Immunization Form
Request for Exemption

G-1411     ©     GBGCA-R               

REGULATION   - MEASLES                            

                Unless legally exempted, all staff members must show proof of immunity to measles and rubella [see GBGCA].                             

Measles  (Rubeola)                        

Evidence of immunity to measles shall consist of:                            

·         A record of immunization against measles with a live virus vaccine given on or after the first birthday; or               

·         A statement, signed by a licensed physician or a state or local health officer, that affirms serologic

·         Anyone born prior to January 1, 1957 shall be considered to be immune to measles.  (Rubeola) 

German  Measles  (Rubella)                       

                Similarly, unless exempted, all staff members must show proof of immunity to rubella (German measles)

 Evidence of immunity to rubella shall consist of:                              

·         A record of immunization against rubella given on or after the first birthday; or                 

·         A statement, signed by a licensed physician or a state or local health officer, that affirms serologic evidence of having had rubella.

·         Anyone born prior to January 1, 1957 shall be considered to be immune to German Measles.  (Rubeola)                               

General  Information                    

In the event of an outbreak of either disease, memory of immunization date is not acceptable; medical documentation of immunity is required.

Exempted employees include those with medical contraindications for receiving vaccines and those who refuse immunization for personal reasons.                       

Please note that per policy G1411 GBGCA, if a location is designed as a measles outbreak location, staff that do not have current immunization records on file, including those who completed a request for exemption, will not be allowed in the building.  If this happens, those staff members will need to use personal leave to maintain income. Once their personal leave runs out, any remaining days will be unpaid until the building is cleared by our nurse supervisor and the Coconino County Health Department.

 

Implementing  Policy     

The District shall generate a list of all employees to identify those who need proof of immunity to measles.                        

The Superintendent shall distribute information about the District's policy on measles and rubella.

The Superintendent shall collect proof of immunity from staff members and compile a list denoting immunity or nonimmunity of staff members.                              

Nonimmune staff members shall be referred for vaccine to a physician or the County Health Department.  Their records will be updated as they receive vaccine.                              

 

Maintaining  Policy                         

Throughout each school year, new staff members shall be required to show proof of immunity before employment.                               

A list of nonimmune employees shall be maintained and updated throughout the year.               

                               

                               

 

 

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