. Massachusetts law requires the following students receive quadrivalent meningococcal conjugate vaccine (unless they qualify for one of the exemptions allowed by the law): • Secondary School (those schools with grade 9-12): newly enrolled full-time students who will be • Routine vaccination of persons aged ≥2 months at increased risk for meningococcal An example includes the Gardasil-9 vaccine used to prevent human papillomavirus (HPV)—a virus linked to cervical cancer and anal cancer in adults. �B��NxJ��Y�p����A˗ ��9� }Tz���ҼJ�>�how�S%8zŲ�ׇ�:��T�A�}�G��[��W�V��=/������-�Mx����%)���#u�����6P3���N����X�=~M~wRT6����(�}|���Y}��m���B��B�w�5��w��n��d��Ȃ�z]���0|7p5O�#?m��M��K{ �h���\2N?�m��'�t��~��� !K�2�ԈZ"E�vd�G����CkJ��m#��-�� ��1duI�v/_�����4Xr�iF �Қ,�@�h��8� ���2����@� ��L� Yes. *If the child has not received these vaccines, documented immunity is required. Meningitis is usually caused by a viral or bacterial infection. As noted previously, adolescents and young adults (16 through 23 years of age) may be vaccinated with a MenB Vaccines. Students entering college who received their first dose of the meningococcal vaccine before their 16th birthday are required to get a booster. While the meningococcal meningitis vaccine is only required for incoming students, the University highly encourages it for all students under the age of 22. endstream endobj startxref If received initial dose before 16th birthday, booster is required. stream Yes, but not just college students; a MenB vaccine series may be administered to people 16 through 23 years of age with a preferred age of vaccination of 16 through 18 years. A copy of your senior's vaccine administration record must be emailed (fairbatm@pwcs.edu), faxed (703-753-5607), or delivered to BHS school nurse Tina Fairbanks by 12:00pm on Friday, August 20th in order for your senior to be able to attend . Found insideThe Careful Parent's Guide to Making Safe Vaccination Choices for Your Family Mark Blaxill, Dan Olmsted. vaccine group, A Shot of Prevention. ... The meningococcal vaccine is required for college. Massachusetts, Mark's home state, ... Found inside – Page 13Recommendations for the use of meningococcal vaccines among ... The following populations are at increased risk for meningococcal disease : college freshmen living in dormitories ( 29,30 ) ; microbiologists who are routinely exposed to ... Meningococcal B vaccine is not . They will also be required to get a booster shot between the ages of 4 and 6., There is one varicella vaccine approved by the FDA called Varivax. �pg Includes an enhanced drug appendix in the back of the book. Stiehm's Immune Deficiencies focuses on immunodeficiencies in children and adults. This book covers the many advances in the study of immunodeficiency. These laws apply to students taking six credits or more regardless of whether the student is in a degree-seeking program or not. The inactivated polio vaccine (IPV) is a killed (inactivated) vaccine use to prevent polio. The typical schedule is one shot at age 1 and the second dose between ages 4 and 6. Adolescents get the 1st dose of the meningococcal vaccine at age 11 or 12 with a booster dose at age 16. Children need a second shot at age 16 so they remain protected when they are at the highest risk of infection (during their college years). not required to receive the mumps vaccine. meningococcal vaccines they may be required to receive. Florida Public Health Review, 2008; 5, 96-98. %���� Features a new chapter on maternal immunization. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. 9. The approval of a vaccine by the FDA doesn’t mean that it will automatically be added to the list of vaccines required for school (or covered by insurance, for that matter). One is the required meningococcal conjugate vaccine, which is recommended to be given to those 11-12 years old with a booster dose recommended at age 16. At the current time, there is no routine recommendation and no statewide requirement for meningococcal B vaccination before going to college (although some colleges might decide to have such a requirement). ��8�B�6�_�O",�k���._#,����{�).���s;�VA�o5��`a���8��`m0��1bw�$=��3��TQ]�+��d���R�C�7���6�4�-m�w�S�p�eqw�ĕ��>^�������:���, ��N%ܠ�,d���p��,��v�+�E�?�ݜ�%���F�&�:���K/qB�Թ�[�E�"C����q\���{����i�\����˛�������˛Ϫ�l/L��^����]����V�oԝ����%]Z��2�Ns'�t����Cb��T�N����%�`���ÁB ;�Q�&�hy�Z̧�A+;���V8軡�^���d���V�o�fJh��7ڟ����K^Խd���x���^(�ĝp%��=�?����B��nhJUh+dk�f+h���p��d�(�1��#�(JK� /�b1|7H�ؾ��]�W�h��R2�^"V(&�̑ � It is recommended for all kids and teens age 11 and older. Please submit a copy of your vaccination record showing proof of the vaccine. It is delivered either by intramuscular or subcutaneous injection. c. 111, § 219, public and private secondary schools, colleges, universities, day care centers, and youth camps shall provide information approved or provided by the Department regarding the risk of meningococcal disease and the availability . College students, especially freshmen who live in dorms and military recruits, are at an increased risk for meningococcal disease caused by serogroups C and Y compared with others in this age group.Though there have been a number of meningococcal serogroup B outbreaks on college . ;ni�̶������6eb8��q����� Two doses are usually required by the time a child is starting school. The hepatitis B vaccine provides protection against the hepatitis B virus (HBV), likely for a lifetime. Developed by the AAP (American Academy of Pediatrics) Committee on Infectious Diseases in conjunction with the CDC (Centers for disease control), the FDA (Food and drug administration), and other leading institutions with contributions from ... New Jersey's Public Liberal Arts . Despite its success, herd immunity may wane over time. The aim of this Maternal Immunization book is to provide a contemporary overview of vaccines used in pregnancy (and the lactation period), with emphasis on aspects of importance for the target groups, namely, rationale for the use of ... The Quadrivalent Vaccine (for Meningitis A,C,W,Y) is required for students at the College of Charleston, administered at or after the age of 16. h�b```� �|@��(���������M~``�a��Ěsn%L���?�~�$�s��G����Y�{�6�˶����\�����$��A$SP��;PL����H��,��0~�9�6< �j. Meningitis B vaccines (Trumenba and Bexsero) do not meet this requirement. Algorithms for Meningococcal Immunization of College Students 16 Years and Older There are two inactivated vaccines, delivered by intramuscular injection, that are approved to prevent hepatitis A in the United States: All 11- to 12 year-olds should be vaccinated with a single dose of a quadrivalent meningococcal conjugate vaccine, which is used to protect against a potentially deadly form of bacterial meningitis. Immunization against Measles, Mumps and Rubella (MMR) Meningococcal Meningitis Vaccination Response. Found insideThis policy and the high effectiveness of meningococcal vaccines have led to a 21% decrease in the incidence of ... that teams assess the prior receipt of meningococcal vaccine in new players because some universities and colleges may ... All 11- to 12 year-olds should be vaccinated with a single dose of a quadrivalent meningococcal conjugate vaccine, which is used to protect against a potentially deadly form of bacterial meningitis.Children need a second shot at age 16 so they remain protected when they are at the highest risk of infection (during their college years). Provide your readers with essential information on Meningitis. This book serves as a historical survey, by providing information on the controversies surrounding its causes. "In January 2005, a tetravalent meningococcal polysaccharide-protein conjugate vaccine ([MCV4] Menactra, manufactured by Sanofi Pasteur, Inc., Swiftwater, Pennsylvania) was licensed for use among persons aged 11-55 years. If you have updated information concerning this table, please call (651) 647-9009 or email admin@immunize.org . <> .�g����B#(q�2����x��rY˱@ޞ1���1 The meningitis vaccine is used to provide long-term protection into the future. #��7�y�ݻ��t*�N�,::����"�G�C�dt1i4�3��顨�߲hz���A�"�.>d����i�VY4Ky^�P�{����fYQQ�.�������CV�F�I��w�L�hZe��D,�U����T�yN�v�L����6/��yqX����$_���}�i��3`(����� �~�ZQ �x It is given in a series of three shots beginning at infancy. For adolescents who receive the first dose . School vaccine policies can change from time to time, especially when a new vaccine makes a debut. There are three hepatitis vaccines licensed by the FDA that are used in specific age groups: Each vaccine, delivered by intramuscular injection, is classified as a recombinant adjuvanted vaccine (meaning it involves DNA coding and the use of a substance, called an adjuvant, that provokes an immune response). The meningococcal B (MenB) vaccine protects against a fifth type of meningococcal disease, which accounts for about one-third of cases in the . Meningococcal Vaccine (Menactra, Menveo): required after sixteenth birthday for all students age 21 or younger as of January 1, 2021. According to the National Center for Health Statistics, 5.3% of men and 3.4% of women in the United States are living with chronic hepatitis B. This section discusses requirements for attendance at a post-secondary institution regarding immunization for measles, mumps, rubella and meningococcal disease in accordance with PHL Section 2165 (measles, mumps and rubella), PHL Section 2167 (meningococcal disease), and Title 10 New York Codes, Rules and Regulations Subpart 66-2 (10 NYCRR Subpart 66-2). Read more, including the strain of meningococcal bacteria in this case. Children entering 7th grade are required to present proof of their first dose of the human papillomavirus (HPV) vaccine, one booster of the tetanus, diphtheria and pertussis vaccine (Tdap), and their first dose of the meningococcal conjugate vaccine (MenACWY). Online Students. A record of meningococcal meningitis immunization within 5 years. Section I - Requirements. B Meningococcal Vaccine Information (pdf) Exceptions to these immunization requirements: All immunizations required for school compliance can be found in Title 25, Part 1, Chapter 97, Subchapter B. DTaP is a combination vaccine that protects against diphtheria, tetanus, and pertussis (whooping cough). 3 0 obj 11/17/2017 Meningococcal Vaccination Exemption Requirements https://corequestjc.dshs.texas.gov/ 1/1 Please complete the required fields in Sections A and B: first name, last name, date of birth (in MM/DD/YYYY format), and zip (postal) code. Meningococcal disease is most common in very young infants, teens, and young adults, and those older than 65 years. Most children will have gotten five doses by the time they start school, including one after their fourth birthday. meningococcal disease and the vaccines. There is a common misconception that only college students need MenACWY vaccine. The AAP's authoritative guide on preventing, recognizing, and treating more than 200 childhood infectious diseases. Sample Residential School Meningococcal Vaccination Response Form (DOC, 22KB . h�bbd```b``v�� �i �dS���K �� L.�������/��i`�� R��-"��@$�2��+��y� v��_6-H�gug`bd`\v#M����? Protection from the MenACWY vaccine is estimated to last about 3 to 5 years, so young adults who received the MenACWY vaccine before their 16th birthday should get a booster dose before entering college. There is one MMR vaccine approved by the FDA called M-M-R II. Antonio Brown's attorney, Sean Burstyn, reaffirmed that the Tampa Bay star is vaccinated, according to NFL Network's Ian Rapoport. 7) Meningococcal Vaccination Requirements for School and College Entry The Texas Administrative Code is a compilation of all state agency rules in Texas. The Department of State Health Services (DSHS) requires all students attending 7th through 12th grades to have one dose of quadrivalent meningococcal conjugate vaccine (MCV4) on or after the student's 11th birthday, or show valid proof of exemption. In fact, the risk of meningococcal disease begins to peak at 16 years of age, before coll ege entry for most students. Recently, a serogroup A,C,W135,Y meningococcal conjugate vaccine (MenACWY) was licensed for use in subjects of 12 months of age and above. However, quadrivalent meningococcal vaccine is a safe and effective way to reduce . Data derived from enhanced CDC meningococcal disease surveillance suggest that college students have 3.5 times the risk of meningococcal serogroup B disease relative to peers not attending college, although the disease incidence in college students remains very low (0.17 cases per 100,000 population). At the current time, there is no routine recommendation and no statewide requirement for meningococcal B vaccination before going to college (although some colleges might decide to have such a requirement). This page was updated on February 19, 2020. %PDF-1.5 DTaP vaccines are delivered by intramuscular injection (into a large muscle). This infection can cause long-term liver injury, cirrhosis, and liver cancer. Based on projections developed during the spring of 2009 for SJR1 legislation, the biennial costs for providing MCV4 would be about $566,101 for one school-aged cohort per year for a requirement for only one dose of vaccine. Individuals that entered college or university before July 1, 1994 are not required to receive the vaccine. Bexsero ® external icon: Vaccine providers give a 2-dose series to people 16 through 23 years old who are not at increased risk of meningococcal disease.Vaccine providers also give a 2-dose series to people 10 years or older at increased risk of meningococcal disease. 4CMenB vaccine is indicated for immunization of high risk individuals greater than or equal to two months of age; MenB-fHBP vaccine may be considered as . Bexsero ® helps protect against serogroup B meningococcal disease. There are two types of meningococcal vaccines that might be required depending on your age and your risks: the meningococcal conjugate vaccine (MenACYW) that protects against serogroups A, C, Y, and W disease; and the meningococcal serogroup B vaccine (MenB) that protects against serogroup B Minimum ages or dose intervals - Tennessee follows published CDC guidelines. The seventh edition of the Canadian Immunization Guide was developed by the National Advisory Committee on Immunization (NACI), with the support ofthe Immunization and Respiratory Infections Division, Public Health Agency of Canada, to ... There are 2 types of meningococcal vaccines available in the United States. Failure to comply will result in an Administrative Withdrawal grade from all classes. What insurance coverage would be is unknown at this time. x��]�rǑ}g����8�f�/��R$Q˛�/��)�!�d��oeu�9DWV���;B3s:��2�������O��v��9v���w~�{����;���V��I�������w������;қ^v"�����Ϋ>�� Created Date: Older children have usually had all three by age 12. The record must include your name, birthdate, physician signature, vaccination type and date of vaccination. Meningococcal Vaccine . 2. For two doses of vaccine or for college The Commonwealth of Massachusetts requires all undergraduates to either receive a recent meningococcal vaccine OR complete a Meningococcal waiver form upon entrance to the College. Found inside – Page 366is greater than 10 cases/100,000 persons.8 In cases that occur on college campuses, records of immunization ... many colleges have recommended (and some require) that their students receive the meningococcal vaccine prior to entry ... Some types of MenACWY are given to younger children (as early as 8 weeks of age) if they have a higher risk of getting meningococcal disease. Collection of promotional material and resources presenting information about the Ministry of Health's Meningococcal B Immunisation Programme. Massachusetts law requires newly enrolled full-time students attending colleges and schools with grades 9-12, who will be living in a dormitory or other congregate housing, licensed or approved by the school or college, to receive a dose of quadrivalent meningococcal vaccine. Vaccination is not required. Measles, Mumps, Rubella (MMR) All newly enrolled or reenrolled students born after 1956 are required to show proof of two vaccinations for MMR. 2003 Wisconsin, Act 61 enacted on October 16, 2003, requires college students to be informed about meningococcal disease and hepatitis B. Found insideThe meningococcal conjugate vaccine was invented specifically to prevent outbreaks among college freshmen living in dorms. Both vaccines (the older polysaccharide vaccine and the newer conjugate vaccine) can be given to children as ... The meningococcal conjugate vaccine is recommended for college freshmen living in dormitories. Students must complete all immunization requirements prior to coming to LIM College's campus. A serogroup B meningococcal vaccine should be offered for the active immunization of individuals with underlying medical conditions that would put them at higher risk of meningococcal disease. The Texas Senate Bill 1107, as amended by Senate Bill 62, requires all new TCC students who are under the age of 22 and who enroll after January 1, 2014, to submit evidence of being immunized against meningococcal meningitis.. It is a live attenuated vaccine delivered by subcutaneous injection.. You must submit proof of MMR (Measles, Mumps and Rubella) vaccinations and the Meningococcal Vaccination Response Form if you are an incoming student taking 6 or more credits. This may serve as a template that can be adapted for sharing with students to help them determine if they are currently meeting the meningococcal vaccination requirements. The Immunization Safety Review committee reviewed the data on influenza vaccine and neurological conditions and concluded that the evidence favored rejection of a causal relationship between influenza vaccines and exacerbation of multiple ... <> Do college students need to have meningitis vaccine? Meningococcal Vaccine . �e�g������}(�v[ݯ��vB��Y��Z���'�k�pS@�����Q[�V�����g��Y�ׁ� �o0�'n���+~�:a;j}R�Z���;x{��6#���n�����$[��F��3��i. About a third of students had received the meningococcal vaccine prior to the survey; students who lived on campus were more likely to be vaccinated. h��Xmo�6�+���pė#)E��M�`K���4���a��*���ݝDYRl'1�q �;�ȇ�t6J endobj Varicella . The booster dose provides protection during the ages when adolescents are at highest risk of meningococcal disease. Sample College Meningococcal Meningitis Vaccination Response Form (DOC, 28KB, 1pg.) If your student received one meningococcal vaccine before the age . The 9vHPV vaccine (types 6, 11, 16, 18, 31, 33, 45, 52, and 58), identified as Gardasil 9, was licensed by the FDA in 2014.3 Studies have shown that 97% of healthy vaccine recipients develop antibodies to the 9 serotypes in the HPV vaccine. Utah College and Vocational Institution Immunization Recommendations It is recommended that all students be appropriately immunized against measles, mumps, rubella, human papillomavirus, meningococcal disease, hepatitis B, tetanus, diphtheria, pertussis, influenza, varicella, polio, and hepatitis A, in accordance with the recommendations of the Centers for Disease Control and Prevention (CDC . However, this vaccine does not protect against meningococcal B, which is the type of meningitis that has been observed recently at colleges and universities. Meningococcal Immunization. All infants and toddlers routinely get a hepatitis A vaccine to protect against the hepatitis A virus (HAV). Meningitis Vaccinations Who's Required to Be Vaccinated. . Menactra and Menveo are inactivated vaccines. The brand name is Menomune or MCV4. Cost-effectiveness of meningococcal vaccine in college students. <>>> If a vaccine is recommended by the Advisory Committee on Immunization Practices (ACIP)—a group of experts within the Centers for Disease Control and Prevention (CDC)—it is automatically included as an Essential Health Benefit (EHB) under the Affordable Care Act and covered by most insurance.. endobj If your child hasn’t had chickenpox, they will need the vaccine to attend school. All immunizations required for school compliance can be found in Title 25, Part 1, Chapter 97, Subchapter B. Otherwise, the student will be required to get another vaccination with either Menactra or Menveo. Written by experienced author and educator Dennis Flaherty, this book presents topics with a logical, step-by-step approach, explaining concepts and their practical application. Found inside – Page 63Following licensure of PCV-7, there were several questions that remained unanswered about the vaccine, ... quadrivalent conjugate vaccines, coverTable 7.1 Average annual incidence of meningococcal infection, Maryland college students, ... Students may decline MenACWY vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form provided by their institution. endobj Westchester Community College is required to maintain a record of the following for each student: A vaccine record indicating at least 1 dose of meningococcal ACWY vaccine within the last 5 years or a complete 2 or 3 dose series of Meningococcal B: OR Found inside – Page 105Vaccine Administration The meningococcal vaccine picture as of 2017 is somewhat complicated. ... Because college-age individuals are at high risk for contracting meningococcal disease, many universities require proof of vaccination ... Meningococcal (Meningitis) The required vaccine is MPSV4. "Be like Antonio brown and get the vaccine," Burstyn told Rapoport. Colleges: Massachusetts requires all newly enrolled full-time students 21 years of age and under attending a Save my name, email, and website in this browser for the next time I comment. The brand names are Menactra, Menveo or MenHibrix. Immunization Deadline. Meningitis is an infection of the fluid of a person's spinal cord and the fluid surrounding the brain. There are 2 kinds of meningitis vaccine, a polysaccharide vaccine and a conjugate vaccine. Though Gardasil-9 is on the ACIP recommended list, some schools have been known to exclude it because HPV is sexually transmitted. In the United States, the vaccine is known by the brand name Ipol. This volume provides an analytic framework and quantitative model for evaluating disease conditions that can be applied by those setting priorities for vaccine development over the coming decades. ������;�]��=��W���w�tGOv���}����o�}~�}��.�tw����M�]���j��~�ݻ�w�ǯ�����������77��>��{u����?������o�ߟޜ_�����z�۳ӟήƇH�k�{���N��ޤD����˓D�ײ��ɛ�Ny�d�Uzl�>�ze�����\Z���'�_<Ԥ/�e�W�H��C��"�OF �zV��Y�|8tޱ��zi9�� ����c�P$[ٱ��[$�繃�L��gg�H��++���ԍ2��g$f����~��u� �����Ɉt�Y��D�fO���:�g�R�U�k$�6��H��A�kcd�kƁ�9tI�!�o�H�#�q =n��j��HN�N��1��α��+H�!���=cF �� �]c/�l�3��*�>�����g`.�zF�pt���>S��̼�~�Ѣ7��η�/�o;E�O�����Q�}���M��ھ�Z��|�a�X�P]��UQ����U�2,/+X�h]�e�@)c���|o��b��2���� ���Ȯ!+ėaEɊK�YE�L�xiU�l��PX��)c�WӸ|7.c� KaU���g,������� ��0����.#Iϔ����BY"���G�����ǑQg{����e�����V��*~c��q���%Xi�c�Z�n��?aa��.�2�_��t��e�t�X�,����6o"`� y�x��^����k�K=���l�p0���͞�߫���'��+�έn�O��¦��R{"�48��&/�Ǣ�гR�@���,��4+Tx{��2��=s��X��%�XJ��Y�5�t���7O!x��s���0��@=_� ��m?_�{iF/h���l�-B����������������������:���n�,X���B7����Lz7K�C�>��� �ґ;v��.0�.cu�cU���Fy This 2020 edition includes: · Country-specific risk guidelines for yellow fever and malaria, including expert recommendations and 26 detailed, country-level maps · Detailed maps showing distribution of travel-related illnesses, including ... Please contact the private college directly to inquire about their immunization requirements. This recommendation is designed to allow the clinician to make a MenB vaccine recommendation based on the risk and benefit for the individual patient. . �J'��� $��%��oo�����n�gђ�[�&�,QB�M�v��н)���|!H�?H�1�_��D�=}��J��$mGִb{!�U}(sA�I� ���h����2mT��w���QAЅ��9�B�J˨���:��D��Z�� ZD���(F�*�O�E{�^���J������侖m�3e�hnW`�f}�T(�. Does the HPV Vaccine Cause Ovarian Failure. The UHC uses the MCV4 vaccine; however if you have had the MPSV4 vaccine that also meets university requirements. Coauthored by Paul Offit, a member of the CDC advisory committee that determines which vaccines are recommended for use in the United States, this guide tells you what vaccines are made of and clearly explains how they are made, how they ... This must include information on the availability and cost of meningococcal meningitis vaccine and either. 7) Meningococcal Vaccination Requirements for School and College Entry The Texas Administrative Code is a compilation of all state agency rules in Texas. Seniors are required to have the meningococcal vaccine before the start of senior year. *Although recommended, the new Meningococcal Group B (MenB) vaccines (Trumenba and Bexsero), which only protect against one strain (B), do NOT meet the requirement of a quadrivalent vaccine given within 5 years. The IAC lists the various meningococcal ACWY mandates for both colleges and universities. Meningococcal B vaccines are not required and do not fulfill the requirement for receipt of . Information about Meningococcal Disease, Meningococcal Vaccines, Vaccination Requirements and the Waiver for Students at Colleges and Residential Schools . For each possible adverse event, the report reviews peer-reviewed primary studies, summarizes their findings, and evaluates the epidemiological, clinical, and biological evidence. All . This information must be provided to parents or guardians of students under the age of 18. Found inside – Page 479Meningococcal Vaccine Indications Meningococcal disease has long been of special concern for college health professionals. It is one of the few infectious diseases of young healthy adults that regularly cause significant morbidity and ... meningococcal disease and the vaccines. School meningococcal vaccine requirements . All 11- to 12 year-olds should be vaccinated with a single dose of a quadrivalent meningococcal conjugate vaccine, which is used to protect against a potentially deadly form of bacterial meningitis.Children need a second shot at age 16 so they remain protected when they are at the highest risk of infection (during their college years). 326 0 obj <>stream Meningococcal Vaccine (ACWY) Menactra OR Menveo The most recent dose must be on or after your 16th birthday. Varicella (chicken pox) submit proof of two doses of the Varicella vaccine or obtain titers (blood test) to verify immunity to chickenpox. Deadline: Friday, September 24, 2021. 3 The HPV vaccine is a prophylactic vaccine, 5 thus the effectiveness of the vaccine is for those . Most children will have had four or five doses by the time they start school, including one after their fourth birthday—just in time for kindergarten. the Advisory Committee on Immunization Practices (ACIP). Found inside – Page 200What vaccines are recommended for you. 2016. ... Prematriculation immunization requirements of American colleges and universities. ... Vaccine. 2008;26:3601–7. 21. Meningococcal disease and college students. MMWR. 2000;49(RR07);11–20. Revising the manual has been a team exercise. There are contributions from a large number of experts, organizations and institutions. This new edition has seven modules.
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