<p>Does anyone know anything about them? I remember reading something, but I forgot where I found it. What kind do we need, how many, and by when?</p>
<p>this was on the pathway for enrollment
THE STATE UNIVERSITY OF NEW JERSEY RUTGERS
Dear Rutgers University Student:
Congratulations on your decision to enroll in Rutgers University! Prior to your enrollment, immunization and health testing information is needed to meet New Jersey law requirements and University requirements, and to assist in maintaining your health and the health of others you come in contact with while on campus.
Required Immunizations
♦ MMR - 2 Doses
♦ Meningococcal Vaccination for first-year undergraduate and incoming transfer students living in University Housing
♦ TB Skin Testing for non-immigrant visa holders born in a country with a high prevalence of TB
All students born in 1957 or later must show proof of two doses of MMR (or two doses of each individual measles, mumps and rubella vaccine) that have been given after one year of age and separated by at least one month. Alternatively, a positive blood test showing immunity to each disease may be submitted to meet this requirement. PLEASE NOTE: Grades/transcripts will be withheld if this immunization requirement is not met.
Meningococcal meningitis vaccinations are recommended for all students, and are required for new and transfer students living in University Housing. Meningitis immunization clinics will be scheduled for students desiring to receive the meningitis vaccination on campus. See the Enrollment Pathway at admissions.rutgers.edu/pathway for information on scheduling an appointment. PLEASE NOTE: You will be unable to receive your room key on move-in day if you do not complete and show proof of meningococcal vaccination.
A clinician or health department must complete results of tuberculosis skin testing. Students with a positive TB skin test must also send the results of a chest x-ray and/or date when treatment was completed. PLEASE NOTE: Grades/transcripts will be withheld if this immunization requirement is not met.
Form Completion and Return Deadline
It is important that your health care provider accurately completes all sections and signs the attached Pre-Entrance Immunization Record. All immunization forms should be completed and returned by July 30 for students entering in the Fall Semester, and January 5 for students entering in the Spring Semester (students admitted to the University after the deadline should return forms without delay).
Medical or Religious Exemption to Immunizations
♦ Exemption for required immunizations will be allowed only on bona fide religious or medical grounds. To be exempted on a religious basis, the student must submit a written statement explaining how the administration of immunizing agents conflicts with his or her religious beliefs. To be exempted on medical grounds, the student must submit a written statement from a physician or advanced practice nurse indicating that an immunization is medically contraindicated for a specific period of time, setting forth the reason(s) for the medical contraindication, based upon valid medical reasons.
♦ In the event of a contagious outbreak, any student who has been exempted from immunization may not be allowed on campus.
Not Required, but Recommended
♦ While regular preventive care and health maintenance visits with your health care provider are recommended, a full physical examination is not required.
♦ Please consider recommended vaccinations, especially hepatitis B, varicella, and updated tetanus/pertussis.
Questions
If you have any questions about the Pre-Entrance Immunization Record, please e-mail us at <a href="mailto:vaccine@rci.rutgers.edu">vaccine@rci.rutgers.edu</a>, call your campus Health Center, visit your campus Health Centers website, or speak with your Dean.
New Brunswick/Piscataway Campus:
Hurtado Health Center 732-932-7402
Busch-Livingston Health Center 732-445-3250*
Willets Health Center 732-932-9805*
<a href="http://health.rutgers.edu%5B/url%5D">http://health.rutgers.edu</a>
Camden Campus:
Camden Health Center 856-225-6005
<a href="http://crab.rutgers.edu/%7Eruhealth/%5B/url%5D">http://crab.rutgers.edu/~ruhealth/</a>
Newark Campus:
Newark Health Center 973-353-5231
<a href="http://www.newark.rutgers.edu/healthcenter/%5B/url%5D">http://www.newark.rutgers.edu/healthcenter/</a>
* Busch-Livingston and Willets Health Centers are closed from June 1 to the start of the Fall Semester.
We look forward to having you join the Rutgers community, and hope your move goes smoothly. Remember, Rutgers University Health Services is available to you for your healthcare needs.
Sincerely,
Melodee Lasky, MD
Sandra Samuels, MD
Paul Brown
Executive Director
Medical Director
Director
RUHS-New Brunswick/Piscataway
Rutgers University Health Services
Rutgers University Health Services
Newark Campus
Camden Health Center
RUTGERS UNIVERSITY UNDERGRADUATE STUDENT
PRE-ENTRANCE IMMUNIZATION RECORD
TO BE COMPLETED BY STUDENT</p>
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<p>LAST NAME FIRST NAME MIDDLE NAME
DATE OF BIRTH:
SOCIAL SECURITY NUMBER:
Mo Day Yr
TO BE COMPLETED AND SIGNED BY YOUR HEALTH CARE PROVIDER. Enter all information in English.
REQUIRED FOR ALL STUDENTS (*starred items required only if born in 1957 or later):
1. *MMR (MEASLES, MUMPS, RUBELLA) -2 DOSES REQUIRED
Dose #1
Dose #2
GIVEN AFTER ONE YEAR OF AGE AND AT LEAST ONE MONTH APART
Mo Day Yr
Mo Day Yr
OR ALL OF THE FOLLOWING CRITERIA MUST BE MET:
*MEASLES (RUBEOLA)
Dose #1
Dose #2
Titer
Has two doses of individual rubeola vaccine
Or report of positive immune titer
Mo Day Yr
Mo Day Yr
Mo Day Yr
*MUMPS
Has two doses of individual mumps vaccine
Or report of positive immune titer
Mo Day Yr
Mo Day Yr
Mo Day Yr
*RUBELLA (GERMAN MEASLES)
Has two doses of individual rubella vaccine
Or report of positive immune titer
Mo Day Yr
Mo Day Yr
Mo Day Yr
REQUIRED FOR ALL NEW UNDERGRADUATE AND INCOMING TRANSFER STUDENTS USING UNIVERSITY HOUSING:
2.
MENINGOCOCCAL MENINGITIS VACCINATION
Specify date:
Mo Day Yr
REQUIRED FOR ALL STUDENTS WHO HOLD A NON-IMMIGRANT VISA AND WERE BORN OR GREW UP
IN A COUNTRY WITH HIGH PREVALENCE OF TB (See attached criteria for tuberculin testing):
3. TB
If past positive TB skin test, do not repeat. Please record the date, positive result, and chest x-ray information below.
A.
Tuberculin Skin Test (must have been placed not greater than 6 months prior to attendance)
Date Read:
Positive:
Negative:
Result: ______ mm
Mo Day Yr
(Record both interpretations (positive or negative) and actual mm of induration, transverse diameter; if no induration, write 0)
B.
Result
Date of x-ray:
Normal:
Abnormal:
Mo Day Yr
4
C.
Treatment Date (if applicable)
Mo Day Yr
4. RECOMMENDED VACCINATIONS
Consult your personal physician or Rutgers University Health Services if you have questions about these immunizations.
Booster
TETANUS/DIPHTHERIA
Mo Day Yr
Dose #1
Dose #2
VARICELLA (Chicken Pox):
Mo Day Yr
Mo Day Yr
Dose #1
Dose #2
Dose #3
HEPATITIS B
Mo Day Yr
Mo Day Yr
Mo Day Yr
Booster
Dose #1
Dose #2
Dose #3
POLIO
Mo Day Yr
Mo Day Yr
Mo Day Yr
Mo Day Yr
Please stamp or print Healthcare Provider name and address below:
RETURN FORM TO:
IMMUNIZATION PROGRAM
OFFICE OF UNIVERSITY UNDERGRADUATE ADMISSIONS
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
65 DAVIDSON ROAD ROOM 202
PISCATAWAY, NEW JERSEY 08854-8097</p>
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<p>Healthcare Provider Signature
1. Criteria for Tuberculosis Skin Testing
Rutgers University requires Tuberculosis Skin Testing (PPD or Mantoux) and chest x-ray report (if indicated for positive results) within the 6 months prior to attending the University for incoming students who hold non-immigrant visas and were born or grew up in a country with a high prevalence of tuberculosis.
In contrast to immigrants who may also have been born in a country with a high incidence of TB, students with non-immigrant visas may not have been tested upon arrival in the United States. While case rates for TB have decreased from 1992-2002, over 50% of total cases occur in foreign-born people, resulting in a case rate that is 8 times greater in international-born residents than in the US-born population.
TB Incidence Rates per 100,000
Rate per 100,000
<10
10-24
25 - 50
<10
10-24
25 - 50
50-99
100-300</p>
<p>Tyvm! (10 char..)</p>