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	Immunization Requirements 2009-2010 (3)
	IMPORTANT NEW CHANGES FOR STUDENTS ENTERING KINDERGARTEN THROUGH 7TH GRADE for the 2009-2010 SCHOOL YEAR! Immunization Requirements 2009-2010 Vacunas Exigidas Por El Estado De Texas Para Todo

Parents should notify the school by phone if their child is ill, especially if the child has a communicable condition (chicken pox, mumps, measles, infectious hepatitis, impetigo, scabies, lice, etc). Parents should keep the child home if he has a fever (100.4 degrees or over), diarrhea, red draining eyes, or an undiagnosed rash. Parents should keep a child home until he is free of fever for 24 hours.

A student who becomes ill during the school day should, with the teacher's permission, report to the school nurse. The nurse will decide whether or not the student should be sent home and will notify the student's parent. If a student is injured or ill, every effort will be made to contact the parent. The parent will make arrangements for the student to be taken home or to a physician.

Parents must notify the school of changes in home or work telephone numbers and persons to contact in case the parent cannot be contacted. This information should be updated during the year if changes occur. This is important for the protection of the student in the event of an emergency. This district is not responsible for medical expense, including ambulance transport, associated with a student's injury.

Immunization Requirements
If you have any questions concerning your child's immunization records or the immunization requirements, please call the school nurse, private physician or local health clinic. Please visit the Department of State Health Services for more information.

Diphtheria Tetanus Pertussis	4 years of age through 6 years of age must enter with a minimum of 4 doses one having  been since their 4th birthday.  Students who started their vaccinations after age 7 are required to have at least three doses of a tetanus-diphtheria containing vaccine.  A booster of  Tdap  (tetanus with pertussis) is required for entry to 7th grade. A Tdap booster is required for grades 8-12, ten years after their last DPT.
Polio	3 doses with  one dose administered on or after the 4th birthday.
Rubeola (Red Measles)	2 doses of vaccine are required. The first dose shall be administered on or after the 1st  birthday.  The doses are to be a minimum of 28 days apart.
Rubella (German Measles)	2 doses of vaccine are required for Kindergarten. The first dose shall be administered on  or  after the 1st birthday.  Grades 1-12 only need 1 dose. The doses must be a minimum of 28 days apart.
Mumps	2 doses of vaccine are required for Kindergarten. The first dose shall be administered on or after the 1st birthday. Grades 1-12 only need 1 dose. The doses must be a minimum of 28 days apart.
Haemophilus Influenzae (HIB)	1 dose of vaccine on or after 15 months to the fifth birthday unless a schedule for a primary series was met at 12 months of age. Not required for students age 5 and older.
Hepatitis B	3 doses of vaccine are required for students through the 12th grade.
Pneumococcal	1 dose of vaccine if received between 24 and 59 months of age unless 2 or 3 doses before 12 months with a booster on or after the 1st birthday. Not required for students age 5 and older.
Hepatitis A	2 doses on or after the 1st birthday. Required for Pre-K and Kindergarten.
Meningococcal	1 dose before entering 7th grade
Varicella(Chickenpox)	2 doses of vaccine on or after the first birthday are required for students entering K, & 7th grade. One dose of vaccine on or after the first birthday is required for all other grades. Two doses of vaccine are required if the student was 13 years old or older at the time of the first dose of varicella. Written validation from the parent or physician giving the approximate date of varicella (chickenpox) illness is acceptable in lieu of vaccine.

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	Resource Files (10)
	Final Notice First Aid / Primeros Auxillios Immunization Clinic Information Permission to Administer Medication

Recommended Immunizations by the Center for Disease Control and the Texas Department of State Health Services
In addition to the required immunizations, the following additional immunizations are recommended by the Center for Disease Control and the Texas Department of State Health Services.

Influenza vaccine
The influenza vaccine is recommended for all children age 6 months to 19 years old.

Human papillomavirus vaccine (Minimum age 9 years)
The first dose of the HPV vaccine series is recommended for females at age 11-12 years. The second dose is recommended 2 months after the first dose and the third dose 6 months after the first dose.

You can find more information at: http://www.dshs.state.tx.us/immunize/school/default.shtm

Staphylococcus Bacteria
Drug sensitive Staph bacteria is commonly found on the skin of healthy persons.  Recently, athletes in the Dallas area are getting skin infections caused by Staphylococcus aureus ("Staph") bacteria that are resistant to many antibiotics (drugs that kill bacteria), also called methicillin-resistant Staphylococcus aureus  "MRSA."  Carrollton-Farmers Branch ISD is working with local health departments in helping to prevent these infections from spreading.

What is a Staph/MRSA skin infection?
It can be a pimple, rash, boil, or an open wound. Staph/MRSA is often misdiagnosed as spider bites.  Symptoms of a staph/MRSA infection include redness, warmth, swelling, pus, tenderness of the skin, pimples, boils or blisters. The skin lesions may progress quickly from a skin or surface irritation to an abscess or serious skin infection. If left untreated it can infect blood and bones.

How do Staph/MRSA Skin Infections Spread?
Staph/MRSA lives on skin and survives on objects for several days. Drainage from skin lesions can spread bacteria to other parts of a persons body or to other persons. The cleanest person can get a Staph/MRSA infection. Staph/MRSA can rub off the skin of an infected person onto the skin of another person during skin to skin contact. Or, the Staph/MRSA can come off of the infected skin of a person onto a shared object or surface, and get onto the skin of the next person who uses it. In other words, anything that could have touched the skin of a Staph/MRSA infected person can carry the bacteria to the skin of another person.

How Can I Prevent Myself or My Family Members from Getting Infected?
Hand washing is the single most important behavior in preventing the spread of any communicable disease. Wash your hands with soap and warm water. Keep cuts and scrapes clean with soap and water. Clean objects that you share with other persons, such as athletic equipment, before you use it. Always wash uniforms, towels, and any other shared laundry that might be carrying Staph/MRSA in hot water and ordinary detergent. Dry the items in a dryer on the hottest possible cycle.

What Should I Do If I Think I Have a Skin Infection?
Consult your doctor or healthcare provider. Early treatment can help prevent the infection from getting worse. If you are prescribed antibiotics, be sure to take all of your medication. Be sure to follow the directions from your healthcare provider closely, even when you start to feel better.

If my doctor or healthcare provider has told me that I have a Staph/MRSA skin infection, what can I do to keep others from getting infected?
Clean your bandages, your hands, and your home. Notify your athletic trainer and/or school nurse. Keep the infected area covered with clean, dry bandages. Pus from an infected wound can infect others.  Wash your hands frequently with soap and warm water, especially after changing your bandages or touching infected skin. Regularly clean your bathroom, kitchen, and all other rooms, as well as your personal items. Wash clothes and other items that become soiled with hot water. Drying clothes in a hot dryer, rather than air-drying, also helps kill Staph/MRSA in clothes.  Tell anyone who treats you that you have a Staph/MRSA skin infection.

What is Carrollton-Farmers Branch ISD doing to help prevent the spread of Staph/MRSA?
CFBISD is approaching Staph/MRSA from two perspectives: education and cleaning procedures. Educational information will be sent home with all athletes. Coaches will emphasize the importance of cleanliness in the gyms, training facilities, and locker rooms. All known Staph/MRSA cases will be reported to the school nurses and included in her communicable disease report. Maintenance and Facilities Departments will be updated with the current Staph/MRSA cases so they can implement appropriate cleaning procedures. Custodians will clean all athletic equipment at secondary campuses nightly. Coaches will use a specified disinfectant on all training equipment twice daily. Student athletes will be responsible for wiping down exercise/training equipment after use with a disinfectant provided by the district. Soap dispensers in all secondary campus showers and locker rooms will contain antibacterial soap.

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