Chapter 4, Children's Health Histories, Physical Exams and Immunizations

Immunization Records and Health Records and History

As a licensed/registered child care facility, it is recommended that you:

  • Keep health records of all children that include:
    EXAMPLE
    DTP – 10/20/98
    HbCV (HIB) – 10/20/98
    HepB – 10/20/9
    • Copy of Immunization Record or a form to record immunizations.
    • Special health problems (allergies, medications).
    • Medical information, which includes past illnesses, infections and trauma.
  • Check immunization records to make sure children are up to date. You may consider using the Immunization Network for Children (Arkansas State Immunization Registry) to help you access a child’s immunization records at https://www.inc.arkansasir.com/inc-prd/security_ui.showLogin .
  • Require proof of age-appropriate immunizations upon the child’s first day of attendance at child care. Also, immunization charts for health care professionals and easy-to-read versions can be found at the following website: http://www.cdc.gov/vaccines/acip/index.html .
  • Child getting vaccinationContact the Arkansas Department of Health if a parent/guardian has a religious objection to immunizations. The Arkansas Department of Health CD/Immunization Team must grant this exemption. Call 1‑501‑661‑2169 for information.
  • Call your local health department if you would like help setting up your records.
  • Obtain health history when each child is accepted for care. The health history should include date of last physical exam, allergies, any special health problems and immunization history.

Immunization for Staff

Safe vaccines are available to protect against many diseases. It is recommended that all child care staff have immunity to the following diseases: Diphtheria, tetanus, measles, mumps, rubella and polio.

Immunity may come in the form of the person being exposed to the illness (natural immunity) or in the form of an immunization (passive immunity). Adults need boosters of tetanus, diphtheria and pertussis vaccine every 10 years. Influenza (flu) vaccine given yearly is also recommended.


Guide for Measles Immunization

Adults born before 1957 are generally considered naturally immune to measles and usually do not need to be vaccinated.

Adults born in 1957, or after, should check their health records to see if they were both:

  1. Immunized in 1968 or later, and
  2. Immunized after their first birthday, with live measles vaccine.

IF NOT BOTH OF THE ABOVE, THEY NEED TO BE IMMUNIZED.

Adults born before 1957 are generally considered naturally immune to rubella (German measles) and usually do not need to be vaccinated.

Adults born in 1957, or after, should check their health records to see if they were immunized after 06‑01‑69 and after their first birthday with live rubella vaccine.

Vaccination would not be necessary for those who have had measles.  If you are not sure if you’ve had measles or were vaccinated, there is no harm in receiving a repeat vaccination. (Employees with a positive rubella titer need not be immunized.)



 

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