Childcare Immunization Requirements
According to Nevada Revised Statutes (NRS)
432A.230, 432A.235,
and Nevada Administrative Codes (NAC)
432A.500-.505, children must prove immunity to Diphtheria, Tetanus,
Pertussis, Poliomyelitis, Rubella, Rubeola (Measles), Mumps, Hepatitis A,
Hepatitis B, Varicella, Streptococcus Pneumoniae, and Haemophilus Influenzae
type B (Hib) prior to admission to a child care or accommodation facility in
Nevada, unless excused because of a religious belief or medical
condition.
In addition
to these requirements, it is also necessary for children being admitted to
child care or accommodation facilities in Nevada to receive all required
vaccines at the youngest recommended age per the recommendations of the Centers
for Disease Control and Prevention (CDC) Advisory Committee on Immunization
Practices (ACIP). For example, the fifth dose of DTaP is recommended between
four (4) and six (6) years of age. According to this requirement, a child
enrolled in a child care or accommodation facility must receive the fifth dose
of DTaP at 4 years old and has 30 days to complete this requirement after their
4th birthday (by 4 years, 30 days old). Please review the table for further
examples. Any child who is behind on Nevada's required immunizations must be
brought up-to-date utilizing the ACIP Catch Up Schedule to continue to attend
the child care/accommodation facility.
Immunizing
children at the youngest recommended age when in a child care or accommodation
facility further protects the child and their peers at the earliest time
possible. For example, the fifth dose of DTaP, when given at four (4) years of
age, increases antibody levels and decreases the risk of older children
transmitting the disease to younger siblings and/or classmates who are too
young to have completed the vaccine series.
Please refer
to this immunization schedule / dose requirements below when enrolling children
in your facility. Again, please note that under “age required,” there is a
30-day window when the child should complete the requirement. For example, the
3rd dose for Hepatitis B should be completed by 6 months, 30 days old. If they
are behind on any requirements, they should complete the ACIPCatch Up Schedule with their pediatrician.
For more
information regarding the ACIP immunization schedule please visit: https://www.cdc.gov/vaccines/imz-schedules/index.html
If you have
any questions about Nevada child care immunization requirements, please contact
the Nevada State Immunization Program (NSIP) at: nviz@health.nv.gov or
call us at: (775) 684-5900. You can also contact Rachel Warner: rwarner@health.nv.gov or
Jessica Lamb: jlamb@health.nv.gov.
For a list of required immunizations for enrollment in a Nevada childcare facility, click here.