I. MMR (Measles, Mumps, Rubella)

All students born in the U.S. after 1/1/1957 must show evidence of immunity to Measles, Mumps and Rubella as below:

Source: Centers for Disease Control and Prevention. Prevention of Measles, Rubella, Congenital Rubella Syndrome and Mumps, 2013: Summary Recommendations of the Advisory Committee on Immunization Practices (ACIP), June 14, 2013 / 62(RR04); 1-34. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6204a1.htm

II. Tdap – (Tetanus, Diphtheria, Acellular Pertussis)

1. All students 11-64 must have had one dose of adult Tdap. If the Tdap is more than 10 years old, a Td booster is required.
   • In the absence of proof of immunization, Tdap can be administered regardless of interval since the last tetanus-diptheria toxoid-containing vaccine.
2. Adults should receive decennial Td boosters, beginning 10 years after receiving the Tdap.

III. Varicella (Chickenpox/Shingles)

All students born in the U.S. after 1/1/1980 must satisfy this requirement , either by documented history of Varicella or Herpes Zoster (Shingles), a positive Varicella antibody titer, or two doses of Varicella vaccines.

1. History of Varicella (chickenpox or shingles) must be documented by healthcare provider and must include date of disease.
2. With no documentation of disease, a Varicella IgG antibody blood titer is required.
   • If VZVIgG positive, no additional vaccines required.
   • If VZVIgG negative or equivocal, 2 additional vaccinations are required.
3. Two doses of Varicella vaccine, given at least 28 days apart.
4. All students born in the U.S. prior to 01/01/1980 are exempt from this requirement.

IV. Meningococcal

1. All students 21 and younger must provide proof of an immunization against meningitis ACWY (Menactra, Menveo, or Mennomune) given any time after the 16th birthday, even if a vaccine dose was given at a younger age.
2. All students 22 and older are exempt from this requirement.

V. Tuberculosis Screening

All students must meet UAB’s Tuberculosis Risk Screening requirement by completing the Tuberculosis Screening Questionnaire (available on the Patient Portal in the "Medical Clearance" section).

• If the answer to all of the TB screening questions is NO, then the student DOES NOT need further TB testing.
• If the answer to any of the TB screening questions is YES, TB Testing is required.

*ALL TB TESTING (skin, blood, Chest X-Ray) MUST BE PERFORMED IN THE U.S.

Either

Tuberculin Skin Test (PPD) within 3 months of matriculation (the start of your enrollment at UAB):

• Tb skin tests must be read and reported in millimeters induration, including 0mm. Tests reported as "negative" without a corresponding measurement will not be accepted. The report must also include the date of placement and the date read.
• If positive Tb skin test, IGRA within 3 months of matriculation required.

Or

1. IGRA (T-spot or Quantiferon TB Gold QFT-G) blood test within 3 months of matriculation (the start of your enrollment at UAB):
   • If positive IGRA result, Chest X-Ray and UAB High Risk TB Questionnaire required within 3 months of matriculation. UAB High Risk TB Questionnaire to be completed annually.

Or

2. History of positive blood test (IGRA: T-Spot or QFT-G):
   • Treatment completed?
     1. Yes – Those with proof of completed appropriate therapy will need to submit documentation of treatment and complete the UAB High Risk and Annual TB Questionnaire annually, and if negative questionnaire, no further action required.
     2. No – Chest X-Ray within 3 months of matriculation and UAB High Risk and Annual TB Questionnaire completed annually is required.

*** If a past or current chest x-ray positive for tuberculosis, proof of completion or initiation of appropriate therapy is required, and the student will not be allowed on campus until cleared by the Jefferson County Department of Health and UAB Student Health Services.

****Annual Tb screening questionnaire is required for those with a history of positive blood test or Chest X-Ray.