Health Services
School Immunizations
Immunization requirements for students in Kindergarten through 12th grade
Click on a link below to scroll to that section or click here for a PDF version these requirements.
Diptheria, Tetanus, Pertussis
(DTP/DTaP/DT/Td/Tdap) |
| |
Required spacing |
| Dose # |
Minimum |
|
Maximum |
| 1 |
Not valid before
6 weeks of age |
|
Before facility
entry |
| 2 |
1 month
after #1 |
|
3 months
after #1 |
| 3 |
current age less than 7 years |
1 month
after #2 |
|
3 months
after #2 |
| current age 7 years or older |
6 months
after #2 |
|
1 year
after #2 |
| 4 |
current age less than 7 years |
4 months
after #3 |
|
1 year
after #3 |
| current age 7 years or older |
| Only 3 valid doses required |
| 5* |
current age less than 7 years |
6 months
after #4 and
after 4 years of age |
|
Before facility
entry |
| current age 7 years or older |
| Only 3 valid doses required |
| |
An additional dose is required if minimum spacing requirements are not met.
*Dose #5 is not required if an appropriately-spaced dose #4 was received after 4 years of age.
Pertussis is not required for a child who is 7 years of age or older.
A child who has received 6 or more doses does not require more, regardless of spacing. |
10 year
Td Booster |
Required within 10 years of last tetanus/diptheria. |
|
Polio
(OPV, IPV) |
| |
Required spacing |
| Dose # |
Minimum |
|
Maximum |
| 1 |
Not valid before
6 weeks of age |
|
Before facility
entry |
| 2 |
1 month
after #1 |
|
3 months
after #1 |
| 3 |
1 month
after #2 |
|
1 year
after #2 |
| |
An additional dose is required if minimum spacing requirements are not met.
Polio is not required after 18 years of age.
Note
For purposes of compliance, 3 doses of appropriately spaced polio vaccine meet Alaska immunization requirements. However, general medical recommendations advise a 4th dose unless the child received the last dose after 4 years of age. |
|
Measles, Mumps, Rubella
(MMR) |
| |
Required spacing |
| Dose # |
Minimum |
|
Maximum |
| 1 |
Not valid before
1st birthday |
|
Before facility
entry |
| 2 |
1 month
after #1 |
|
3 months
after #1 |
| |
An additional dose is required if minimum spacing requirements are not met.
Rubella is not required after 12 years of age. 2nd Dose
A 2nd dose of measles only is required. However, mumps and rubella often are received as a component of MMR vaccine. |
|
Hepatitis A |
| |
Required spacing |
| Dose # |
Minimum |
|
Maximum |
| 1 |
Not valid before
1st birthday |
|
Before facility
entry |
| 2 |
6 months
after #1 |
|
19 months
after #1 |
| |
An additional dose is required if minimum spacing requirements are not met.
|
|
Hepatitis B |
| |
Required spacing |
| Dose # |
Minimum |
|
Maximum |
| 1 |
At birth |
|
Before facility
entry |
| 2 |
1 month
after #1 |
|
3 months
after #1 |
| 3 |
2 months after #2 and
at least 4 months after #1 |
|
18 months
after #2 |
| |
An additional dose is required if minimum spacing requirements are not met.
2-dose option for adolescents
Three (3) appropriately-spaced doses of hepatitis B are required unless the school maintains a copy of a medically-verified record that clearly documents receipt of 2 doses that meet ALL the following criteria:
Vaccine Used
- Merck RecombivaxHB®
- "Adult" formulation (contains 10 mcg of hepatitis B surface antigen)
Age when BOTH doses were received
Interval
- at least 4 months between doses
- compliance "maximum" = 7 months after #1
|
|
For compliance purposes:
| |
Age = age in calendar weeks or months (e.g. "by 6 wks of age" or "by 2 mos of age") |
| |
Interval between doses calculated as 28 days = 1 month |
| |
Kindergarten - For purposes of these guidelines, a "child in kindergarten" is one who was born by August 15th at least five years prior to kindergarten entry. For example, a child entering kindergarten in 2005 must have been born before August 15, 2000. Definition follows kindergarten age criteria established by the AK Department of Education and Early Development. |
| |
Maximum (under Required Spacing) - refers to the maximum time period before a child who has not received the required number of doses would be considered out of compliance. Doses received after the "maximum" intervals are medically acceptable and bring the child back to into agreement with compliance standards. |
|
 |
|
