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2695 S. SW Loop 323
Tyler, TX 75701
903-579-6000

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Indicates changed information for 2005.

All Saints Nurse's Notes



Medical Forms for ASES
 

IMMUNIZATION REQUIREMENTS

In order to prevent the spread of communicable diseases, the American Academy of Pediatrics' recommends universal immunization of all children against nine diseases including diphtheria, pertussis, tetanus, poliomyelitis, Haemophilus influenzae type b, measles, mumps, rubella and hepatitis B.

Vaccines are responsible for the control of many infectious diseases that were once common in this country. Vaccines have reduced, and in some cases, eliminated, many diseases. However, the viruses and bacteria that cause vaccine-preventable diseases still exist and can be passed on to people who are not protected by vaccines.

 

 

 

 


Children and Students Included in State Immunization Requirements

25 Texas Administrative Code §97.61 states the immunization requirements apply to all children and students entering, attending, enrolled in, and/or transferring to childcare facilities, public schools, private schools, nonpublic schools, or parochial schools. Section 38.001 of the Texas Education Code, requires that each student be fully immunized as a requirement for admission to any elementary or secondary school.

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Immunizations Policy for All Saints Episcopal School


In accordance with state immunization guidelines, All Saints Episcopal School requires that each student must have a complete immunization record on file. The parent must provide an immunization record from a physician or health department showing complete dates of the required immunizations. When a child transfers from another school, the parent or guardian, or the previous school attended, has 30 days to furnish All Saints School with the child's record of immunizations or exemption from immunizations. A student may be admitted provisionally if he or she has begun the required immunizations and if he or she continues to receive the immunizations as rapidly as is medically feasible.


If there are medical or religious reasons a child cannot be vaccinated, please contact the school nurse for further information. For more information on immunizations see the immunization requirements for each age group.

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IMMUNIZATION REQUIREMENTS FOR 4 YEAR OLD
KINDERGARTEN STUDENTS
AUGUST 2005

  • Four doses DTP/DTap vaccine
    (Additional booster needed on or after the 4th birthday)

  • Three doses polio vaccine
    (Additional booster needed on or after the 4th birthday)

  • One dose MMR vaccine
    (Received on or after 1st birthday)

  • One additional dose Measles vaccine
    (This dose may be received as second MMR)

  • HibCV vaccine
    (As a series with booster, or one dose on or after 15 months, or physician-validated history of invasive Heamophilus influenzae type b disease)

  • Three doses hepatitis B vaccine

  • One dose varicella vaccine
    (Received after 1st birthday)
    Or proof of Chicken Pox Disease

  • Hep A
    2 doses (the 1st one given after age 24 months followed by the 2nd dose after 6 months)

  • Prevnar
    (pneumococcal) 3 doses, 2 months apart

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IMMUNIZATION REQUIREMENTS FOR
5K and FIRST GRADE STUDENTS
AUGUST 2005

  • Five doses DTP/DTap vaccine
    (Including one received on or after the 4th birthday)

  • Four doses polio vaccine
    (Including one received on or after the 4th birthday)

  • One dose MMR vaccine
    (Received on or after 1st birthday)

  • One additional dose Measles vaccine
    (This dose may be received as second MMR)

  • HibCV vaccine
    (As a series with booster, or one dose on or after 15 months, or physician-validated history of invasive Heamophilus influenzae type b disease)

  • Three doses hepatitis B vaccine

  • One dose varicella vaccine
    (Received after 1st birthday)
    Or proof of Chicken Pox Disease

 

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IMMUNIZATION REQUIREMENTS FOR STUDENTS
7 YEARS TO 11 YEARS

AUGUST 2005

  • Three doses Tetanus vaccine
    (Including one received on or after the 4th birthday)

  • Three doses polio vaccine
    (Including one received on or after the 4th birthday)

  • One dose MMR vaccine
    (Received on or after 1st birthday

  • One additional dose Measles vaccine
    (This dose may be received as second MMR)

  • Three doses hepatitis B vaccine
    (By 5th birthday for children born on or after September 2, 1992)

  • One dose varicella vaccine
    (Received after 1st birthday)
    Or proof of Chicken Pox Disease

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IMMUNIZATION REQUIREMENTS FOR STUDENTS
12 YEARS AND OLDER

AUGUST 2005

  • Three doses Tetanus vaccine
    (Including one received on or after the 4th birthday)
    and then:
    Tetanus Booster due ten years after last dose

  • Three doses polio vaccine
    (Including one received on or after the 4th birthday)

  • Two doses of measles vaccine
    (Must show proof within 30 days after 12th birthday)

  • Three doses hepatitis B vaccine - only required for students born after September 2, 1988
    (Children born between 9/2/88 and 9/1/92 must show
    proof of three doses WITHIN 30 DAYS AFTER THEIR 12TH BIRTHDAY)

  • One dose varicella vaccine- only required for students born after September 2, 1988
    (Received after 1st birthday or within 30 days after their 12th birthday. If first dose is after age 13, two doses are required)
    Or proof of Chicken Pox Disease

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: Bacterial Meningitis

Senate Bill 31, passed by the Texas Legislature, requires that all schools in the state of Texas provide the following information to parents. There is no connection with the release of this information and the current world status. There is no reason for alarm. Meningitis is most commonly spread in the college dormitories due to the close living arrangements, but the legislature felt it was important for all parents to be made aware of the disease.


Commonly Asked Questions About Meningitis

What is meningitis?
What are the symptoms?
How serious is bacterial meningitis?
How is bacterial meningitis spread?
What is the risk of getting bacterial meningitis?
How is bacterial meningitis diagnosed?
How can bacterial meningitis be prevented?
What should you do if you think you or a friend might have bacterial meningitis?
For More Information

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Meningitis is an inflammation of the covering of the brain and spinal cord-also called the meninges. It can be caused by viruses, parasites, fungi, and bacteria. Viral (aseptic) meningitis is common; most people recover fully. Medical management of viral meningitis consists of supportive treatment and there is usually no indication for the use of antibiotics. Parasitic and fungal meningitis are very rare. Bacterial meningitis is very serious and may involve complicated medical, surgical, pharmaceutical, and life support management.

There are two common types of bacteria that cause meningitis:

  • Strep pneumoniae causes pneumococcal meningitis; there are over 80 subtypes that cause illness
  • Neisseria meningitides or meningococcal meningitis; there are 5 subtypes that cause serious illness: A, B, C, Y, and W-135.

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Someone with meningitis will be come very ill. The illness may develop over one or two days, but is can also rapidly progress in a matter of hours. Not everyone with meningitis will have the same symptoms.

Children over one year old and adults with meningitis may have the following symptoms:

Severe headache
High temperature
Vomiting
Sensitivity to bright lights
Neck stiffness, joint pains
Drowsiness or confusion
Rash of tiny, red-purple spots or bruises**

**In both children and adults, there may be a rash of tiny, red-purple spots or bruises caused by bleeding under the skin. These can occur anywhere on the body. They are a sign of blood poisoning (septicemia), which sometimes happens with meningitis, particularly the meningococcal strain.

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If it is diagnosed early and treated promptly, the majority of people make a complete recovery. In some cases it can be fatal or a person may be left with a permanent disability, such as deafness, blindness amputations or brain damage (resulting in mental retardation or paralysis) even with prompt treatment.

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Fortunately, none of the bacteria that cause meningitis are as contagious as diseases like the common cold or the flu, and they are not spread by casual contact or by simply breathing the air where a person with meningitis has been. The germs live naturally in the back of our noses and throats, but they do not live for long outside the body. They are spread when people exchange saliva, such as by kissing; sharing drinking containers, utensils, or cigarettes.

The germ does not cause meningitis in most people. Instead, most people become carriers of the germ for days, weeks or even months. Being a carrier helps to stimulate your body's natural defense system.

The bacteria rarely overcome the body's immune system and causes meningitis or another serious illness.

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The risk of getting bacterial meningitis in all age groups is about 2.4 cases per 100,000 population per year. However, the highest risk group for the most serious form of the disease, meningococcal meningitis, is highest among children 2 to 18 years old.

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The diagnosis is usually based on a combination of clinical symptoms and laboratory results from spinal fluid and blood tests. Spinal fluid is obtained by a lumbar puncture also called a spinal tap.

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Do not share food, drinks, utensils, toothbrushes, or cigarettes. Limit the number of persons you kiss. Vaccines against pneumococcal disease are recommended both for young children and adults over 64. A vaccine against four meningococcal serogroups (A, C, Y, W-135) is available. These four groups cause the majority of meningococcal cases in the United States. This vaccine is recommended by some groups for college students, particularly freshmen living in dorms or residence halls. The vaccine is safe and effective (85% to 90%). It can cause mild side effects, such as redness and pain at the injection site lasting up to two days. Immunity develops within 7 to 10 days after the vaccine is given and lasts up to 5 years.

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Seek prompt medical attention.

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Your school nurse, family doctor, and the staff at your local or regional health department offices are excellent sources for information on all communicable diseases. You may also call your local health department or Regional Texas Department of Health office to ask about meningococcal vaccine. Additional information may also be found at the web sites for the Centers for Disease Control and Prevention: www.cdc.gov and the Texas Department of Health: www.tdh.state.tx.us.

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