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SELECTIVE REVIEW
CALIFORNIA, 2011
Table 1: Kindergarten Immunization Coverage*, Comparison of Fall 2010 Assessment and Spring 2011 Selective Review
All Schools
Public Schools
Private Schools
n = 286
n = 205
n = 81
Fall 2010
Assessment
Total Enrollment
All Required Immunizations
Conditional Entrants
Permanent Medical Exemptions
Personal Belief Exemptions
DTaP (4+)1
Polio (3+)2
MMR (2+)3
Hep B (3+)4
Var (1+)5

91.6%
6.19%
0.12%
2.08%
93.7%
94.2%
94.1%
96.7%
97.1%

17,089
+ 1.5%
+ 1.42%
+ 0.07%
+ 0.49%
+ 1.1%
+ 1.1%
+ 1.1%
+ 0.6%
+ 0.6%

Spring 2011
Selective Review
94.4%
3.03%
0.08%
2.48%
95.7%
96.0%
96.0%
96.8%
97.0%

16,899
+ 0.8%
+ 0.66%
+ 0.05%
+ 0.52%
+ 0.7%
+ 0.6%
+ 0.6%
+ 0.5%
+ 0.5%

Fall 2010
Assessment
92.2%
5.95%
0.12%
1.78%
94.2%
94.8%
94.7%
97.0%
97.3%

15,486
+ 1.5%
+ 1.51%
+ 0.07%
+ 0.45%
+ 1.1%
+ 1.0%
+ 1.1%
+ 0.5%
+ 0.5%

Spring 2011
Selective Review
95.2%
2.56%
0.07%
2.17%
96.3%
96.6%
96.6%
97.1%
97.3%

15,316
+ 0.8%
+ 0.68%
+ 0.05%
+ 0.50%
+ 0.6%
+ 0.6%
+ 0.6%
+ 0.5%
+ 0.5%

Fall 2010
Assessment
86.4%
8.55%
0.12%
4.93%
88.9%
88.5%
88.0%
94.2%
94.4%

1,603
+ 5.4%
+ 4.32%
+ 0.18%
+ 2.99%
+ 5.0%
+ 5.0%
+ 5.4%
+ 3.1%
+ 3.1%

Spring 2011
Selective Review
86.8%
7.58%
0.13%
5.50%
90.1%
89.4%
90.3%
93.5%
94.0%

1,583
+ 4.0%
+ 2.72%
+ 0.18%
+ 2.90%
+ 3.7%
+ 3.8%
+ 3.5%
+ 3.0%
+ 2.9%

* Immunization coverage for individual antigens is unavailable for students with Personal Beliefs Exemptions and therefore may be underestimated;
Anecdotal evidence suggests a small percentage of students may have some but not all required immunizations.
1. Four or more doses of any diphtheria and tetanus toxoids and pertussis vaccines including diphtheria and tetanus toxoids, and any acellular pertussis vaccine
2. Three or more doses of any poliovirus vaccine
3. Two or more doses of measles, mumps, and rubella vaccines, separately or combined on or after the 1st birthday
4. Three or more doses of hepatitis B vaccine
5. One or more doses of varicella vaccine, adjusted for history of varicella disease

Prepared by the California Department of Public Health, Immunization Branch

SELECTIVE REVIEW
CALIFORNIA, 2012-13
Table 1: Child Care Immunization Coverage, Comparison of Fall 2012 Assessment and Spring 2013 Selective Review
All Facilities
Public Facilities
Private Facilities
n = 282
n = 62
n = 175
Spring 2013
Spring 2013
Spring 2013
Fall 2012
Fall 2012
Fall 2012
Selective
Selective
Selective
Assessment
Assessment
Assessment
Review
Review
Review
Total Enrollment
14,057
14,582
2,827
2,872
8,759
9,200
All Required Immunizations
90.8% + 1.6%
92.2% + 1.2%
92.6% + 3.0%
96.2% + 1.7%
88.3% + 2.3%
89.6% + 1.9%
Conditional Entrants
6.79% + 1.43% 4.68% + 1.07% 6.01% + 2.69% 2.75% + 1.50% 8.30% + 2.08% 6.10% + 1.63%
Permanent Medical Exemptions
0.29% + 0.25% 0.12% + 0.08% 0.11% + 0.15% 0.07% + 0.14% 0.41% + 0.40% 0.17% + 0.12%
Personal Belief Exemptions
2.17% + 0.62% 2.97% + 0.69% 1.24% + 0.63% 1.01% + 0.52% 2.97% + 0.96% 4.15% + 1.05%
94.5% + 1.2%
96.7% + 0.7%
96.0% + 2.4%
98.8% + 0.5%
92.9% + 1.8%
95.3% + 1.1%
DTaP (4+)1
2
96.5% + 0.8%
97.0% + 0.7%
97.9% + 0.9%
99.1% + 0.5%
95.2% + 1.2%
95.7% + 1.0%
Polio (3+)
96.2% + 0.9%
96.9% + 0.7%
97.7% + 1.1%
99.0% + 0.5%
95.0% + 1.4%
95.6% + 1.1%
MMR (1+)3
4
97.2% + 0.7%
95.8% + 0.9%
96.9% + 1.5%
98.1% + 1.1%
96.9% + 0.9%
94.4% + 1.3%
Hib (1+)
95.0% + 1.0%
96.1% + 0.8%
97.7% + 1.1%
98.7% + 0.6%
93.1% + 1.6%
94.5% + 1.2%
Hep B (3+)5
Var (1+)6
95.8% + 1.0%
96.4% + 0.8%
98.1% + 1.1%
98.3% + 1.6%
94.2% + 1.5%
95.0% + 1.2%

Head Start Facilities

n = 45
Spring 2013
Fall 2012
Selective
Assessment
Review
2,471
2,510
97.3% + 1.3%
97.5% + 1.4%
2.27% + 1.26% 1.63% + 1.34%
0.04% + 0.08% 0.00% + 0.00%
0.40% + 0.42% 0.84% + 0.64%
98.3% + 1.0%
99.3% + 0.6%
99.4% + 0.5%
99.6% + 0.3%
99.1% + 0.6%
99.3% + 0.4%
98.9% + 0.7%
98.3% + 1.3%
99.1% + 0.6%
99.4% + 0.4%
98.9% + 0.7%
99.4% + 0.5%

1. Four or more doses of any diphtheria and tetanus toxoids and pertussis vaccines including diphtheria and tetanus toxoids, and any acellular pertussis vaccine
2. Three or more doses of any poliovirus vaccine
3. One or more doses of measles, mumps, and rubella vaccines, separately or combined on or after the 1st birthday
4. One or more doses of haemophilus influenzae type b vaccine vaccine on or after the 1st birthday
5. Three or more doses of hepatitis B vaccine
6. One or more doses of varicella vaccine, adjusted for history of varicella disease

Prepared by the California Department of Public Health, Immunization Branch

100% Ideal Vaccination Rate

- 2.54% PBE = 97.46%
Any rates below 97.46% are
unrelated to PBE- mostly due to
"Conditional Entrants" who have
incomplete vaccine series
or lack records

2 dose MMR Coverage is RISING!

PBE Use is Falling!

Vaccination Rates
are Rising!
What is the Emergency?

PBE Dropping! 2014/15 down

.61% (19%) below 2013/14

2 doses MMR
UP .3%!

Vaccination Rates are Rising!

2014 /15 rates UP .1% to .4% for
All Vaccines over 2013/14
Exemptions are filed when a child is missing one or more doses of any mandated vaccine. Exemptions do not mean a person is completely unvaccinated.
...a child with an exemption is not necessarily Unvaccinated. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6341a1.htm

100% Ideal Vaccination Rate

-2.67% PBE = 97.33%
Any rates below 97.33% are
unrelated to PBE- mostly due to
"Conditional Entrants" who have
incomplete series or lack records

MMR Coverage is RISING!

PBE Dropping! 2014/15 is

Down .27 (9%) from 2013/14

MMR UP
.4%!

Vaccination Rates Rising!

2014/15 rates UP .3 to .5
over 2013/14 for
All Vaccines
...a child with an exemption is not necessarily Unvaccinated. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6341a1.htm

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There was never a "Golden Age", in the past when Vaccine Acceptance and Vaccination rates were
higher than they are today. The truth is there are more US children getting
more vaccines for more infections at younger ages than ever in history!

Decades of
30% - 40%
unvaccinated
population with
no epidemics

The 90% plus coverage rates we see

today were first achieved in the
late 90's, and are the result of the
convergence of 3 programs1) School attendance requirements, which began in
the late 70's & early 80's;
2) The near complete indemnification for liability of
vaccine manufacturers and administrators by the
NVICP, The National Vaccine Injury Compensation
program in 1988; and
3) VFC- Vaccines For Children, a funding scheme
whereby the government buys and provides all
"required" vaccines, 1993.
Required vaccines are now
legislated purchases.