TB and Immunization Clearance

The State of Hawaiʻi mandates that certain health requirements be met for entrance to post-secondary educational institutions. (Hawaiʻi Administration Rules, DOH Title 11, Chapter 157). In addition to these requirements, the Daniel K. Inouye College of Pharmacy (DKICP) also requires all students to comply with the health requirements of its affiliated experiential sites.

Please submit all required documents listed below by June 1, 2023.

If you are unable to fulfill any requirements by June 1, 2023, you are required to submit a letter with your packet to the Office of Experiential explaining your situation and the expected date(s) of completion for each requirement.

Keep a copy of all documents for your records.

  1. Tuberculosis (TB) Clearance
    • 2-step Mantoux tuberculin skin test (PPD) or Interferon Gamma Release Assays (IGRA) blood test results
      • 2-Step skin test must be performed after September 2022 within the United States or its territories.
      • A 2-Step requires that you get two PPD skin tests; the second one should be administered at least 7 days after the 1 st PPD is given
      • PPD documentation must include: date given, date read, and test results in mm
      • Do not receive an MMR vaccination before or during a PPD skin test, this could lead to a false positive
      • If doing IGRA blood test, lab report must be submitted
    • Chest X-ray – Only required for those with a positive PPD reading (≥ 10 mm) or history of a positive PPD
      • Date of positive reading and mm size is required along with Chest X-ray report dated after September 2022
    • Refer to the CDC Tuberculin Skin Testing Fact Sheet for additional information on Tuberculin Skin Testing
  2. Hepatitis B
    • Positive/Reactive Hepatitis B Surface Antibody Titer- Quantitative (HBsAb)
      • Laboratory Results must include reference ranges and be on laboratory letterhead.
      • Laboratory titer should be done at least 4 weeks after last vaccination
      • If immunity is not present according to serum blood titer, student must receive a 4 th Hepatitis B (challenge dose) followed by another serum blood titer 1 to 2 months later; if antibody titer is still negative, receive the remaining 2 doses of a second series and test blood serum again, as indicated per CDC recommendation.
      • Vaccinations alone are not sufficient for Hep B clearance.
    • Refer to the CDC website on Hepatitis B for additional information on Hepatitis B requirements.
  3. MMR (Measles/Mumps/Rubella)
    • 2 MMR immunizations (at least 28 days apart, Childhood records will suffice)
  4. Varicella
    • 2 Varicella immunizations (at least 28 days apart, Childhood records will suffice)
  5. COVID-19 Vaccination(s)
    • 2 COVID-19 immunizations if received Pfizer or Moderna
    • 1 COVID-19 immunization if received Johnson and Johnson
  6. Tetanus
    • Tdap (tetanus/diphtheria/pertussis) and
    • 2 additional tetanus vaccinations- Td / Tdap / DPT / DT / DTaP / DTP (Childhood records will suffice)
      • 1 of the tetanus vaccinations needs to be within 10 years
      • If no documented history- Receive a Tdap, followed by a Td booster 4 weeks later, and another Td booster 6 months later
    • Refer to the CDC website on Tetanus for additional information on tetanus requirements.

Please contact Christina Method at DKICP Office of Experiential if you have any questions.