IMMUNIZATION REQUIREMENTS
(all documents including immunization records and
lab sheets with titer values are required)
IMMUNIZATION & TB TESTING
Upon acceptance into the program a recent physical examination as well as immunizations for health care
providers as required. All students must have a TITER report for immunizations. Also required will be a current
American Heart Association Health Care Provider CPR card.
REQUIREMENTS
Hepatitis A
Hepatitis B
Varicella
Measles
Mumps
Rubella
TB Skin Testing
DESCRIPTION
•
Positive/Reactive Serum Blood Hep A Surface
Antibody titer
•
Positive/Reactive Serum Blood Hep B Surface
Antibody titer
•
Positive Serum Blood titer result
•
Positive Serum Blood titer result
•
Positive Serum Blood titer result
•
Positive Serum Blood titer result
•
2 PPD (2-Step Tuberculosis skin screening tests)are
required three months before the start of school.
Each test should be given administered one week
apart for accurate assessment.
OR
Negative Quantiferon Serum Blood Test result
For students with a positive TB skin test history or positive
Quantiferon blood test result:
•
submit a Negative chest x-ray report beginning one
month before the start of school
AND
•
Validation of 9 months of INH therapy from your
provider, since your TB test converted to positive.
AND
•
Negative TB Symptoms Review Form completed
annually
OR
if you have a written positive skin test history
•
TB Symptoms
Review Form
Flu Shot
•
Negative chest x-rays are required annually one
month before the start of each school year for
students that have not taken INH therapy.
All students must complete the TB symptoms review
form ANNUALLY (regardless of their positive or
negative TB skin or Quantiferon status.
Verification of the annual Flu vaccine is required for all
students as soon as the vaccine is available, usually late
August or early September.
N95 Fit Test
All students are required to complete the N95 Fit Test
through the ADN program vendor after program
acceptance.
2-­‐Step Testing for TB
The booster phenomenon occurs during TB skin testing when an individual
who is tested many years after becoming infected with tuberculosis has a
falsely negative (non-reactive) skin test initially, followed by a positive
reaction to a second TB skin test given from one week up to a year later.
This occurs because the first test boosts the immune response.
Two-step testing is used in screening programs in order to tell the difference
between a boosted reaction and a reaction due to a recent infection.
Typically, the second test follows the first by one to three weeks. If the first
is negative and the second is positive, it is felt that this most likely
represents a past infection with a booster phenomenon rather than a recent
infection.
The difference between a recent infection and a booster phenomenon is
important for understanding the risk of developing active tuberculosis
disease. Individuals infected with tuberculosis have a 10% lifetime risk of
developing active disease. About one-half of that lifetime risk occurs in the
first 2 years following infection. Individuals with a recent infection are
strongly advised to have INH therapy (assuming that their chest x-ray is
normal). If INH is refused or contraindicated, the individual needs to be
followed with a repeat chest x-ray at least every 6 months for two years,
along with chest x-rays during any prolonged respiratory illness.
Henry J. Kahn, M.D. Director, UCSF Student Health Service
This information was taken from the USCF Student Health Services Immunization
Requirements and adapted to fit Merritt College Requirements.