Student Immunization Regulation

Version 1 (Current Version)
All Versions:
  • Version 1
PolicyREG11.40.01
TitleStudent Immunization Regulation
CategoryStudent Affairs
Sub-categoryStudent Health Services
AuthorityChancellor
History

Policy first enacted: 1994; last revised July 12, 2010; Placed in University Policy Manual after EXPEDITED REVIEW, transitioned without substantive change from prior version, January 29, 2013.

Related Policies
Additional References

NC General Statute Chapter 130 A, Article 6, Part 2, sections 152 through 158, NC Administrative Code, 10A NCAC 70E.0402


1. Introduction

1.1 All students, new and readmitted, who attend classes on campus, (day, night, part-time, graduate) are required to file a Report of Medical History with the Student Health Center, including proof of immunization.

1.2 Students will not be allowed to remain in class after 30 calendar days of any fall or spring semester if not in compliance with the requirements of the policy.

1.3 Immunization compliance is not enforced during summer sessions but is encouraged. Any student beginning school in the summer who does not comply but continues to be enrolled in the fall is required to comply with all immunization requirements within the first 30 days of that fall semester.

2. Immunization Requirements

2.1. Students 17 years of age or younger are required to have all of the following immunizations:

2.1.1 3 DTP (Diphtheria, Tetanus, Pertussis) or Td (Tetanus, Diphtheria) doses; one Td booster must have been within the past 10 years. If not, as of July 01, 2008 TDaP (tetanus, diphtheria, acellular pertussis) must be received.

2.1.2 3 Polio (oral) doses

2.1.3 2 Measles (Rubeola), 2 Mumps, 1 Rubella (MMR is preferred vaccine)

2.1.4 Tuberculin Skin Test (PPD) within 12 months preceding the beginning of classes if an international student. The PPD test must be given in the United States

2.1.4.1 If PPD is positive submit the most recent x-ray report.

2.1.4.2 If the chest x-ray was taken more than a year ago, submit the report and the DEHNR 3405 form (which may be obtained from your local health department or ECU SHS).

2.2 Students born in 1957 or later and 18 years of age or older are required to have all of the following immunizations:

2.2.1 3 DTP (Diphtheria, Tetanus, Pertussis) or TD (Tetanus, Diphtheria) doses; one Td booster must have been within the past 10 years. If not, as of July 01, 2008 a TDaP (tetanus, diphtheria, acellular pertussis) must be received

2.2.2 2 Measles (Rubeola), 2 Mumps, 1 Rubella (MMR is preferred vaccine)

2.2.3 Tuberculin Skin Test (PPD) within 12 months preceding the beginning of classes if an international student. The PPD test must be taken in the United States

2.2.3.1 If PPD is positive submit the most recent x-ray report.

2.2.3.2 If the chest x-ray was taken more than a year ago, submit the report and the DEHNR 3405 form (which may be obtained from your local health department or ECU SHS).

2.3 Students born before 1967 and 49 years of age or younger are required to have all of the following immunizations:

2.3.1 3 DTP (Diphtheria, Tetanus, Pertussis) or Td (Tetanus, Diphtheria) doses; one Td booster must have been within the past 10 years. If not, as of July 01, 2008 a TDaP (tetanus, diphtheria, acellular pertussis) must be received

2.3.2 1 Rubella dose (not required if student is 50 years of age or older)

Tuberculin Skin Test (PPD) within 12 months preceding the beginning of classes if an international student. The PPD test must be taken in the United States

2.3.2.1 If PPD is positive submit the most recent x-ray report.

2.3.2.2 If the chest x-ray was taken more than a year ago, submit the report and the DEHNR 3405 form (which may be obtained from your local health department or ECU SHS).

3. Alternatives and Qualifications. Some alternatives and qualification of requirements are acceptable as follows:

3.1. History of Measles (Rubeola) is acceptable as an alternative to receiving the Measles (Rubeola) Vaccine if physician verifies that student had the disease prior to January 1, 1994.

3.2. Blood titer tests are acceptable for Measles, Mumps, Rubella and Hepatitis B if the test shows the student to be immune. Laboratory test results must be attached.

3.3. Only one Measles (Rubeola) dose on or after first birthday is required for students who entered college for the first time before 7/1/94. Students who entered after 7/1/94 must have two doses of Measles vaccine.

3.4. ECU will not accept documentation that a Td Booster given within the past ten years assures that a primary series of a tetanus diphtheria-containing vaccine was given. Each student who does not meet the documentation requirement must initiate the Td series in time to have it complete by 30 calendar days after the first day of class. Individuals attending colleges and universities are required to have three doses of tetanus/diphtheria toxoid, one of which must have been within ten years immediately prior to attending class. Those individuals enrolling in college or university for the first time on or after July 1, 2008 must have had three doses of tetanus/diphtheria toxoid and a booster dose of tetanus/diphtheria/pertussis vaccine if a tetanus/diphtheria toxoid or tetanus/diphtheria/pertussis vaccine has not been administered within the ten years immediately prior to attending the university. A dose of tetanus/diphtheria/pertussis vaccine is not required for any student over the age of 64 years. Students wishing to obtain a medical exemption from the Td series must provide documentation from a licensed physician (see definition of Medical exemption below); the exemption must then be approved by The State Health Director. Titers will not be accepted for the tetanus series.

4. Exemptions

4.1 Medical Exemption -- An exemption from any applicable immunization requirement for medical reasons must meet the following criteria:

4.1.1 Must be requested on behalf of a student by his or her physician; and

4.1.2 Pursuant to N.C.G.S. Sec. 130A-156, if a physician licensed to practice medicine in North Carolina certifies that a required immunization is or may be detrimental to a person's health due to the presence of one of the contraindications adopted by the Commission for Public Health , the person is not required to receive the specified immunizations as long the contraindication persists. The State Health Director may, upon request by a physician licensed to practice medicine in North Carolina, grant a medical exemption to a required immunization for a contraindication not on the list adopted by the Commission for Public Health.

4.2 Religious Exemption -- An exemption from an applicable immunization requirement for religious reasons must meet the following criteria:4.2.1Must be requested in writing signed by the student or the student's parent or guardian; and4.2.2 Pursuant to N.C. G.S. Sec. 130A-157, if the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this Part, the adult or the child shall be exempt from the requirements. Upon submission of a written statement of the bona fide religious beliefs and opposition to the immunization requirements, the person may attend the college, university, school or facility without presenting a certificate of immunization.