It’s never too early to think about school immunizations, and it won’t be long until the bell rings again, said Kelly Moore, M.D,, director of the Tennessee Immunization Program.

He reminds that Tennessee students are required to have a number of immunizations for school attendance.

“Getting vaccinated is so important to help protect all of us from infectious diseases,” hr said. “Making sure your children have their required vaccinations is a good way to help ensure students won’t be out of the classroom due to a preventable illness.”

According to the state Department of Health, children enrolling in school for the first time and all children going into seventh grade must provide schools with a state immunization certificate before classes start as proof they have had all the immunizations necessary to protect them and their classmates from serious vaccine-preventable diseases.

“We encourage parents to avoid the last-minute rush of getting into a health care provider’s office by making sure their child has his or her needed immunizations now,” Moore said.

Immunizations required for school are available from a variety of health care providers, including county health departments, said Moore. Children may be eligible to receive free vaccine if they have no insurance, are enrolled in TennCare, have private insurance that does not cover vaccines, or are American Indian or Alaska Native.

There is a separate charge for administering the vaccine, the cost of which may be discounted for children with no insurance, who are American Indian or Alaska Native, and children with private insurance that does not cover vaccines.

One of the required immunizations is for measles, mumps and rubella, also known as MMR. According to Moore, an outbreak of five cases of measles was recently reported in Tennessee among contacts of an infected traveler, the first cases in the state in three years. None of these cases, all adults, had evidence of two doses of MMR vaccine.

“The measles virus is highly contagious and can stay airborne or live on surfaces for up to two hours,” said Jan Beville, MD, TDH Community Health Services medical director. “Measles is rare, but can be just a plane ride away. The two doses of MMR vaccine required for school and college protects more than 99 percent of healthy children.”

All students entering seventh grade are required to have proof they have had two doses of chickenpox vaccine (or a history of illness) and a booster shot for tetanus, diphtheria and pertussis or whooping cough, commonly known as “Tdap,” to protect them through their teens. This is also the age pediatricians and other experts recommend preteens get their first of three doses of a vaccine to help prevent the cancers of men and women caused by the human papillomavirus (HPV) and their first dose of meningitis vaccine.

Although HPV and meningitis vaccines are not required, they are recommended to be given at the same time as the required Tdap booster and any other vaccine a child may need.

In 2013, Gov. Bill Haslam signed into law the “Jacob Nunley Act” requiring new incoming college students who live in on-campus housing to provide proof of immunization against meningococcal meningitis.

The complete list of child care and school immunization requirements is available on the TDH website at Questions about school policies on when or how immunization certificates must be provided should be directed to local schools.


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