Section 665

Section 665.240 Basic Immunization

a) Diphtheria, Pertussis, Tetanus

2) Any child entering school, kindergarten or first grade, for the first time must show proof (see Section 665.250(b)) 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 and older may receive 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 (a)(1) or (2) of this Section must show proof (see Section 665.250(b)) of receiving 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 doses 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 containdicated. Documentation of the medical containdication must be verified as specified in Section 665.520.

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.

b) Polio

2) Any child entering school at any grade level, K-12, must show proof (see Section 665.250(b)) 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. Doses in the series must have been received no less than 4 weeks (28 days) apart.

c) Measles

2) Children entering 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 described in Section 665.250(c).

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

d) Rubella

Any child 2 years of age or older entering a school program at any grade level, including 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 665.250(b)) of receiving at least one dose of rubella vaccine on or after the first birthday. Proof of disease is not acceptable unless laboratory evidence of rubella immunity is presented (see Section 665.250(d)).

e) Mumps

Any child 2 years of age or older entering a school program at any grade level, including 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 665.250(b)) of receiving at least one dose of mumps vaccine on or after the first birthday. Proof of disease, if verified by a physician licensed to practice medicine in all of its branches, or laboratory evidence of mumps immunity may be substituted for proof of vaccination (see Section 665.250(e)).

f) Haemophilus influenzae type b (Hib)

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 5 years of age or older shall not be required to provide proof of immunization with Hib vaccine.

g) Hepatitis B

1) Any child 2 years of age or older entering a school program (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 665.250(b)) 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 school program for the first time on or after July 1, 2002, the interval between the first dose and the third dose must be at least 4 months. The third dose must have been administered on or after 6 months of age. Proof of prior or current infection, if verified by laboratory evidence, may be substituted for proof of vaccination (see Section 665.250(f)).

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 665.250(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, or other proof of immunity described in Section 665.250(f). 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 and 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 665.250(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.

h) Varicella

1) Any child 2 years of age or older entering a school program under the kindergarten level (defined as nursery schools, pre-school programs, early childhood programs, Head Start, or other pre-kindergrten child care programs offered or operated by a school or school district) for the first time on or after July 1, 2002, must show proof (see Section 665.250(b)) of having received one dose of varicella vaccine on or after the first birthday, proof of prior varicella disease as described in Section 665.250(g), or laboratory evidence of varicella immunity.

2) Children entering kindergarten for the first time on or after July 1, 2002, must show proof of having received at least one dose of varicella vaccine on or after the first birthday, proof of prior varicella disease as described in Section 665.250(g), or laboratory evidence of varicella immunity.

3) For students attending school programs where grade levels are not assigned, proof of having received at least one dose of varicella vaccine on or after the first birthday or other proof of immunity as described in subsection (h)(2) of this Section shall be submitted prior to the school year in which the child reaches the age of 5.

(Source: Amended at 26 Ill. Reg. 10689, effective July 1, 2002)