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68

DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT

Each new school year, immunization data for new students is to be entered into

the approved DoDEA SIS no later than the end of the first semester. Immunizations for

all students enrolled during the school year will be entered into the approved DoDEA

SIS within 10 days after enrollment. Using the SIS reporting system, school nurses can

identify students needing additional vaccine series or doses. The SIS will also compute

overall school immunization compliance. DoDEA strives for an overall immunization rate

of 95% or higher. Immunization compliance will be monitored by Headquarters at least

once a year, no later than the end of the third quarter.

F-2-3

Immunization Exemption

A student is exempt from the immunization requirements only as follows:

Medical — a student with a medical contraindication to one or more vaccines

may be exempt from this requirement. The sponsor/parent/guardian must

present a statement from a licensed physician, primary care manager that the

physical condition of their dependent is such that the administration of one or

more of the required immunizing agents is contraindicated and whether the

condition is permanent or temporary. If the condition is lifelong, DoDEA

School Health Form H-2-2 need only be submitted once. If the condition is

temporary, the expected date that the vaccination can be received must be

indicated on DoDEA School Health Form H-2-2. The vaccine must be

received no later than 10 days after the exemption expiration date. For the

protection of the medically exempt student and the safety of other students

enrolled, the medically exempt student will be excluded from school and all

school activities including sports, during a documented outbreak of a

contagious disease. It is the local MTF, Department of Health, or Public

Health Department that makes the decision for exclusion due to an infectious

outbreak, not the school nurse.

Medical/Documented History — A student will be exempt from vaccines if

natural immunity was acquired. The local medical command will determine if

a blood titer is required should the sponsor/parent/guardian be unable to

provide documentation that the student has had one or more of these

diseases.

Religious— such waiver needs to be submitted annually. The school will

acknowledge a sponsor/parent/guardian’s claim of exemption for religious

reasons when the sponsor/parent/guardian completes and signs DoDEA Form

H-2-2. During a documented outbreak of a contagious disease, an

unvaccinated student will be excluded from school and all school related

activities including sports and after school programs for his or her protection

and the safety of the other students until the contagious period is over as

determined by the MTF, State Department of Health, or Public Health

Department. Such waiver needs to be signed and submitted by the