of at least 30 days after the first dose and before/no later than the five year old birthday.

Serologic confirmation of measles immunity or serologic evidence of infection is acceptable in lieu of the vaccination.

RUBELLA - All children/students must have received a dose of rubella vaccine on, or after their first birthday, provide serologic confirmation of rubella immunity, or serologic evidence of infection.

MUMPS - All children/students must have received a dose of mumps vaccine on, or after their first birthday, provide serologic confirmation of mumps immunity, or serologic evidence of infection.

HIBCV- Not required for children 5 years old or older. For younger children, one dose of HibCV on or after 15 months of age is required unless a schedule for a primary series and a booster was completed prior to or at 15 months of age. A “primary series and booster” is two doses (two months apart) and a booster, at least two months after the last dose and after 12 months of age.

A physician’s validated history of invasive Haemophilus influenza type b disease, on or after the second birthday, will substitute for the vaccine requirement for children two (2) years of age through four (4) years of age.

HEPATITIS B - Effective August 1, 1998, three (3) doses of hepatitis B vaccine are required for all students age 5 years and older who were born on or after September 2, 1992. Pre-K students will be due as they reach 5 years of age. Serologic confirmation of immunity or serologic evidence of infection can be substitute for the vaccination.

VARICELLA - (chickenpox) One dose of varicella vaccine is required. This vaccine must have been received on or after the first birthday. A parent or physician validated history of varicella illness (chickenpox) or serologic confirmation of varicella immunity is acceptable in lieu of the vaccine.

 

HEPATITIS A- 2 doses with 1st dose on or after 1st birthday

 

PNEUMOCOCCAL (PCV)- Age of child when 1st dose was given affects total # of doses required.  If the PCV series is started when a child is seven months of age or older or the child is delinquent in the series, then all four doses may not be required. Please reference the information below to assist with compliance:

 

  • For children seven through 11 months of age, two doses are required.
 
  • For children 12-23 months of age: if three doses have been received prior to 12 months of age, then an additional dose is required (total of four doses) on or after 12 month of age. If one or two doses were received prior to 12 months of age, then a total of three doses are required with at least one dose on or after 12 months of age. If zero doses have been received, then two doses are required with both doses on or after 12 months of age.
 
  • Children 24 months through 59 months meet the requirement if they have at least three doses with one dose on or after 12 months of age, or two doses with both doses on or after 12 months of age, or one dose on or after 24 months of age. Otherwise, one additional dose is required.


EXCLUSIONS FROM COMPLIANCE - Exclusions from compliance are allowable on an individual basis for medical contraindication, religious conflicts, and active duty with the armed forces of the U.S. Children and students in these categories must submit evidence for exclusion from compliance.

MEDICAL CONTRAINDICATIONS - Medical contraindications must be signed by a physician licensed to practice in the United States. The statement should indicate that, in the physician’s opinion, the required immunization would be injurious to the health and well being of the child/student or a family or household member. It should specify the specific vaccination contraindicated. Unless a lifelong condition is specified, it is valid for one year from the date signed and must be renewed annually. It does not have to be notarized.

RELIGIOUS CONFLICTS - Religious exemption is granted by an affidavit (notarized) signed by the parent/guardian, stating that the vaccination/s conflict with the tenets or practices of the religion of which they are an adherent or member. During disease outbreaks, religious exemptions may be revoked.