Hi Ross - you wrote -
>"...Children who have evidence of immunity as demonstrated by laboratory
confirmation of immunity or a reliable medical history of disease are
exempt from such requirement...."
>
>|| This says, basically, that is it really ambiguous.....lol....
>
Actually, they're referring to titers (which give a laboratory confirmation
of immunity). For some diseases, a history of the disease renders you
immune, thus if you have had those diseases, you are exempt.
For other diseases, in certain circumstances (not childhood immunizations),
if I remember correctly, you are not considered immunized until your titer
reaches a certain level. I believe HepB for occupational exposure was or is
one of those.
>"....After July 1, 2001, all children who have not yet received
immunization against hepatitis B shall receive such immunization prior to
entering sixth grade...".
>
>|| This says, basically, that you have to have HiB before sixth grade (
12 years old) not..three years old....
>
HiB is Haemophilus B (spelling?), not Hepatitis B. Hepatitis B is normally
abbreviated HepB.
>I cannot, in good conscience agree that it is mandated.....there are so
many loopholes...exemptions...exclusions....caveats...
>
>It is a skein of confusion and misinformation, generated by "The Board".
>
It is actually mandated, although one can get around it using exemptions as
you note.
If I remember correctly, the VDH immunization guidelines (like, I believe,
most state vaccination guidelines), are based on the CDC (US Centers for
Disease Control) recommendations, not a separate determination by the state
(or Commonwealth in this case) Board of Health.
Lisa Auerbach
(who worked for 8 years in a district office of the Virginia Department of
Health.)
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