idph immunization requirements 2023

6Inadvertent Administration of DTaP or Tdap: Alternative Options for Proof of Immunity. TO REQUIRED IMMUNIZATIONS AND/OR EXAMINATIONS FORM . State law also mandates immunizations for adults in specific fields of work (healthcare). The State of Illinois has developed a two-tiered strategy to ensure vaccine delivery: The state conducted an initial baseline survey of ultra-cold storage capability across the State of Illinois, identifying capability and capacity in locations such as hospitals, LHDs, universities, and colleges. Children 24-59 months of age without series shall show proof of one dose of Hib vaccine at 15 months or older. KEY POINTS for Immunity Reviews All proof of immunity documentation must be reviewed by designated IDPH Immunization staff with parental consent. Note:EMTrack will continue to function if I-CARE is not available. See the rules that apply to First Entry into School (Kindergarten or 1stGrade). Vaccine providers will be required to enroll in VaccineFinder and report inventory daily. Two doses of mumps vaccine, the 1st dose must have been received on or after the first birthday and the second dose no less than 4 weeks (28 days) later. LHDs should also plan for populations that have difficulty with internet access and internet communication, or the digital divide, the goal of which is for all populations to have access to the most up-to-date vaccination information, including registering for appointments, regardless of digital literacy. Data in Tiberius is generated based on allocations to the state from the CDC and daily inventory reported by COVID-19 Vaccine Providers in the VaccineFinder system. Refer to Section 664.120 of the Administrative Code for these requirements. The IDPH/OHPt Immunization Section maintains the Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE), a system for vaccine management and operations, which includes ordering, shipping, handling, and storing procedures for all vaccine purchases in the state. In response to vaccine safety, IDPH and COVID-19 Vaccine Providers will use the Vaccine Adverse Event Reporting System (VAERS) to report and investigate adverse events following immunization with the COVID-19 vaccine. 1600 Clifton Road, NE; MS #A-19. Third dose must have been administered on or after 24 weeks of age (168 days). This includes simultaneous administration of COVID-19 vaccine and other vaccines on the same day, as well as coadministration within 14 days. Vaccination clinics held in these settings have unique challenges, and providers must follow specific guidelines provided by the CDC for managing publicly supplied vaccine in these nontraditional settings. The IDPH RSS has implemented revised shipping processes for Pfizer vaccine that will allow expanded storage and shipping options. The RSS/Distribution Group is responsible for tracking COVID-19 vaccine orders shipped directly from the manufacturer to providers. The preferred schedule is 1 dose of Tdap, followed by 1 dose of either Td or Tdap at least 4 weeks afterward, and 1 dose of either Td or Tdap 612 months later. *This is a progressive requirement starting in 2017-2018. For Men ACWY vaccines may be administered simultaneously with Men B vaccines if indicated, but at a different anatomic site, if feasible. All providers should also ensure that their vaccinators and other staff involved in vaccination operations receive training. Additionally, IDPH plans to conduct workshops, webinars and/or tabletop/functional exercises for state partners as necessary. Additional doses gained from vaccine vials should also be reported in I-CARE to ensure inventory is increased to account for additional doses drawn from vaccine vials (as of the date of this plan, the CDC has only approved the use of extra doses from Pfizer & Moderna vials). When the reason for the medical exemption is no longer valid the child must get the vaccine. Moderate risk country. Per the CDC, it is unknown whether reactogenicity of COVID-19 vaccine is increased with coadministration, including with other vaccines known to be more reactogenic, such as adjuvanted vaccines or live vaccines. To ensure success of the mission, ICS may be expanded as needed, to possibly include but not be limited to, the following positions: Per the CDC,adultancillary supply kits shipped by McKesson will include the following: Janssen Vaccineancillary supply kit for 100 doses: Note: On April 13, 2021,the CDC issued a pauseto the administration of theJohnson & Johnson Vaccinein the USA, out of an abundance of caution. The tool will list public health jurisdictions, all eligible providers in the jurisdiction, and their vaccine administration capacity to efficiently allocate the vaccine in real-time as information is received from the CDC. Cold chain maintenance at individual provider locations will require appropriate vaccine storage and temperature-monitoring equipment, trained provider staff, and consistent, accurate inventory management as discussed above. If a fully vaccinated child aged 79 years receives Tdap, the Tdap dose should not be counted as valid. Furthermore, IDPH will provide training webinars on the EUA fact sheets and the VISs to ensure that providers understand the information and are clear on the requirement to provide the recipient fact sheet to each client or patient prior to administering vaccine. Ensuring that each COVID-19 vaccination provider is ready and able to report required COVID-19 vaccine administration data elements to IIS is part of the COVID-19 provider onboarding process. Specifically, IDPH will look to ensure that there is sufficient evidence (including in peer-reviewed journals) that the tool is valid for the ages, screenings, and populations (including languages) the petitioner proposes. A notation of whether or not the socio-emotional and developmental screening was completed shall be recorded on the forms IDPH and the Illinois State Board of Education prescribed for statewide use. Additionally, IDPH will provide site assessments to 100% of COVID-19 vaccine providers by the date the CDC requires, which as of the date of this plan is forthcoming. Federal vaccine call center information and a frequently asked question section. Jurisdictions and providers should also employ strategies for ensuring equitable administration of vaccines within the identified priority groups to communities hardest hit by COVID-19, such as low-income populations and communities and essential workers of color. Irrespective of the type of syringe and needle, each dose must contain 0.5 mL of vaccine. Guidance For Providers - Illinois As of the SIREN dated May 11, 2021, with updated guidance from IDPH & the CDC, providers should make every effort to vaccinate all eligible persons who present at vaccination locations. The Mass Immunization Module allows for faster data entry during vaccination events as lot number defaults are added prior to conducting these events. This draft document is designed to assist Local Health Departments in planning for vaccine distribution in response to the COVID-19 pandemic. Child care audits, including preschools, should be completed and entered in IRIS by Friday, January 26, 2024. You can request the password fromDPH.Covid.Vaccination@Illinois.govvia your agency email account, if needed. According to the FDA, thePfizer vaccinecomes in multidose 6-dose vials. Finally, this provides assurance that all priority groups have adequate access to the vaccine and that enough of the population can be vaccinated in a timely fashion. Vials will be shipped in the same thermal shipping container as the 1,170-dose orders and will include the same Controlant temperature monitor. The newly extended refrigerator storage temperatures (up to 31 days at 2C to 8C) should decrease the need for dry ice. Activate a statewide hotline to address questions regarding vaccination administration campaign and to provide guidance on reporting vaccine-adverse events to the CDC. As of March 31, 2021, per theHCP Fact Sheet, there is a new maximum 15-dose vial presentation with ranges for the Moderna vaccine (see table attached to hyperlink). While vaccine supply is limited, LHDs should ensure that individuals in earlier priority groups have an opportunity to be vaccinated prior to using vaccine for closed PODs for lower risk groups. Laboratory evidence of prior or current hepatitis B infection is acceptable only if one of the following serologic tests indicates positivity: HBsAg, anti-HBc or anti-HBs. Minimum orders for ultra-cold vaccines that are shipped directly from the manufacturer will be 450 or 1,170 doses per package and will be shipped in special shipping containers containing dry ice to maintain the ultra-cold temperature. The EMTrack - Vaccination Module is a solution designed by Juvare for use by COVID-19 providers at the state, regional, county, or city level. Approved means the order has been placed in I-CARE. Per the CDC, specifically for the Pfizer vaccine, the ancillary kit is designed to include 3 low dead-volume syringes (that permit an extra dose to be drawn) and 3 normal (non-low dead-volume) syringes with each vial. "@context": "http://schema.org", dose administered is required. The Medical Countermeasures Program includes the Strategic National Stockpile (SNS) Program, the CHEMPACK Program, the Illinois Pharmaceutical Stockpile (IPS), and the Cities Readiness Initiative (CRI). Establishing vaccination sites with expanded schedules for essential workers with non-traditional work hours. Vaccine conditions of authorization are expected to include distribution requirements, reporting requirements, and safety and monitoring requirements. The Vaccine Administration Division is responsible for liaising with vaccine providers in each of the healthcare coalition regions and public health jurisdictions, by provider type. Messages may include understanding the key differences between U.S. Food and Drug Administration (FDA) emergency use authorization and FDA approval, a timeline of vaccine availability, authorization, distribution, targeted populations, why the vaccine is essential,resources for employers and employees,potential impacts of emerging variants, and that situations are continually evolving. Refer to Section 664.130 of the Administrative Code for these requirements. To assist with vaccination operations at POD sites, COVID-19 vaccine providers can useIllinois Helpsto search for qualified volunteers. Documenting and reporting vaccine administration via I-CARE and/or EMTrack. Annual continuing education for paramedics, EMT-Is, or AEMTs as it relates to vaccine administration and medication education. This education may vary based on manufacturer. Any child health exam that occurs after January 1, 2023 for the school year of 2023-2024, will need to utilize the updated child health exam form. Recommendations may be adjusted based on continued guidance from CDC and the Federal Emergency Management Agency (FEMA). A system plan for vaccine administration must be developed and include, at a minimum: Additionally, EMS Systems should consider the need for just-in-time training that may specifically address the type of vaccine being administered and the manufacturer-recommended patient education. For refrigerated and/or frozen vaccine, approved vaccine ordersincluding the adjuvant/diluent, if necessary, and all ancillary supplieswill be shipped directly to providers designated locations. This model will be utilized until the supply of vaccine to the State of Illinois allows for direct shipments to all providers. PDF Certificate of Religious Exemption Form - IDPH All transport requirements and recommendations outlined in Section 6 of theCDCs Storage and Handling Toolkitwill be followed. Initial shipments and subsequent second doses of Pfizer ultra-cold vaccine will be direct shipped to the Strategic National Stockpile (SNS) Receipt Stage & Store (RSS) warehouse for Illinois. The amount allocated will change over time and may be based on critical populations recommended for vaccination, COVID-19 vaccine production and availability, and overall population of the jurisdiction. Pharmacists are not only highly accessible, but they are also commonly available for longer hours and for more days than non-pharmacy providers. Please note, the populations calculations do not include children under the age of 12. Inclusion in Phase 1A is not dependent upon payment for a persons work or job title. IDPH will also monitor vaccine uptake and coverage and reassess strategies to increase uptake in populations and/or communities with low vaccine coverage. After registering withV-safe, reminders will be sent to the individual that it is time for their second COVID-19 vaccine dose, if necessary. Product-specific EUA fact sheets for COVID-19 vaccination providers will be made available by the FDA that include information on the specific vaccine product and instructions for its use. VAERS is a national passive surveillance reporting system that is co-sponsored by the CDC and the FDA. Between the 3rd and 4th dose, there must be at least 6 calendar months. Effective Monday, February 8, 2021, the race and ethnicity data fields in I-CARE became mandatory data fields. Walgreens will be the first pharmacy to receive this additional federally allocated vaccine, and more pharmacies will be added as vaccine becomes available at the federal level. See recommendations forhow to mix diluent and vaccine, for Pfizer vaccine only. Kindergarten through 5thgrade not a requirement. The third dose of hepatitis B vaccine is not required if it can be documented that the child received two doses of adult formulation Recombivax-HB vaccine (10 mcg) and was 11 to 15 years of age at the time of vaccine administration, and that the interval between receipt of the two doses was at least four months. Tickborne Encephalitis. Jurisdictions and vaccination providers are responsible for maintaining vaccine quality from the time a shipment arrives at a vaccination provider site until the dose is administered. Immunization Certificates Licensed Child Care and Preschool Audits Home School Students Tdap Vaccine Requirement Meningococcal Vaccine Requirement 3 4 5 8 9 10 11 2022-23 Child Care and School Immunization Requirements Q1: Has the COVID-19 vaccine been added as a required vaccine for school enrollment? Federal agencies are planning to implement ACIP recommendations and will be included in early vaccine allocation and distribution. or dental examinations will not provide a sufficient basis for an exception to statutory requirements. Depending upon information received from a vaccinated individual, the CDC may call to verify reports of adverse effects and obtain more information. Students entering 6ththru 12thgrade, three doses of hepatitis B vaccine administered at appropriate intervals. Each ancillary kit contains 50 surgical masks and 25 face shields. This data, All vaccine providers must report daily vaccine administration and on-hand inventory to IDPH through. For access, all I-CARE providers must be authorized via the IDPH Immunization Program. Tdap: There is no minimum interval from the last Td dose. Identify and map priority populations and determine sub-allocations of vaccine for distribution within the state. See below on tracking order status in I-CARE: Note: All of these processes are manual and require uploading and downloading files. The Pfizer COVID-19 vaccine vials must remain undiluted to remain at 2C to 8C for 31 days. Outreach to priority groups, vulnerable populations, and hard-to-reach populations. flickr/NIAID/CC BY 2.0 Listen (Duration: 4:11) Download The new 450-dose pack includes 3 trays of 25 vials each. Provides a digital application for POD operations to utilize on smart devices for providers to scan individuals/patients through each section of the POD. Through early detection and treatment of chronic and acute health problems, identification of risk-taking behaviors and appropriate anticipatory guidance, treatment and referral, school health centers assure students are healthy and ready to learn. EMTrack automatically reminds individuals/patients about their second dose within that system. IDPH will estimate overall allocations of COVID-19 vaccine based on the size of critical population groups within each local public health departments jurisdiction for Phase 1A, and then total population from Phase 1B forward. Pfizer trays pizza boxes should be destroyed/shredded before being disposed. LHDs will transport the shipment back to their jurisdiction for vaccination operations. Review the CDC vaccination schedules for infants and children, preteens and teens, and adults found under Resources. You Call the Shots: Vaccines Web-based Training Course | CDC IDPH will also give away gun locks as part of its ongoing partnership with the Illinois State Police (ISP) to promote firearms safety in the state. Note: If multiple 450 trays are ordered, the manufacturer may consolidate them into 1,170 trays). The catch-up schedule and minimum intervals between doses are available at. Providers, vaccinators, and public health department education and training information, including EUA fact sheets for providers and vaccine recipients and a place for Vaccine Information Statements (VISs). The Immunization Group will also be responsible for monitoring patient tracking and for monitoring adverse events reporting. To accomplish the goal of providing SARS-CoV-2/COVID-19 vaccines to enough of the population to elicit herd immunity, as supply of vaccines permits, the State of Illinois will accomplish the following: Provide technical assistance to Local Health Departments (LHDs) to inform local planning and ensure local plans align with state plans and/or guidance and maintain accountability. Flu vaccine recommendations change for 2023-2024, CDC announces - MSN VAERS reports should go directly to the VAERS site. At the end of the clinic day, temperature data must be assessed prior to returning vaccine to fixed storage units to prevent administration of vaccines that may have been compromised. Vaccine distribution for common vaccine-preventable diseases will not alter from routine procedures. Note: If you are having trouble with EMTrack app functioning at your POD, first try logging off, closing the app, restarting the app and logging back on before contacting technical support. Staff will review this frequently to ensure completeness, accuracy, and timeliness of reporting data. MCV4: Individuals who receive dose 1 on or after the 16th birthday only need 1 dose of MCV4. Local Health Departments should plan outreach to their regional healthcare coalition, hospitals, long-term care/assisted living facilities, and with other potential vaccine providers in their jurisdictions to determine each entitys capacity to order and receive vaccine to assist with vaccination operations for their population. This framework focuses on reducing severe morbidity and mortality and negative societal impact due to the transmission of SARS-CoV-2. Providers that fail to report temperature excursions within 1 business day will be at high risk for wasting vaccine and the need to re-vaccinate patients. Vaccine recommended for long-term travelers and those who may come in contact with animals. Once vaccine transfer is complete, the reconciled inventory will be transferred to the receiving facilitys inventory and accepted by the new COVID-19 vaccine provider. With the challenge of meeting cold chain requirements, LHDs should limit any redistribution to refrigerated vaccines only, unless specialized equipment is available. This includes: When vaccine is limited, priority should first be given to high-risk healthcare workers involved in direct patient care and those working in transport, environmental services, or other healthcare facility services, where the risk of exposure to bodily fluids or aerosols exists. As of May 25, 2021, Pfizer added the option of a new shipment of 450 doses; so shipments may come in dose increments of 450 or 1,170. IEMA Logistics will coordinate transport with the Illinois State Police to secure the SNS-RSS and the transport of each shipment of each vaccine to each of 10 state RHCCs. Provide a statewide system for disseminating information to vaccine providers and others with direct involvement in the COVID-19 vaccination administration mission, i.e., Health Alert NetworkHAN/SIREN. The CDC is currently developing procedures to ensure that jurisdictions have full visibility into COVID-19 vaccine supply and vaccination activities among these entities located within their boundaries. Between the first 3 doses, there must be at least 4 weeks. To better assist with this situation, the following will be required: Visit the CDCGuidance for Planning Vaccination Clinics Held at Satellite, Temporary, or Off-SiteLocations for a step-by-step guide on overseeing vaccination clinics. IDPH recognizes the potential for alterations of these recommendations based on the evolving epidemiology of COVID-19 and will monitor national recommendations for changes that may occur. In order to enter Hungary, American travelers must have a negative PCR test, valid for 72 hours. Children must meet immunization requirements as stated in Idaho law to attend school. CRI is a program designed to ensure cross-border collaboration of municipalities, counties, and states during incidents where emergency medical supplies and equipment are deployed. The program manager and/or other appropriate staff plan and implement relevant competency training for staff (Microsoft package, Smartsheet, etc.) Throughout the state fair, IDPH will also provide free gun locks at its tent and booths. Federal agencies and additional commercial partners will also receive allocations directly from the CDC once larger volumes of vaccine are available. As of the date of this plan, extra diluent should not be added to draw additional doses, per CDC guidance. Step 2: Complete the fillable CDC and IDPH COVID-19 Vaccine Provider Agreement form within I-CARE. Within the Advisory Committee on Immunization Practices (ACIP) recommendations, vaccine doses given up to four days before minimum interval or age can be counted as valid. I-CARE is the states IIS and will be the primary system used to order and track SARS-CoV-2/COVID-19 vaccine administration during an event. These locations have been identified to act as contingency ultra-cold storage locations should additional capacity be needed. In Figure 2, functions that interface with IEMA are signified in red boxes. During registration, participating entities will need to enter contact information and select a specific organization and function. Providing Emergency Use Authorization (EUA) fact sheets and/or vaccine information statements (VISs) to LHDs to provide to vaccine recipients. Once checked in, the person will then be screened. Students attending ungraded school programs must comply in accordance with grade equivalent. Providers will be instructed to read both types of EUA fact sheets and VISs and reach out to the IDPH Immunization Program with any questions prior to beginning administration of COVID-19 vaccine. TheVaccine Tracking System (VTrckS)is a secure, federal, web-based information technology system that integrates the entire publicly funded vaccine supply chain from purchasing and ordering through distribution to participating state, local, and territorial health departments and healthcare providers. This includes a ticket that is generated with a unique identifier. Ultimately, the provider may need to waste some or all remaining doses in that vial; but at this stage in the pandemic response, it is critical that opportunities to vaccinate are not missed. Providing EUA fact sheets and/or VISs to vaccine recipients. Pierce the stopper at a different site each time. IPS is a state-owned cache of emergency medical supplies and equipment. Satellite, temporary, and off-site vaccination clinics play an important role in improving vaccination coverage rates and vaccinating hard-to-reach populations. The following federal entities will receive direct allocation of COVID-19 vaccines from the CDC: The Federal Bureau of Prisons, U.S. Department of Defense, the U.S. Department of State, the U.S. Department of Veterans Affairs, and the Indian Health Service. LHDs should work with these local partners to ensure they are reaching the hardest hit communities within the identified priority groups. Download Minimum Immunization Requirements for Children Enrolling or Entering a Child Care Facility or School in Illinois, 2022-2023 Diphtheria, Pertussis, Tetanus Vaccine Requirement Child Care Facility, Preschool, Early Childhood, Pre-Kindergarten Programs Three doses of DTP or DTaP by 1 year of age. An adequate network of trained, technically competent COVID-19 vaccination providers in accessible settings is critical to the COVID-19 Vaccination Programs success. The EUA will be authorized for a specific period (i.e., for the duration of the COVID-19 pandemic) to meet response needs. The I-CARE Individual User Agreement form stating and agreeing to IDPH security and confidentiality policies. Between the 3 or more primary series doses, there must be at least 4 weeks. Within the Vaccination Section, each box represents a function that has a lead and support staff, as required, thus creating redundancy. When placing orders, awardees should select an order intention of Adult or Pediatric for their Pfizer order. The Web Portal Registration Authority Agreement (PRA registration)each intended user will need to follow the IDPH web portal online registration process to create a username and password. In addition, visit the hyperlink forCDC guidance on people vaccinated outside the United States. The School Health Program provides technical assistance and training to Illinois school health personnel serving over 2 million school age children. SIREN, originally implemented as the core alerting service for the Illinois Department of Public Healths Health Alert Network, has been broadened in scope and utility to make it a robust tool for all state agencies and partners with alerting, notification and collaboration needs and is available to all agencies and partners. I-CARE works by taking in data from a variety of sources, consolidating data into high-quality patient immunization records, applying vaccine evaluation and forecasting algorithms, and transforming this data into actionable information for clinicians, public health practitioners, and other IIS users to support immunization practice and improvement in one secured system. Part of the oversight of the LHD is ensuring training/orientation and quality improvement methodologies are in place that are in line with established CDC guidelines and standards. A centralized distribution model (hub and spoke) was executed for initial distribution of ultra-cold vaccine using a modified version of the State Strategic National Stockpile Plan, due to the scarcity of vaccine supply to the State of Illinois and the initial minimum order size of 975 doses, which was updated to 1,170 doses the week of February 15, 2021, to ensure widescale vaccine distribution without vaccine waste. Training topics may include but are not limited to the following: State of Illinois COVID-19 Vaccination Plan, Behavioral Risk Factor Surveillance System, Pregnancy Risk Assessment Monitoring System, Additional Dose and Bivalent Booster Dose FAQ, A Framework for Equitable Allocation of COVID-19 Vaccine, building vaccine confidence for LTCF residents and staff. The COVID-19 Vaccine Provider Reference Guide is posited on the I-CARE announcements page upon login to the system, which acts as an onboarding/reference document and serves as a frequently asked questions/troubleshooting guide for providers. There are functions that interface with local jurisdictions at both the command staff and general staff levels. end of the three-month period and meet all other CCAP eligibility requirements will be able to maintain their Child . One dose of meningococcal conjugate vaccine on or after the childs 11thbirthday.4, Two doses of meningococcal conjugate vaccine, with the second dose administered on or after the childs 16thbirthday and at least 8 weeks after the first dose. As more vaccine becomes available, all healthcare personnel in Phase 1A should have the opportunity to be vaccinated. Once the supply of vaccine increases and later phases are entered, orders can be processed directly with all providers or as operations dictate. ThroughV-safe, the CDC will be notified of any side effects that individuals experience after receiving the COVID-19 vaccine.

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