https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN45374-ALARACT_1082025-000-WEB-1.pdf
ALARACT 108/2025
DTG: R 122030Z DEC 25
UNCLAS
SUBJ/ALARACT 108/2025 – CLARIFICATION OF SEASONAL INFLUENZA
IMMUNIZATION - REQUIREMENTS
THIS ALARACT MESSAGE HAS BEEN TRANSMITTED BY JSP ON BEHALF OF
HQDA, DCS, G–1
1. (U) REFERENCES:
1.A. (U) DODI 6060.02, CHILD DEVELOPMENT PROGRAMS (CDPS) (AVAILABLE AT
HTTPS://WWW.ESD.WHS.MIL/DIRECTIVES/ISSUANCES/DODI/)
1.B. (U) DODI 6060.04, YOUTH SERVICES (YS) POLICY (AVAILABLE AT
HTTPS://WWW.ESD.WHS.MIL/DIRECTIVES/ISSUANCES/DODI/)
1.C. (U) AR 40–5, ARMY PUBLIC HEALTH PROGRAM
1.D. (U) AR 40–562, IMMUNIZATIONS AND CHEMOPROPHYLAXIS FOR THE
PREVENTION OF INFECTIOUS DISEASES
1.E. (U) AD 2020–17, CHILD, YOUTH, AND SCHOOL SERVICES IMMUNIZATION
REQUIREMENTS
2. (U) PURPOSE: POLICY CLARIFICATION.
2.A. (U) IMMUNIZATION REQUIREMENTS FOR DESIGNATED POPULATION WILL
BE IMPLEMENTED IN ACCORDANCE WITH REFERENCE 1.A.
2.B. (U) DESIGNATED POPULATION IS DEFINED AS CHILDREN, APPROPRIATED
AND NON-APPROPRIATED EMPLOYEES, FAMILY CHILD CARE PROVIDERS,
LOCAL/NATIONAL PERSONNEL, SPECIFIED VOLUNTEERS, AND CONTRACTORS.
2.C. (U) FLUMIST VACCINE MUST BE ADMINISTERED BY A LICENSED MEDICAL
PROVIDER OR PHARMACIST.
2.D. (U) AT THE DIRECTION OF THE GARRISON COMMANDER, DURING PERIODS
OF ELEVATED INFLUENZA RISK AS DETERMINED BY THE INSTALLATION PUBLIC
HEALTH AUTHORITY: DESIGNATED POPULATION WHO ARE NOT IMMUNIZED
WILL BE EXCLUDED FROM THE PROGRAM FOR THEIR HEALTH PROTECTION
AND THE PROTECTION OF THE HEALTH OF OTHER CHILDREN, STAFF, AND
VOLUNTEERS UNTIL ELEVATED INFLUENZA RISK IS RESOLVED AS DETERMINED
BY THE INSTALLATION PUBLIC HEALTH AUTHORITY.
2.E. (U) DURING PERIODS OF ELEVATED INFLUENZA RISK AS DETERMINED BY
THE INSTALLATION PUBLIC HEALTH AUTHORITY, IF DESIGNATED POPULATION
CHOOSE TO OBTAIN IMMUNIZATION AGAINST INFLUENZA, THE EXCLUDED
CHILDREN OR ADULTS MAY RETURN TO THE PROGRAM 2 WEEKS AFTER THEY
HAVE RECEIVED IMMUNIZATION OF THE APPROPRIATE SEASONAL VACCINE BY
A LICENSED MEDICAL PROVIDER OR PHARMACIST AND HAVE SUBMITTED THE
REQUIRED SIGNED DOCUMENTATION.
2.F. (U) FOLLOWING THE OFFICIAL RELEASE OF THIS ALARACT, HOME
ADMINISTRATION OR ADMINISTRATION OF FLUMIST NOT CONDUCTED BY A
LICENSED MEDICAL PROVIDER OR PHARMACIST, WILL NOT BE ACCEPTED.
2.G. (U) IF A MEMBER OF THE DESIGNATED POPULATION HAS RECEIVED A
HOME OR NON-PROFESSIONALLY ADMINISTERED DOSE OF FLUMIST PRIOR TO
THE PUBLISHING OF THIS ALARACT AND SUPPORTED DOCUMENTATION HAS
BEEN RECEIVED BY THE INSTALLATION PROGRAM, THE INDIVIDUAL WILL BE
“GRANDFATHERED” FOR THE CALENDAR YEAR 25/26 INFLUENZA SEASON.
3. (U) PROCEDURES:
3.A. (U) DURING PERIODS OF ELEVATED INFLUENZA RISK AS DETERMINED BY
THE INSTALLATION PUBLIC HEALTH AUTHORITY, PROGRAM MANAGERS WILL
IDENTIFY ALL MEMBERS OF THE DESIGNATED POPULATION WHO LACK
DOCUMENTATION OF A CURRENT SEASONAL VACCINATION TO INFLUENZA.
3.B. (U) DURING PERIODS OF ELEVATED INFLUENZA RISK AS DETERMINED BY
THE INSTALLATION PUBLIC HEALTH AUTHORITY, ALL NON-IMMUNIZED
MEMBERS OF THE DESIGNATED POPULATION WILL BE EXCLUDED FROM THE
PROGRAM ACTIVITIES UNTIL THE INSTALLATION DEPARTMENT OF PUBLIC
HEALTH OFFICE DETERMINES THAT CONDITIONS ALLOW FOR UNIMMUNIZED
OR UNDER-IMMUNIZED CHILDREN, EMPLOYEES, AND STAFF TO RETURN TO
THE PROGRAM(S).
3.C. (U) DATA ON ALL SUSPECTED AND CONFIRMED CASES OF INFLUENZA WILL
BE COLLECTED AND MAINTAINED TO ALLOW REPORTING BY INDIVIDUAL
PROGRAMS. PERSONAL INFORMATION WILL BE SECURED AND ACCESS
LIMITED IN ACCORDANCE WITH PRIVACY ACT STANDARDS.
3.D. (U) CHILD AND YOUTH SERVICES PROGRAMS WILL SUBMIT TO DEPUTY
CHIEF OF STAFF (DCS), G–1 ANY INFLUENZA-RELATED DATA OR RECORDS
DURING PERIODS OF ELEVATED INFLUENZA RISK TO INCLUDE REPORTING OF
ALL APPROVED MEDICAL AND NON-MEDICAL IMMUNIZATION WAIVERS AT THE
LOCATION.
4. (U) DCS, G–1, POINT OF CONTACT IS DONNA GARFIELD,
DONNA.K.GARFIELD.CIV@ARMY.MIL.
5. (U) THIS ALARACT MESSAGE EXPIRES ON 2 DECEMBER 2026.