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Emory University Mandatory Immunization Requirement, March 2019

Mandatory Immunization Requirement

Responsible Official: Provost and Executive Vice President for Academic Affairs

Administering Division/Department: Campus Life/Student Health Services

Effective Date: June 01, 2018

Last Revision Date: March 27, 2019

Policy Sections:

  1. Overview
  2. Applicability

III. Policy Details

  1. Definitions
  2. Related Links
  3. Contact Information

VII. Revision History

 

Overview

For the protection of the health of the Emory Community and with a goal of making our campus environment as healthy as possible, immunizations are required of all students prior to enrollment at Emory University.

 

Entering students are required to provide documentation of all required immunizations using the Emory University Student Health Services Immunization Form. This form must be signed by a healthcare provider and returned to Emory University Student Health Services prior to enrollment.

 

Students that fail to comply will be blocked from pre-registration/registration for their second term of enrollment.

 

Applicability

Emory University will employ a phased implementation over the next two years to manage compliance

expectations. Effective Fall Semester 2018, Emory University requires that all new first time, degree-seeking students and all new first time international students receive the required immunizations (referenced below) prior to enrolling at Emory University.

 

Students that fail to comply will not be allowed to pre-register or register for their second term of enrollment at Emory.

 

Policy Details

Emory students must meet the Centers for Disease Control and Prevention (CDC) and the American College Health Association immunization guidelines prior to registration for classes. (Please note that if students 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.)

 

Once students arrive on campus, they may visit EUSHS to obtain a titer in certain cases to determine which immunizations they still need. This is a fee-based service. For students that will be living in Emory on-campus housing, State of Georgia law (Official Code of Georgia Annotated 31-12-3.2) requires that they receive information about meningococcal meningitis and the vaccines. The law also requires that these students sign a document stating that they have either received a vaccination against meningococcal disease, plan to receive it, or reviewed the information and declined to be vaccinated.

 

 

All Emory students must have the following required immunizations prior to Enrollment:

  • Measles, Mumps and Rubella:

All students born on or after January 1, 1957 must meet this requirement, either by having been vaccinated against the three diseases (either as the combined vaccine MMR or individual vaccinations against the 3 diseases) or showing laboratory evidence of immunity to all 3 diseases:

 

EITHER:

Measles, Mumps, Rubella (MMR)

 

Dose 1: At 12 months of age or older (provide month, day and year) and Dose 2: At least 28 days after Dose 1 (provide month, day and year) OR ALL THREE OF THE FOLLOWING:

 

Measles (Rubeola) - two doses of vaccine or a positive antibody titer

 

Dose 1: At 12 months of age or older (provide month, day and year) Dose 2: At least 28 days after Dose 1 (provide month, day and year, or Positive Antibody Titer (include copy of lab result)

 

 

Mumps - two doses of vaccine or a positive antibody titer

 

Dose 1: At 12 months of age or older (provide month, day and year) and Dose 2: At least 28 days after Dose 1 (provide month, day and year), or Positive Antibody Titer (include copy of lab result)

 

 

Rubella (German Measles or Three-Day Measles) – one dose of vaccine or a positive antibody titer

 

Dose 1: At 12 months of age or older (provide month, day and year) or Positive Antibody Titer (include copy of lab result)

 

  • Tetanus-Diphtheria:

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.

 

All students are required to have had one adult Tdap booster. If the Tdap was given greater than ten years ago, student must have received an additional Td or Tdap within the past 10 years.

 

In addition, all students must have a Td or Tdap booster within the past 10 years (a Tetanus-Diphtheria booster shot is required every 10 years after the basic primary series has been completed).

 

  • Hepatitis B:

All students must have a series of 3 Hepatitis B vaccinations (an initial dose, followed by a dose 1- 2 months later and a third dose at least 6 months after Dose 1 AND at least 2 months after Dose 2). Non-health science students may submit a copy of a quantitative Hepatitis antibody titer if their vaccination dates are not available.

 

A post-vaccine quantitative antibody titer is required before arrival for Allied Health, School of Medicine, and School of Nursing students. A copy of the quantitative Hepatitis B titer lab report is required.

 

  • Varicella (Chicken Pox):

All students must have a positive Varicella antibody titer or 2 doses of vaccine started after age 12 months and given at least 1 month apart.

 

A copy of the Varicella titer lab report is required if that option is chosen.

 

  • Tuberculosis (TB) Screening:

All students must complete a questionnaire about potential Tuberculosis (TB) risk and exposure. All students with a positive screening questionnaire, all Allied Health, School of Medicine, and School of Nursing students and international students from countries with endemic Tuberculosis must meet additional Tuberculosis (TB) screening requirements. Emory's guidelines are based upon the recommendations of the CDC, the American Thoracic Society and the American College Health Association.

 

Emory University requires TB screening (PPD skin testing, Quantiferon TB Gold or T-spot, and/or chest xray)

within 6 months prior to matriculation for:

 

  • All students with a positive screening questionnaire
  • All Allied Health, School of Medicine and School of Nursing Students
  • All international students who have arrived in the United States from countries in which TB is endemic.

 

 

Allied Health and School of Medicine students screened by PPD will also need a second PPD (the "two step" PPD process) AFTER their arrival at Emory. School of Nursing students screened by PPD are required to get a second PPD PRIOR to their arrival at Emory.

 

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 United States are required to undergo Tuberculosis screening EXCEPT those from the following countries:

http://studenthealth.emory.edu/hs/documents/pdfs/TB%20country%20exemption s.pdf

 

International students from non-exempt countries will need TB clearance. The preferred testing for these international students is either a Quantiferon TB Gold or T-spot blood test; however, a negative PPD skin test is acceptable.

 

Exceptions

  • Emory Student Health Services (EUSHS) is aware that some students have a strong personal objection to vaccination with one or more of the required vaccines. See the link below for information regarding declination.

 

  • In the case of a medical contraindication, EUSHS requires the student to submit a letter of explanation, signed by both the student and the student’s healthcare provider, along with other immunization records to EUSHS:

http://studenthealth.emory.edu/hs/new_students/immunization/Declination_Medical%20Contraindication.html

 

  • Students enrolled in a completely online education program (NO meeting for classes on campus at any time).

 

  • Students enrolled in a non-degree seeking program.

 

Definitions

n/a

 

Related Links

 

Contact Information

Subject

Contact

Phone

Email

Clarification of Policy

Student Health Services

404-727-7551

Immunizations-SHS@emory.edu

Revision History

  • Version Published on April 26, 2019
  • Version Published on Jun 01, 2018

 

Current Version of this webpage last revised:  April 30, 2019