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Immunization policy 

March 25, 2019

M E M O R A N D U M

TO: 
CSU Presidents

FROM: 
Timothy P. White
Chancellor

SUBJECT:  Immunization Requirements - Executive Order 803
Revised March 25, 2019

Attached is a copy of Executive Order 803 Revised March 25, 2019 relating to the California State University immunization requirements. This policy supersedes Executive Order 803, which was issued on February 5, 2002.

Effective Fall 2020 this policy incorporates changes recommended by the California Department of Public Health, CSU campus health center directors, and administrators to bring up-to-date immunization requirements and recommendations for students in self-support degree programs and K-12 students participating in concurrent enrollment courses. A companion document is also included to support and clarify required dosages and recommendations to ensure the health and wellness of all CSU students.

In accordance with policy of the California State University, the campus president has the responsibility for implementing executive orders where applicable and for maintaining the campus repository and index for all executive orders.

If you have questions regarding this executive order, please contact the Office of Student Academic Services at [email protected] or (562) 951-4720.

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Attachment

c:
CSU Office of the Chancellor Leadership
Vice Presidents, Academic Affairs
Vice Presidents, Business and Administration
Vice Presidents, Student Affairs
Directors, Campus Health Centers

__________________________________ 

Executive Order 803
Revised March 25, 2019

THE CALIFORNIA STATE UNIVERSITY
Office of the Chancellor
401 Golden Shore
Long Beach, California 90802-4210
(562) 951-4720

Executive Order:  803
Revised March 25, 2019

Effective Date: 
Fall 2020

Supersedes:
Executive Order 803 February 5, 2002 (Effective Date: Fall 2002)

Title:
Immunization Requirements

This executive order is issued pursuant to Sections 1 and 2 of Chapter III of the Standing Orders of the Board of Trustees of the California State University. This executive order applies to undergraduate and graduate students, students matriculated in self-support degree programs and K-12 students participating in concurrent enrollment courses entering the California State University (CSU) in or after fall 2020.

Immunization, Screening Requirements, and Recommendations are adopted from the California Department of Public Health (CDPH) IMMUNIZATION & SCREENING RECOMMENDATIONS FOR COLLEGE STUDENTS.

NOTE: Any revisions of the CDPH recommendations for colleges and universities as of February 1, each year, will be reflected in CSU requirements for the subsequent fall academic term.

Immunization and Screening Requirements

The CSU requires that students are current for the immunizations listed below. Immunizations and screening requirements, recommendations, and immunization schedules are on the Office of the Chancellor’s Student Health Services website, found at www.calstate.edu/immunizations. Campuses should link to this site to provide students with detailed immunization and screening requirements, and information on how to comply.

Exemption

Campus implementation of the required immunizations and screenings shall include provisions for exemptions based on medical considerations.

Required Immunizations and Screenings*

Measles, Mumps and Rubella (MMR)
Hepatitis B (Hep B)
Varicella (Chickenpox)
Tetanus-Diphtheria-Pertussis (Tdap)
Meningococcal Disease (Serogroups A, C, Y, W-135)
Tuberculosis Screening/Risk Assessment (TB)

Recommended Immunizations and Screenings (Students are encouraged to discuss with their provider.)*

Hepatitis A (Hep A)
Hepatitis B (Hep B)
Human papillomavirus (HPV)
Influenza (Flu)
Meningococcal B (Meningitis B)
Pneumococcal
Poliovirus (Polio)

*For more detailed information on immunization requirements and recommendations, please visit www.calstate.edu/immunizations.

Additional Authorized Discretionary Requirements

A CSU campus and/or campus-sponsored program whose participants may have increased exposure risk - such as intercollegiate athletics, campus residence halls, or programs involving international travel participants (to or from the United States) - authorized to require documentation of recommended immunizations in accordance with California Department of Public Health (CDPH) guidelines.

In the event of a local or campus-based outbreak of a vaccine-preventable disease, the local public health department and/or the CDPH is authorized to require immunizations beyond those currently required by the CSU. Campuses will consult with the appropriate public health authority in case of an outbreak.

Exemption

Campus implementation of additional discretionary immunization requirements shall include provisions for exemptions based on medical considerations.

Academic Program and Fieldwork or Clinical Placement Requirements

All students enrolled in health care fields of study or teacher education programs are required to provide documentation regarding the completion of immunizations and health screenings as established by the state licensing agencies or clinical placement sites or fieldwork sites. Students should contact the academic program for the specific required immunizations, health screenings (e.g., TB screening and physical examination) and any other fieldwork or clinical placement requirements.

Immunization and Documentation

Each campus, including self-support degree programs, shall advise students about how to obtain required and recommended immunizations and health screenings through private health care providers, local health departments or the campus. Campus health centers, in cooperation with local health departments, are authorized to (and may) provide immunizations to enrolled or conditionally enrolled students; however, campus health centers are not required to do so.

If campus policy provides for enrollment conditional upon full immunization within a designated time period, that time period must end no later than the beginning of the second term of enrollment. Students who do not provide proof of full immunization by the beginning of the second term of the academic year (i.e., fall, winter, spring) shall not be allowed to enroll until proof of full immunization has been provided to the campus.

Campuses, including self-support degree programs, shall advise students about where and how to obtain acceptable proof of full immunization. Examples of acceptable proof of immunization may include a copy of the student's immunization record, including the name and date(s) of immunization or date and results of blood testing indicating immunity. Acceptable proof of immunization may be provided by the student's high school, private health care provider, local health department, or campus health center.

Each campus, including self-support degree programs, are required to develop a consistent process to track compliance with required immunizations and screenings through a designated campus department (e.g., Registrar, Enrollment Management, Student Health Center, Admissions and Records, etc.). The immunization form shall include provisions for medical exemption.

__________________________________
Timothy P. White, Chancellor
Dated: March 25, 2019