Source: https://www.vaccinefactsandpolicy.org/profiles/?profile=pa
Timestamp: 2019-04-19 01:21:40+00:00

Document:
D. Health Appraisals: Age Group Frequency 39 and under every three years, 40 to 64 every two years, 65 and over every year, 1. The CHCA shall ensure that health appraisals are completed in the month they are due . . .3. The following procedures, at a minimum, shall be conducted during the health appraisal for each inmate: . . .e. a review of immunizations (tetanus, pneumococcal, etc.).
c. Nursing Review of Tetanus History/Tetanus Vaccinations (1) A nurse shall complete . . .Inmate Immunization Record . . . whenever an inmate is immunized. (2) If the inmate is known to be allergic to the tetanus vaccine, no vaccine shall be administered and the inmate’s allergy to the vaccine shall be documented in the progress notes. In addition, documentation must be provided on the DC-445, Drug Sensitivity Label, which is affixed to the front of the inmate’s medical record. (3) Administration of the tetanus/diphtheria vaccine is contraindicated during pregnancy. In the event an inmate is pregnant, the nurse conducting the tetanus history review shall document the inmate’s condition and progress in the Progress Notes Section of the inmate’s medical record. (4) The physician or nurse administrating the vaccines shall record on the DC-486, the following information for all tetanus/diphtheria immunizations given: (a) date and time; (b) vaccine lot number; (c) manufacturer; and (d) initials of the health care provider administering the immunization. (5) Tetanus/diphtheria (Td) vaccination shall be administered as follows: (a) 0.5 ml, IM on intake to the Department. This shall be documented on the DC-486, in the inmate’s medical records. (b) A booster dose, 0.5 ml, IM shall be administered every 10 years. This shall also be documented on the DC-486. (c) In the event of a wound, a booster dose of Td vaccine shall be administered in the following amounts: i. minor wound and not contaminated - Td 0.5 ml, IM given only every 10 years; and ii. other wounds - Td 0.5 ml, IM is appropriate if the inmate has not received tetanus toxoid within the preceding five years. (d) Tetanus Immunization: If the inmate has not received any immunization, the recommended schedule for children equal to or greater than seven years of age and adults is a primary vaccination with Td to include three doses: i. initial dose - Td 0.5 ml, IM; ii. second dose - Td 0.5 ml, IM four to eight weeks after first dose; and iii. third dose - Td 0.5 ml, IM six to 12 months after second dose; Note: Td rather than DT (Diphtheria/tetanus) is the preparation of choice for vaccination of all persons greater than or equal to seven years of age because side effects from higher doses of diphtheria toxoid are more common.
F. Management of Hepatitis A, B, and C10 . . . d. Immunization (Hepatitis A Vaccine) (1) This Hepatitis A vaccine will be given without antibody testing for past infection (HAV IgG). (2) Every Hepatitis B and C positive inmate, as well as those who have chronic liver disease are offered Hepatitis A vaccine, if not already immune or vaccinated. . . .4. Hepatitis B . . .d. Risk Reduction . . .e. Immunization – Hepatitis B vaccine is offered to: (1) every staff member and inmate, unless medically contraindicated, already vaccinated or immune; and (2) a Hepatitis C Virus (HCV) positive inmate as part of the HCV protocol is highly encouraged to receive the Hepatitis B vaccine series.
c. Nursing Review of Tetanus History/Tetanus Vaccinations (1) A nurse shall complete . . .Inmate Immunization Record . . . whenever an inmate is immunized. (2) If the inmate is known to be allergic to the tetanus vaccine, no vaccine shall be administered and the inmate’s allergy to the vaccine shall be documented in the progress notes. In addition, documentation must be provided on the DC-445, Drug Sensitivity Label, which is affixed to the front of the inmate’s medical record. (3) Administration of the tetanus/diphtheria vaccine is contraindicated during pregnancy. In the event an inmate is pregnant, the nurse conducting the tetanus history review shall document the inmate’s condition and progress in the Progress Notes Section of the inmate’s medical record. . . .4. Hepatitis B . . .d. Risk Reduction . . .e. Immunization – Hepatitis B vaccine is offered to: (1) every staff member and inmate, unless medically contraindicated, already vaccinated or immune; and (2) a Hepatitis C Virus (HCV) positive inmate as part of the HCV protocol is highly encouraged to receive the Hepatitis B vaccine series.
(a) NOTICE TO RESIDENT.-- Upon admission, the facility shall notify the resident and legal guardian of the immunization requirements of this act and request that the resident agree to be immunized against influenza virus and pneumococcal disease.
§ 632.6. Exceptions. No resident . . . shall be required to receive either the influenza or pneumococcal vaccine if any of the following apply: (1) the vaccine is contraindicated, (2) it is against his religious beliefs; or (3) the resident or resident's legal guardian refuses the vaccine after being fully informed of the health risks of such action.
(a) Notice to employees. - - Every facility shall notify every employee of the immunization requirements of this act and request that the employee agree to be immunized against influenza virus. (b) Records and immunizations. - - The facility shall require documentation of annual immunization against influenza virus for each employee, which includes written evidence from a health care provider indicating the date and location the vaccine was administered. These documents shall be maintained by the facility for not less than 18 months. Upon finding that an employee is lacking such immunization or the facility or individual is unable to provide documentation that the individual has received the appropriate immunization, the facility shall make available the immunization. The immunization and documentation shall take place in a manner consistent with the recommendations of the Centers for Disease Control and Prevention. (c) Immunization authorized. - - Nothing in this section shall prohibit the immunization against pneumococcal disease to employees.
§ 632.6. Exceptions. No resident or employee shall be required to receive either the influenza or pneumococcal vaccine if any of the following apply: (1) the vaccine is contraindicated; (2) it is against his religious beliefs; or (3) the employee, resident or resident's legal guardian refuses the vaccine after being fully informed of the health risks of such action.
(a) It shall be the duty of all school directors, superintendents, principals, or other persons in charge of any public, private, parochial, or other school including kindergarten, to ascertain that every child, prior to admission to school for the first time has been immunized . . .against such diseases as shall appear on a list to be made and from time to time reviewed by the Advisory Health Board. All certificates of immunization shall be issued in accordance with the rules and regulations promulgated by the Secretary of Health with the sanction and advice of the Advisory Health Board.
28 Pa. Code § 23.83 Immunization requirements.
(a) Duties of a school director, superintendent, principal or other person in charge of a public, private, parochial or nonpublic school. Each school director, superintendent, principal, or other person in charge of a public, private, parochial or nonpublic school in this Commonwealth, including vocational schools, intermediate units, and special education and home education programs, cyber and charter schools, shall ascertain that a child has been immunized . . . prior to admission to school for the first time . . . (b) Required for attendance. The following immunizations are required as a condition of attendance at school in this Commonwealth: (1) Diphtheria. Four or more properly-spaced doses of diphtheria toxoid, which may be administered as a single antigen vaccine or in a combination form. The fourth dose shall be administered on or after the 4th birthday. (2) Tetanus. Four or more properly-spaced doses of tetanus toxoid, which may be administered as a single antigen vaccine or in a combination form. The fourth dose shall be administered on or after the 4th birthday. (3) Poliomyelitis. Three or more properly spaced doses of either oral polio vaccine or enhanced activated polio vaccine, which may be administered as a single antigen vaccine, or in a combination form. If a child received any doses of inactivated polio vaccine administered prior to 1988, a fourth dose of inactivated polio vaccine is required. (4) Measles (rubeola). Two properly-spaced doses of live attenuated measles vaccine, the first dose administered at 12 months of age or older, or a history of measles immunity proved by laboratory testing by a laboratory with the appropriate certification. Each dose of measles vaccine may be administered as a single antigen vaccine or in a combination form. (5) German measles (rubella). One dose of live attenuated rubella vaccine, administered at 12 months of age or older or a history of rubella immunity proved by laboratory testing by a laboratory with the appropriate certification. Rubella vaccine may be administered as a single antigen vaccine or in a combination form. (6) Mumps. Two properly-spaced doses of live attenuated mumps vaccine, administered at 12 months of age or older or a physician diagnosis of mumps disease indicated by a written record signed by the physician or the physician's designee. Mumps vaccine may be administered as a single antigen vaccine or in a combination form. (7) Hepatitis B. Three properly-spaced doses of hepatitis B vaccine, unless a child receives a vaccine as approved by the Food and Drug Administration for a two-dose regimen, or a history of hepatitis B immunity proved by laboratory testing. Hepatitis B vaccine may be administered as single antigen vaccine or in a combination form. (8) Chickenpox (varicella). One of the following: (i) Varicella vaccine. Two properly-spaced doses of varicella vaccine, the first dose administered at 12 months of age or older. Varicella vaccine may be administered as a single antigen vaccine or in a combination form. (ii) Evidence of immunity. Evidence of immunity may be shown by one of the following: (A) Laboratory evidence of immunity or laboratory confirmation of disease. (B) A written statement of a history of chickenpox disease from a parent, guardian or physician. (c) Required for entry into 7th grade. In addition to the immunizations listed in subsection (b), the following immunizations are required at any public, private, parochial or nonpublic school in this Commonwealth, including vocational schools, intermediate unit, special education and home education programs, and cyber and charter schools as a condition of entry for students entering the 7th grade; or, in an ungraded class, for students in the school year that the student is 12 years of age: (1) Tetanus and diphtheria toxoid and acellular pertussis vaccine (TdaP). One dose if at least 5 years have elapsed since the last dose of a vaccine containing tetanus and diphtheria as required in subsection (b). TdaP may be administered as a single antigen vaccine or in a combination form. (2) Meningococcal Conjugate Vaccine (MCV). One dose of Meningococcal Conjugate Vaccine. MCV may be administered as a single antigen vaccine or in a combination form.
28 Pa. Code § 23.84 Exemption from immunization.
(b) Religious exemption. Children need not be immunized if the parent, guardian or emancipated child objects in writing to the immunization . . . on the basis of a strong moral or ethical conviction similar to a religious belief.
(a) Duties of a school director, superintendent, principal or other person in charge of a public, private, parochial or nonpublic school. Each school director, superintendent, principal, or other person in charge of a public, private, parochial or nonpublic school in this Commonwealth, including vocational schools, intermediate units, and special education and home education programs, cyber and charter schools, shall ascertain that a child has been immunized in accordance with the requirements in subsections (b), (c) and (e) prior to admission to school for the first time, under section 1303 of the Public School Code of 1949 (24 P. S. § 13-1303a) regarding immunization required; penalty. (b) Required for attendance. The following immunizations are required as a condition of attendance at school in this Commonwealth: (1) Diphtheria. Four or more properly-spaced doses of diphtheria toxoid, which may be administered as a single antigen vaccine or in a combination form. The fourth dose shall be administered on or after the 4th birthday. (2) Tetanus. Four or more properly-spaced doses of tetanus toxoid, which may be administered as a single antigen vaccine or in a combination form. The fourth dose shall be administered on or after the 4th birthday. (3) Poliomyelitis. Three or more properly spaced doses of either oral polio vaccine or enhanced activated polio vaccine, which may be administered as a single antigen vaccine, or in a combination form. If a child received any doses of inactivated polio vaccine administered prior to 1988, a fourth dose of inactivated polio vaccine is required. (4) Measles (rubeola). Two properly-spaced doses of live attenuated measles vaccine, the first dose administered at 12 months of age or older, or a history of measles immunity proved by laboratory testing by a laboratory with the appropriate certification. Each dose of measles vaccine may be administered as a single antigen vaccine or in a combination form. (5) German measles (rubella). One dose of live attenuated rubella vaccine, administered at 12 months of age or older or a history of rubella immunity proved by laboratory testing by a laboratory with the appropriate certification. Rubella vaccine may be administered as a single antigen vaccine or in a combination form. (6) Mumps. Two properly-spaced doses of live attenuated mumps vaccine, administered at 12 months of age or older or a physician diagnosis of mumps disease indicated by a written record signed by the physician or the physician's designee. Mumps vaccine may be administered as a single antigen vaccine or in a combination form. (7) Hepatitis B. Three properly-spaced doses of hepatitis B vaccine, unless a child receives a vaccine as approved by the Food and Drug Administration for a two-dose regimen, or a history of hepatitis B immunity proved by laboratory testing. Hepatitis B vaccine may be administered as single antigen vaccine or in a combination form. (8) Chickenpox (varicella). One of the following: (i) Varicella vaccine. Two properly-spaced doses of varicella vaccine, the first dose administered at 12 months of age or older. Varicella vaccine may be administered as a single antigen vaccine or in a combination form. (ii) Evidence of immunity. Evidence of immunity may be shown by one of the following: (A) Laboratory evidence of immunity or laboratory confirmation of disease. (B) A written statement of a history of chickenpox disease from a parent, guardian or physician. (c) Required for entry into 7th grade. In addition to the immunizations listed in subsection (b), the following immunizations are required at any public, private, parochial or nonpublic school in this Commonwealth, including vocational schools, intermediate unit, special education and home education programs, and cyber and charter schools as a condition of entry for students entering the 7th grade; or, in an ungraded class, for students in the school year that the student is 12 years of age: (1) Tetanus and diphtheria toxoid and acellular pertussis vaccine (TdaP). One dose if at least 5 years have elapsed since the last dose of a vaccine containing tetanus and diphtheria as required in subsection (b). TdaP may be administered as a single antigen vaccine or in a combination form. (2) Meningococcal Conjugate Vaccine (MCV). One dose of Meningococcal Conjugate Vaccine. MCV may be administered as a single antigen vaccine or in a combination form.
(b) Any person who shall fail, neglect, or refuse to comply with, or who shall violate, any of the provisions or requirements of this section, except as hereinafter provided, shall, for every such offense, upon summary conviction thereof, be sentenced to pay a fine of not less than five dollars ($5) nor more than one hundred dollars ($100), and in default thereof, to undergo an imprisonment in the jail of the proper county for a period not exceeding sixty (60) days. All such fines shall be paid into the treasury of the school district.
22 Pa. Code § 11.20 Nonimmunized children.
(a) A child may not be admitted to or permitted to attend a public, private, nonpublic, special education or vocational school in a district unless the immunization, exemption or provisional admission requirements of the Department of Health . . . have been met or the child has received from the chief school administrator of the public, private, nonpublic, special education or vocational school a medical or religious exemption from immunization. (b) A child who has not received all doses of the required immunizations or who has not been exempted from immunization, but who has received at least one dose of each of the required immunizations, may be provisionally admitted and attend public school for a period of up to 8 months. Provisional admission or continued attendance shall be conditioned upon the parent or guardian's submission to the superintendent of a plan for the student's completion of the required immunization doses. The plan shall be reviewed by the school district at least every 60 calendar days. If, after 8 months, the child has not received all doses of the required immunizations, the child thereafter may not be further admitted to or be permitted to attend the public schools until all doses have been received. (c) A child who has been admitted to school or permitted attendance in violation of this section may not be counted toward receipt of Commonwealth reimbursement for the period of the admission or attendance.

References: § 632

§ 632
 § 23
 § 23
 § 13
 § 11