N.J. Admin. Code § 8:57-4.10

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:57-4.10 - Diphtheria and tetanus toxoids and pertussis vaccine

(a) Every child less than seven years of age shall have received a minimum of four doses of diphtheria and tetanus toxoids and pertussis vaccine (DTP), or any vaccine combination containing DTP, such as DTP/Hib or DTaP, one dose of which shall have been given on or after the child's fourth birthday.

(b) Those children enrolled in child care centers who are too young to meet this requirement, shall be in compliance with this section if they are appropriately immunized for their age as recommended by the Advisory Committee on Immunization Practices (ACIP) of the United States Public Health Service.

(c) Diphtheria, tetanus, and acellular pertussis vaccine (DTaP) for children under age seven is preferred and shall be accepted in lieu of DTP vaccine.

(d) Pediatric diphtheria-tetanus toxoid (DT) shall be accepted in lieu of DTP or DTaP for children under age seven if a physician's written medical contraindication to further pertussis vaccine has been presented as specified at 8:57-4.3.

(e) Children seven through nine years of age who have not completed this requirement shall receive tetanus and diphtheria toxoids (adult Td) instead of DTP. Any combination of three doses of DTP, DTaP, DT, or Td in a child seven through nine years of age shall be acceptable as adequate immunization for this vaccine series.

(f) The requirement to receive a school entry booster dose of DTP or DTaP after the child's fourth birthday shall not apply to children while enrolled in child care centers, preschool or pre-kindergarten classes or programs.

(g) Those children less than seven years of age who have received a total of five or more doses of DTP or DTaP shall have also satisfied the DTP requirement.

(h) Every child born on or after January 1, 1997, and entering or attending Grade Six, or a comparable age level special education program with an unassigned grade on or after September 1, 2008, shall have received one dose of Tdap (Tetanus, diphtheria, acellullar pertusis) given no earlier than the 10th birthday.

(i) Children entering or attending Grade Six on or after September 1, 2008, who received a Td booster dose less than five years prior to entry or attendance shall not be required to receive a Tdap dose until five years have elapsed from the last DTP/DTaP or Td dose.

(j) Children born on or after January 1, 1997, attending or transferring into a New Jersey school at Grade Six or a higher grade level from another state or country on or after September 1, 2008, shall have received one dose of Tdap, provided at least five years have elapsed from the last documented Td dose.

N.J. Admin. Code § 8:57-4.10

As amended, R.1981 d.503, effective 1/4/1982.
See: 13 N.J.R. 738(a), 14 N.J.R. 45(c).
"Seventh" birthday was "sixth".
Amended by R.1990 d.243, effective 6/4/1990 (operative September 1, 1991).
See: 21 N.J.R. 3897(a), 22 N.J.R. 1766(a).
DTP schedule updated; new (b), (c) and (d) added.
Amended by R.1995 d.201, effective 4/3/1995.
See: 27 N.J.R. 270(a), 27 N.J.R. 1417(a).
Amended by R.2008 d.9, effective 1/7/2008 (operative September 1, 2008).
See: 38 N.J.R. 5284(a), 40 N.J.R. 151(a).
Rewrote (e); and added (h) through (j).
Amended by R.2010 d.147, effective 7/19/2010.
See: 41 N.J.R. 2417(a), 42 N.J.R. 1597(a).
In (j), substituted "attending or" for "and", and inserted "at Grade Six or a higher grade level" and "on or".

The adopted version of this section 56 N.J.R. 213(a), effective 1/3/2024 is not yet available