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A form required by California law for universities to inform students about the risks of Meningococcal disease and vaccination options.
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How to fill out California State Required Meningitis Awareness Disclosure Form

01
Obtain the California State Required Meningitis Awareness Disclosure Form from your educational institution or the official state website.
02
Read the instructions included with the form carefully to understand what information is required.
03
Provide your personal information in the designated sections, including your name, date of birth, and contact information.
04
Indicate whether you have received the meningococcal vaccine and provide the date of vaccination if applicable.
05
Review the information you filled out to ensure it is accurate and complete.
06
Sign and date the form as required to certify that the information you provided is true.
07
Submit the completed form to your educational institution’s health services or designated office by the specified deadline.

Who needs California State Required Meningitis Awareness Disclosure Form?

01
All incoming students at California State universities, including undergraduate and graduate students.
02
Students residing in on-campus housing, as required by state law.
03
Students participating in certain programs or living in dormitory settings where meningococcal outbreaks could occur.
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Bacterial meningitis and meningococcal disease are notifiable diseases.
Provide information about a student's past immunization for meningitis, or confirm that the student will not be immunized.
Meningococcal disease is a reportable condition in all states. CDC collects national information about meningococcal disease through the National Notifiable Diseases Surveillance System (NNDSS). CDC receives NNDSS data each week.
Urgent treatment with antibiotics and appropriate hospital management is essential for someone with meningococcal disease. Meningitis and meningococcal disease are notifiable diseases in the UK and any doctor suspecting that a patient is suffering from either is required by law to report it.
All invasive meningococcal disease (Neisseria meningitidis) must be reported to MDH immediately 24 hours a day, seven days a week.
At least 34 states and the District of Columbia require some type of vaccination for students who are attending college or university classes. For example: At least 22 states require meningococcal vaccine, with most requiring meningococcal vaccine for students living on campus.
College students living in dorms and military members in barracks are at higher risk,” Messina explains. “Sharing cigarettes or drinks, kissing or other intimate contact also increase risk.” The symptoms of meningitis B can mimic the flu with non-specific complaints such as nausea, muscle pain and fever.

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The California State Required Meningitis Awareness Disclosure Form is a document that informs incoming college students about the risks of meningococcal disease and the importance of vaccination.
Students who are enrolling in colleges or universities in California and are living in on-campus housing are required to file the California State Required Meningitis Awareness Disclosure Form.
To fill out the form, students must provide personal information, acknowledge the receipt of meningitis information, and indicate whether they have received the vaccination against meningococcal disease.
The purpose of the form is to promote awareness of meningococcal disease among students and ensure that they are informed about vaccination options before attending college.
The form must report the student's name, date of birth, vaccination status, and acknowledgment of the risks associated with meningococcal disease.
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