PENNSYLVANIA DEPARTMENT of HEALTH Division of School Health

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PENNSYLVANIA Bureau of Wellbeing Division of School Wellbeing. SCHOOL Wellbeing Overhaul 2008. Introduced by. Beth Anne Bahn and Rosemary Danchick-Moyer State School Wellbeing Specialists Walk 30, 2008. DIVISION OF SCHOOL Wellbeing. Jon Dale, Chief

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PENNSYLVANIA DEPARTMENT of HEALTH Division of School Health SCHOOL HEALTH UPDATE 2008

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Presented by Beth Anne Bahn and Rosemary Danchick-Moyer State School Health Consultants March 30, 2008

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DIVISION OF SCHOOL HEALTH Jon Dale, Director Beth Anne Bahn, State School Health Consultant Rosemary Danchick-Moyer, State School Health Consultant Stephanie Weigle, Administrative Officer Bill Barbour, STEPS School Health Coordinator Valerie Morgan, Administrative Support Six Regional School Health Consultants

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Diabetes Cardiovascular Injury Prevention Chronic Disease Tobacco Prevention Maternal Child Health Special Needs Health Care Public Health Educator HIV STD Communicable Disease Environmental Health Sanitarians Tuberculosis Immunization EMS Program Specialist District Office Program Staff

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Regional School Health Consultants NW - Linda Deeter 724-662-6068 ldeeter@state.pa.us NC - Andrea Dale 570-327-3400 adale@state.pa.us NE – Lois Elick 570-826-2062 lelick@state.pa.us SW - Cindy Thomas 412-565-5101 cythomas@state.pa.us SC – Linda Katherman 717-787-8092 lkatherman@state.pa.us SE - Sue Templin 610-378-4352 stemplin@state.pa.us

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School Health Consultant Caseload

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School Immunization Requirements School Immunization Requirements NOW: School Immunization Requirements PROPOSED: http://www.pabulletin.com/secure/information/vol38/38-6/217.html

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School Immunization Requirements For New School Enterers in Kindergarten or First Grade NOW : PROPOSED : 4 dosages lockjaw (DTaP, DT, Td) (1 measurements on or following 4 years of age) 4 measurements diphtheria (DTaP, DT, Td) (1 dosage on or following 4 years of age) 3 dosages polio 2 dosages measles (MMR) 2 dosages mumps (MMR) 1 measurements rubella (MMR) 3 measurements hepatitis B varicella resistance (antibody or history of infection) varicella invulnerability (antibody or history of illness) 2 measurements staged in by year 2010/2011 4 dosages lockjaw (DTaP, DT, Td) (1 measurements on or following 4 years of age) 4 dosages diphtheria (DTaP, DT, Td) (1 measurements on or following 4 years of age) 3 dosages polio 2 dosages measles (MMR) 1 measurement mumps (MMR) 1 measurement rubella (MMR) 3 measurements hepatitis B varicella insusceptibility (antibody or history of ailment)

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School Immunization Requirements For Attendance In All Grades NOW : PROPOSED : 4 measurements lockjaw (DTaP, DT, Td) 4 measurements diphtheria (DTaP, DT, Td) 3 measurements polio 2 dosages measles (MMR) 2 measurements mumps (MMR) 1 measurements rubella (MMR) 3 measurements hepatitis B varicella resistance (antibody or history of sickness) 2 dosages staged in by year 2010/2011 3 measurements lockjaw (DTaP, DT, Td) 3 measurements diphtheria (DTaP, DT, Td) 3 dosages polio 2 measurements measles (MMR) 1 measurements mumps (MMR) 1 measurement rubella (MMR)

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School Immunization Requirements For Entering 7 th Grade NOW: PROPOSED: 3 dosages lockjaw (DTaP, DT, Td) 3 dosages diphtheria (DTaP, DT, Td) 1 measurements lockjaw/diphtheria/acellular pertussis 3 dosages polio 2 measurements measles (MMR) 2 dosage mumps (MMR) 1 measurements rubella (MMR) 3 measurements hepatitis B varicella insusceptibility (immunization or history of ailment) 2 measurements staged in by year 2010/2011 1 measurement meningococcal conjugate 3 measurements lockjaw (DTaP, DT, Td) 3 measurements diphtheria (DTaP, DT, Td) 3 dosages polio 2 measurements measles (MMR) 1 dosage mumps (MMR) 1 dosage rubella (MMR) 3 measurements hepatitis B varicella insusceptibility (vaccine or history of ailment)

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Additional Proposed Changes to School Immunization Regulations Grace Period - An immunization dosage managed inside the 4-day time span before the base age for the inoculation or preceding the finish of the base interim between dosages might be thought to be a legitimate measurement of the antibody.

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Additional Proposed Changes to School Immunization Regulations

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Reporting Requirements OLD WAY: All Schools Self Report Aggregate Counts (Department Form) # of understudies going to by review level # of understudies going to by review level totally vaccinated # of understudies going to class by review level named therapeutic exemptions # of understudies going to class by review level delegated religious exemptions # of understudies temporarily conceded # of understudies denied affirmation with failure to fit the bill for provisional enlistment

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Reporting Requirements PROPOSED: Schools will self report (Department Form) # of understudies going to in a particular review level or age bunch # of antibody dose(s) of each selected understudy in review level or age assemble (as asked for on detailing structure) May ask for data for just 1 or 2 evaluations or age levels Will keep on requesting same data for exceptions, provisional enlistments and denied confirmations

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School Immunization Law Report (SILR)

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Statewide Immunization Information Registry (SIIS) Began in 1996 Used basically by doctor's facilities, state wellbeing centers Now promoting to private suppliers No cost to enter inoculations or view information "View" access for school medical attendants

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Benefits of Statewide Information Immunization System (SIIS) Prevents additional and pointless dosages of antibodies diminishing costs More exact inoculation records for those enlisted in the framework Access by State Health Clinics, Providers and Schools to precise and finish immunization organization records

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Statewide Information Immunization System (SIIS) To enlist for view-just get to: Go to www.health.state.pa.us/pasiis Click on Provider enlistment Complete the application and fax or mail it to the Department

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"No Child Left Behind" and Immunization Exclusion There is no proof found in "No Child Left Behind" that would avoid barring understudies for insufficient vaccinations. This was resolved after dialogs with the PA Department of Health, Division of Immunizations and Legal Counsel; the PA Department of Education; NCLB Compliance Office and Legal Counsel; and the US Dept. of Education Compliance Office

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Pre-K Counts Grant Program http://www.pde.state.pa.us/early_childhood/cwp/view.asp?A=316&Q=125765 Established by Dept. of Education Provide superb pre-K instruction for 3 and 4 yr. olds Free to families Focus on kids at danger of scholarly disappointment Approximately 300 early learning programs taking an interest

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Pre-K Counts Grant Program Immunizations: Follow 27.77 directions, Immunization necessities for youngsters in tyke mind assemble settings. Have up to 60 days to give vaccinations http://www.pacode.com/secure/information/028/chapter27/s27.77.html Reimbursement May not tally these understudies under K4 ADMs on Annual Health Report

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Pre-K (K4) Programs Immunizations: Follow 27.77 directions, Immunization necessities for youngsters in kid mind amass settings. Have up to 60 days to give vaccinations http://www.pacode.com/secure/information/028/chapter27/s27.77.html

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Pre-K (K4) Programs Integral piece of the school program Students checked in ADMs for repayment Required to have physical and dental examinations Required to have commanded screens (vision, hearing, development) Required to have nursing administrations

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TB Testing of Students PA Public School Code of 1949 Section 14-1402. Wellbeing administrations (an) Each offspring of school age might be given… (4) tests for tuberculosis under therapeutic supervision… (f) The Secretary of, endless supply of the school board… ,may alter for individual school locale the school wellbeing administrations program indicated in this segment.

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TB Testing of School Staff PA Public School Code of 1949 Section 14-1418. Medicinal examinations of instructors and different people (b) Each educator, some other school employe and any individual giving administrations to class kids under contract should be given tests for tuberculosis…

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TB Testing 485 out of 501 school regions in PA have requested alterations of their standard TB testing of understudies New school workers when enlisted and volunteers are as yet required to have a TB test

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TB Report to Dept. of Health Historically, schools have been presenting a "School Tuberculin Testing Report" (shape H516.488) to the Department on a yearly premise. Given total information on understudies and staff that had been tried or sent for follow-up testing amid the earlier year.

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TB Report to Dept. of Health The Department has discovered that this total information is no longer valuable as an observation apparatus Effective promptly, it is no longer important to present the School Tuberculin Testing Report.

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PE and Dental Modifications Districts may ask for adjustments to acknowledge ordered physical exams up to one year before the year they are required School Board must vote to make the alteration; then the locale sends a letter to DOH, Division of School Health, giving notification of the board choice

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SHARRS School Health Annual Reimbursement Request System

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Common Errors on Health Exams, Screens & Select Services ERROR: Entering the quantity of CONTACTS under Students Requiring Skilled Nursing. Remedy: Should be the quantity of INDIVIDUAL understudies, not the quantity of contacts.

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Health Exams, Screens, & Select Services (cont.)

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Common Errors on Health Exams, Screens & Select Services (cont'd) ERROR: Counting just 6 th grade for Scoliosis screenings when ordered for Grades 6 & 7. Revise: If an understudy had his/her scoliosis screening done by a private supplier amid the 6 th grade physical, it gets numbered.

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Health Exams, Screens, & Select Services (cont.) The total of A, B & C don't coordinate #13 and 14.

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Common Errors on Health Exams, S

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