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School entry vaccination requirements in Australia
In 1982, the National Health and Medical Research Council (NHMRC) made a recommendation that every Australian state and territory introduce legislation requiring that immunisation certificates be provided at school entry.13 The first state to enact this recommendation was Victoria which, after a number of drafted Bills, public and advisory group consultations and a pilot program, passed the Health (Amendment) Act 1990 in May 1990.14,15 This act specified that “Parents must provide certification of immunisation at the time of enrolment at a Victorian primary school. If school does not have documentation of immunisation status, either because not vaccinated or no documentation, the principal is required to exclude the child from school if an outbreak was to occur”. Exemptions were allowed for conscientious objectors and for medical reasons. Similar legislation came into effect in New South Wales (NSW) in 1994 following the 1992 amendment to the Public Health Act 1991, which required parents to provide an immunisation certificate at the time of initial school enrolment as documentation of vaccinations received.16 Over time, other states introduced various permutations of school entry vaccination policies, and school entry requirements were listed as one of the initiatives in the Seven Point Plan launched by the then Minister for Health and Aged Care in February 1997. However, currently, legislation on school entry vaccination requirements have been passed in NSW, Victoria, Tasmania and the Australian Capital Territory. In Western Australia (WA) similar policies are outlined in School Education legislation. Following consultations with health and education sectors, the WA Department of Education have published Guidelines for recording and managing student immunisation data on SIS which utilises the availability of ACIR history statements and the current school information system, demonstrating that provisions for documentation at school entry can be implemented across the sector. WA is the only jurisdiction with an extensive funded provision for school nurses across public and private sector schools. The Northern Territory (NT), South Australia and Queensland (QLD) do not have any formal legislation or policy around school entry vaccination requirements. However, school exclusion provisions for contagious conditions exist in QLD and NT. The available details of the school entry requirements in place in each state and territory are summarised in Appendix 1.
It is important to highlight that in states and territories with policies around school entry vaccination requirements, provisions vary, such as the school settings, appropriate immunisation documentation, applicable vaccinations and methods for applying for exemptions. In addition, the nature and level of enforcement of the current legislation varies between jurisdictions, although details are often lacking.
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