Section 695.10  Basic Immunization

 

a)         The optimum starting ages for the specified immunizing procedures are as follows:

 

1)         Diphtheria 2-4 months

 

2)         Pertussis 2-4 months, combined with

 

tetanus toxoid

3)         Tetanus 2-4 months

 

4)         Poliomyelitis 2-4 months

 

5)         Measles 12-15 months

 

6)         Rubella 12-15 months

 

7)         Mumps 12-15 months

 

8)         Haemophilus 2-4 months

 

influenzae type b

9)         Hepatitis B Birth-2 months

 

10)       Varicella 12-18 months

 

b)         All children 2 months of age and over upon first entering a child care facility shall present evidence that such person has been immunized, or is in the process of being immunized, according to the recommended schedule against diphtheria, pertussis, tetanus, polio, measles, mumps, rubella, Haemophilus influenzae type b, and hepatitis B, and varicella.

 

c)         All children entering school programs (includes nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) in Illinois for the first time shall present evidence of immunity against:

 

1)         Diphtheria

 

2)         Pertussis (except as noted in subsection (d) of this Section)

 

3)         Tetanus

 

4)         Poliomyelitis

 

5)         Measles (except as noted in subsection (f) of this Section)

 

6)         Rubella

 

7)         Mumps

 

8)         Haemophilus influenzae type b (except as noted in subsection (i) of this Section)

 

9)         Hepatitis B (except as noted in subsection (j) of this Section)

 

10)       Varicella (except as noted in subsection (k) of this Section)

 

d)         Diphtheria, Tetanus, Pertussis

 

1)         Any child entering a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) must show proof (see Section 695.50) of having received 3 doses of Diphtheria, Tetanus, Pertussis (DTP or DTaP) vaccine by one year of age and one additional dose by the second birthday.  The first 3 doses in the series must have been received no less than 4 weeks (28 days) apart.  The interval between the third and fourth or final dose must be at least 6 months.  Any child 24 months of age or older shall present proof of 4 doses of DTP or DTaP vaccine, appropriately spaced.

 

2)         Any child entering school, kindergarten or first grade, for the first time must show proof (see Section 695.50) of having received 4 or more doses of Diphtheria, Tetanus, Pertussis (DTP or DTaP) vaccine with the last dose being a booster and having been received on or after the fourth birthday.  The first 3 doses in the series must have been received no less than 4 weeks (28 days) apart.  The interval between the third and fourth, or final dose, must be at least 6 months.  Children 6 years of age or older may receive adult Tetanus, Diphtheria (Td) vaccine in lieu of DTP or DTaP vaccine.  Pertussis vaccine is not medically recommended for children 7 years of age or older.

 

3)         Any child entering school at a grade level not included in subsection (d)(1) or (2) of this Section must show proof (see Section 695.50) of having received 3 or more doses of DTP, DTaP, pediatric DT or adult Tetanus, Diphtheria (Td) with the last dose being a booster and having been received on or after the fourth birthday.  The first 2 doses in the series must have been received no less than 4 weeks (28 days) apart.  The interval between the second and third, or final dose, must be at least 6 months.

 

4)         Receipt of pediatric Diphtheria, Tetanus (DT) vaccine in lieu of DTP or DTaP is acceptable only if the pertussis component of the vaccine is medically contraindicated.  Documentation of the medical contraindication must be verified as specified in Section 695.30.

 

5)         If 10 years have elapsed since the last booster, an additional Td booster is required.  Receipt of Tetanus Toxoid (T.T.) vaccine is not acceptable in fulfilling this requirement.

 

6)         School age children entering a child care facility shall comply with the immunization requirements in accordance with subsections (d)(2), (3), (4) and (5).

 

e)         Polio

 

1)         Any child entering a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district must show proof (see Section 695.50) of having received 2 doses of polio vaccine (defined as oral poliovirus vaccine (OPV) or inactivated poliovirus vaccine (IPV)) by one year of age and a third dose by the second birthday.  Doses in the series must have been received no less than 4 weeks (28 days) apart.   Any child 24 months of age or older shall present proof of at least 3 doses of polio vaccine, appropriately spaced.

 

2)         Any child entering school at any grade level, K-12, must show proof (see Section 695.50) of having received 3 or more doses of polio vaccine (defined as oral poliovirus vaccine (OPV) or inactivated poliovirus vaccine (IPV)).  A child who received any combination of IPV and OPV must show proof of having received at least 4 doses, with the last dose having been received on or after the fourth birthday.  Doses in the series must have been received no less than 4 weeks (28 days) apart.  A child who received IPV exclusively or OPV exclusively must show proof of having received at least 3 doses, with the last dose having been received on or after the fourth birthday, but prior to school entrance.  Doses in the series must have been received no less than 4 weeks (28 days) apart.

 

3)         School age children entering a child care facility shall comply with the immunization requirements in accordance with subsection (e)(2).

 

f)          Measles

 

1)         Any child entering a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall present evidence of having received one dose of live measles virus vaccine by the second birthday.  The measles vaccine must have been received on or after the first birthday.

 

2)         The child shall present evidence that he or she has:

 

A)        been age-appropriately immunized against measles prior to entering a child care facility or school, including school programs under the kindergarten level, for the first time, or

 

B)        a statement from the physician that he or she has had measles as noted in Section 695.50(c), or

 

C)        laboratory evidence of measles immunity.

 

3)         Children entering school at any grade level, K-12, must show evidence of having received 2 doses of live measles virus vaccine, the first dose on or after the first birthday and the second dose no less than 4 weeks (28 days) after the first or other proof of immunity as described in this Part.

 

4)         For students attending school programs where grade levels (K-12) are not assigned, including special education programs, proof of 2 doses of measles vaccine as described in subsection (f)(3) of this Section shall be submitted prior to the school year in which the child reaches the ages of 5, 10, and 15.

 

5)         School age children entering a child care facility shall comply with the immunization requirements in accordance with subsections (f)(2), (3), and (4).

 

g)         Mumps

 

1)         Any child entering a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall present evidence of having received one dose of live mumps virus vaccine by the second birthday.  The mumps vaccine must have been received on or after the first birthday.

 

2)         The child shall present evidence that he or she has:

 

A)        been age-appropriately immunized against mumps prior to entering a child care facility or school, including school programs under the kindergarten level, for the first time, or

 

B)        a statement from the physician that he or she has had mumps, or

 

C)        laboratory evidence of mumps immunity (see Section 695.50(e)).

 

3)         Children entering school at any grade level, K-12, must show evidence of having received at least one dose of mumps vaccine on or after the first birthday.

 

4)         Only those children who have been immunized with live mumps virus vaccine on or after the first birthday, had physician diagnosed mumps disease, or show laboratory evidence of immunity shall be considered to be immune.

 

5)         School age children entering a child care facility shall comply with the immunization requirements in accordance with subsections (g)(2), (3) and (4).

 

h)         Rubella

 

1)         Any child entering a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall present evidence of having received one dose of rubella vaccine by the second birthday.  The rubella vaccine must have been received on or after the first birthday.

 

2)         The child shall present evidence that he or she has:

 

A)        been age-appropriately immunized against rubella prior to entering a child care facility or school, including school programs under the kindergarten level, for the first time, or

 

B)        laboratory evidence of immunity to rubella.

 

3)         Children entering school at any grade level, K-12, must show evidence of having received at least one dose of rubella vaccine on or after the first birthday.

 

4)         Only those children who have been immunized with rubella vaccine on or after the first birthday, or have a laboratory (serologic) evidence of immunity to rubella, shall be considered to be immune.

 

5)         School age children entering a child care facility shall comply with the immunization requirements in accordance with subsections (h)(2), (3) and (4).

 

i)          Haemophilus influenzae type b (Hib)

 

1)         Any child under 5 years of age entering a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall present evidence of immunization that complies with the Hib vaccination schedule in Appendix A of this Part.

 

2)         Children 24-59 months of age who have not received the primary series of Hib vaccine, according to the Hib vaccination schedule, must show proof of receiving one dose of Hib vaccine at 15 months of age or older.

 

3)         Any child who has reached his or her fifth birthday shall not be required to provide proof of immunization with Hib vaccine.

 

j)          Hepatitis B

 

1)         Any child 2 years of age or older enrolling in a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) shall present evidence of having received 3 doses of hepatitis B vaccine.  The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months.  For children entering a child care facility or school program for the first time on or after July 1, 2002, the interval between the first and the third dose must be at least 4 months.  The third dose must have been administered on or after 6 months of age.  The child shall present evidence that he or she has:

 

A)        been age-appropriately immunized against hepatitis B prior to enrolling in a child care facility or school program under the kindergarten level for the first time, or

 

B)        laboratory evidence of prior or current hepatitis B infection.

 

2)         Children entering the fifth grade for the first time between July 1997 and June 30, 2002 must show evidence of having received 3 doses of hepatitis B vaccine.  The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months.  Proof of prior or current infection, if verified by laboratory evidence, may be submitted for proof of vaccination (see Section 695.50(f)).

 

3)         Children entering the fifth grade for the first time on or after July 1, 2002 must show evidence of having received 3 doses of hepatitis B vaccine.  The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months. The interval between the first dose and the third dose must be at least 4 months. Proof of  prior or current infection, if verified by laboratory evidence, may be submitted for proof of vaccination (see Section 695.50(f)).

 

4)         The third dose of hepatitis B vaccine is not required if it can be documented that the child received 2 doses of adult formulation Recombivax-HB vaccine (10 mcg) and was 11-15 years of age at the time of vaccine administration, and the interval between receipt of the 2 doses was at least 4 months.

 

5)         Only those children who have been immunized with hepatitis B vaccine in accordance with subsections (j)(1), (2), (3), and (4) of this Section or have laboratory evidence of prior or current hepatitis B infection shall be considered immune.

 

6)         School age children entering a child care facility shall comply with the immunization requirements in accordance with this subsection (j).

 

k)         Varicella

 

1)         Any child 2 years of age or older entering a child care facility or school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergarten child care programs offered or operated by a school or school district) for the first time on or after July 1, 2002, shall present evidence of having received one dose of varicella vaccine or other proof of immunity as specified in Section 695.50(g). The varicella vaccine must have been received on or after the first birthday.

 

2)         The child shall present:

 

A)        evidence that he or she has been age-appropriately immunized against varicella prior to entering a child care facility or school program under the kindergarten level for the first time, or

 

B)        a statement from a physician verifying that the child has had varicella, or

 

C)        a statement from a health care provider (as defined in Section 695.50(a)) verifying that a parent's or legal guardian's description of varicella disease history is indicative of past infection, or

 

D)        laboratory evidence of immunity to varicella.

 

3)         Children entering kindergarten for the first time on or after July 1, 2002, must show evidence of having received one dose of varicella vaccine on or after the first birthday or other proof of immunity as specified in Section 695.50(g).

 

4)         Only those children who have been immunized with varicella vaccine in accordance with subsections (k)(1), (2)(A), and (3) of this Section, have had physician diagnosed varicella disease, have a health care provider's interpretation that a parent's or legal guardian's description of varicella disease history is indicative of past infection, or have laboratory evidence of immunity shall be considered to be immune.

 

5)         School age children entering a childcare facility shall comply with the immunization requirements in accordance with subsections (k)(2), (3), and (4).

 

(Source:  Amended at 26 Ill. Reg. 10792, effective July 1, 2002)