ONTARIO REGULATION 260/13
made under the
IMMUNIZATION OF SCHOOL PUPILS ACT
Made: September 11, 2013
Filed: September 18, 2013
Published on e-Laws: September 19, 2013
Printed in The Ontario Gazette: October 5, 2013
Amending Reg. 645 of R.R.O. 1990
(GENERAL)
1. Section 1 of Regulation 645 of the Revised Regulations of Ontario, 1990 is revoked and the following substituted:
Record of Immunization
1. A record of immunization maintained by a medical officer of health with respect to a pupil shall contain the following information, except for any items of information that are not reasonably possible for the medical officer of health to obtain:
1. The pupil’s full name, address and telephone number.
2. If applicable, every alternate name of the pupil.
3. The pupil’s sex.
4. The pupil’s date of birth.
5. The pupil’s country of birth.
6. The name of the school attended by the pupil and the identifying number, if any, assigned by the Ministry of Education to the school.
7. The pupil’s school grade or class.
8. The pupil’s health number assigned by the General Manager under the Health Insurance Act.
9. The full name, address and telephone number of every parent of the pupil.
10. The preferred language or languages of the pupil’s parents.
11. A record of all the pupil’s immunizations against designated diseases showing,
i. the type of vaccine given,
ii. the date of administration of the vaccine, and
iii. any reactions to the vaccine.
12. Any statement of medical exemption that pertains to the pupil, showing the effective time period on the statement.
13. Any statement of conscience or religious belief that pertains to the pupil.
Reports from schools
1.1 (1) For the purposes of assisting in the accurate maintenance of records of immunization, every person who operates a school shall submit reports containing records for each pupil in the school to the medical officer of health for the health unit in which the school is located.
(2) Subject to subsection (3), a report under subsection (1) shall be made,
(a) upon the request of the medical officer of health;
(b) within the time frame stipulated by the medical officer of health; and
(c) employing a secure mechanism of information transfer stipulated by the medical officer of health.
(3) A medical officer of health may only stipulate time frames and secure mechanisms of information transfer that are reasonable under the circumstances.
(4) If a person who operates a school has collected and maintains any of the following information about a pupil, the pupil’s record in a report under subsection (1) shall contain that information:
1. The pupil’s full name, address and telephone number.
2. If applicable, every alternate name of the pupil.
3. The pupil’s sex.
4. The pupil’s date of birth.
5. The pupil’s country of birth.
6. The name of the school attended by the pupil and the identifying number, if any, assigned by the Ministry of Education to the school.
7. The pupil’s school grade or class.
8. The pupil’s Ontario education number, if one has been assigned to the pupil.
9. The full name, address and telephone number of every parent of the pupil.
10. The preferred language or languages of the pupil’s parents.
(5) A medical officer of health shall comply with the following with respect to collecting, retaining, using and disclosing a pupil’s Ontario education number under this section:
1. The medical officer of health shall only collect the Ontario education number for the purpose of matching the personal information in the report submitted by a person who operates a school with the personal health information contained in a record of immunization.
2. The medical officer of health shall not use the Ontario education number for any purpose other than for the purpose of matching the personal information contained in the report submitted by a person who operates a school with the personal health information contained in a record of immunization.
3. The medical officer of health shall only retain the Ontario education number in a record that is not the record of immunization.
4. The medical officer of health shall take steps that are reasonable in the circumstances to ensure that the record in which the Ontario education number is retained is only used for the purpose of matching the personal information in the report submitted by a person who operates a school with the personal health information contained in a record of immunization.
5. The medical officer of health shall not disclose the Ontario education number.
(6) In this section,
“Ontario education number” means the number assigned to the pupil by the Minister of Education under the Education Act.
2. Sections 2, 3, 4 and 5 of the Regulation are revoked and the following substituted:
Forms
2. For the purposes of the Act, the forms for the statement of medical exemption, the statement of conscience or religious belief and the notice of transfer from a school are the forms with those names, dated August, 2013, that are available through the website of the Government of Ontario Central Forms Repository.
Program of immunization
3. The program of immunization in respect of designated diseases set out in the Tables to this section is prescribed.
TABLE 1
PROGRAM OF IMMUNIZATION
Item
Disease
Minimum Number of Valid Doses Required
Required Minimum Intervals Between Primary Series Doses
Required Booster Doses
1.
Diphtheria
If age at first dose is under 7 years:
4 or 5 doses required (depending on intervals as described)
First valid dose administered no earlier than 6 weeks (42 days) of age.
10 years following last dose given
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
Third valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
Fourth valid dose administered at a minimum interval of 24 weeks following previous dose.
Fifth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age.
(Note: Fifth valid dose is not required if fourth valid dose is administered at 4 years of age or older.)
If age at first dose is 7 years or older:
3 doses required
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
10 years following last dose given
Third valid dose administered at a minimum interval of 24 weeks following previous dose.
2.
Tetanus
If age at first dose is under 7 years:
4 or 5 doses required (depending on intervals as described)
First valid dose administered no earlier than 6 weeks (42 days) of age.
10 years following last dose given
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
Third valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
Fourth valid dose administered at a minimum interval of 24 weeks following previous dose.
Fifth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age.
(Note: Fifth valid dose is not required if fourth valid dose is administered at 4 years of age or older.)
If age at first dose is 7 years or older:
3 doses required
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
10 years following last dose given
Third valid dose administered at a minimum interval of 24 weeks following previous dose.
3.
Pertussis
If age at first dose is under 7 years:
4 or 5 doses required (depending on intervals as described)
First valid dose administered no earlier than 6 weeks (42 days) of age.
10 years following last dose given
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
Third valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
Fourth valid dose administered at a minimum interval of 24 weeks following previous dose.
Fifth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age.
(Note: Fifth valid dose is not required if fourth valid dose is administered at 4 years of age or older.)
If age at first dose is 7 years or older:
3 doses required
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
10 years following last dose given
Third valid dose administered at a minimum interval of 24 weeks following previous dose.
4.
Poliomyelitis
If age at first dose is under 7 years:
3 or 4 doses required (depending on intervals as described)
First valid dose administered no earlier than 6 weeks (42 days) of age.
None required
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
Third valid dose administered at a minimum interval of 24 weeks following previous dose.
Fourth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age.
(Note: Fourth valid dose is not required if third valid dose is administered at 4 years of age or older.)
If age at first dose is 7 years or older:
3 doses required
Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose.
None required
Third valid dose administered at a minimum interval of 24 weeks following previous dose.
5.
Measles
2 doses required
First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2).
None required
Second valid dose administered at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2).
6.
Mumps
2 doses required
First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2).
None required
Second valid dose administered at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2).
7.
Rubella
1 dose required
First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2).
None required
8.
Meningococcal Disease
If born on or after September 1, 2004 and age is under 12 years:
1 dose of meningococcal conjugate-C vaccine required
One valid dose administered no earlier than 1 year of age and at a minimum interval of 4 weeks (28 days) following any previous dose (if given).
None required
If born on or after January 1, 1997 and age is 12 years or older (Grade 7 or above):
1 dose of meningococcal conjugate-ACYW-135 vaccine required
One valid dose administered at a minimum interval of 4 weeks (28 days) following any previous dose (if given).
None required
9.
Varicella
If born on or after January 1, 2010:
2 doses required
First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2).
None required
Second valid dose administered at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2).
TABLE 2
MINIMUM INTERVALS BETWEEN LIVE VACCINES
Live Vaccines (given in any order)
Minimum interval between doses
MMR and MMR
4 weeks (28 days)
MMR and Varicella
MMR and MMRV
6 weeks (42 days)
MMRV and MMRV
MMRV and Varicella
Varicella and Varicella
Other live vaccines and MMR, MMRV, or Varicella
4 weeks (28 days)
MMR = combined measles, mumps, rubella vaccine
MMRV = combined measles, mumps, rubella, varicella vaccine
3. Forms 1, 2 and 3 to the Regulation are revoked.
Commencement
4. (1) Subject to subsection (2), this Regulation comes into force on the day it is filed.
(2) Sections 2 and 3 come into force on July 1, 2014.
