GENERAL

Record of Immunization 1. A record of immunization maintained by a medical officer of health with respect to a pupil shall contain the following information, except for any items of information that are not reasonably possible for the medical officer of health to obtain: 1. The pupil’s full name, address and telephone number. 2. If applicable, every alternate name of the pupil. 3. The pupil’s sex. 4. The pupil’s date of birth. 5. The pupil’s country of birth. 6. The name of the school attended by the pupil and the identifying number, if any, assigned by the Ministry of Education to the school. 7. The pupil’s school grade or class. 8. The pupil’s health number assigned by the General Manager under the Health Insurance Act. 9. The full name, address and telephone number of every parent of the pupil. 10. The preferred language or languages of the pupil’s parents. 11. A record of all the pupil’s immunizations against designated diseases showing, i. the type of vaccine given, ii. the date of administration of the vaccine, and iii. any reactions to the vaccine. Note: On the day section 6 of Schedule 2 to the Protecting Patients Act, 2017 comes into force, paragraph 11 of section 1 of the Regulation is revoked and the following substituted: (See: O. Reg. 146/18, s. 1) 11. A record of all the pupil’s immunizations against designated diseases showing, i. the type of vaccine administered, ii. the trade name and immunizing agent for the vaccine product administered, iii. the lot number and expiry date of the immunizing agent, iv. the full name, title (including professional designation identification) and contact information of the physician or nurse who administered the immunizing agent, v. the date of administration of the vaccine, and vi. any reactions to the vaccine. 12. Any statement of medical exemption that pertains to the pupil, showing the effective time period on the statement. 13. Any statement of conscience or religious belief that pertains to the pupil. O. Reg. 260/13, s. 1. Reports from schools 1.1 (1) For the purposes of assisting in the accurate maintenance of records of immunization, every person who operates a school shall submit reports containing records for each pupil in the school to the medical officer of health for the health unit in which the school is located. O. Reg. 260/13, s. 1. (2) Subject to subsection (3), a report under subsection (1) shall be made, (a) upon the request of the medical officer of health; (b) within the time frame stipulated by the medical officer of health; and (c) employing a secure mechanism of information transfer stipulated by the medical officer of health. O. Reg. 260/13, s. 1. (3) A medical officer of health may only stipulate time frames and secure mechanisms of information transfer that are reasonable under the circumstances. O. Reg. 260/13, s. 1. (4) If a person who operates a school has collected and maintains any of the following information about a pupil, the pupil’s record in a report under subsection (1) shall contain that information: 1. The pupil’s full name, address and telephone number. 2. If applicable, every alternate name of the pupil. 3. The pupil’s sex. 4. The pupil’s date of birth. 5. The pupil’s country of birth. 6. The name of the school attended by the pupil and the identifying number, if any, assigned by the Ministry of Education to the school. 7. The pupil’s school grade or class. 8. The pupil’s Ontario education number, if one has been assigned to the pupil. 9. The full name, address and telephone number of every parent of the pupil. 10. The preferred language or languages of the pupil’s parents. O. Reg. 260/13, s. 1. (5) A medical officer of health shall comply with the following with respect to collecting, retaining, using and disclosing a pupil’s Ontario education number under this section: 1. The medical officer of health shall only collect the Ontario education number for the purpose of matching the personal information in the report submitted by a person who operates a school with the personal health information contained in a record of immunization. 2. The medical officer of health shall not use the Ontario education number for any purpose other than for the purpose of matching the personal information contained in the report submitted by a person who operates a school with the personal health information contained in a record of immunization. 3. The medical officer of health shall only retain the Ontario education number in a record that is not the record of immunization. 4. The medical officer of health shall take steps that are reasonable in the circumstances to ensure that the record in which the Ontario education number is retained is only used for the purpose of matching the personal information in the report submitted by a person who operates a school with the personal health information contained in a record of immunization. 5. The medical officer of health shall not disclose the Ontario education number. O. Reg. 260/13, s. 1. (6) In this section, “Ontario education number” means the number assigned to the pupil by the Minister of Education under the Education Act. O. Reg. 260/13, s. 1. Forms 2. (1) The form entitled “Statement of Conscience or Religious Belief – Immunization of School Pupils Act”, dated July, 2017 and available through the website of the Government of Ontario Central Forms Repository is prescribed as the form for a statement of conscience or religious belief under the Act. O. Reg. 325/17, s. 1. (2) The form entitled “Statement of Medical Exemption – Immunization of School Pupils Act”, dated August, 2013 and available through the website of the Government of Ontario Central Forms Repository is prescribed as the form for a statement of medical exemption under the Act. O. Reg. 325/17, s. 1. (3) The form entitled “Notice of Transfer from a School – Immunization of School Pupils Act”, dated August, 2013 and available through the website of the Government of Ontario Central Forms Repository is prescribed as the form for a notice of a transfer from a school under subsection 14 (1) of the Act. O. Reg. 325/17, s. 1. Program of immunization 3. (1) The program of immunization in respect of designated diseases is prescribed in the following Tables: table 1 Program of immunization Item Column 1 Disease Column 2 Age Category Column 3 Minimum Number of Valid Doses Required Column 4 Required Minimum Intervals Column 5 Required Booster Doses 1a. Diphtheria If age at first dose is under 7 years 4 or 5 doses required (depending on intervals as described) First valid dose administered no earlier than 6 weeks (42 days) of age. Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Fourth valid dose administered at a minimum interval of 24 weeks following previous dose. Fifth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age. (Note: Fifth valid dose is not required if fourth valid dose is administered at 4 years of age or older.) 10 years following last dose given 1b. Diphtheria If age at first dose is 7 years or older 3 doses required Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 24 weeks following previous dose. 10 years following last dose given 2a. Tetanus If age at first dose is under 7 years 4 or 5 doses required (depending on intervals as described) First valid dose administered no earlier than 6 weeks (42 days) of age. Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Fourth valid dose administered at a minimum interval of 24 weeks following previous dose. Fifth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age. (Note: Fifth valid dose is not required if fourth valid dose is administered at 4 years of age or older.) 10 years following last dose given 2b. Tetanus If age at first dose is 7 years or older 3 doses required Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 24 weeks following previous dose. 10 years following last dose given 3a. Pertussis If age at first dose is under 7 years 4 or 5 doses required (depending on intervals as described) First valid dose administered no earlier than 6 weeks (42 days) of age. Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Fourth valid dose administered at a minimum interval of 24 weeks following previous dose. Fifth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age. (Note: Fifth valid dose is not required if fourth valid dose is administered at 4 years of age or older.) 10 years following last dose given 3b. Pertussis If age at first dose is 7 years or older 3 doses required Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 24 weeks following previous dose. 10 years following last dose given 4a. Poliomyelitis If age at first dose is under 7 years 3 or 4 doses required (depending on intervals as described) First valid dose administered no earlier than 6 weeks (42 days) of age. Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 24 weeks following previous dose. Fourth valid dose administered at a minimum interval of 24 weeks following previous dose, and no earlier than 4 years of age. (Note: Fourth valid dose is not required if third valid dose is administered at 4 years of age or older.) None required 4b. Poliomyelitis If age at first dose is 7 years or older 3 doses required Second valid dose administered at a minimum interval of 4 weeks (28 days) following previous dose. Third valid dose administered at a minimum interval of 24 weeks following previous dose. None required 5. Measles All 2 doses required First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2). Second valid dose administered at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2). None required 6. Mumps All 2 doses required First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2). Second valid dose administered at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2). None required 7. Rubella All 1 dose required First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2). None required 8a. Meningococcal Disease If born on or after September 1, 2004 and age is under 12 years 1 dose of meningococcal conjugate-C vaccine required One valid dose administered no earlier than 1 year of age and at a minimum interval of 4 weeks (28 days) following any previous dose (if given). None required 8b. Meningococcal Disease If born on or after January 1, 1997 and age is 12 years or older (Grade 7 or above) 1 dose of meningococcal conjugate-ACYW-135 vaccine required One valid dose administered at a minimum interval of 4 weeks (28 days) following any previous dose (if given). None required 9. Varicella If born on or after January 1, 2010 2 doses required First valid dose administered no earlier than 1 year of age, and at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2). Second valid dose administered at a minimum interval of 4 or 6 weeks following any previous dose of a live vaccine, depending on the live vaccine (see Table 2). None required Table 2 Minimum intervals between live vaccines Item Column 1 Live Vaccines (given in any order) Column 2 Minimum interval between doses 1. MMR and MMR 4 weeks (28 days) 2. MMR and Varicella 4 weeks (28 days) 3. MMR and MMRV 6 weeks (42 days) 4. MMRV and MMRV 6 weeks (42 days) 5. MMRV and Varicella 6 weeks (42 days) 6. Varicella and Varicella 6 weeks (42 days) 7. Other live vaccines and MMR, MMRV, or Varicella 4 weeks (28 days) O. Reg. 325/17, s. 1. Definitions (2) In Table 2 of subsection (1), “MMR” means the combined measles, mumps and rubella vaccine; (“ROR”) “MMRV” means the combined measles, mumps, rubella and varicella vaccine. (“RORV”) O. Reg. 325/17, s. 1. Immunization education session 4. (1) This section prescribes the requirements that apply to an immunization education session described in subsection 3 (3) of the Act. O. Reg. 325/17, s. 1. Contents of session (2) The immunization education session must include information on, (a) the benefits and risks of immunization; and (b) vaccine safety. O. Reg. 325/17, s. 1. Delivery of immunization education session (3) The immunization education session must be delivered by a medical officer of health or a medical officer of health’s delegate. O. Reg. 325/17, s. 1. Completion of session (4) The immunization education session must provide a certificate of completion to every parent that completes it. O. Reg. 325/17, s. 1. 5. Revoked: O. Reg. 260/13, s. 2. Note: On the day section 6 of Schedule 2 to the Protecting Patients Act, 2017 comes into force, the Regulation is amended by adding the following section: (See: O. Reg. 146/18, s. 2) Immunization report 5. (1) Every physician or nurse who administers an immunizing agent to a child in relation to a designated disease shall provide a report to the medical officer of health for the public health unit in which the immunizing agent was administered within, (a) 14 days after administering the immunizing agent; or (b) such earlier date as the medical officer of health may specify in writing. O. Reg. 146/18, s. 2. (2) The report must include the following information: 1. The child’s full name, address and telephone number. 2. The child’s sex. 3. The child’s date of birth. 4. The child’s health number assigned by the General Manager under the Health Insurance Act. 5. The full name of every parent of the child. 6. The date of administration of the immunizing agent. 7. The trade name and immunizing agent for the vaccine product administered. 8. The lot number and expiry date of the immunizing agent. 9. The full name, title (including professional designation identification) and contact information of the physician or nurse who administered the immunizing agent. O. Reg. 146/18, s. 2. (3) Subject to subsection (4), the physician or nurse must provide the report using one of the following methods: 1. Submission through Immunization Connect Ontario for Healthcare Providers (ICON HCP). 2. Submission through a secure transfer of immunization records from an electronic medical records system that is compatible with the system used by the medical officer of health. O. Reg. 146/18, s. 2. (4) If the medical officer of health is of the opinion that there is a technical or administrative reason that prevents submission of the report in accordance with subsection (3), then the physician or nurse may submit the report through a secure transfer of the form entitled “Health Care Provider Record of Administered Immunization”, dated May 2018 and available through the website of the Government of Ontario Central Forms Repository. O. Reg. 146/18, s. 2. Forms 1-3: Revoked: O. Reg. 260/13, s. 3.