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Immunization Requirements 2013-2014

For the protection of the health of our students, proof of immunization against certain infectious diseases is required at the time of registration in the School of Medicine.  The following immunizations/tests are required prior to entry into the medical school and are covered 100% under the Emory/Aetna Student Health Insurance Policy:

Tetanus-Diphtheria (Td): Must have had a booster within 10 years. The CDC now recommends that the most recent Td booster also include acellular Pertussis vaccination (Tdap).

Measles/Mumps/Rubella (MMR): Must have had original vaccine with one booster if born after 1957.  Immunization must include all three components of this vaccine.

Polio: Must have had childhood vaccination with appropriate boosters.

Hepatitis B: This vaccine series will be given to all incoming students unless documentation of previous immunization, with confirmatory serology, is provided prior to registration.  This is a 3-dose vaccine series given over 6 months.  Confirmatory quantitative serology will be obtained upon completion of the series.  (Declination forms will be available to students for whom the immunizations are contraindicated.)

Varicella: Students who have no clinical history of chicken pox will have serology done to confirm immunity status.  If the student is found not to be immune, then this 2-dose vaccine series will be administered.

PPD Tuberculin Skin Test: A two-step PPD tuberculin skin test will be administered to all incoming students unless documentation of negative PPD within six months of enrollment is provided by the student.  NOTE: History of previously positive PPD requires a negative chest x-ray report dated after the positive PPD. The student will complete a questionnaire to rule out symptoms at the time of matriculation. Satisfactory responses to those questions will allow the student to be verified “exempt” from further testing. The student will also receive a sheet titled, “Symptoms of Active Tuberculosis” with instructions to seek assessment at Student Health Services if symptoms occur.  Previous history of BCG does not exempt the skin test.  Students will receive PPDs at the beginning of each academic year.  Initial PPDs are done in two-step testing. When appropriate,Quantiferon Gold or T-spot testing will be substituted.

Health Insurance: Health insurance coverage for sickness, accidents and hospitalization is required of all Emory students, including medical students.  Coverage must be continuous from the date of enrollment until the date of graduation.  An Emory-sponsored plan will be available at registration.  Students who do not enroll in this plan are required to complete an online waiver process at confirming that the coverage is comparable and meets Emory University waiver criteria. The health Insurance waiver site will open in may 2013 and will remain open until August 28, 2013.  If a waiver is not successfully completed by the August 28th deadline, students will be automatically charged and enrolled in the Emory/Aetna policy.  Maintaining health insurance coverage is a requirement for continued enrollment. Be sure to always register in the School of Medicine insurance option so your insurance never lags.  

Preventive Health Care/Disability Insurance Fee: All medical students are charged a health fee of $100 per semester.  This amount covers long-term disability insurance, all of the above immunizations and serologies, all PPD skin tests, and all costs associated with PPD conversion to positive status during enrollment, after the claim has first been submitted to the student’s health insurance plan.   There is no waiver of this fee for any reason.  

PPD Testing and Protocol for Conversions: At the time of Registration each medical student who cannot offer documentation of negative skin testing for tuberculosis within the previous six months will receive a PPD skin test.  Reports of the PPD skin test (and chest films when indicated) must be filed with the Student Health Service.   

Medical students who are found to have a positive PPD (reading of >9 mm induration) are referred for care by a physician affiliated with Emory University Student Health Services.  

The School of Medicine will pay for x-rays, lab work and medications for students who convert to a positive PPD skin test only if the above protocol is followed and only if conversion occurs during the time enrolled as a student in the School of Medicine and the claim has first been submitted to the student’s health insurance plan.  Otherwise, the student is held responsible for these charges.  Students will not be reimbursed for care or services obtained elsewhere.  

Students on clinical rotation at Grady Memorial Hospital must furnish documentation of PPD readings to the Grady Department of Occupational Health in order to receive a Grady ID badge.  Students who do not comply with this requirement will be prevented from continuing their clinical education.  

Questions concerning PPD testing or other health-related issues should be directed to Emory University Student Health Services.  Questions concerning administrative issues should be directed to the Director of the Office of Medical Education & Student Affairs.