HAR §11-157-2. Definitions

As used in this chapter: 11Attend 11 or "attendance" means a student or child is physically present at school, post - secondary school, or child care facility after admission or enrollment. 11Child" or "children" means a minor or minors who attend a child care facility in the State . Any child who attends a child care facility who is physically present for any amount of time at a child care facility shall comply with this chapter . "Child care facility" has the same meaning as defined in section 346-151 , HRS. "Department " means the department of health of the State of Hawaii , or any authorized officer or agent of the department of health. "Director" means the director of health of the State of Hawaii or a duly authorized agent . "Epidemic" means the occurrence in a community or region of an illness clearly in excess of normal expectancy, as determined by the department. "Grace period" means the four day period prior to minimum required ages or intervals during whi ch an immunization may still be considered valid. "Immunization" means the process of administering a vaccine, toxoid, or other substance licensed by the United States Food and Drug Administrati on to promote an immune response, including antibody production, in conformance with recognized standard medical practices. "Immunizing agC?nt " means a vaccine, toxoid, or other substance licensed by the United States Food and Drug Administration and used to increase an individual's immunity to a disease. 157-2 §11-157-2 "Outbreak" means the occurrence in a community or region of an illness clearly in excess of normal expectancy, as determined by the department. "Physician" means a person licensed to practice medicine, osteopathic medicine, or naturopathic medicine in any of the states or territories of the United States. A person whose license is on inactive status or who is not actively practicing shall not be deemed to be a physician for purposes of this chapter. Licensure or accreditation in chiropractic, homeopathy, acupuncture, or herbal healing does not qualify a person as a physician in this chapter. "Post-secondary school" means any community college, college, university, or any school enrolling or registering students above the age of compulsory school attendance. "Practitioner" means a physician, advanced practice registered nurse, or physician assistant licensed to practice in any of the states or territories of the United States. A physician, advanced practice registered nurse, or physician assistant whose license is on inactive status or who is not actively practicing shall not be deemed to be a practitioner for the purposes of this chapter. "Recognized standard medical practices" means in accordance with the United States Department of Health and Human Services', Advisory Committee on Immunization Practices (ACIP), General Best Practice Guidelines for Immunization, and future amendments that are adopted by the department. "School" means a congregate setting for educational purposes, for example, kindergarten, elementary, intermediate, middle, or secondary school. "Student" means any minor or adult attending any school or post-secondary school in the State. Any student who attends a school or post-secondary school who is physically present for any amount of time at school or post-secondary school shall comply with this chapter. [Eff 11/5/81; am and comp 6/17/93; am and comp 10/23/97; am and comp 8/27 /01; am and comp All~ ? 3 201g ] (Auth: HRS §§302A-1162, 321-9, 3l"'.t'YJ.t, 157-3 §11-157- 2 325-13, 325 - 32 ) (Imp: HRS §§302A-901, 302A-1154 through 302A- 1163, 321-1, 321-9, 321-11, 325-13, 325- 32 through 325- 38) §11- 157-3 Immunization. (a) Immunizations against certain vaccine preventable diseases, including minimum spacing between doses, and other conditions governing acceptability of immunizations, are required as set forth in the following exhibits: Exhibit A, ~List of Recommended and Required Vaccinations (July 1, 2020) . 11 Exhibit B, "General Best Practice Guidelines for Immunization; Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP} . II (b) The United States Department of Health and Human Services', General Best Practice Guidelines for Immunization; Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP), attached hereto as Exhibit B, are adopted as the requirements in the State of Hawaii for minimum age, required spacing between doses, grace period, and other conditions governing the acceptability of immunizations. Only those sections of Exhibit B that pertain to the requirements of this chapter, including the specific vaccinations listed in Exhibit A, shall apply . . (c) The Exhibits are located at the end of and are made a part of this chapter . If an exhibit conflicts with this chapter, this chapter shall prevail. Implementation of the amendments to this section shall occur on July 1, 2020. (d) The director is authorized to suspend temporarily or amend any portion of the immunization requirements due to unforeseen circumstances . The director shall notify affected schools, post-secondary schools, or child care facilities in writing of any suspension or amendment . The notification shall include details of the suspension or amendment, 157-4 §11-157-3.05 including the suspended or amended requirements, the anticipated duration of the suspension or amendment, and policies to be implemented during the suspension or amendment. [Eff 11/5/81; am and comp 6/17/93; am and comp 10/23/97; am and comp 8/27/01; am and comp AUG 2 3 ZO\'t J (Auth: HRS §§302A-1162, 321-9, 321-11, 325-13, 325-32) (Imp: HRS §§302A-901, 302A- 1154 through 302A-1163, 321-1, 321-9, 321-11, 325-13, 325-32 through 325-38)