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TITLE 10. EDUCATION
AND CULTURE
CHAPTER 169 SCHOOL HEALTH AND SANITATION
Conn. Gen. Stat. § 10-204a (2006)
§ 10-204a. Required
immunizations.
(a) Each local or regional board of education,
or similar body governing a nonpublic school or schools, shall require
each child to be protected by adequate immunization against diphtheria,
pertussis, tetanus, poliomyelitis, measles, mumps, rubella, hemophilus
influenzae type B and any other vaccine required by the schedule
for active immunization adopted pursuant to section 19a-7f before
being permitted to enroll in any program operated by a public or
nonpublic school under its jurisdiction. Before being permitted
to enter seventh grade, a child shall receive a second immunization
against measles. Any such child who
(1) presents a certificate from a physician
or local health agency stating that initial immunizations have
been given to such child and additional immunizations are in process
under guidelines and schedules specified by the Commissioner of
Public Health; or
(2) presents a certificate from a physician
stating that in the opinion of such physician, such immunization
is medically contraindicated because of the physical condition
of such child; or
(3) presents a statement from the parents
or guardian of such child that such immunization would be contrary
to the religious beliefs of such child; or
(4) in the case of measles, mumps or rubella,
presents a certificate from a physician or from the director of
health in such child's present or previous town of residence,
stating that the child has had a confirmed case of such disease;
or
(5) in the case of hemophilus influenzae type
B has passed his fifth birthday or
(6) in the case of pertussis, has passed his
sixth birthday, shall be exempt from the appropriate provisions
of this section. If the parents or guardians of any children are
unable to pay for such immunizations, the expense of such immunizations
shall, on the recommendations of such board of education, be paid
by the town.
(b) The definitions of adequate immunization
shall reflect the schedule for active immunization adopted pursuant
to section 19a-7f and be established by regulation adopted in accordance
with the provisions of chapter 54 by the Commissioner of Public
Health, who shall also be responsible for providing procedures under
which said boards and said similar governing bodies shall collect
and report immunization data on each child to the Department of
Public Health for compilation and analysis by said department.
TITLE 19A. PUBLIC
HEALTH AND WELL-BEING
CHAPTER 368a DEPARTMENT OF PUBLIC HEALTH
Conn. Gen. Stat. § 19a-7f (2006)
§ 19a-7f. Childhood
immunization schedule.
The standard of care for immunization for the
children of this state shall be the recommended schedule for active
immunization for normal infants and children published by the committee
on infectious diseases of the American Academy of Pediatrics or
the schedule published by the National Immunization Practices Advisory
Committee, as determined by the Commissioner of Public Health. The
commissioner shall establish, within available appropriations, an
immunization program which shall:
(1) Provide vaccine at no cost to health care
providers in Connecticut to administer to children so that cost
of vaccine will not be a barrier to age-appropriate vaccination
in this state;
(2) with the assistance of hospital maternity
programs, provide all parents in this state with the recommended
immunization schedule for normal infants and children, a booklet
to record immunizations at the time of the infant's discharge
from the hospital nursery and a list of sites where immunization
may be provided;
(3) inform in a timely manner all health care
providers of changes in the recommended immunization schedule;
(4) assist hospitals, local health providers
and local health departments to develop and implement record-keeping
and outreach programs to identify and immunize those children
who have fallen behind the recommended immunization schedule or
who lack access to regular preventative health care and have the
authority to gather such data as may be needed to evaluate such
efforts;
(5) assist in the development of a program
to assess the vaccination status of children who are clients of
state and federal programs serving the health and welfare of children
and make provision for vaccination of those who are behind the
recommended immunization schedule;
(6) access available state and federal funds
including, but not limited to, any funds available through the
federal Childhood Immunization Reauthorization or any funds available
through the Medicaid program;
(7) solicit, receive and expend funds from
any public or private source; and
(8) develop and make available to parents
and health care providers public health educational materials
about the benefits of timely immunization.
Conn. Gen. Stat.
§ 19a-79 (2006)
§ 19a-79. (Formerly
Sec. 19-43d). Regulations. Exemptions.
(a) The Commissioner of Public Health shall
adopt regulations, in accordance with the provisions of chapter
54, to further the purposes of sections 19a-77 to 19a-80, inclusive,
and 19a-82 to 19a-87, inclusive, and to assure that child day care
centers and group day care homes shall meet the health, educational
and social needs of children utilizing such centers and group day
care homes. Such regulations shall
(1) specify that before being permitted to
attend any child day care center or group day care home, each
child must be protected as age-appropriate by adequate immunization
against diphtheria, pertussis, tetanus, poliomyelitis, measles,
mumps, rubella, hemophilus influenzae type B and any other vaccine
required by the schedule of active immunization adopted pursuant
to section 19a-7f including appropriate exemptions for children
for whom such immunization is medically contraindicated and for
children whose parents object to such immunization on religious
grounds,
(2) specify conditions under which child day
care center directors and teachers and group day care home providers
may administer tests to monitor glucose levels in a child with
diagnosed diabetes mellitus, and administer medicinal preparations,
including controlled drugs specified in the regulations by the
commissioner, to a child receiving child day care services at
such center or group day care home pursuant to the written order
of a physician licensed to practice medicine or a dentist licensed
to practice dental medicine in this or another state, or an advanced
practice registered nurse licensed to prescribe in accordance
with section 20-94a, or a physician assistant licensed to prescribe
in accordance with section 20-12d, and the written authorization
of a parent or guardian of such child,
(3) specify that an operator of a child day
care center or group day care home, licensed before January 1,
1986, or an operator who receives a license after January 1, 1986,
for a facility licensed prior to January 1, 1986, shall provide
a minimum of thirty square feet per child of total indoor usable
space, free of furniture except that needed for the children's
purposes, exclusive of toilet rooms, bathrooms, coatrooms, kitchens,
halls, isolation room or other rooms used for purposes other than
the activities of the children, and
(4) specify that a child day care center or
group day care home licensed after January 1, 1986, shall provide
thirty-five square feet per child of total indoor usable space,
(5)establish appropriate child day care center
staffing requirements for employees certified in cardiopulmonary
resuscitation by the American Red Cross, the American Heart
Association, the National Safety Council, American Safety and
Health Institute or Medic First Aid International, Inc.,
(6) specify that on and after
January 1, 2003, a child day care center or group day care
home
(A) shall not deny services
to a child on the basis of a child's known or suspected allergy
or because a child has a prescription for an automatic prefilled
cartridge injector or similar automatic injectable equipment
used to treat an allergic reaction, or for injectable equipment
used to administer glucagon,
(B) shall, not later
than three weeks after such child's enrollment in such a center
or home, have staff trained in the use of such equipment on-site
during all hours when such a child is on-site,
(C) shall require such child's
parent or guardian to provide the injector or injectable equipment
and a copy of the prescription for such medication and injector
or injectable equipment upon enrollment of such child, and
(D) shall require a parent
or guardian enrolling such a child to replace such medication
and equipment prior to its expiration date, and
(7) specify that on and after
January 1, 2005, a child day care center or group day care home
(A) shall not deny services
to a child on the basis of a child's diagnosis of asthma or
because a child has a prescription for an inhalant medication
to treat asthma, and
(B) shall, not later than
three weeks after such child's enrollment in such a center or
home, have staff trained in the administration of such
medication on-site during all hours when such a child is on-site.
(b) The Commissioner of Public Health may adopt
regulations, pursuant to chapter 54, to establish civil penalties
of not more than one hundred dollars per day for each day of violation
and other disciplinary remedies that may be imposed, following a
contested-case hearing, upon the holder of a license issued under
section 19a-80 to operate a child day care center or group day care
home or upon the holder of a license issued under section 19a-87b
to operate a family day care home.
(c) The Commissioner of Public Health shall
exempt Montessori schools accredited by the American Montessori
Society or the Association Montessori Internationale from any provision
in regulations adopted pursuant to subsection (a) of this section
which sets requirements on group size or child to staff ratios or
the provision of cots.
REGULATIONS OF CONNECTICUT STATE AGENCIES
DEPARTMENT OF PUBLIC HEALTH
IMMUNIZATION OF SCHOOL CHILDREN
Regs., Conn. State Agencies § 10-204a-2a
(2006)
Sec. 10-204a-2a.
Adequate immunization
(a) Measles. An individual shall be considered
adequately protected against measles if that individual:
(1) is enrolled in preschool and is less than
four (4) years of age and was immunized by use of live attenuated
measles vaccine on or after that individual's first birthday;
or
(2) is or has been enrolled in kindergarten
on or after August 2000 and was immunized against measles by use
of two (2) doses of a live attenuated measles vaccine given at
least thirty (30) days apart, the first on or after that individual's
first birthday; or
(3) is or has been enrolled in seventh grade
after September 1992 and had two (2) doses of a live attenuated
measles vaccine, the first on or after that individual's first
birthday; or
(4) has had protection against measles confirmed
in writing by a physician, physician assistant or advanced practice
registered nurse based on specific blood testing by a certified
laboratory.
(b) Rubella. An individual shall be considered
adequately protected against rubella, if that individual:
(1) was immunized at one (1) year or older
with a rubella vaccine; or
(2) has had protection against rubella confirmed
in writing by specific blood testing conducted by a certified
laboratory.
(c) Poliomyelitis
(1) An individual eighteen (18) months of age
or older shall be considered adequately protected against poliomyelitis
if that individual has had a minimum of (3) doses of either trivalent
oral polio vaccine (TOPV) or inactivated polio vaccine (IPV),
two (2) doses of polio vaccine given at least four (4) weeks apart
and a third dose given at least two (2) months after the previous
dose.
(2) For individuals enrolled in grades kindergarten
through twelve (12) and at least forty-eight (48) months of age,
at least one (1) dose of polio vaccine must been given on or after
the fourth birthday.
(d) Diphtheria, Tetanus, Pertussis (DTP)
(1) An individual eighteen to seventy-one (18-71)
months of age shall be considered adequately protected against
diphtheria, tetanus and pertussis if such individual was immunized
with a minimum of four (4) doses of diphtheria, tetanus, and pertussis
toxoid, three (3) doses given at a minimum of four (4) week intervals
followed by a fourth DTP dose at least six (6) months after the
third.
(2) For individuals forty eight (48) to seventy-one
(48-71) months of age and enrolled in grades kindergarten and
above, at least one (1) dose of DTP vaccine must have been given
on or after the fourth birthday.
(3) An individual seventy-two (72) months of
age or older shall be considered adequately protected if such
individual was immunized with a minimum of two (2) doses of tetanus,
diphtheria toxoid (td) at a minimum of four (4) week intervals,
followed by a third dose of tetanus, diphtheria toxoid at least
six (6) months after the second dose and on or after the fourth
birthday.
(e) Mumps. An individual shall be considered
adequately protected against mumps if such individual:
(1) was immunized at one (1) year of age or
older with live mumps vaccine, or
(2) has protection against mumps confirmed
in writing by a physician based on specific blood testing by a
certified laboratory.
(f) Hemophilus influenzae Type b (Hib). An individual
shall be considered adequately protected against Hib invasive disease
if such individual:
(1) was immunized before age five (5) years
with a single dose of Hib vaccine given at age twelve (12) months
or older, or
(2) is currently age five (5) years or older,
or
(3) had a natural laboratory confirmed infection
with hemophilus influenzae type b at age twenty-four (24) months
or older confirmed in writing by a physician.
(g) Hepatitis B (HBV)
(1) An individual born January 1, 1994, or
later shall be considered adequately protected against Hepatitis
B if that individual:
(A) was immunized with three (3) doses of
Hepatitis B vaccine, as follows two (2) doses given at least
sixteen (16) weeks after the first dose and at least eight (8)
weeks after the second dose, and the third dose shall be given
no earlier than twenty-four (24) weeks of age or;
(B) has had protection against Hepatitis
B confirmed in writing by a physician based on specific blood
testing conducted by a certified laboratory.
An individual born before January 1, 1994,
and enrolled in seventh (7th) grade in August 2000 or later, shall
have begun vaccination against Hepatitis B to enter seventh (7th)
grade. Such individual shall be considered to have begun vaccination
against Hepatitis B if that individual:
(A) was immunized with at least one (1) dose
of Hepatitis B vaccine at the time of seventh (7th) grade entry;
or
(B) has had protection against Hepatitis
B confirmed in writing by specific blood testing conducted by
a certified laboratory.
(3) An individual born before January 1, 1994
and enrolled in eighth (8th) grade in August 2001 or later, shall
be adequately protected against Hepatitis B to enter eighth (8th)
grade. Such individual shall be considered adequately protected
against Hepatitis B if that individual:
(A) was immunized with at least three (3)
doses of Hepatitis B vaccine, two (2) doses given at least sixteen
(16) weeks after the first dose and at least eight (8) weeks
after the second dose, and the third dose shall be given no
earlier than twenty-four (24) weeks of age or;
(B) has had protection against Hepatitis
B confirmed in writing by specific blood testing conducted by
a certified laboratory.
(h) Varicella. An individual shall be considered
adequately protected against Varicella if that individual:
(1) was born January 1, 1997 or later and was
immunized with one (1) dose of Varicella vaccine on or after that
individual's first birthday and before that individual's thirteenth
birthday or two (2) doses of Varicella vaccine given at least
four weeks apart if the first dose was given on or after the individual's
thirteenth birthday; or
(2) was born before January 1, 1997 and is
enrolled in seventh (7th) grade in August 2000 or later and was
immunized with one (1) dose of Varicella vaccine on or after that
individual's first birthday and before that individual's thirteenth
birthday or two (2) doses of Varicella vaccine given at least
four weeks apart if the first dose was given on or after the individual's
thirteenth birthday; or
(3) has a written statement signed and dated
by a physician, physician assistant or advanced practice registered
nurse indicating that the individual has already had Varicella
based on family and/or medical history; or
(4) has had protection against Varicella confirmed
in writing by specific blood testing conducted by a certified
laboratory.
(i) Religious exemption. Any individual whose
parents or guardian presents a statement that such immunization
is contrary to the religious beliefs of such child is exempted from
immunization requirements.
DEPARTMENT OF PUBLIC HEALTH
GROUP DAY CARE HOMES AND DAY CARE CENTERS
Regs., Conn. State Agencies § 19a-79-6a
(2006)
Sec. 19a-79-6a. Health and safety
(d) Immunization requirements
(1) A child seeking admission to or attending
a child day care center or group day care home shall be protected
as age-appropriate by adequate immunization against diphtheria,
pertussis, tetanus, poliomyelitis, measles, mumps, rubella, hemophilus
influenzae type b, hepatitis b if such child was born after December
31, 1993, and varicella if such child was born after December
31, 1996, and against any other disease for which vaccination
is recommended in the current schedule for active immunization
adopted by the Commissioner in accordance with Connecticut General
Statutes Section 19a-7f.
(2) The provider shall admit no child to a
child day care center or group day care home unless such child's
parent furnishes documentation of age-appropriate immunization,
immunization-in-progress or exemption from immunization as specified
in subdivision (3) of this subsection. No child shall be permitted
to continue to attend a child day care center or group day care
home for more than thirty (30) days unless such child continues
to meet said requirements of subdivision (3) of this subsection.
(3) For each enrolled child, the operator shall
obtain from the child's parent and keep on file at the child day
care center or group day care home one or more of the following
types of documentation for each of the diseases listed in subdivision
(1) of this subsection:
(A) a statement signed and dated by a physician,
physician assistant, or an advanced practice registered nurse
indicating that the child is current or in progress with immunizations
according to the schedule adopted by the Commissioner in accordance
with Connecticut General Statutes Section 19a-7f and that names
the appointment date for the child's next immunization;
(B) a statement signed and dated by a physician,
physician assistant, or an advanced practice registered nurse
indicating that the child has an appointment that will keep
the immunizations current or in progress as required by said
schedule and that names the date for the child's next immunization;
(C) a statement signed and dated by a physician,
physician assistant, or an advanced practice registered nurse
indicating that the child has laboratory confirmed proof of
immunity to natural infection, or, in the case of varicella,
a statement signed and dated by a physician, physician assistant,
or an advanced practice registered nurse indicating that the
child has already had chickenpox based on family and/or medical
history;
(D) a statement signed and dated by a physician,
physician assistant, or an advanced practice registered nurse
indicating that the child has a medical contraindication to
immunization;
(E) a written statement that immunization
is contrary to the religious beliefs and practices of the child
or the parent of such child. Such statement shall be signed
by the child's parent.
(4) For each child to whom subparagraph (B)
of subdivision (3) of this section applies, continued enrollment
in day care for more than thirty days after the named immunization
appointment shall be contingent on the provider receiving written
documentation from a physician, physician assistant, or an advanced
practice registered nurse stating either: that the named appointment
was kept and the child received the scheduled immunizations, or
that the child was unable to receive the scheduled immunizations
for medical reasons and a new appointment date is named.
TITLE 10A. STATE SYSTEM OF HIGHER EDUCATION
CHAPTER 185B. CONSTITUENT UNITS
Conn. Gen. Stat. § 10A-155 (2006)
Sec. 10a-155. Requirement for immunization
against measles and rubella for college students.
(a) Each institution of higher education shall
require each full-time or matriculating student born after December
31, 1956, to provide proof of adequate immunization against measles
and rubella before permitting such student to enroll in such institution.
Any such student who
(1) presents a certificate from a physician
stating that in the opinion of such physician such immunization
is medically contraindicated,
(2) provides a statement that such immunization
would be contrary to his religious beliefs,
(3) presents a certificate from a physician,
or from the director of health in the student's present or previous
town of residence, stating that the student has had a confirmed
case of such disease,
(4) is enrolled exclusively in a program for
which students do not congregate on campus for classes or to participate
in institutional-sponsored events, such as students enrolled in
distance learning programs for individualized home study or programs
conducted entirely through electronic media in a setting without
other students present, or
(5) graduated from a public or nonpublic high
school in this state in 1999 or later and was not exempt from
the measles and rubella vaccination requirement pursuant to subdivision
(2) or (3) of subsection (a) of section 10-204a shall be exempt
from the appropriate provisions of this section.
(b) Each institution of higher education shall
keep uniform records of the immunizations and immunization status
of each student, based on the certificate of immunization or other
evidence acceptable pursuant to subsection (a) of this section.
The record shall be part of the student's permanent record. By November
first of each year, the chief administrative officer of each institution
of higher education shall cause to be submitted to the Commissioner
of Public Health, on a form provided by the commissioner, a summary
report of the immunization status of all students enrolling in such
institution.
Conn. Gen. Stat. § 10a-155a (2006)
Sec. 10a-155a. Presence in institution of a student who
has not been immunized.
When a public health official has reason
to believe that the continued presence in an institution of higher
education of a student who has not been immunized against measles
or rubella presents a clear danger to the health of others, the
public health official shall notify the chief administrative officer
of such institution. Such chief administrative officer shall cause
the student to be excluded from the institution, or confined in
an infirmary or other medical facility at the institution, until
the student presents to such chief administrative officer a certificate
from a physician stating that, in the opinion of such physician,
the presence in the institution of the student does not present
a clear danger to the health of others.
Conn. Gen. Stat. § 10a-155b (2006)
Sec. 10a-155b. Meningitis vaccination
for residents of on-campus housing. Meningitis information and records.
(a) For the 2002-2003 school year, and each
school year thereafter, each public or private college or university
in this state shall require that each student who resides in on-campus
housing be vaccinated against meningitis as a condition of such
residence. The provisions of this subsection shall not apply to
any such student who
(1) presents a certificate from a physician
stating that, in the opinion of such physician, such vaccination
is medically contraindicated because of the physical condition
of such student, or
(2) presents a statement that such vaccination
would be contrary to the religious beliefs of such student.
(b) For the 2002-2003 school year, and each school
year thereafter, each public or private college or university in
this state shall
(1) provide information about meningitis to
all prospective students prior to their matriculation and include
with that information notice of the availability and benefits
of a meningitis vaccine, and
(2) develop procedures for receiving and keeping
a record of student vaccination status.
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