Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter C - IMMUNIZATION › Section 23.83 - Immunization requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(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.
All of the following immunizations are required as a
				  condition of attendance at school in this Commonwealth:
(1)
Diphtheria, tetanus and
				  pertussis.
Four or more properly-spaced doses administered in a
				  combination form (diphtheria and tetanus toxoids and acellular pertussis (DTaP)
				  or diphtheria and tetanus toxoids and pertussis (DTP)). If a child has a
				  contraindication to pertussis vaccine, the child shall receive
				  diphtheria-tetanus toxoid vaccine (DT) to complete the vaccination series. The
				  fourth dose shall be administered on or after the 4th birthday.
(2)
Poliomyelitis.
Four
				  properly-spaced doses of either oral polio vaccine or inactivated polio
				  vaccine, 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 and at least 6 months after the previous dose.
(3)
Measles (rubeola), mumps and
				  rubella (German measles).
One of the following:
(i)
Multiple antigens.
Two
				  properly-spaced doses of live attenuated measles, mumps, rubella combination
				  vaccine, the first dose administered at 12 months of age or older.
(ii)
Single antigens.
In the
				  event the antigens were given separately, and not in a combination vaccine, the
				  dosage is as follows:
(A) Two properly-spaced
				  doses of live attenuated measles vaccine, the first dose administered at 12
				  months of age or older.
(B) One
				  dose of live attenuated rubella vaccine, administered at 12 months of age or
				  older.
(C) Two properly-spaced
				  doses of live attenuated mumps vaccine, administered at 12 months of age or
				  older.
(iii)
Evidence of immunity.
Evidence of immunity may be shown by a
				  history of measles and rubella immunity proved by laboratory testing by a
				  laboratory with the appropriate certification and a written statement of a
				  history of mumps disease from a physician, certified registered nurse
				  practitioner or physician assistant.
(4)
Hepatitis B.
Three
				  properly-spaced doses of hepatitis B vaccine, unless a child receives a vaccine
				  as approved by the United States 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.
(5)
Varicella (chickenpox).
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, physician, certified registered
				  nurse practitioner or physician assistant.