2016-2017 MDHHS/MCIR/SIRS

IP-100 Educational Materials

Retain as a Desk Reference

Macomb County Health Department

School Immunization Program

43525 Elizabeth Road

Mount Clemens, MI 48043

Telephone: (586)466-6840

Fax: (586)466-6953

MCIR Helpdesk: 1-888-243-6652

FALL 2016

LIST OF MATERIALS*

SCHOOL MCIR/SIRS** IP-100 REPORTING

1. Macomb County Health Department (MCHD) Materials

November 2015 & February 2016 Compliancy Waiver Percentage Chart School Bulletin #25 Fall 2016

Q & A for Schools/Preschools/Childcare Centers 08/2016

Q & A for Parents/Guardians or 18 Year Old Students 06/30/2016

Immunization Clinic Hours or Nonmedical Waiver Education Services 06/30/2016

2. Master Forms

MCHD Statement of Varicella Disease (Chickenpox) Revised 6/11

MDHHS Medical Contraindication Form Rev. January 1, 2016

3. Michigan Department of Health and Human Services Department (MDHHS) Materials

MCIR/SIRS Rev. March 31, 2016

Letter To Superintendents, Principals and Directors of Public School Academies July 12, 2016

Teen Vaccines Information For Parents Updated October 22, 2015

The Flu Information for Schools on Influenza and Vaccines July 20, 2016

MEMORANDUM Vision Screening and Reporting for Kindergarten February 9, 2016

Required Childhood Immunizations for Michigan School Settings Rev. March 31, 2016

Dear Parent/Guardian: Key Points Related to Claiming a Nonmedical Immunization Waiver for Children Attending Michigan Schools and Licensed Child-Care Centers April 20, 2016

Nonmedical Waiver Rule for Childhood Immunizations in School and Licensed Childcare: Information for Parents/Guardians April 13, 2016

Vaccine Terminology Rev. March 16, 2016

*Please use the materials provided and dispose all outdated versions in your files.

**Michigan Care Improvement Registry/School Immunization Reporting System

Page 1 of 4

MACOMB COUNTY HEALTH DEPARTMENT

SCHOOL IMMUNIZATION PROGRAM

SCHOOL BULLETIN

NUMBER 25 FALL 2016

MCIR/SIRS ACCESS HAS CHANGED

The Michigan Care Improvement Registry/Schools Immunization Reporting System (MCIR/SIRS) is administered by the Michigan Department of Health and Human Services (MDHHS) and the Michigan Public Health Institute (MPHI).

In the past, access to the MCIR/SIRS was completed by logging on the State of Michigan Single Sign-On (SSO) application.

On July 1, the MDHHS notified the SIP re: the change from the SSO system to MILogin:

“On July 26, the Michigan Care Improvement Registry (MCIR) will no longer be accessed

through the current SSO application, but will migrate to the State’s new MILogin system.”

The MCIR/SIRS is now accessed by going to MILogin at https://milogintp.michigan.gov OR beginning July 26th, through a link on mcir.org.

MILogin will replace the SSO Login on the mcir.org website.

MILogin is the new State of Michigan Identity, Credential and Access Management (MICAM)

solution. The MILogin solution will provide enhanced single sign-on (SSO) capabilities in addition to meeting many other business requirements and security and compliance needs.

For assistance contact the MCIR Helpdesk at 1-888-243-6652, Monday through Friday from

8:30 a.m. to 4:30 p.m. (except holidays) or go to www.mcir.org for more information.

Or, contact the MILogin Client Service Center at 1-800-968-2644 or 517-241-9700.

Page 2 of 4

NONMEDICAL WAIVER EDUCATION IS BY APPOINTMENT ONLY

Instruct parents to “Call the SIP for a waiver education appointment.”

Avoid saying, “You have to go to the health department for a waiver.” o The second statement may lead parents to believe that walk-in waiver education

is available like walk-in immunization services.

o The difference in the use of call vs. go can decrease frustration for parents and staff.

For individuals seeking nonmedical waiver information, please copy and provide the SIP Q & A for Parents/Guardians or 18 Year Old Students for information to make a waiver education appointment at the Mount Clemens Health Center.

For individuals asking for MCHD Immunization Clinic services, please copy and provide the Immunization Clinic Hours flyer for information to receive immunization services at 3 MCHD centers.

2016 IMMUNIZATION REQUIREMENTS REMAIN THE SAME

Please see the MDHHS Required Childhood Immunizations for Michigan School Settings (Rev. March 31, 2016) for vaccines required for school entrance and attendance.

November 2016 and February 2017 IP-100 REPORTING PROCEDURE

All certified nonmedical and approved medical waiver forms received for children on the

current roster, must be faxed or mailed with the following four reports:

1. IP 100 Summary

2. Waivers – only if you have waivered students

3. Provisionals

4. Incompletes

The SIP will review all waiver forms for authenticity.

Do not fax nonmedical waivers intermittently.

REPORT DUE DATES

Report Period November 2016

February 2017

Earliest date to submit Monday October 3, 2016 Tuesday January 3, 2017

Report due date

No later than

Tuesday November 1, 2016 @ 5:00 p.m.

Wed. February 1, 2017 @ 5:00 p.m.

Minimum compliance rate 90% 95%

Page 3 of 4

STATE OF MICHIGAN IMMUNIZATION ADMINISTRATIVE RULES CHANGE Effective January 1, 2015, the Michigan Public Health Code Rule (R325.176) for nonmedical waivers is:

Rule 6 (12) “When presented with a medical, religious or other exemption, the administrator of a child’s school

or operator of a child’s group program shall recognize the exemption status of the child. Each nonmedical

exemption filed at the child’s school or group program of a child entering a program after December

31, 2014 shall be certified by the local health department (LHD) that the individual received education

on the risks of not receiving the vaccines being waived and the benefits of vaccination to the

individual and the community. All waivers shall be submitted using the waiver form prescribed by the

department.”

NOTE: Parents/Guardians/18 year old students should present a certified nonmedical Immunization

Waiver Form or Medical Contraindication Form at the time of registration to a school, preschool or

childcare center. For the purpose of reporting to Macomb County Health Department, a child without a

waiver can be admitted and attend, but must submit a waiver within 30 days of the first date of

attendance. A school, preschool or childcare center may have more stringent program admittance and

waiver submission rules. Waiver education appointments may not be immediately available in such cases.

NONMEDICAL WAIVERS “A nonmedical waiver is a parent’s/guardian’s written statement

indicating the religious or philosophical (other) objections to a particular vaccination(s).” (MI FAQ)

The State of Michigan nonmedical Immunization Waiver Form (Rev. January 1, 2016) must be used. All LHDs across the state must provide nonmedical waiver education services and provide a certified

nonmedical waiver following a waiver education appointment. Nonmedical waivers are no longer approved or denied. Physicians cannot provide nonmedical waiver education or certify nonmedical waivers.

Nonmedical waiver education sessions are by appointment only at the Mount Clemens Health Center.

Individuals can call (586)466-6840 to schedule an appointment. Public Health Nurses provide the 1-on-1 waiver education session.

Not a Class - Not a Video - Not a Lecture – Not a Power Point Presentation. 20-30 minutes needed. Reason for waiver can be stated as religious or other objection to immunization. The LHD will waive the vaccines appropriate for the child’s age and program requirements. Upon completion of the waiver education session, the Immunization Waiver Form is completed

and signed by the parent/guardian/18 year old student and signed and stamped (certified) by a Public Health Nurse.

Parents/guardians/18 year old students are required to take the certified waiver to their school or program.

MEDICAL WAIVERS “A medical waiver is a signed statement from the physician that the child

cannot receive a certain vaccine due to a true contraindication or precaution to the vaccine or a vaccine

component.” (MI FAQ) The State of Michigan Medical Contraindication Form (Rev. January 1, 2016) must be used. English and Spanish versions are available online at www.michigan.gov/immunize>Local Health

Departments>Immunization Waiver Information>Health Care Providers Section. Physicians should only check boxes for vaccines that are medically contraindicated. Reason, physician name, address, signature and date is required. Parents/guardians/18 year old students are required to take the completed form to the school or program. Schools or programs must record the non-administered vaccines into MCIR indicating medical as the reason. Fax or mail a copy of the medical waiver form to the SIP.

The MCHD Medical Director reviews medical waivers for valid medical contraindications.

The SIP will fax or mail the approved or denied medical waiver back to the program with a follow–up letter

and instructions. Denied medical waiver disposition forms will no longer be used.

Page 4 of 4

WEEKLY COMMUNICABLE DISEASE ONLINE REPORTING IS REQUIRED

The CD Program is responsible for public health efforts in communicable disease and influenza prevention, surveillance and control.

In 2010, the Communicable Disease (CD) Program implemented an online system at https://weeklycdreporting.macombcountymi.gov/SchoolCDForm.aspx.

Paper reports are no longer used. Visit http://health.macombgov.org/Health-Programs-HPDC-CommunicableDiseases OR call the CD Program for questions or problems at: Macomb County Health Department Telephone: (586)783-8190 Communicable Disease Program Fax: (586)493-0075 43525 Elizabeth Road Mount Clemens, MI 48043

SCHOOL IMMUNIZATION PROGRAM WEBSITE TOPICS Immunization Waiver Update

Kindergarten Entry Booklet

Childcare/School August Mailing Packets

Forms

Childcare/School Immunization Procedure Manuals

Childcare/School Compliancy Rates

County Quarterly Immunization Report Card Visit: http://health.macombgov.org/Health-Programs-HPDC-SchoolImmunization

CALL THE SIP FOR MCIR/SIRS IP-100 Reporting QUESTIONS or PROBLEMS Macomb County Health Department Telephone: (586)466-6840

School Immunization Program Fax: (586)466-6953 43525 Elizabeth Road Mount Clemens, MI 48043

CALL THE MCIR/SIRS HELPDESK @ 1-888-243-6652 to obtain web access or technical assistance for the MCIR/SIRS.

Follow the Macomb County Health Department on Facebook

08/2016 SIP Page 1 of 2

Macomb County Health Department (MCHD)

School Immunization Program (SIP)

43525 Elizabeth Road

Mount Clemens, MI 48043

Q & A for Schools/Preschools/Childcare Centers

What current information is available for medical and nonmedical waivers? For all children through age 18 years, Michigan Public Health Code requires waivers be signed in the

year in which a child’s immunization status is assessed and reported for school and childcare purposes:

this includes children entering a licensed childcare center, preschool, Head Start, and school-aged

children who are new entrants to a school district, in kindergarten, or in 7th

grade.*

Parents/Guardians/18 year old students should present a certified nonmedical Immunization Waiver Form

or Medical Contraindication Form at the time of registration to a school, preschool or childcare center. For

the purpose of reporting to Macomb County Health Dept., a child without a waiver can be admitted and

attend, but must submit a waiver within 30 days of the first date of attendance. A school, preschool or

childcare center may have more stringent program admittance and waiver submission rules. Waiver

education appointments may not be immediately available in such cases.

Schools, preschools and childcare centers remain responsible for entering all waivered vaccines

into a child’s MCIR/SIRS record.

Place a waiver copy in the child’s record and one copy in the master file of all children with waivers.

Previously approved MCHD medical or parental waivers remain valid until the child reaches a new

immunization assessment, e.g., preschool to kindergarten, students entering 7th

grade or new to district

or childcare program. A certified nonmedical or medical waiver is now needed.

If the child has a certified nonmedical waiver for all age appropriate and required vaccines, a new

waiver is not needed when:

o A child was reported on an IP-100 for developmental kindergarten, and remains in the same

school district for kindergarten entry. The child does not need a new waiver or be reported again

on the IP-100 for kindergarten entry.

o A child moves to any new school, preschool or childcare center, and is not entering

developmental kindergarten, kindergarten, or 7th

grade. The certified waiver can be accepted at a

new school, preschool or childcare center. The name of the new school or program does not need

to be on the form.

o A child remains enrolled at the same school, preschool or childcare center for consecutive years.

Waivers do not need to be signed on a yearly basis. According to the Michigan Department of Health and Human Services (MDHHS) Division of Immunizations:

*‘Students in Special Education that are not identified with a grade would be reported either as

SE=Special Education or at the age appropriate for the average student in kindergarten (5 y/o) and 7th

grade (12 y/o). ECDD or PPI students 5 y/o or older should be assessed as school age students. ECDD

students < 5 y/o should be assessed as though they are childcare and reported through the IP-101.’

‘McKinney Vento – is a child who is homeless and would not be required upon entry to receive the

waiver education. The child would be marked as McKinney Vento for the November and February

reporting period.’ Schools are responsible to ensure the McKinney Vento Act rules are followed.

‘Exchange students need to comply with the rule change and receive waiver education just as any other

student attending school in Michigan.’

Alterations of the Immunization Waiver Form constitutes an invalid waiver. A school, preschool or

childcare center cannot accept forms that have information crossed out or words, statements or

objections added to the Instructions to Parents or Guardians section on the form.

08/2016 SIP Page 2 of 2

All certified nonmedical and approved medical waiver forms received for children on the current roster, must be

faxed or mailed with the following four reports: 1. IP-100/101 Summary

2. Waivers – only if you have waivered students

3. Provisionals

4. Incompletes

The SIP will review all waiver forms for authenticity.

Nonmedical waivers should no longer be faxed intermittently.

NONMEDICAL WAIVERS: The State of Michigan Immunization Waiver Form (Rev. January 1, 2016) will be used,

signed and stamped (certified) by a LHD. Nonmedical waivers are no longer approved or denied, but are issued

upon completion of the waiver education session at a LHD.

It is preferred that all Macomb County residents receive waivers from the Macomb SIP, but

waivers certified by any LHD in the state are acceptable.

MEDICAL WAIVERS: The procedures to process a medical waiver remain the same, except the State of

Michigan Medical Contraindication Form (Rev. January 1, 2016) is now required.

When a parent/guardian or 18 year old student submits a medical waiver to the office, please check all

areas of the form, especially that it has been signed by a physician with the reason for exemption section

completed.

Enter the vaccines to be waived in the child’s MCIR/SIRS record and fax the medical waiver to the SIP.

The Macomb County Health Department Medical Director continues to review all medical waivers for

valid medical contraindications to the vaccines checked and will approve or deny the medical waiver.

The SIP will fax the medical waiver form reviewed and signed by the medical director (disposition

forms will no longer be used) back to the school, preschool or childcare center.

If the waiver was approved, keep a copy in the child’s record and one in the school’s or program’s

master file of children with waivers.

If the waiver was disapproved, remove the waivered vaccines from the child’s MCIR/SIRS record and

contact the parent/guardian or 18 year old student that the waiver was not approved for the reason the

medical director provided on the form.

A letter and instruction sheet will be faxed with each disapproved medical waiver to be used in guiding

the parent/guardian or 18 year old student on the next steps they must take.

STATEMENT of VARICELLA DISEASE: The form should be placed in the child’s record and a copy in

school’s or program’s master file of children with waivers.

FINDING WAIVER FORMS ONLINE: www.michigan.gov/immunize>Local Health Departments >

Immunization Waiver Information

A BLANK Immunization Waiver Form is not available. Previously dated versions of this form are not

acceptable for use.

A BLANK Medical Contraindication Form (Rev. January 1, 2016) is in the Health Care Providers section.

A BLANK Statement of Varicella Disease form (Revised 6/11) is available from the SIP.

o These two forms were provided in the 2016 August Mailing Packet.

Call the SIP at (586)466-6840 for questions or assistance. Fax reports and waiver forms to (586)466-6953.

Visit the SIP website at: http://health.macombgov.org/Health-Programs-HPDC-SchoolImmunization.

Follow the Macomb County Health Department on Facebook

06/30/2016 Schools, Preschools, Childcare Centers and Clinics:

PLEASE COPY AND DISTRIBUTE THIS FLYER TO PARENTS/GUARDIANS/STUDENTS

Macomb County Health Department (MCHD)

School Immunization Program (SIP)

43525 Elizabeth Road

Mount Clemens, MI 48043

Call (586)466-6840 TO SCHEDULE A WAIVER EDUCATION APPOINTMENT

Q & A for Parents/Guardians or 18 Year Old Students

What steps are needed to obtain a certified nonmedical Immunization Waiver Form?

Michigan Public Health Code requires waivers be signed in the year in which a child’s immunization

status is assessed and reported for school and childcare purposes which includes attendance in:

o A licensed childcare center

o Preschool or Head Start

o Kindergarten or developmental kindergarten

o 7th

grade

o School-aged children who are new entrants to a school district

Parents/guardians/18 y/o students must receive waiver education at a local health department on the:

o benefits of vaccination

o risks of vaccine-preventable diseases to the individual and community

Call the School Immunization Program at (586)466-6840.

Waiver education appointments are available for Macomb County residents and those attending

Macomb County schools, preschools or childcare centers.

Appointments are one-on-one with a public health nurse at the Mount Clemens Health Center.

Walk-in requests for waiver education are not available.

A nonmedical immunization waiver cannot be issued through a school, preschool, or childcare center.

Upon completion of the required waiver education, parents/guardians/18 y/o students will:

o Receive a certified waiver (MCHD employee signature, address stamp, and date) on the

State of Michigan Immunization Waiver Form (Rev. January 1, 2016).

o Be required to take the certified nonmedical waiver form to the school, preschool or childcare

center. Copies of the waiver will be made and placed in the child’s record and one in the school’s

or program’s master file of children with waivers.

o Be responsible to retain the original waiver form and keep it safe, like an original birth

certificate.

Written alteration of the Instructions to Parents or Guardians section on the Immunization Waiver

Form, constitutes an invalid waiver and cannot be accepted by a school, preschool or childcare center.

Additional notes

Children that do not have the required doses of vaccines (unless they have provisional status) and do not

have a waiver on file, must be EXCLUDED from the school, preschool or childcare center.

Medical waivers, for valid health contraindications, require the State of Michigan Medical

Contraindication Form (Rev. January 1, 2016). The form is available at a school, preschool, childcare center

or online. Parents/guardians/18 y/o students are responsible to have their physician (M.D., D.O., P.A. or

N.P.) complete and sign the required sections and take the form to the school, preschool or childcare

center. The form will then be faxed to the SIP for review by the MCHD Medical Director.

Macomb County Health Department 1. Immunization OR 2. Nonmedical Waiver Education Services

THESE SERVICES ARE CONDUCTED BY TWO SEPARATE COUNTY PROGRAMS. PLEASE READ EACH SECTION CAREFULLY TO CONTACT THE PROGRAM YOU NEED.

06/30/2016

Schools, Preschools, Childcare Centers and Clinics: PLEASE COPY AND DISTRIBUTE THIS FLYER TO PARENTS/GUARDIANS/STUDENTS

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Mt. Clemens Health Center 43525 Elizabeth Road Mt. Clemens, MI 48043

(586) 469-5372

Closed

Closed

Open 8:30-4:30

Open 8:30-6:30

Open 8:30-4:30

TB testing 8:30-4:30

TB testing 8:30-4:30

No TB testing

Southwest Health Center 27690 Van Dyke, Ste. B Warren, MI 48093

(586) 465-8537

Closed Open

8:30-4:30 Open

8:30-4:30 Open

8:30-6:30 Open

8:30-4:30

TB testing 8:30-4:30

TB testing 8:30-4:30

No TB testing TB testing 8:30-4:30

Southeast Health Center 25401 Harper Avenue St. Clair Shores, MI 48081

(586) 466-6800

Closed Closed

Open 8:30-6:30

Open 8:30-4:30

Open 8:30-4:30

TB testing 8:30-4:30

TB testing 8:30-4:30

TB testing 8:30-4:30

2. Information for NONMEDICAL WAIVER EDUCATION SERVICES ONLY

• For parents, guardians or 18 year old students seeking a nonmedical immunization waiver, a waiver education session is available by

appointment only through the School Immunization Program.

• Please call (586) 466-6840 to schedule an appointment.

• The waiver education session is one-on-one with a public health nurse. • The Immunization Waiver Form (nonmedical waiver form) is not available online or at your school or childcare center office. • The public health code requires waivers be signed in the year in which

a child’s immunization status is assessed and reported for school and childcare purposes:, which includes: all children in a licensed childcare center, preschool, Head Start; and school-aged children who are new entrants to a school district, in kindergarten or developmental kindergarten, or in the 7th grade, including children in special education programs.

• Per the requirements of the Michigan Public Health Code, R325.176(12), all nonmedical Immunization waivers “shall be certified by the local health department (LHD) that the individual received education on the risks of not receiving vaccines being waived and the benefits of vaccination to the individual and the community.” • The Medical Contraindication Form (medical waiver form for valid

medical contraindications to vaccines), is available online or at your school or childcare center office. Contact the office for information about obtaining and submitting a medical waiver for review by the Macomb County Health Department Medical Director.

1. Information for IMMUNIZATION CLINIC SERVICES ONLY

A PARENT OR GUARDIAN MUST be available to complete & sign immunization consent forms for each child. FORMS ARE AVAILABLE AT: http://health.macombgov.org/Health-Programs-FamilyHealthServices-ImmunizationClinic PLEASE BRING WITH YOU TO THE HEALTH CENTER: IMMUNIZATION RECORD(S) for all persons being immunized INSURANCE CARD(S) for all persons being immunized There may be monetary charges for vaccine administration, payable by CASH or CHECK ONLY. Medicaid/Medicare will be billed for approved vaccines. Macomb County Health Department can bill some commercial insurances for immunization services. Please contact one of our health centers above to check if the Macomb Health Department accepts your insurance.

STATEMENT

OF

VARICELLA DISEASE

(CHICKENPOX)

Macomb County Immunization Regulations require all children admitted to

any public, private, or parochial elementary or secondary school, day care

center, camp, or any other organized care or educational facility operating

in Macomb County to present a certificate indicating dates of all required

immunizations.

Complete the portion below only if your child has had varicella

(chickenpox) disease. This must be signed and witnessed at your child’s

school/child care program.

I certify my child:____________________________________________ Last Name First Name M.I.

____________________________________________ Birth Date Grade Date of School Enrollment

has had varicella disease ______________________________________ (When did varicella occur: age or date)

Signature: _________________________ Date: _________________ (Parent or Legal Guardian)

Witnessed by: ______________________ Date: _________________ (School/Program Staff)

School District: ______________________________________________

School/Child Care Program: ___________________________________

PLACE IN CHILD’S PERMANENT RECORD

MCHD/SIP 6/99, Revised 6/11

DCH-0713 AUTHORITY: P.A. 368, PART 92, 1978, as amended Rev. January 1, 2016

2 01 T O W N S E N D S T R E E T LA N S I N G , M I C H IG A N 4 8 91 3

www.michigan.gov/mdhhs 517-373-3740

RICK SNYDER

GOVERNOR

STATE OF MICHIGAN

DEPARTMENT OF HEALTH AND HUMAN SERVICES

LANSING

NICK LYON

DIRECTOR

Medical Contraindication Form

Michigan immunization law requires that a child enrolled in a school or childcare center be immunized against the diseases specified unless a valid exemption applies. A child is exempt from these requirements for any specific immunization for any period of time for which a physician certifies that a specific immunization is or may be detrimental to the child's health. Any child with a medical contraindication to a particular vaccination is considered susceptible to that vaccine-preventable disease, and is subject to exclusion from school or childcare center if an outbreak of the disease occurs in the school or center. PLEASE PRINT:

NAME OF CHILD (Last, First, Middle Initial)

BIRTH DATE (Mo/Day/Yr)

Preschool Program Or Childcare Center or School Name:

The following immunization(s) are medically contraindicated:

☐ DTaP, DT, Td, Tdap (Diphtheria, Tetanus, Pertussis) ☐ Haemophilus influenzae type b

☐ Polio ☐ Pneumococcal Conjugate

☐ Hepatitis B ☐ Varicella (chickenpox)

☐ MMR (Measles, Mumps, Rubella) ☐ Meningococcal Conjugate

Reason for exemption_______________________________________________________________________________

The exemption shall continue until (Mo/Day/Yr): _________________________________________________________

PRINT NAME & ADDRESS OF PHYSICIAN

TELEPHONE

( )

PHYSICIAN’S SIGNATURE (REQUIRED)

DATE

School and Childcare Staff: File in the child’s permanent record and send a copy to your local health department. *Condition of acceptance is based on local health department policies.

Rev. March 31, 2016

Toll-free MCIR helpdesk number is ………….. 1-888-243-6652

The following materials can be found on www.MCIR.org and should be reviewed.

Childcare packet: School packet:

MCIR/SIRS Information Sheet

Childcare Cover Letter

Required Immunization Chart for

Childcare

Influenza Information for Childcare

Centers

Waiver Key Point Flyer

Waiver FAQ for Parents

Vaccine Terminology

MCIR/SIRS Information Sheet

School Cover Letter

Information for Parents – Teen Vaccines

Papillomavirus, Meningococcal &

Vaccines for Pre-Teens and Teens

Influenza Information for Schools

Vision Screening Information

Required Immunization Chart for

Schools

Waiver Key Point Flyer

Waiver FAQ for Parents

Vaccine Terminology

January – December: Build your roster, making sure that appropriate reporting period

and grade is marked for each student. Use current grade, or

roundup for kindergarten in the Spring and Summer of 2016 – all

students will be advanced automatically on August 1st.

October 1st: Childcare closes the report period by going into IP Status and clicking on

the “close period” button on October 2nd. (The button will not be

highlighted and you will not be able to close the period if you are not at

90% compliancy.) Continue to update immunization records until you

reach at least 90% compliancy.

November 1st: School closes the report period by going into IP Status and clicking on

the close period button. (The button will not be highlighted and you will

not be able to close the period if you have not obtained at least 90%

compliancy). Submit vision report for all kindergarten students.

Continue to update immunization records until you reach at least 90%

compliancy.

February 1st: School closes the report period by going into IP Status and clicking on the

“close period" button. (The button will not be highlighted and you will

not be able to close the period if you are not at 95% compliancy).

Continue to update immunization records until you reach at least 95%

compliancy. Contact your local health department or the help desk if you

have any questions about reporting.

Meningococcal vaccines protect you against

meningitis, which affects the brain and spinal cord.

If you contract meningitis, it can cause brain damage, severe disabilities or death.

Common symptoms include a fever, rash,

headache, or stiff neck.

It is spread through close contact with an infected

person, such as coughing, kissing, and sharing food or drinks. This disease is

easily spread.

MCV is given at 11-12 years of age with a

second dose at 16. MenB is given at 16-18 years of age in a series of doses. If

you have not received these vaccines before you get your diploma, talk to your health care provider

about catch-up.

Meningococcal

Vaccines (MCV, MenB)

Many vaccines are given during childhood to give you life-long protection

against diseases.

If you have not received all of the below vaccines,

it is not too late!

3 doses of hepatitis B vaccine (Hep B)

2 doses of hepatitis A

vaccine (Hep A)

2 doses of measles, mumps, rubella vaccine

(MMR)

2 doses of varicella (chickenpox) vaccine

At least 3 doses of polio

vaccine (IPV or OPV)

Flu vaccine every year

These vaccines are important, especially if you plan to travel. You need all doses for full

protection.

Adolescent

Catch-Up

Tdap vaccine protects you against pertussis

(whooping cough), diphtheria, and tetanus.

Tetanus causes painful

tightening of the muscles and is very serious. It is found in soil and enters

the body through a cut or wound.

Diphtheria can make you unable to breath or move body parts. It is spread by

coughing or sneezing.

Pertussis can cause severe coughing and

choking, making it difficult for you to breathe or eat. It is spread by coughing,

sneezing or close contact with an infected person.

Tdap vaccine is usually

given at the 11-12 years of age. However, anyone

who has not had Tdap vaccine needs a dose.

HPV vaccine protects against cervical cancer in women and genital warts in men and women. It will also protect you against several other cancers.*

HPV is a common

infection transmitted by skin-to-skin contact

during sexual activity. Even if you do not have

sex, you can still get HPV. HPV infection often has

no symptoms so you could have it and not

know.

The best time to get HPV vaccine is at 11-12 years

of age, well before sexual activity starts. However, if

you missed your doses, you should still get the

vaccine through 26 years of age.

This vaccine is very

effective against several types of HPV and works best if you get all three

doses prior to exposure.

Tetanus, Diphtheria,

Pertussis (Tdap)

Human

Papillomavirus (HPV)

*Other cancers include: anal, penile, vaginal, and vulvar. Updated October 22, 2015

MDE and MDHHS are required by law (MCL 380.1177a) to develop and make available to schools information on meningococcal and HPV vaccines. MDHHS is also required (MCL 333.9205b) to notify schools of the availability of HPV educational materials, and encourage schools to make them available to parents.

12

Teen Vaccines Information

For parents

July 20, 2016

Yes. The Centers for Disease Control and Prevention (CDC) and Michigan Department of Health and Human Services (MDHHS) recommend that children 6 months of age and older receive flu vaccine every year to help them stay healthy.

Flu vaccine is the single best way to protect children and adults from getting the flu. Flu vaccine is recommended every year for everyone 6 months of age and older. It is also very important to make sure students stay home from school if they are sick.

Get a flu vaccine and encourage others in contact with children to get vaccinated – parents, siblings, teachers, secretaries and other support staff. Getting vaccinated is especially important for those who take care of infants less than 6 months of age because these babies are too young to get a flu vaccine.

It is recommended that school-aged children get the flu shot for the 2016-2017 flu season. Some children may need 2 doses of flu vaccine. Healthcare providers should determine which type of flu vaccine a child gets and how many doses are needed.

FluMist®, the nasal spray flu vaccine, was found to be ineffective in preventing the flu, especially among children, in the past three flu seasons. Health officials closely monitor vaccine effectiveness and want to ensure that people are receiving the best protection against the flu. This is an example of improving public health policies based on new data.

fluthe

Information for Schools on Influenza and Vaccines Vaccines VaccinesIs flu vaccine

recommended for children in

schools?

How can students be

protected from the flu?

What can I do to protect students?

What kinds of flu vaccine

can students get?

Why is the nasal spray

flu vaccine no longer

available?

July 20, 2016

How often should

students be vaccinated?

Are flu vaccines

safe?

Are there side effects from

the flu vaccine?

What if a student’s

family cannot afford

vaccine?

What is influenza or

the “the flu?”

Where can I get more

information?

Flu vaccines change from year to year, so children and adults need to get a flu vaccine every year. The vaccine can be given as soon as it becomes available (as early as August) and should be given throughout the entire flu season until the vaccine expires (typically June 30).

Yes, flu vaccines are safe and can be given with other vaccines. It is safer to get the flu vaccine than it is to get the flu.

Most children and adults have little or no problems after getting a flu vaccine. Side effects are often mild, like soreness or redness in the arm where the child received the shot. Children 18 years of age and younger may be eligible to receive publicly purchased vaccines through the Vaccines for Children (VFC) program. To learn more about the VFC program, contact your local health department or healthcare provider.

The flu is an infection that causes fever, headache, muscle aches, dry cough, and sore throat. The flu makes people very sick, and some even die. There are many different flu viruses that make people sick, and they spread easily. Some people who get the flu have no symptoms at all, but they can still spread the flu to others. Contact your healthcare provider or local health department.

Centers for Disease Control & Prevention: cdc.gov/flu Michigan Department of Health and Human Services: michigan.gov/flu Childhood Influenza Coalition: preventchildhoodinfluenza.org Families Fighting Flu: familiesfightingflu.org

M E M O R A N D U M

Michigan Department of Health and Human Services

DATE: February 9, 2016 TO: Principals and Superintendents of all Michigan Public, Private and Parochial Schools SUBJECT: VISION SCREENING and REPORTING FOR KINDERGARTEN

The screening of children’s vision prior to the start of Kindergarten is required in Michigan. Several laws mandate the screening, confirmation of screening, and the reporting of these screenings. Public Health Code Act 368 of 1978, Section 9307 states that “a parent, guardian, or person in loco parentis applying to have a child registered for the first time in a kindergarten or first grade in a school in this state shall present to school officials, at the time of registration or not later than the first day of school, a certificate of hearing and vision testing or screening or statements of exception under Section 9311”. The Revised School Code (Act 451 of 1976, section 380.1177) requires that parents of children entering kindergarten present a statement to school officials confirming that they have received the Michigan Department of Health and Human Services Vision Screening OR a statement, signed by a licensed eye care practitioner (optometrist or ophthalmologist) or medical/osteopathic physician, indicating that a child’s eyes have been examined at least once after age three and before initial school entry may also be presented. School officials are required to enter vision screening data into the MCIR/SIRS system for all kindergarten or developmental kindergarten new entrants by November 1 of each year.

Please note the following points regarding Kindergarten Vision Screening in Michigan:

Parents are responsible for getting their child’s vision screened prior to the first day of Kindergarten

Schools facilitate the screenings by communicating the requirement to parents

Local public health departments offer free screenings for all children in their service area

Schools can facilitate the screenings by including the local health department screening staff during Round-Ups or registration days, if available

Screening statements from the local health department, a licensed eye care practitioner (optometrist or ophthalmologist) or medical/osteopathic physician are acceptable

Screenings are available at no charge to families through your local health department

Best practice is to have the screening take place no more than 6 months prior to the start of school

No child should be denied access to school because the parent did not have the screening completed. Parents should have the screening completed within the first week of school

School officials enter the screenings onto the immunization data entry screen in the MCIR no later than November 1 of each school year

November 1 is not the deadline to have the screening conducted; screenings are to be completed prior to the first day of school

A separate report to MDHHS is no longer required

Schools and screening sites should ensure the following when scheduling their screening day: o Have available a quiet room with table and appropriate chairs for either preschool or

school-age screening o Have available a room with adequate space, outlets, air flow, etc. o Screenings should never be conducted in bathrooms or rooms where other events

are taking place or where unsafe conditions exist o Observers (including parents) must not communicate with children during the

screening to prevent leading responses which can result in false negatives o Failure to ensure the above necessities will result in being asked to reschedule the

screening date If you, or your support personnel responsible for entering vision screening data, have questions regarding this requirement, please contact your local health department’s Vision Screening Program or Dr. Rachel Schumann, Vision Program Consultant for the Michigan Department of Health and Human Services, at 517-335-6596. On behalf of the children of Michigan, many thanks for helping ensure that all Michigan children have good vision as they begin their journey to success in learning and life. MDHHS/Vision Program Revised: February 10, 2016

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April 20, 2016

Dear Parent/Guardian:

Key Points Related to Claiming a Nonmedical Immunization Waiver

for Children Attending Michigan Schools and Licensed Child-Care Centers

In early 2015, Michigan instituted an administrative rule change on nonmedical waivers for childhood

immunizations. Parents/guardians seeking to obtain a nonmedical immunization waiver on behalf of their

child/children who are enrolled in school or licensed child-care programs are required to attend an

educational session where they are provided with information about vaccine-preventable diseases and

vaccinations.

Michigan has one of the highest immunization waiver rates in the country, with select counties

reporting waiver rates up to 12.5% (that is, more than 12% of school-age students in these places

have not received all vaccinations) and individual school buildings reporting even higher waiver

rates

Key Points

The rule applies to parents seeking an immunization waiver on behalf of their children enrolled in

a public or private:

o Licensed childcare, preschool, and Head Start programs

o Kindergarten, 7th grade, and any newly enrolled student into the school district

This rule preserves your ability to obtain a nonmedical waiver.

Nonmedical waivers (religious or philosophical/other objections) are now available at your

county health department and cannot be found at schools/child-care centers.

Parents/Guardians are required to follow these steps when seeking a nonmedical waiver:

1. Contact your county health department for an appointment to speak with a health educator.

2. During the visit, immunization-related questions and concerns of the parents/guardians can

be brought up for discussion with the county health department staff. The staff will present

evidence-based information regarding the risks of vaccine-preventable diseases and the

benefits/risks (mostly moderate side-effects) of vaccination.

3. If, at the end of the visit, you request a nonmedical waiver for your child, you will receive a

copy of the current, certified (stamped and signed) State of Michigan Nonmedical Waiver

Form.

Schools/childcare centers will only accept the current, official State of Michigan

form (Current date: January 1, 2016).

Forms cannot be altered in any way (such as crossing information out).

4. Take current, certified waiver form to your child’s school or childcare center.

If your child has a medical reason (that is, a true contraindication or precaution) for not receiving

a vaccine, a physician must sign the State of Michigan Medical Contraindication Form, available

at your doctor’s office (not the county health department).

Based on the public health code, a child without either an up-to-date immunization record, a

certified nonmedical waiver form, or a physician-signed medical waiver form can be excluded

from school/childcare.

For more information, please visit www.michigan.gov/immunize > then click on Local Health

Departments > then click on Immunization Waiver Information. On this website, there is a link to a list of

all the county health departments, along with their addresses and phone numbers.

April 13, 2016

Nonmedical Waiver Rule for Childhood Immunizations in

School and Licensed Childcare: Information for Parents/Guardians

In early 2015, Michigan instituted an administrative rule change on nonmedical waivers for childhood

immunizations. Parents/guardians seeking to obtain a nonmedical immunization waiver on behalf of

their child/children who are enrolled in school or licensed child-care programs are required to attend an

educational session, where they are provided with information about vaccine-preventable diseases and

vaccinations.

Frequently Asked Questions:

Why is this rule important? Michigan has one of the highest immunization waiver rates in the country, with some counties

reporting waiver rates up to 12.5% (that is, more than 12% of school-age students in these places have

not received all vaccinations). In addition, individual school buildings have reported even higher

waiver rates. High nonmedical waiver rates can leave communities susceptible to the entry of diseases

such as measles, chickenpox, and pertussis (whooping cough) by undermining community or “herd”

immunity that protects vulnerable children (for example, children who cannot be vaccinated for

medical reasons and children with compromised immune systems). Herd immunity can also slow the

spread of disease if a high proportion of individuals are immune to the disease in a community.

Immunization is one of the most effective ways to protect children from harmful diseases and even

death.

How does this rule affect parents/guardians?

Parents/guardians seeking to claim a nonmedical waiver are required to participate in an immunization-

focused discussion with county health department staff. During the discussion, immunization-related

questions and concerns of parents/guardians can be brought up for discussion with the county health

department staff. The staff will present evidence-based information regarding the risks of vaccine-

preventable diseases and the benefits/risks (mostly moderate side-effects) of vaccination. This rule

preserves the ability of parents/guardians to obtain a nonmedical waiver following completion of this

required educational session.

What is a nonmedical immunization waiver? A nonmedical waiver is a written statement by parents/guardians describing their religious or

philosophical (other) objections to specific vaccine/vaccines, on a form provided by the county health

department.

Who does this rule apply to?

The rule applies to parents seeking an immunization waiver on behalf of their children who are

enrolling in a public or private:

• Licensed child-care, preschool, and Head Start programs

• Kindergarten, 7th grade, and any newly enrolled student into the school district

April 13, 2016

What is considered a certified nonmedical waiver? A certified nonmedical waiver is the State of Michigan Immunization Waiver Form with a revision

date of January 1, 2016, displaying the county health department stamp and signatures of the

authorizing agent completing the immunization education and the parent/guardian.

Can a parent/guardian obtain a certified nonmedical waiver form from a school,

childcare center, or healthcare provider? No, a certified nonmedical waiver can only be obtained at a county health department.

How does a parent/guardian obtain a certified nonmedical waiver? Parents/guardians are required to contact their county health department to receive immunization

waiver education and a current certified State of Michigan Immunization Waiver Form.

What if my child has a medical contraindication to a vaccine? This rule does not change the existing process for medical contraindications to vaccination. If your

child has a medical reason (that is, a true contraindication or precaution) for not receiving a vaccine, a

physician must sign the State of Michigan Medical Contraindication Form (which is available at your

doctor’s office, and not the county health department). This form must be completed and signed by a

physician before it can be submitted to a school or child-care center.

What documentation are parents/guardians required to submit to their school or

child-care center? 1. Parents/guardians are required to submit one of the following documents:

• A complete immunization record or

• A physician-signed State of Michigan Medical Contraindication Form or

• A current, certified State of Michigan Nonmedical Immunization Waiver

Form

If one of the above forms is not submitted, then students can be excluded from school or

childcare based on the public health code, unless students are in a provisional category.

(Provisional is defined as a child who has received 1 or more doses of vaccine, however they

need to wait the recommended time to receive the next dose)

2. Waiver forms that are altered in any fashion (for example: information on the form is crossed

out) cannot be accepted by schools/child-care programs.

Where can I find more information? For more information, please visit www.michigan.gov/immunize > then click on Local Health

Departments > then click on Immunization Waiver Information.

The above website provides a complete list of county health departments in Michigan,

including phone numbers and addresses.

CDC

Abbreviation Vaccine Common Names, Synonyms, Brand Names

BCG Bacillus Calmette-Guerin (Tuberculosis)

DT Diphtheria & Tetanus DT pediatric

DTaP Diphtheria, Tetanus, & acellular Pertussis Daptacel®, Infanrix®, Tripedia®

DTaP-HepB-IPV Diphtheria, Tetanus & acellular Pertussis, Hepatitis

B & Inactivated Polio Pediarix®

DTaP-IPV/Hib Diphtheria, Tetanus, acellular Pertussis &

Haemophilus influenza type B & Inactivated Polio Pentacel®

DTaP-IPV Diphtheria, Tetanus & acellular Pertussis,

Inactivated Polio Kinrix™ , Quadracel®

Td Tetanus, diphtheria Td (adolescent/adult), Tenivac,

Tdap Tetanus, diphtheria, & acellular Pertussis Adacel, Boostrix®

HepA Hepatitis A Havrix®, Vaqta®, HAV

HepA-HepB Hepatitis A and Hepatitis B Twinrix®

HepB Hepatitis B Engerix-B®, Recombivax HB®, HBV, HB vaccine

Hib-HepB Haemophilus influenzae type b & Hepatitis B Comvax®

Hib Haemophilus influenzae type b ActHIB®, Hiberix®, PedvaxHIB®

2vHPV Human papillomavirus (bivalent) Cervarix® , HPV2

4vHPV Human papillomavirus (quadrivalent) Gardasil®, HPV4

9vHPV Human papillomavirus (9-valent) Gardasil 9®, HPV9

IIV Inactivated Influenza Vaccine

IIV3 (TIV) Trivalent options Afluria®, Fluarix®, FluLaval®, Fluvirin®, Fluzone®

ccIIV3, RIV3 Trivalent options Flublok ® (RIV3) Flucelvax® (ccIIV3)

IIV3 ID Inactivated Influenza Vaccine (intradermal) Fluzone® Intradermal

IIV4 (QIV) Quadrivalent options Fluarix®, FluLaval®, Fluzone®

LAIV, LAIV4 Live, attenuated influenza (nasal spray) FluMist®

IPV Inactivated Polio IPOL®, eIPV, IPV, Salk Inactivated

MMR Measles, Mumps and Rubella MMR-II®, MMR

MMRV Measles, Mumps, Rubella & Varicella ProQuad®

MPSV4 Meningococcal Polysaccharide Menomune™

MenACWY or

MCV4 Meningococcal Conjugate (4 serotypes) Menactra™ (MenACWY-D) , Menveo® (MenACWY-CRM)

Hib-MenCY Haemophilus influenzae type B & Meningococcal

Conjugate C and Y Menhibrix, HibMen CY-TT

MenB Meningococcal Serogroup B Trumenba™ (MenB-FHbp). Bexsero® (MenB-4C)

PCV13 Pneumococcal Conjugate, 13-valent Prevnar13®

PPSV23 Pneumococcal Polysaccharide, 23-valent Pneumovax®

RV5, RV1 Rotavirus RotaTeq™ (RV5) Rotarix® (RV1)

TT Tetanus Toxoid Tetanus toxoid

VAR Varicella Varivax® *Chickenpox vaccine)

Zoster or HZV Herpes Zoster Vaccine Zostavax® (Shingles vaccine)

Vaccine

Vaccine Terminology

erminology

DCH-0715 AUTHORITY: PA 368 of 1978 as amended Rev. March 14, 2014

*Discontinued Vaccines That May Be On Immunization Records

CDC

Abbreviation Vaccine Common Names, Synonyms, Brand Names

DTP* Diphtheria, Tetanus, & Pertussis* Tri-Immunol*, DTwP*

DTaP* Diphtheria, Teatunus & acellular Pertussis* Tripedia*, Acel-Imune*, Certiva*

DTP-HIB*

Diphtheria, Tetanus, Pertussis, & Haemophilus

influenzae type B* Tetramune*, DTP/ActHib*

DTaP-HIB*

Diphtheria, Tetanus, acellular Pertussis &

Haemophilus influenzae type B* TriHIBit*

Hib* Haemophilus influenzae type b* HibTITER*, ProHIBit*, OmniHIB*

IIV* Inactivated Influenza Vaccine* Fluogen*, FluShield*

IPV* Inactivated Polio* Poliovax*

Measles* Measles (Rubeola)* Attenuvax*

Mumps* Mumps* MumpsVax*

Rubella* Rubella (German Measles)* Meruvax*, Meruvax II*

Measles-Rubella* Measles -Rubella* M-R-VAX II*

Mumps-Rubella* Mumps-Rubella * Biavax II*

OPV* Oral Polio Vaccine* TOPV* Trivalent oral polio vaccine*, Sabin*, Orimune*

PCV7* Pneumococcal Conjugate, 7-valent* Prevnar7*

PPV* Pneumococcal Polysaccharide* PNU-Immune 23*

Td* Tetanus, diphtheria* Decavac*

DCH-0715 AUTHORITY: PA 368 of 1978 as amended Rev. March 16, 2016