Source: https://www.vaccinefactsandpolicy.org/profiles/?profile=hi
Timestamp: 2019-04-19 00:21:15+00:00

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4.0 PROCEDURES 1. An initial Health Assessment shall be implemented within the first seven (7) days for prisons and fourteen (14) days for jails. This assessment shall consist of: . . . (b) A complete medical . . .history compiled by qualified health professionals.
4.0 PROCEDURES 1. An initial Health Assessment shall be implemented within the first seven (7) days for prisons and fourteen (14) days for jails. This assessment shall consist of: . . . (i) Administration of immunizations, when appropriate.
TITLE 19 Health; CHAPTER 325 Infectious and Communicable Diseases; PART VIII IMMUNIZATION REGISTRY; HRS § 325-122. Hawaii immunization registry; establishment and purposes.
The department of health may establish and maintain an immunization information system to be designated as the Hawaii immunization registry. The purposes of the registry shall be to maintain a single statewide repository of immunization records to aid, coordinate, and help promote efficient and cost-effective screening, prevention, and control of vaccine-preventable diseases, including pandemic influenza.
§ 325-125. Registry record requirements; duration of retention. (a) The establishment of an individual's record in the registry shall not require the prior consent of a patient or the consent of a patient's parent or legal guardian in the case of a minor or dependent. The department of health shall make available to the patient or the patient's parent or legal guardian in the case of a minor or dependent, via the patient's health care provider or birthing hospital, a written description of the purpose and benefits of the registry as well as the procedure for refusing inclusion in the registry. . . .(b) Registry information for any individual included within the registry shall be retained as a part of the registry for twenty-five years after the last entry, except in the case of minors, whose records shall be retained during the period of minority plus twenty-five years after the minor reaches the age of majority. At the conclusion of the retention period, the data stored in the registry for that individual shall be archived.
TITLE 19 Health; CHAPTER 325 Infectious and Communicable Diseases; PART VIII IMMUNIZATION REGISTRY; HRS § 325-122 (2011); § 325-122. Hawaii immunization registry; establishment and purposes. § 325-123. Confidentiality and content of registry records.
(b) Registry information shall be limited to patient name, demographic information, and contact information; information specific to immunizations or medications received by the patient, including types, manufacturers, lot numbers, expiration dates, anatomical sites of administration, routes of administration, vaccine information statement publication dates, doses, dates administered, and adverse reactions to immunizations or medications; and the name and contact information of the vaccination administrator or medication provider and the patient's health care provider.
TITLE 19 Health; CHAPTER 325 Infectious and Communicable Diseases; PART VIII IMMUNIZATION REGISTRY; HRS § 325-122 (2011); § 325-123. Confidentiality and content of registry records.
(a) All immunization records and reports made for the purposes of this part that directly or indirectly identify a person shall be kept confidential and shall not be disclosed by any person unless: (1) The person identified, the person's legal guardian, or in the case of a minor, the minor's parent or legal guardian consents; (2) Disclosure is deemed necessary by the director of health to carry out this chapter; (3) A court directs upon its determination that disclosure is necessary for the conduct of proceedings before it; (4) The disclosure is made between the person's health care provider and payor to obtain reimbursement for services rendered to the person; provided that disclosure shall be made only if the provider informs the person that a reimbursement claim will be made to the person's payor, the person is afforded an opportunity to pay the reimbursement directly, and the person does not pay; or (5) The department of health releases aggregate immunization information that does not disclose any identifying information of persons whose information is maintained in the registry.
(a ). . .it shall not be a disclosure for the persons listed in subsections (b), (c), and (d) to have limited access to registry information for the purposes specified in each subsection. (b) Registry information regarding specific individuals in the registry may be accessed by health care providers who are treating, have treated, or have been assigned to treat those individuals; by employees of these health care providers; and by authorized department of health personnel assigned to monitor the immunization or health status of those individuals for the purposes of: (1) Recording the administration of any vaccination, including pandemic influenza vaccine; (2) Determining the immunization history of a patient to deliver health care treatment accordingly; (3) Notifying individuals or parents or legal guardians of the need to schedule a visit for an immunization; (4) Generating official immunization records; (5) Ensuring compliance with mandatory immunization requirements; or (6) Recording the distribution of prophylactic and treatment medications administered or dispensed in preparation for and in response to a potentially catastrophic disease threat. (c) Registry information regarding specific individuals in the registry may be accessed by school and post-secondary school personnel authorized by the director of health, the superintendent of education, or the administrator of a private or post-secondary school for the purpose of ensuring compliance with mandatory student immunization requirements. (d) Registry information regarding specific individuals in the registry may be accessed by the department of health or agents of the department of health for the purposes of: (1) Ensuring compliance with mandatory immunization requirements; (2) Performing immunization-related quality improvement or quality assessment activities; (3) Complying with Hawaii vaccines for children and teen vax programs' vaccine accountability policies and procedures; (4) Producing aggregate immunization assessment reports to monitor and improve public health; (5) Supporting efforts to prevent and manage outbreaks of vaccine-preventable diseases, including pandemic influenza; (6) Assisting the department of health in the event of a public health emergency; or (7) Managing and maintaining the Hawaii immunization registry system. (e) The use of registry information accessed pursuant to this section shall be limited to the purposes for which access is granted.
Hawaii law requires each student to present . . . a record of immunizations before first attending school.
Table 2 -- Required Immunizations Grades Kindergarten--12 (See Table 4, Exceptions). DTaP or DTP. Polio (IPV or OPV). Measles, Mumps, Rubella. Hepatitis B. Varicella (chickenpox).
Haw. Admin. Rules (HAR) § 11-157-5 Exemptions.
(a) Medical exemptions from the requirements for specific immunizing agents shall be granted upon certification by a physician on the physician's professional stationery that an immunization is medically contraindicated for a specific period of time. The original certificate shall be provided to the exempt person or parent or guardian. A copy of the certificate shall be maintained in the student's school health record. Reports of such certificates shall be submitted to the department by each school.
(b) A religious exemption shall be granted to a student whose parent, custodian, guardian, or other person in loco parentis certifies that the person's religious beliefs prohibit the practice of immunization. Requests for religious exemptions based on objections to specific immunizing agents will not be granted. Students who have reached the age of majority shall apply on their own behalf.
3. Immunizations. a. A record of immunizations received since birth, signed or stamped by an MD, DO, APRN, PA, or clinic, must be presented for school attendance. This record must include complete dates (month/day/year) for each immunization. An immunization with only the month and year may be accepted if it can be determined that the immunization met the minimum age and interval requirements.
Haw. Admin. Rules (HAR) § 11-157-6.2. Provisional attendance.
(a) A student who does not have evidence of all of the required immunizations or a report of physical examination may attend school provisionally upon submitting written evidence from a practitioner or the department stating that the student is in the process of receiving required immunizations or physical examination. A physical examination is not required for post-secondary school attendance. An appointment notice from a practitioner's office or the department shall be recognized as written evidence. (b) If a preschool or K-12 student does not complete the required immunizations or examination within three months of the date of provisional entry, the school shall notify the parent by dated, written notice of exclusion that the student will be excluded from the school beginning 30 calendar days after the date of the notice. (c) Beginning on the school day 30 calendar days after the date of notice of exclusion, the student shall be prohibited from attending school unless and until complete documentation covering the required immunizations and physical examination is provided to the school. (d) If all of the required immunizations cannot be completed within three months due to the required minimum intervals between doses or other medical necessity, provisional attendance may be extended as long as evidence is provided that appointments have been made to complete the required immunizations. If a student whose provisional attendance period has been extended fails to keep a scheduled appointment, he or she shall be excluded from school until evidence that the required immunizations have been obtained is presented to the school. (e) If a post-secondary school student does not complete the required immunizations within 45 days of the date of provisional entry, the school shall exclude the student from all school activities until documentation that the required immunizations have been obtained is provided to the school.
6. Immunization Assessment Reports. a. All schools must report to the Department of Health the names of children who are on provisional entrance status, who have been excluded for failure to comply fully with the immunization or examination requirements, and who have medical or religious exemptions. The report shall include a listing of the types and dose number of immunizations which are incomplete. b. The report shall be on a form approved by the Department. c. The report shall be submitted by October 10th and January 10th of each school year.

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