N.H. Code Admin. R. Env app C

Current through Register No. 25, June 20, 2024
Appendix C - CITED RULES

He-P 301.14 Immunization Requirements.

(a) The number of immunization doses, dosage, route of administration, spacing and age requirements shall be defined by the Recommended Immunization Schedules for Persons Aged 0-18 years - United States, 2008, as published by the Centers for Disease Control and Prevention (CDC) and as approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP).

(b) No child shall be admitted or enrolled in public or private, primary or secondary schools or child care agency without showing documentation, as defined in He-P 301.01(n), of having received age-appropriate and acceptable immunization in accordance with current department immunization requirements for the following vaccines:

(1) Five doses of diphtheria, tetanus, pertussis (DTP), or diphtheria, tetanus, acellular pertussis (DTaP) vaccines, unless the fourth dose has been administered after the fourth birthday, in which case only 4 doses are required:

a. When pertussis vaccine is medically contraindicated, diphtheria-tetanus toxoid (DT) shall be substituted for DTaP vaccine;

b. When a child is between 7 and 10 years of age and requires additional immunizations to satisfy He-P 301.14(c)(1), tetanus-diphtheria toxoid (Td) shall be substituted for DTP, DTaP, or DT vaccine;

c. When a child is 11 years of age or older, and it has been 5 years or longer since the last documented dose of a tetanus toxoid containing immunization, the child shall receive a booster dose of tetanus, diphtheria acellular pertussis (Tdap) vaccine, except if the child has a medical contraindication to pertussis vaccine, in which case the child shall receive Td; and

d. For children 7 years of age or older, a minimum of 3 or 4 doses, with the last dose administered after age 4, of diphtheria, tetanus, pertussis (DTP), diphtheria, tetanus, acellular pertussis (DTaP), or Td vaccines, or a total of 5 doses;

(2) Four doses of trivalent polio vaccine, unless the third dose of an all oral polio vaccine (OPV) or all inactivated polio vaccine (IPV) series has been administered after the fourth birthday, in which case only 3 doses are required;

(3) One dose of measles (live), mumps, rubella (MMR) vaccine given at or after 12 months of age;

(4) All students in grades kindergarten through 12th shall have received 2 valid doses of measles, mumps and rubella vaccine;

(5) Three doses of hepatitis B vaccine for children born on or after January 1, 1993; and

(6) For varicella vaccine:

a. All children entering kindergarten, first grade and sixth grade shall have received one valid dose of varicella vaccine; and

b. Beginning the 2009/2010 school year, all children entering kindergarten, first grade and sixth grade shall have received two valid doses of varicella vaccine.

N.H. Code Admin. R. Env app C