6 Colo. Code Regs. § 1009-2-II

Current through Register Vol. 47, No. 9, May 10, 2024

Section 6 CCR 1009-2-II - Minimum Immunization Requirements

A. To attend school, a student must have an up-to-date Certificate of Immunization with the dates and types of immunizations administered. Meeting the initial immunization requirements does not exempt a student from meeting subsequent requirements. This certificate must demonstrate immunization against the following diseases:

1. Hepatitis B

2. Pertussis

3. Tetanus

4. Diphtheria

5. Haemophilus Influenzae Type B (HIB)

6. Pneumococcal disease

7. Polio

8. Measles

9. Mumps

10. Rubella

11. Varicella

B. Except as required in paragraphs (C) and (D) of this Section II, when healthcare providers administer the immunizations identified in Paragraph (A) of this Section II, the immunizations will be administered according to the schedule established by the ACIP, as authorized in section 25-4-902(1)(a), C.R.S.

C. Students between the ages of 4 through 6 years are required to receive their final doses of Diphtheria, Tetanus, and Pertussis (DTaP), Inactivated Polio Vaccine (IPV), Measles, Mumps, and Rubella (MMR) and Varicella prior to kindergarten entry.

D. Students are required to receive Tetanus, Diphtheria, Pertussis (Tdap) prior to 6th grade entry. One dose of Tdap is required for 6th through 12th grades.

E. Laboratory confirmation of positive titers are an acceptable alternative to the following vaccines when submitted to the student's school:

1. For DTaP and Tdap, both the Diphtheria and Tetanus titers must be positive. A titer is never acceptable to demonstrate immunity to Pertussis. The Department will accept positive titers for Tetanus and Diphtheria. For Pertussis the Department will require:

1) vaccination with an age-appropriate Pertussis-containing vaccine series in alignment with ACIP, or

2) a certificate of medical or nonmedical exemption for the Pertussis component.

2. For MMR, titers for Measles, Mumps, and Rubella must all be positive. If any single titer is negative, the Department will require:

1) vaccination with an age-appropriate MMR vaccine series in alignment with ACIP, or

2) a certificate of medical or nonmedical exemption for the component(s) for which the titer is negative.

3. For Varicella, the titer for Varicella must be positive. If the titer is negative, the Department will require:

1) vaccination with an age-appropriate Varicella vaccine series in alignment with ACIP, or

2) a certificate of medical or nonmedical exemption for the varicella vaccine.

4. A titer is not an acceptable alternative for Haemophilus Influenzae Type B, Hepatitis B, the Pertussis component of Tdap and DTaP vaccines, Pneumococcal, Or Polio Vaccines.

6 CCR 1009-2-II

37 CR 18, September 25, 2014, effective 10/15/2014

38 CR 09, May 10, 2015, effective 7/1/2015

38 CR 18, September 25, 2015, effective 10/15/2015

39 CR 12, June 25, 2016, effective 7/15/2016

40 CR 13, July 10, 2017, effective 7/30/2017

41 CR 14, July 25, 2018, effective 8/14/2018

43 CR 23, December 10, 2020, effective 1/14/2021

45 CR 01, January 10, 2022, effective 2/14/2022

46 CR 08, April 25, 2023, effective 5/15/2023