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1963. Twenty U.S. states require (mandate) children to have several vaccines before going to school for the first time.
A religious exemption from vaccination must be obtained from a county health department. Religious exemption is not authorized or issued by schools or physicians. Every county health department issues a standardized approved religious exemption form (DH 681).
DTaP, Tdap, Td older, Tdap or Td should be used to start/complete the series. A Tdap given at age 7-9 years of age does not count for the 11- year old Tdap requirement; a Tdap should be given once 5 years has passed since last dose of tetanus- diphtheria containing vaccines was given.
The rules promulgated by Occupational Safety and Health Administration (OSHA) requires private employers with 100 or more employees to mandate their employees get vaccinated or implement weekly testing and mask requirements. Non-compliant businesses would face steep fines.
The Arizona State Immunization Information System (ASIIS) is an immunization registry designed to capture immunization data on individuals within the state.

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Children who are not vaccinated can transmit vaccine- preventable diseases at schools and in the community. Unvaccinated children can infect babies who are too young to be fully immunized. Unvaccinated children can infect people of any age who can't be immunized for medical reasons.
The school keeps a copy of the Immunisation History Statement so that, if there is a disease outbreak, unvaccinated children can be quickly identified and excluded from school until the risk of infection has passed.
To protect all children against serious vaccine preventable diseases, Arizona school immunization laws require students to receive immunizations before entry to child care and school.

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