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Boulder County Public Health

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Colorado Department of Public Health and Environment

You are here: Health Home > News > Parents Urged to Make Certain Their Children are Up to Date on Immunizations Prior to Attending School


Parents Urged to Make Certain Their Children are Up to Date on Immunizations Prior to Attending School

August 6, 2007— Denver—Colorado Department of Public Health and Environment officials are reminding parents and guardians to make certain their children have all the immunizations required for their age group before they begin the school year this fall.

In January 2007, the department's Board of Health approved three additional vaccine requirements for children in child care and school settings. The three vaccines are for pneumococcal disease, a second dose for chickenpox and for tetanus/diphtheria/pertussis (Tdap) - which is different from the already required DTaP (diphtheria/tetanus/pertussis).

Joni Reynolds, program manager for the Colorado Immunization Program at the department said, "Pertussis, also called whooping cough, is a highly contagious cough illness that can easily be spread from one child to another. It is critical we protect infants from pertussis. Many infected adolescents and adults may be the primary carriers of this disease to infants and other children, where the illness is much more serious, even life threatening.

"The Tdap vaccine provides good protection against pertussis and can help reduce the spread of this disease," added Reynolds. "Teens need a booster dose of pertussis vaccine (Tdap) to provide protection against whooping cough. Young children also receive a pertussis vaccine (DTaP) but the protection begins to wane over time and most teens are now susceptible to pertussis. This new vaccine will boost their antibodies and provide new protection for the teens."

A priority of Gov. Bill Ritter's administration is to increase the rate of childhood immunizations in Colorado. Immunizations are one of the best ways for parents to protect their children and the population at large from many serious childhood illnesses and diseases. The goal is to have 80 percent or more of the state's children fully immunized by 2008.

Jim Martin, executive director of the Department of Public Health and Environment, said, "The best thing parents can do to start their children's school year off right, is to make certain they are up to date on their immunizations." He encouraged parents to schedule an appointment with their health care providers to have their children immunized.

Individuals who do not have health insurance and who want to have their children immunized can call the Colorado Helpline at 1-877-462-2911 to obtain a list of public health clinics offering free and low-cost immunizations.

The Web site, www.immunizecoloradoskids.com, provides clinic locations and other information that parents can download and take with them to their doctor's office. A schedule is provided to help track a child's immunizations. The site was created as part of Colorado's immunization marketing campaign, "Immunize Colorado's Kids. Protect the Ones You Love."

It is recommended that Colorado children have immunizations to protect them from these childhood diseases by the time they enter kindergarten or first grade: diphtheria, tetanus and pertussis or whooping cough (DTaP); haemophilus influenzae type b (HIB); hepatitis A; hepatitis B; influenza; measles; mumps; pneumococcal disease; polio; rotavirus; rubella; and varicella or chickenpox.

Immunizations are required for enrollment at a child-care center, beginning at two months of age, and also are required for school entry.

The 11 required vaccinations are described below:

  • Chickenpox (varicella): The requirement for this vaccine, which first became mandatory in Colorado on July 1, 2000, is being gradually phased in, although health officials recommend that the vaccine be administered to all children and youth up to the age of 18 who have not had the disease. For the 2007-08 school year, one dose of the varicella or chickenpox vaccination is currently required for first through seventh grade. With the new school entry requirement, children entering kindergarten are required to have a second dose of varicella or chickenpox vaccination. Previously, if a parent or guardian confirmed the child already had chickenpox, the immunization would not be required. But the new requirement for the 2007-08 school year requires the vaccine unless there is documentation by a health care provider that the child has had chickenpox.
  • Diphtheria/tetanus/pertussis (DTaP): In general, a total of five doses of diphtheria, tetanus and pertussis (whooping cough) vaccine are required for students entering a Colorado school for the first time. Only four doses of the vaccine are required if the fourth dose was administered on or after the fourth birthday. Children who are between 7 through 9 years of age receive Td vaccine if they need to complete the requirement for tetanus and diphtheria. Children 10 years of age or older receive the Tdap vaccine to complete the requirement for tetanus and diphtheria and to provide protection from pertussis.
  • Hepatitis B: A total of three doses of this vaccine are required for preschool and all grades.
  • Haemophilus influenzae Type B (Hib): This vaccine is a preschool requirement for children 4 years of age or younger but is not required for children 5 years of age or older. One, two or three doses of this vaccine are required, depending on both the child's current age and the age when the vaccine was administered.
  • Measles, mumps and rubella (MMR): Two doses of this vaccine are required for kindergarten through 12th grades. One dose is required for preschool children.
  • Polio: In general, three doses of this vaccine are required for children in preschool. Grade school, middle school and high school students entering a Colorado school for the first time are required to have four doses of this vaccine. The exception to this rule is if a child received his or her third polio vaccine at or after the age of 4, then only 3 doses are required.
  • Pneumococcal disease (Prevnar/PCV7): Pneumonia is a contagious disease that can have serious effects in infants and young children. The vaccine, Prevnar (PCV7), is an effective immunization administered in a series to children to prevent pneumonia. The Centers for Disease Control and Prevention recommends the routine vaccination of children in preschool with the vaccine PCV7. It now will be required for children in licensed child-care through 23 months of age, and the number of doses depends on when the vaccine was initially administered.
  • Tetanus/diphtheria/pertussis (Tdap): The Centers for Disease Control and Prevention recommends all 11- to 12-year olds receive a dose of Tdap. In Colorado, Tdap vaccine will be required for all incoming sixth and tenth graders this upcoming school year, and in subsequent years that schedule will incorporate other grades as well. The State Health Department advises parents and guardians to take immunization records with them when enrolling a child in a Colorado school for the first time.

Reynolds said that if the school determines that a child's immunizations are incomplete, parents have only 14 days after receiving notification from the school for their child to receive the first recommended immunization and to present to the school a written plan for completion of the remaining immunizations.

Reynolds added that Colorado law permits schools to suspend students until receiving proof that the immunization requirements have been completed, are in process or that a parent has chosen to file a request for exemption. The state's schools are to deny admittance of students who do not present an immunization record at the beginning of school.

Under Colorado law, parents may choose to have their children exempted from immunization requirements for medical, religious or personal reasons. Exemption forms, which are required in lieu of the certificate of immunization for those parents who choose exemption, are on the reverse side of the state's Certificate of Immunization and can be obtained from doctors' offices and at schools.

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