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Vaccinations and Military PCS??

post #1 of 33
Thread Starter 
I have a friend who is PCSing (moving) to Hawaii later this year. She doesn't vax either of her kids. Her dh's co-workers and commander have told him if their kids aren't up to date, the military won't pay for their son's plane tickets. I am curious to know if this is true, myself, because my family might be PCSing to Germany this year and 2 of my kids are not vaxed at all, and the other 3 aren't up to date. I have called a few people on the base, but they obviously don't have a clue because one of them told me you can't get a passport without current vaxes, and the other said you can't even leave the country if you are current. Anyway, if any of you know what is actually fact about this, and can help my friend and me, I would greatly, greatly appreciate it! Oh, just thought I should add, her dh is in the Army and mine is in the Air Force.

Kathy
post #2 of 33
We are AF too. I have heard that rumor, but I cannot confirm it. But I'd rather pay the ticket than vaccinate according to CDC schedule, as the military won't ask her to follow Hawaii's minimum reqs, but the full blown CDC schedule.
For tickets to Germany (I'm German ) - you might want to consider just buying roundtrips, it's cheaper than a one-way. It's not too bad, I just paid $640 roundtrip SFO-FRA with my DS on my lap (so one adult fare & infant fare).

Good luck!
post #3 of 33
Has this come from an overseas commander or is it just people that assume you can't go overseas or the military won't pay for unvaxed children. I'd ask to see the regulation that allows them to deny authorized dependents transportation due to vaccination status and I'd want it in writing that they are denying your dependents transportation due to vaccination status; then I'd take it to my congressman. You have to see it in writing; then share it with me so I know where to direct people like you. Your friend's dh could ask the commander who told this to him help him locate the regulation. You could try the office that stamps dependents OK to go and ask them for the regulation (I never PCS'd with dependents so I'm not sure). You could also try TMO.

After you (or your friend) gets the regulation, directive (whatever it is), I'd hand them a religious exemption for each of your children (letter below; you'd have to change the first paragraph though). The info below was compiled for childcare exemptions, but you may find it helpful anyway.

Remember that you are a civilian, your children are civilians, and that they are not disease infested swamp things ). Also, as a civilian you can be Wiccan or Catholic and still be "opposed to the practice of immunization". The Chaplain can govern the exemptions of service members but not dependents.


[quote]

MOTHERING THREAD
http://www.mothering.com/discussions/member.php?u=51507


DODEA
Quote:
http://www.dodea.edu/foia/iod/pdf/1005_1.pdf

On page 70 (section 18.2):

"18.2.1.3 Religious — A student’s parent/sponsor may claim exemption from the DoDEA immunization requirements for religious reasons. If the parent maintains the need to continue the religious exemption during a documented outbreak of a contagious disease, the student will be excluded from school for his/her protection and the safety of the other students until the contagious period is over. Religious exemptions require a written statement from the parent/sponsor stating that he/she objects to the vaccination based upon personal beliefs. "
and...
Quote:
Paragraph 3-2.b.(4) at the bottom of page 10 of this document:

http://www.vaccines.mil/documents/969r40_562.pdf It specifically states, "(4) Department of Defense schoolteachers, daycare center workers, and children attending DOD–sponsored schools
and daycare centers or similar facilities on military installations.
"
ARMY
Army Regulation 40–562
BUMEDINST 6230.15A
AFJI 48–110
CG COMDTINST M6230.4F

http://www.vaccines.mil/documents/969r40_562.pdf
pg. 10, section 3.2, para 4 says:

Quote:
In addition, all other age appropriate ACIP–recommended vaccines for children are required unless there is documentation of previous immunization, religious exemption, or medical contraindication.
Army Regulation 608-10

http://www.army.mil/usapa/epubs/pdf/r608_10.pdf
4-6
(2) A waiver of the immunization requirement must be approved in writing by the Chief, Preventive Medicine or
health consultant. Parents must be counseled that children with waivers will be excluded from the program in the event
of vaccine preventable communicable disease outbreak.


C–37. Compliance item 15.

c. Equivalency. A waiver of immunizations signed by Chief, Preventive Medicine may be considered for religious
convictions. Parents must be counseled that the child may be excluded during an outbreak of vaccine preventable
communicable disease.




MARINE CORPS
MCO P1710.30E
MR
24 Jun 04

2005. HEALTH AND SANITATION GUIDELINES

3. In CDCs, FCC/OFCC, SAC, Youth and Teen and private organizations:
a. Children enrolled in CDP shall have on file documentation of current age
appropriate immunizations as recommended by the American Academy of Pediatrics.
Youth and Teen programs are exempt from this requirement.

http://www.usmc.mil/news/publication...W%20CH%201.pdf



AIR FORCE
Quote:
AFI 34-276 is the AFI that governs Family Child Care.
http://www.e-publishing.af.mil/share.../AFI34-276.pdf

Page 53. "A5.40.3. The provider maintains medical information for each child, including permission to treat emergencies signed by the parent(s), child’s allergies, chronic illness and other known health prob-lems, and immunizations (or written documentation of parents’ objections for religious reasons). This information is recorded on the AF Form 1181, Youth Flight Patron Registration Form."
Compare with the requirements for military members' religious exemptions:

Quote:
http://www.e-publishing.af.mil/pubfi.../afi34-248.pdf

AFI34-248 1 OCTOBER 1999 43
Chapter 11
HEALTH
11.1. Health Protection. Protect the health of staff, children, and parents while they are in the program.
Use Caring for Our Children: Health and Safety Guidelines for Out-of-Home Care as general guidance on
health issues not covered by this instruction.
11.2. Access. Limit the access of well children to children or adults with contagious illnesses.
11.2.1. Do not provide care to children without immunizations required by Air Force policy unless it
is an emergency.
(What is the Air Force policy that governs Immunizations, you ask?)

5.6. Child Development Program Assistant Training and Examinations.
5.6.8. Each staff member has had a physical examination within the last 3 years and the tests, examinations, and immunizations required by AF Joint Instruction 48-110, Immunizations and Chemprophylaxis.

Caring for Our Children: Health and Safety Guidelines for Out-of-Home Care
Under-Immunized Children-3.006 If immunizations are not given because of parents' religious beliefs, a waiver signed by the parent shall be on file. If a child who is not immunized is in care, the parents must be notified of the risk of the spread of preventable diseases.
http://nrc.uchsc.edu/ELG/elg_immunizations.htm
Quote:


http://www.vaccines.mil/documents/969r40_562.pdf
Army Regulation 40–562
BUMEDINST 6230.15A (NAVY)
AFJI 48–110 (Air Force Joint Instruction 48-110)
CG COMDTINST M6230.4F (COAST GUARD)


2–6. Exemptions
There are 2 types of exemptions from immunization: medical and administrative. Granting medical exemptions is a
medical function that can only be validated by a health care professional. Granting administrative exemptions is a
non–medical function, usually controlled by the individual’s unit commander....

(3) Religious.
(a) For Service personnel, immunization exemptions for religious reasons may be granted according to Service–
specific policies to accommodate doctrinal religious beliefs. This is a command decision made with medical and
chaplain advice.
1. Requests for religious exemption must include name, rank, social security number (SSN), occupational specialty
code or branch, and a description of the religious tenet or belief contrary to immunization. Army: (see AR 600–20,
para 5–6). Air Force: Permanent exemptions for religious reasons will not be granted. The major command (MAJCOM)
commander is the designated approval and revocation authority for temporary immunization exemptions. Coast
Guard: CG–122 is the designated approval and revocation authority for temporary immunization exemptions.
2. A military physician must counsel the applicant. The physician should ensure that the Service personnel is
making an informed decision and should address, at a minimum, specific information about the diseases concerned;
specific vaccine information including product constituents, benefits, and risks; and potential risks of infection incurred
by unimmunized individuals.
3. The commander must counsel the individual and recommend approval or denial of the exemption request, by
endorsement. The commander must counsel that noncompliance with immunization requirements may adversely impact
deployability, assignment, or international travel, and that the exemption may be revoked under imminent risk
conditions. The commander, in making his or her recommendation, should consider the potential impact on the
individual, the unit, and the mission.
4. Forward exemption requests through command channels to the respective Service approval authority for decision.
Individuals with active requests for religious exemption are temporarily deferred from immunizations pending outcome
of their request. For USCG, forward through appropriate chain to G–WPM, via CG–1121.
(b) Civilian employees submit religious–exemption requests to their supervisors. Such requests will be processed in
accordance with 29 CFR 1605 and component and local policies.
c. Bargaining units. Civilian personnel affected by this document who are members of bargaining units will be
considered for exemption consistent with applicable personnel management policies.
d. Other categories. Administrative or medical personnel will appropriately annotate electronic ITS with exemption
codes denoting separation, permanent change of station, emergency leave, missing or prisoner of war, deceased, and
other appropriate categories.
NAVY
See above. Also note that the Navy appears to follow DOD Regulations in regards to Navy daycare and youth programs.
https://qol.persnet.navy.mil/CYPWeb/...aspx?id=Policy

________________________________________________


United States> Code of Federal Regulations> Title 29 - Labor> CHAPTER XIV--EQUAL EMPLOYMENT OPPORTUNITY COMMISSION

29 C.F.R. PART 1605—GUIDELINES ON DISCRIMINATION BECAUSE OF RELIGION

§ 1605.1 “Religious” nature of a practice or belief.
In most cases whether or not a practice or belief is religious is not at issue. However, in those cases in which the issue does exist, the Commission will define religious practices to include moral or ethical beliefs as to what is right and wrong which are sincerely held with the strength of traditional religious views. This standard was developed in United States v. Seeger, 380 U.S. 163 (1965) and Welsh v. United States, 398 U.S. 333 (1970). The Commission has consistently applied this standard in its decisions.1 The fact that no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not accept such belief will not determine whether the belief is a religious belief of the employee or prospective employee. The phrase “religious practice” as used in these Guidelines includes both religious observances and practices, as stated in section 701(j), 42 U.S.C. 2000e(j).





Quote:

To whom it may concern;



(We / I) {First and Last name(s)}, as the {(parent (s) / guardian(s)} of ______________________(name of newborn child) are exercising (our/my) rights under the US Constitution, Army Regulation 40-562, BUMEDINST 6230.15A, AF JI 48-110, CG COMDTINST M6230.4F , section 3.2, para4, and Army Regulation 608-10, section 4-6, para 2, to receive Religious Exemption from Vaccination, due to our genuine and sincere religious beliefs which are contrary to the practices herein required.


The U.S. Supreme Court held in Frazee V. Illinois Dept. of Security, 489 U.S. 829, that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. This ruling is also reflected in Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion.


Sincerely,

Your signature.
Date
post #4 of 33
Thread Starter 
Thanks, Emmeline! Through Google, I found your response to another person with the same question only a couple of weeks ago. Because of the AFIs you posted, I was able to locate a few more AFIs. Everything I read said that dependents have to get whatever vaxes are required for entry into that particular country (Japanese Encephalitis for Japan, for example), but I couldn't find anything anywhere that stated a dependent's vaxes must be up to date in order to get command sponsorship or for the military to purchase the dependent's plane tickets. I also found, through my research, that this seems to be a common "threat" people are hearing lately. I am beginning to think that this is one of those things like people telling you your kids can't go to school without being vaxed. It isn't true, but people hear it, they believe it, they repeat it. But at the heart of it is a veiled attempt to scare people into vaxing their kids. I also finally spoke with someone at Outbound Assignments at the base. She said that if you get medical clearance, they cut the orders and buy the tickets. Since I went through the medical clearance process last year, I know that dependent's vax records aren't looked at in that process.

Thanks, again, for all the pubs you listed. They were a huge help!

Kathy
post #5 of 33
Quote:
Originally Posted by mommyrn5 View Post
Thanks, Emmeline! Through Google, I found your response to another person with the same question only a couple of weeks ago. Because of the AFIs you posted, I was able to locate a few more AFIs. Everything I read said that dependents have to get whatever vaxes are required for entry into that particular country (Japanese Encephalitis for Japan, for example), but I couldn't find anything anywhere that stated a dependent's vaxes must be up to date in order to get command sponsorship or for the military to purchase the dependent's plane tickets. I also found, through my research, that this seems to be a common "threat" people are hearing lately. I am beginning to think that this is one of those things like people telling you your kids can't go to school without being vaxed. It isn't true, but people hear it, they believe it, they repeat it. But at the heart of it is a veiled attempt to scare people into vaxing their kids. I also finally spoke with someone at Outbound Assignments at the base. She said that if you get medical clearance, they cut the orders and buy the tickets. Since I went through the medical clearance process last year, I know that dependent's vax records aren't looked at in that process.

Thanks, again, for all the pubs you listed. They were a huge help!

Kathy
Good. I'm going to save this.

Yes, I've only been hearing stories like this in the past couple of months. One was a Navy spouse who's dh's inbound commander, at a naval base in Italy, was denied (verbally I assume) command sponsorship (thanks for that term; I forgot) due to their child's vaccine status and the dh was given another assignment.

So right now I'm thinking a commander can refuse a service member but their is no reg allowing denial of CS to dependents based on their vaccination status, and the service member would have to be given a new assignment.

Right now there is no country a dependent can go to that requires vaccinations for visitors and no SOFA that requires it.
post #6 of 33
Thread Starter 
Here is a list of some of the Air Force pubs I looked at yesterday. I don't remember which ones helped, but I'll just give you the complete list. That way you can have them to help others out. Apparently, this is going to be a common problem now.

AFI 36-2110 Assignments
AFI 36-3020 Family Member Travel
AFI 36-2102 Base-level Relocation Procedures
AFCSM 36-699 Volume I

Kathy
post #7 of 33
We are Navy and living in HI and vax free.We had no problem PCSing here and we have also traveled by space A several times and the subject of our kid's vaccine status has never come up.
It may be as you said, a unlisted request like when you apply for school.All of the paper work assumes that you have the vaccines so you have to request the correct forms for vaccine free people.
post #8 of 33
Thank you, Emmeline II for that fantastic post!
post #9 of 33
We never had a problem PCSing with our kids but we did have friends who lost their orders to Japan because of the vaccine status of their children. Turned out they could have just submitted a vaccine exemption waiver from Virginia but didn't and that meant their orders were dropped. It was very sudden and so they just decided to separate from the military.
post #10 of 33
Quote:
Originally Posted by Savoury View Post
We never had a problem PCSing with our kids but we did have friends who lost their orders to Japan because of the vaccine status of their children. Turned out they could have just submitted a vaccine exemption waiver from Virginia but didn't and that meant their orders were dropped. It was very sudden and so they just decided to separate from the military.
Thanks. One of the people I know having problems was due to go to Japan. I'm not sure what ultimately happened.
post #11 of 33
Hi. We are AF and went to Germany in 2003. My youngest was almost 2 and had only been vaxed up to 4 months. My others were not up to date on their boosters. I don't remember anyone saying anything about it. The military paid to fly us over there and back! But, that was about 5 years ago, so I don't know what the regulations are now...I would think all you need is an exemption, just like for schools. We are still in the AF, but haven't been overseas since.
post #12 of 33
Hi Everyone! I'm new to this forum, but I am so relieved to have found it upon doing a Google Search of military overseas vax req'ts.

My husband (Navy) has PCS orders to Japan and has to report this summer. We found out just a few weeks ago, after finding out that we are pregnant with our first! (Yay!)

I'm also reviewing the Overseas Screening packet and thinking about how they "require" an up-to-date vaccination record. I personally believe in delayed vax and only vax when the risk of contracting the disease outweighs the side effects.

Now that we're pregnant, I am completely opposed to undergoing any vaccinations - especially while pregnant and breastfeeding.

To the folks that previously posted -- do you have any updated advice on your overseas screening experience so far?

I am wondering if they would grant a medical exemption, or if I will have to file a personal belief waiver (if one exists) in order to get medical clearance to go with my husband to Japan.

Any thoughts and recommendations are greatly appreciated. And thank you to the folks that posted this and have left their responses. It is a relief to me that I have found this resource.
post #13 of 33
Emmeline II

Thank you so much.
post #14 of 33
Can you give me the document number that contains vaccination "requirements"?
post #15 of 33
Quote:
Originally Posted by strawberrybeans View Post
I am wondering if they would grant a medical exemption, or if I will have to file a personal belief waiver (if one exists) in order to get medical clearance to go with my husband to Japan.

Any thoughts and recommendations are greatly appreciated. And thank you to the folks that posted this and have left their responses. It is a relief to me that I have found this resource.
From what I've been reading:

Assignments denied to non-vaxed family member have been denied by the receiving commander.

They won't do medical exemptions because it is the commander's personal preference and not an official bar to an overseas assignment.

Some have not been asked about their vax status during the medical review.
post #16 of 33
We are headed to Japan in May (Sasebo - maybe we will see you there!!). We (me and 2 ds) are headed to Immunizations and the Overseas Screening Office probably next week. We just got all the other hoops jumped through. Now vax is the only thing left. We selectively and delay vax. I'll let you know what happens. . . .
post #17 of 33
Quote:
Originally Posted by Emmeline II View Post
They won't due medical exemptions because it is the commander's personal preference and not an official bar to an overseas assignment.
Can you tell me more? I haven't been too worried b/c I figured if there is any kind of issue I will just do a religious exemption. Oh, wait - I guess that is different than a medical exemption. Also, if it isn't an official bar to the assignment does that mean there isn't a problem. Just a CO saying "hmm, well, I would rather not have this issue, but......"
post #18 of 33
One more thing -

I was just reading the instruction (BUMEDINST 1300.2 CH-1) for the overseas screening. It says for the dependents that immunizations are "required if due or if specified for the destination country." Does anyone have any idea how to find out exactly what "required if due" means. It appears to me (from the CDC website and others) that Japan doesn't require any vax for entry.
post #19 of 33
Quote:
Originally Posted by paniscus View Post
One more thing -

I was just reading the instruction (BUMEDINST 1300.2 CH-1) for the overseas screening. It says for the dependents that immunizations are "required if due or if specified for the destination country." Does anyone have any idea how to find out exactly what "required if due" means. It appears to me (from the CDC website and others) that Japan doesn't require any vax for entry.
Oh, that's good to know!
Being a military family too, I'm keeping my eye on this thread.
post #20 of 33
Quote:
Originally Posted by paniscus View Post
Can you tell me more? I haven't been too worried b/c I figured if there is any kind of issue I will just do a religious exemption. Oh, wait - I guess that is different than a medical exemption. Also, if it isn't an official bar to the assignment does that mean there isn't a problem. Just a CO saying "hmm, well, I would rather not have this issue, but......"
You only "have to have" the vaxed required for visitors to the country; I don't know of any country a dependent can go to that requires any vaccinations for its visitors.
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