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.

If you are unable to fulfill any requirements by June 1, 2025, you are required to email Christina Requelman in the Office of Experiential, explaining your situation and the expected date(s) of completion for each requirement.

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 within 12 months of your start date, after September 2024, 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 2024
   • Refer to the State of Hawaii Department of Health Guidelines 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. Tetanus
   • Tdap (tetanus/diphtheria/pertussis) within the last 10 years or Td (tetanus / diphtheria) within the last 10 years and history of Tdap (Childhood records will suffice)
   • Refer to the CDC website on Tetanus for additional information on tetanus requirements.

Influenza and COVID-19 Vaccination(s) are optional unless required by specific rotation site.

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