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Emory
All incoming Emory students
must meet the CDC and American College Health Association immunization
guidelines prior to registration for classes. (Please note that if you
have begun a multi-dose immunization series prior to registration, such as
Hepatitis B, it can be completed at the Emory University Student Health Service
[EUSHS] Immunization Clinic; Vaccinations given at EUSHS are on a
fee-for-service basis and are not covered by tuition.) Incoming students should
carefully review the Emory immunization requirements below and complete the
Immunization Form that is a part of their Entrance Medical Record. Be sure to have this form verified
(requires the signature of your healthcare provider) or provide a copy of your
official signed immunization records when you submit your forms to us. If
for any reason you or your healthcare provider feels that you cannot comply
with some or all of Emory's immunization requirements (including medical
contraindications to specific vaccinations as noted below), please attach a
letter of explanation, signed by both you and your healthcare provider, to the
Immunization Form.
Immunization and Consent of
Treatment Forms (must include both):
•
Immunization and Consent for Treatment Forms
All Emory
students must have the following required immunizations prior to
matriculation:
1. Measles, Mumps and
Rubella Requirement:
All students born on or after
EITHER:
Measles, Mumps, Rubella (MMR)
•
Dose 1: At 12 month of age or
older (provide month and year) and
•
Dose 2: At 4-6 years of age or
older (provide month and year)
OR ALL THREE OF THE FOLLOWING:
Measles (Rubeola, Red Measles or Ten-Day Measles) - both doses of vaccine or a
positive antibody titer
•
Dose 1: At 12 month of age or
older (provide month and year) and
•
Dose 2: At 4-6 years of age or
older (provide month and year), or
•
Positive Antibody Titer
(include copy of lab result)
Mumps -
a single dose of vaccine or a positive antibody titer
•
Vaccine
at 12 months of age or older (provide month and year), or
•
Positive
Antibody Titer (include copy of lab result)
Rubella (German Measles or Three-Day Measles) - a single dose of vaccine or
a positive antibody titer
•
Vaccine at 12 months of age or
older (provide month and year), or
•
Positive Antibody Titer
(include copy of lab result)
2. Tetanus-Diphtheria
Requirement:
All students must have the basic primary series of 3 doses of Diphtheria
and Tetanus Toxoid (DT or Td). These are usually given with Pertussis vaccine (DPT) in
infancy. In addition, all students must have a Td booster within the past 10
years.
•
Primary series of 3 doses of
Diphtheria and Tetanus immunizations (provide completion date of series), and
•
Td booster within the past 10
years
3. Hepatitis B Requirement:
All students must have a series of 3 Hepatitis B vaccinations (an
initial dose, followed by a dose at 1-2 months and a dose at 4-6 months or
later). A post-vaccine antibody titer (to demonstrate immunity) is recommended
for students in healthcare fields.
4. Varicella
(Chicken Pox) Requirement:
All students must have a history of Varicella (chicken pox), a
positive Varicella antibody titer or 2 doses of vaccine given at least 1 month
apart.
5. Tuberculosis Screening
Requirement:
All Allied Health, Medical and Nursing students and International Students
from certain countries with endemic Tuberculosis must meet Emory's Tuberculosis
Screening Requirement. This requirement is in keeping with current CDC
guidelines.
Emory University requires
Tuberculosis (TB) screening (PPD skin testing and/or chest x-ray) within 6
months of matriculation of all Allied Health, Medical and Nursing Students
and all International Students who have arrived in the United States within the
past 5 years from countries in which Tuberculosis is endemic. Allied Health and Medical
Students will also need a second PPD (the "two step" PPD process)
after their arrival at Emory. Emory's guidelines are based upon the
recommendations of the CDC, the American Thoracic Society and the American
College Health Association. Because TB is so common globally, it is easier to
list countries of low TB prevalence rather than high. Therefore, all
International Students who have arrived in the
A summary of the CDC's recommendations regarding adult
immunizations follows, including indications and contraindications for each
vaccine. These recommendations are
adapted from the CDC's Advisory Committee on Immunization Practices (ACIP) by
the Immunization Action Coalition with review by ad hoc team October 2000
(Interim)
Emory University Student Health Services also provides the Meningitis vaccination.
Influenza Vaccine (The
“flu shot”)
For whom is it
recommended?
•
People who are 50 years of age
or older.
•
People 6 months to 50 years of
age with medical problems such as heart disease, lung disease, diabetes, renal dysfunction,
hemoglobinopathies, immunosuppression, and/or those living in chronic care
facilities. Adults working or living with these people should be
vaccinated as well.
•
All healthcare workers and
those who provide key community services.
•
Healthy pregnant women who
will be in their 2nd or 3rd trimesters during the influenza season.
Pregnant women who have underlying medical conditions should be vaccinated
before the flu season, regardless of the stage of pregnancy.
•
Anyone who wishes to reduce
the likelihood of becoming ill with influenza.
•
Travelers to areas where
influenza activity exists or when traveling among people from areas of the
world where there is current influenza activity.
What
is the usual schedule?
•
October through November is
the optimal time to receive a flu shot to maximize protection, but the vaccine
may be given at any time during the influenza season (typically December
through March).
•
Given every year.
Schedule
for those who have fallen behind:
•
May be given at anytime during
the influenza season.
Contraindications
and precautions:
•
Previous anaphylactic reaction
to this vaccine, to any of its components, or to eggs
•
Moderate or severe acute
illness.
Rules
of simultaneous administration:
•
Can be given with all others but
at a separate site.
Pneumococcal Vaccine
For whom is it
recommended?
•
People who are 65 or older.
•
People 2 years to 65 years of
age who have chronic illness or other risk factors including chronic cardiac
and pulmonary diseases, anatomic (including splenectomy) or functional asplenia
(including sickle cell disease), chronic liver disease, alcoholism, diabetes
mellitus, CSF leaks, as well as persons living in special environments or
social settings (including
What
is the usual schedule?
•
Routinely given as a one-time
dose. Administer if previous vaccination history is unknown.
•
One-time revaccination is
recommended 5 years after first dose for people at highest risk of fatal
pneumococcal infection (e.g., renal disease), and for people over age 65 if the
first dose was given prior to age 65 and five or more years have elapsed since
previous dose.
Schedule
for those who have fallen behind:
•
Give as soon as need is
recognized.
Contraindications
and precautions:
•
Previous anaphylactic reaction
to this vaccine or to any of its components.
•
Moderate or severe acute
illness.
Rules
of simultaneous administration:
•
Can be given with all others,
but at a separate site.
Hepatitis A (Hep-A) Vaccine
For whom is it
recommended?
•
Adults who travel outside of
the
•
People with chronic liver
disease; all people with hepatitis C virus infection; people with
hepatitis B who have chronic liver disease; illicit drug users; men
who have sex with men; people with clotting-factor disorders;
people who work with hepatitis A virus in experimental lab settings (this does
not refer to routine medical laboratories); and food handlers where
health authorities or private employers determine vaccination to be
cost-effective.
•
Note: Pre vaccination
testing is likely to be cost effective for persons older than 40 as well as for
younger persons in certain age groups with a prevalence of high hepatitis A
virus infection.
•
Anyone wishing to reduce the
risk of developing hepatitis A.
What
is the usual schedule?
•
Two doses are needed.
•
The minimum interval between
dose #1 and dose #2 is 6 months.
Schedule
for those who have fallen behind:
•
If dose #2 is delayed, do not
repeat dose #1. Just give dose #2.
Contraindications
and precautions:
•
Previous anaphylactic reaction
to this vaccine or to any of its components.
•
Moderate or severe acute
illness.
•
Safety during pregnancy has
not been determined, so benefits must be weighed against potential risks.
Rules
of simultaneous administration:
• Can be given with all others
but at a separate site.
MMR (Measles, Mumps, Rubella) Vaccine
For whom is it
recommended?
• Adults
born in 1957 or later who are 18 or older (including those born outside of the
•
Adults
in high-risk groups, such as health care workers, students entering colleges
and other post high school educational institutions, and international
travelers should receive a total of two doses.
•
All
women of childbearing age (i.e. adolescent girls and premenopausal adult women)
who do not have acceptable evidence of rubella immunity or vaccination.
•
Note:
Adults born before 1957 are usually considered immune but proof of immunity may
be considered for health care workers.
What
is the usual schedule?
• One
or two doses are needed, but all college students should receive two doses.
• Dose
#2, if recommended, is given no sooner that 4 weeks after dose #1.
Schedule
for those who have fallen behind:
•
Dose #2 may be given as early
as 4 weeks after dose #1.
Contraindications
and precautions:
•
Previous anaphylactic reaction
to this vaccine, or to any of its components. (Anaphylactic reaction to eggs
is no longer a contraindication to MMR, and skin testing isn't needed prior to
vaccination.)
•
Pregnancy or possibility of
pregnancy within 3 months.
•
HIV positivity is not a
contraindication to MMR except for those who are severely immunocompromised.
•
Immunocompromised persons due
to cancer, leukemia, lymphoma, immunosuppressive drug therapy, including
high-dose steroids or radiation therapy.
•
If blood products or immune
globulin have been administered during the past 11 months, consult the ACIP
recommendations regarding time to wait before vaccinating.
•
Moderate or severe acute
illness.
•
Note: MMR is not
contraindicated if a PPD test (a screening test for Tuberculosis) was done
recently. However, if PPD and MMR weren't given on the same day, delay PPD for
4-6 weeks after MMR.
Rules
of simultaneous administration:
•
Can be given with all others,
but at a separate site.
•
If varicella is not given at
the same time, space varicella and MMR at least 4 weeks apart.
Varicella (Chicken Pox) Vaccine
For whom is it
recommended?
•
All susceptible adults and
adolescents should be vaccinated. Special efforts should be made to vaccinate:
susceptible persons who have close contact with persons at high risk for
serious complications (e.g. health care workers and family contacts of
immunocompromised persons) and susceptible persons who are at high risk of
exposure (e.g. teachers of young children, day care employees, residents and
staff in institutional settings such as colleges and correctional institutions,
as well as non-pregnant women of childbearing age, and international travelers
who do not have evidence of immunity).
•
Note: Adults with
reliable histories of chickenpox (such as self or parental report of disease)
can be assumed to be immune. For adults who have no reliable history,
serologic testing may be cost effective since most adults with a negative or
uncertain history of varicella are immune.
What
is the usual schedule?
•
Two doses are needed. Dose
#2 is given 4-8 weeks after dose #1.
Schedule
for those who have fallen behind:
•
Give dose #2 no sooner than 4
weeks after dose #1.
•
If second dose is delayed, do
not repeat dose #1, just give dose #2.
Contraindications
and precautions:
•
Previous anaphylactic reaction
to this vaccine or to any of its components.
•
Pregnancy or possibility of
pregnancy within 1 month.
•
Immunocompromised persons due
to malignancies and primary or acquired immunodeficiency including HIV/AIDS.
•
If blood products or immune
globulin have been administered during the past 5 months, consult the ACIP
recommendations regarding time to wait before vaccinating.
•
Moderate or severe acute
illness.
•
Note: For those on high
dose immunosuppressive therapy, consult ACIP recommendations regarding delay
time.
•
Note: Manufacturer recommends
salicylates (i.e., aspirin) be avoided for 6 weeks following varicella
vaccination because of a theoretical risk of Reye's syndrome..
Rules
of simultaneous administration:
•
Can give with all others, but
at a separate site.
•
If MMR is not given on the
same day, space MMR and varicella 4 weeks apart.
Polio Vaccine
Refer to ACIP
recommendations regarding unique situations, schedules, contraindications,
precautions, and dosing information. If polio vaccine is indicated for adults,
IPV is generally preferred.
• Not routinely
recommended for adults 18 and over.
• Note:
Adults living in the US who never received or completed a primary series of
polio vaccine need not be vaccinated unless they intend to travel to areas
where exposure to wild-type virus is likely. Previously vaccinated adults
should receive one booster if traveling to polio endemic areas.
Rules
of simultaneous administration:
• Can give with all
others, but at a separate site.
Meningococcus (Serogroups
A, C, Y & W-135) Vaccine
For whom is it
recommended?
•
At its October 20, 1999
meeting, the Advisory Committee on Immunization Practices, cited results of two
studies done in 1998 which identified the slightly higher risk among college
freshmen dormitory residents for contracting bacterial meningitis.
They recommended that those who provide medical care for this group give
information to students and their parents about meningococcal disease and the benefits
of vaccination. For more information about meningococcal disease and
vaccination benefits please also check the American College Health
Association's web site for projects and programs about meningitis at www.acha.org/projects_programs/men.cfm.
•
College students are
considered at higher risk that the general population for contracting this
disease due to dormitory living, prevalence of alcohol and tobacco use, sharing
of personal items (i.e. drinking cups), and inattention to healthful behavior
such as regular meals and adequate rest.
•
Meningococcal vaccine is also
recommended for international travelers visiting parts of Africa and
Asia. As of this writing travelers to Mecca for the Haj are required to
receive the vaccine.
• For FAQs and more detailed information about the Menigitis Vaccine, click here.
What
is the usual schedule?
•
One dose at least two weeks
before arriving in high-risk location. Repeat every three years if still
at risk.
Schedule
for those who have fallen behind:
•
One dose at least two weeks before
arriving in high-risk location. Repeat every three years if still at
risk.
Contraindications
and precautions:
•
Previous anaphylactic reaction
to this vaccine or to any of its components.
•
Moderate or severe acute
illness.
Rules
of simultaneous administration:
•
Can be given with all others,
but at a separate site.
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Revised 7/3/07
© 2004-2007 Emory University, Atlanta, GA