A. New York State Public Law 2165 requires all students to provide the College with proof that they are immune to measles, mumps, and rubella (MMR). Acceptable forms of proof include:

1. Childhood immunization records showing the exact dates of shots; or
2. Positive blood test results (titres); or
3. The completion of this form by your health care provider, including signature.

B. New York State Public Law 2167 requires the College to distribute information about meningococcal disease (meningitis) and vaccination to all students. The College is required to have one of the following documents:

1. Proof of meningococcal meningitis immunization within the past 10 years; or
2. Acknowledgement of meningococcal disease risks and a signed refusal by the student to provide evidence of immunization.

Students born BEFORE January 1, 1957 are not required to show proof of MMR immunization; they are, however, still required to complete the meningitis vaccination response below.

Meningitis is rare. However, when it strikes, its flu‐like symptoms make diagnosis difficult. If not treated early, meningitis can lead to swelling of the fluid surrounding the brain and spinal column, resulting in severe and permanent disabilities, such as hearing loss, brain damage, seizures, limb amputation, and even death.

Cases of meningitis among teens and young adults 15 to 24 years of age have more than doubled since 1991. The disease strikes about 3,000 Americans each year and claims about 300 lives. Between 100 and 125 meningitis cases occur on college campuses and as many as 15 students will die from the disease.

A vaccine is available that protects against four types of the bacteria that cause meningitis in the United States – types A, C, Y and W‐135. These types account for nearly two‐thirds of the meningitis cases among college students. If you wish to obtain a vaccination against this disease, contact your physician for availability and cost.

For additional information on meningitis, you can log on to: www.health.state.ny.us

Monroe College Office of the Registrar

Monroe College Way, Bronx, NY 10468

Phone: (718) 933‐6700 • Fax: (718) 220‐3032