Progress 2014: Health & Well-Being

Page 1

News and Tribune 05.30.2014

PROGRESS HEALTH & WELL-BEING

Gavin Toops, 4, of New Albany, shows off his temporary tattoos while Ivy Tech Community College nursing student Bobbie Kraft, of New Albany, takes his blood pressure during preschool assessments at Floyd County Head Start in New Albany. Twenty-one nursing students were on hand to perform eye examinations, analyze dental and vaccination records, test speech, and measure height, weight and blood pressure to assess income eligible, 3, 4 and 5-year-old Floyd County residents. Photo by Christopher Fryer

This may sting a little Indiana revamps vaccination rules for next school year By Elizabeth Beilman elizabeth.beilman@newsandtribune.com

S

ome students will have a few more sticks in the arm this summer to stay up to date on the newest statemandated immunization requirements. The Indiana Department of Health is requiring kindergartners get at least the first of two hepatitis A vaccinations and seniors get a meningococcal booster before they are allowed back into the classroom for the 2014-2015 year. Decisions on new requirements are made by a committee of the department of health, Indiana Department of Education, Indiana School Nurse Association and Indiana Immunization Coalition representatives. This committee meets every year to discuss recommendations by the Centers for Disease Control and the Advisory Committee on Immunization Practices as well as state and national disease incidences, said Dave McCormick, director of the immunization division for the Indiana Department of Health. McCormick said that the state recommends a vaccine the year before it makes that vaccine a requirement, and announcements are made in the fall before the school year requirements become effective. “So people have had two years to implement that,” he said. Indiana’s immunization gap for children aged 19 to 35 months without all vaccinations for 2012 was 38.6 percent, an almost 10 percent difference from the national gap of 29.5 percent, according to healthyamericans.org.

SCHOOL DAYS Teresa Stengel, health services coordinator for Greater Clark County Schools, said these updates probably won’t be a problem for kindergartners who are brought in for immunizations anyway, but the case may be different for high school seniors. “I do kind of anticipate a lot of those seniors not knowing, or they’re kind of getting to the age where their parents

want them to make their own appointments, so it’ll take some extra steps to get them up to date,” she said. Stengel said though the requirements are the same across the state, each school corporation makes its own decisions about notifying parents of immunizations. For Greater Clark, new requirements are shared in the parent newsletter before the end of the school year, and letters are sent home over the summer. Kindergartners also get new requirements included in a packet distributed at Camp Kindergarten in April, Erin Bojorquez, supervisor of communications and public relations for Greater Clark, said in an email. Stengel said she wants to make seniors are aware of the updates, especially because a vaccination is not typical for that age. “I’m going to try to go ahead this year and send out something extra,” she said. Changes in immunization requirements for the state are usually announced around November. “As soon as I get the information from the state, I try to get it posted,” Stengel said. For kindergartners, only one of the two hepatitis vaccinations that are administered six months apart is required before the school year starts in August. Additionally, seniors who received the first meningococcal vaccinations after their 16th birthday are not required to get the booster. Students who do not meet requirements are not allowed back to school until immunizations are administered. “We try very hard not to hold anybody getting school, especially seniors who need to get their course work to graduate,” Stengel said. She estimates that Greater Clark has about 10 percent of its students that are not up to date on vaccinations at the beginning of each school year. She said most students are vaccinated through their pediatricians or the county health department. Those

without insurance go to a family health care clinic, and some go to drugstore clinics. Bridget McCurdy, public health nurse for the Clark County Health Department, said about 25 percent of county students get vaccinated at the health department. McCurdy immunization requirements are posted on the department’s website, in addition to notifications sent out by schools. “So they’re, in my opinion, are pretty well-notified,” she said. She said she doesn’t expect the new immunization requirements to be a huge issue for most people. “There’s always issues with people not being compliant,” McCurdy said.

MEDICAL MATTERS Dr. Stuart Eldridge, a Floyds Knobs pediatrician, said immunization requirements and recommendations change every few years. The meningococcal vaccine protects against meningococcal meningitis, bacteremia and septicemia. Meningitis, which has a high mortality rate, mostly affects college students living in residence halls because of close contact, Eldridge said. Symptoms include fatigue, malaise, fevers and the biggest marker of the disease — neck stiffness. The disease is treated with antibiotics and can be very contagious to those in close contact. The first meningococcal vaccine is given to sixth graders. “It’s important for the age group between about 16 and 24,” he said. “The late teens, early adults are the ones who are most at risk, so we’re trying to give it before that time.” Eldridge said that most immunizations need to be boosted. “And what [the Centers for Disease Control and Prevention] found is that by the time they get to going into college ... the vaccine immunity is continued on page A4

“We already give three shots at 5 years of age, so now we’re going to give four. And those 5 year olds aren’t real happy about that.” — Dr. Stuart Eldridge Floyds Knobs pediatrician

SO YOU KNOW

Here are the 2014-15 vaccination requirements for Indiana schools: • Children 3 to 5 years old: Three hepatitis B shots; four diphtheria, tetanus and pertussis shots; three polio shots; one measles, mumps and rubella shot; one varicella shot • Before kindergarten: Additional doses of diphtheria, tetanus and pertussis, measles, mumps and rubella and varicella are required; two doses of hepatitis A are now required; a fourth dose of polio is recommended • Grades 1-5: All of those listed above; hepatitis A is not required • Grades 6-11: A dose of tetanus and pertussis; a dose of meningococcal • Grade 12: A second dose of meningococcal

— Daily Journal of Johnson County

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