Back to School Vaccinations: Washington Chapter, American Academy of Pediatrics

February 17, 2021


Dear Provider,


Many school districts are returning to some level of face-to-face instruction, and outdoor school sports are resuming across the state. Students are required to be up-to-date on immunizations to attend in-person instruction and athletics.

The Advisory Committee on Immunization Practices (ACIP) has issued guidance on the importance of continuing to immunize during the COVID-19 pandemic. Childhood and adolescent immunization rates in Washington are the lowest they have been in a decade. Our adolescent vaccinations have been most impacted.


The time to act is now. As we await COVID-19 vaccinations for children and adolescents, we need to make sure we are protecting kids from other diseases by getting them caught up on vaccines required for in-person instruction. Take advantage of this winter and early spring to bring your pediatric patients up to date on routine vaccinations.


Consider taking the following actions:

  • Use your EMR patient portal, email, phone calls or texts to target outreach. Contact patients due for well-child visits associated with shots (0-2, 4-5, 9-11 and 16-18 years).
  • Send reminder/recall letters. Include information about COVID-19 safety measures your clinic is taking. You can find a template letter in Amharic, Arabic, Chinese, English, Korean, Russian, Somali, Spanish, and Vietnamese on the Vaccines page on the WCAAP website.
  • Run your clinic’s coverage rates in the WA-IIS.
  • Include information on your website and in social media about the importance of routine immunizations during the COVID-19 pandemic. You can find a "Vax to School" social media toolkit on the IACW's Immunity Community COVID-19 page with text and graphics that you can download.
  • Offer telehealth and nurse-only quick shot visits.
  • Consider hosting drive-thru or pop-up vaccine clinics on site. Consider weekend vaccine clinics to help busy families.
  • If available in your region, partner with school-based health centers to expand immunization options.
  • Educate patients who recently lost insurance about Medicaid options and no-cost vaccines.
  • Encourage patients to use MyIR to check their immunization status.


Please consider acting on these suggestions immediately. Your strong recommendations for immunizations are critical to protecting our community against an outbreak of vaccine preventable disease during the pandemic, especially as we return to in-person instruction.





Neil Kaneshiro, MD, FAAP

Chair, Immunization Action Coalition of Washington


Jennifer Coiteux, MPA, LSSBB

Acting Office Director, Office of Immunization and Child Profile

Washington State Department of Health


Elizabeth Meade, MD, FAAP

President, Washington Chapter of the American Academy of Pediatrics


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