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Guideline of I mmunization Requirement for Elementary Students in SAS

(Always call to check if the clinic / hospital has the type of vaccination available)

MMR Measles, mumps, and rubella vaccine
Vaccination for measles alone is NOT considered to be an MMR.
The second dose of MMR is recommended routinely at age 46 years but may be administered earlier if
desired.
MMR may be administered before age 46 years, provided 4 weeks or more have elapsed since the first
dose.
If not previously vaccinated, administer 2 doses of MMR during any visit, with 4 or more weeks between
the doses.

DTP / DTaP / Tdap ( Diphtheria, Tetanus Toxoids and Pertussis vaccine )
By age 6, the child should have completed 5 doses of DTaP
The fifth dose is not necessary if the fourth dose was administered at age 4 years or older.
A DTP catch-up dose for students aged 7 years or older will require a Tdap instead.
For Grade 5 students age 11 or above, another Tdap is needed regardless of previous doses.
1318-year-olds who missed the 1112 year Tdap or received Td only are encouraged to receive one
dose of Tdap 5 years after the last Td/DTaP dose.
(12/2011) Tdap is available only at Shanghai United Family Hospital or Sunshine Childrens Hosp.

POLIO : Inactivated poliovirus vaccine (IPV) / oral Polio (OPV)
NEW requirement: The final dose in the series should be administered at age 4 years regardless of the
number of previous doses.
If your doctor said that your child has completed the Polio schedule though the last one was given
before 4 years old, please refer to the following American CDC advice dated August 7, 2009 which
states that the final dose in the IPV series should be administered at age 4 years regardless of the
number of previous doses.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5830a3.htm?s_cid=mm5830a3_e
For children who received an all-IPV (injection) or all-oral poliovirus (OPV) series, a fourth dose is not
necessary if the third dose was administered at age 4 years or older.
If both OPV and IPV were administered as part of a series, a total of 4 doses should be administered,
regardless of the childs current age.
Most Polio vaccinations are given as IPV (injection) nowadays, but for those parents who prefer their child
to have the oral Polio, the following 2 clinics have oral Polio supply:
Global Healthcare Clinic () http://www.ghcchina.com/phone:52986339
Sunshine Children's Clinic http://www.sccsa.com.cn/ phone: 5477-6480