Recommendations of the Pre-matri

Recommendations of the Pre-matriculation Immunization Working Group of the

Higher Education Policy Commission:

Immunization for West Virginia College and University Students

August 18, 2006

Proof of Immunization or Naturally-Acquired Immunity Recommended for Some or All Students
Vaccine	Dosage	Recommended For:	Notes
Measles (Rubeola), Mumps, Rubella (German Measles)	- first dose 12 months of age or later and second dose at least 28 days after the first dose or - Laboratory/serologic evidence of immunity	Students born in 1957 or later	1) Vaccinations received between 1963–1967 must be confirmed to have been with live (not inactivated) vaccine. 2) Due to a theoretical risk of fetal infection, women who are pregnant or considering becoming pregnant within 1 month should not receive this vaccine. 3) Guidelines exist for vaccination of persons with altered immunocompetence. _1,2 4) For students born before 1957, proof of immunity may be required if enrolled in health care curriculum.
Varicella (Chicken Pox)	- Two (2) doses or - If first dose given after the student’s 13^th birthday: 2 doses at least 4 weeks apart or - Reliable history of varicella disease (“chicken pox”) or - Laboratory/serologic evidence of immunity	All students	1) Due to a theoretical risk of fetal infection, women who are pregnant or considering becoming pregnant within 1 month should not receive this vaccine. 2) Guidelines exist for vaccination of persons with altered immunocompetence.. _1,2
Tetanus, Diphtheria	- Tdap booster dose within 10 years prior to matriculation. (Students who are unable to document a primary series of 3 doses of tetanus-containing vaccine (DTaP, DTP, or Td) Must complete a 3 – dose primary series with Td)	All Students	Td boosters are recommended every 10 years throughout adulthood.

¹ CDC. Recommendations of the Advisory Committee on Immunization Practices (ACIP): use of vaccine and immune globulins in persons with altered immunocompetence. MMWR 1993; 42(RR-4): 1-18.

² CDC. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP). MMWR 2002; 51 (RR-2): 1-35.

¹ CDC. Recommendations of the Advisory Committee on Immunization Practices (ACIP): use of vaccine and immune globulins in persons with altered immunocompetence. MMWR 1993; 42(RR-4): 1-18.

Vaccine	Dosage	Recommended For:
Hepatitis B	- 3 dose hepatitis B series (0, 1-2, and 4-6 months) or - 3 dose combined hepatitis A and hepatitis B series (0, 1-2, and 6-12 months) or - 2 dose hepatitis B series of Recombivax (0 and 4-6 months, given at 11-15 years of age) or - Laboratory/serologic evidence of immunity or prior infection	All Students
Meningococcal vaccine (Tetravalent)	- 1 dose (meningococcal vaccine) or - 1 dose within 5 years prior to matriculation (meningococcal polysaccharide vaccine)	All students
Polio Vaccine	- Primary series in childhood OPV or IPV	All Students
Influenza	- Annual vaccination at the start of influenza season (October - March)	Refer to current ACIP recommendations (www.cdc.gov/flu)
Hepatitis A	- 2 dose hepatitis A series (0 and 6-12 months) or - 3 dose combined hepatitis A and hepatitis B series (0, 1-2, and 6-12 months)	Strongly recommended for: persons traveling to countries/areas where hepatitis A is moderately or highly endemic, men who have sex with men, users of injectable and noninjectable drugs, persons with clotting-factor disorders, persons working with nonhuman primates, and persons with chronic liver disease.
Other Vaccines	- Other vaccines may be recommended for students with underlying medical conditions and students planning international travel. - Students meeting these criteria should consult with their physicians or health clinic regarding additional vaccine recommendations.