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Immunizations and Health

Health Alert

January 3, 2017 - Four cases of mumps have been confirmed in Washington County, and more cases may present for evaluation in the coming weeks as mumps outbreaks are ongoing in Oregon and elsewhere in the U.S. The majority of mumps cases in recent years have been in fully vaccinated individuals. The four Washington County cases have been in fully vaccinated school-age children who attend the same school. Be on alert for student’s that present with swelling in the cheek area, noted as “chipmunk cheeks." 

Please read the following information for prevention information:

Additional Resources:
Clackamas County: 503-655-8411
Multnomah County: 503-988-3406
Washington County: 503-846-3594

For more information contact Christina Baumann, MD, MPH Washington County Health Officer christina.baumann@multco.us

Immunizations and Health

Our goal is to provide a safe and healthy environment for your child. Staff is available at every school to assist students with health needs and dispense medication as needed per doctor’s prescription and parent instructions. Your school can provide you with their health and medication procedures.

Please call your school’s attendance line as soon as possible if your student will need to stay home from school due to illness or miss part of the day for an appointment. This ensures their nonattendance is recorded as an excused absence.

Hearing Screenings to Begin in February

Starting in February, the District will conduct hearing screenings for students in grades K, 1 and 3 in partnership with the Oregon Lions Sight and Hearing Foundation.


Students who do not pass the initial screening will be re-screened within approximately 30 days to take into account any transient hearing loss (i.e. from a head cold). That second screening will be conducted by an audiologist from the Northwest Regional Education Service District (NWRESD). Parents will be notified by mail if their child did not pass the second screening. An explanation of results along with resource information for possible consultation with a hearing specialist will be included in that notification.


Results for all students screened will be placed in the Health section of the students’ cumulative file. For more information or if you would like to opt your child out of the screenings, please talk to your school’s office manager or call the District’s Hearing Screening Team at 503-844-1553. 

(en español)

Religious Exemptions for Vaccinations Need to be Re-Submitted

Religious exemptions for school immunizations signed prior to March 1, 2014, are no longer accepted under Oregon law.  This change comes after the passing of Senate Bill 895.  If your child has an old religious exemption, you will need to complete new documentation of immunizations, medical exemption or a nonmedical exemption.  Immunization exclusion day in Washington County is February 17, 2016.  If students do not have their required immunizations or a valid exemption on file, they will be excluded from school.  For additional information, please see thiflyer (en españolfrom the Washington County Health department or visit the Oregon Health Authority page.


Oregon state law requires that students have received appropriate vaccinations for school entry. To view the State of Oregon’s complete list of Immunization and Dosage Requirements, click here (en español).

Kindergartners and other students new to the District will not be allowed to start school without the required immunizations.

School administrators are required to exclude from school those students not having proof of at least one dose of each of the above-noted immunizations. The only exceptions are those children who have health problems that would prevent them from receiving the inoculations and those whose religious teachings oppose immunizations.

Immunization Exclusion Day - annual date designated by the State Health Department - when students without complete immunizations or exemptions are sent home and not allowed to return to school until the requirements are completed.

Beginning March 1, 2014, there is a new process parents must follow to claim a non-medical exemption and opt out of required immunizations for school.  Senate Bill 132A requires that parents who would like to claim non-medical exemptions must submit a document showing either:

  • A signature from a health care provider verifying discussion of the risks and benefits of immunization, or
  • A certificate of completion of an interactive online educational video about the risks and benefits of immunization.

An informational flyer about the new regulations is provided here and a Q&A document is available here.

Getting Immunizations
Immunizations may be obtained from your medical provider. Also, the Washington County Health & Human Services (HHS) Department operates several clinics that offer a variety of services, including immunizations. Please visit the Washington County HHS web site or contact them at (503) 846-4955 for more information about services and locations.

When to Keep Your Child Home  ¿Demasiado  enfermo para la  escuela?
In the school environment many communicable diseases are easily transmitted from one student to another. A healthy environment involves prevention, early recognition of illness, symptoms, prompt diagnosis and treatment. Children who are not feeling well have a difficult time concentrating and therefore do not benefit from the instruction they receive during that time. Please do not send an ill child to school. We need your assistance in providing a safe and healthy environment for your child.

Below are some guidelines to help you make the decision about when to keep your child home from school.  The recommendations are based on the guidelines provided by the Communicable Disease Program of the Washington County Department of Health and Human Services.  They were developed to help prevent the spread of potentially contagious disease.

Keep your child home if she/he has any of the following symptoms:





Greater than 100.5 F.  May return when fever-free for 24 hours(WITHOUT the use of fever-reducing medication such as Tylenol®, acetaminophen, Advil®, Motrin®, ibuprofen, aspirin).


At least one unexplained vomiting episode in the past 24 hours.  May return 24 hours after last episode.


Three or more unexplained episodes of watery or loose stools in 24 hours OR sudden onset of loose stools.  May return 24 hours after last episode.


Any new rash accompanied by a fever.  May return after rash goes away or clearance given by a health care provider.

Skin Lesions (Sores)

Drainage from a sore that cannot be contained within a bandage ORsores are increasing in size OR new sores are developing day-to-day.


Serious, sustained coughing, shortness of breath, or difficulty breathing.


Symptoms that prevent the student from active participation in usual school activities OR student is requiring more care than school staff can safely provide.


Home is the best place for a child who is ill.  If your child is sick with a diagnosed communicable disease, please notify the school as soon as possible.  This notification will greatly assist others who, due to medical reasons and/or treatments, have weakened immune systems and may require immediate and specialized care.


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