Vermont Vaccine and Exemption Rates 2011/2012- Vaccines Up Exemptions Down

7/30/2019 Vermont Vaccine and Exemption Rates 2011/2012- Vaccines Up Exemptions Down

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Descriptions of Terminology

The excel workbook titled 2011-12 Immunization Data Report: Public and Private Schools contains aggregate data submitted from

public and private schools by January 1, 2012 on the immunization status of kindergarten and 7th

grade students.

The workbook contains:

descriptions of terminology

highlights of the 2011-12 immunization school data

a data summary sheet 12 sheets representing aggregate data from public schools only, located within each VT Health Department District Office catchment

area

a sheet with data submitted from each public school

a sheet with data submitted from each private school

two summary sheets with information submitted to the Centers for Disease Control and Prevention

Definitions:Met: meets the vaccine requirements as defined by regulation. Includes students with evidence of immunity due to history of disease

Not met: does not meet the vaccine or evidence of immunity requirement. Includes students with medical, religious, and philosophical

exemptions, and students provisionally admitted

Medical, religious and philosophic exemption: includes students with a signed exemption form for one or more vaccines

Provisional admittance: includes students who neither meet requirements for all vaccines nor have a signed exemption on file

Provisional admittance no IZ record: a subset of provisionally admitted students with no immunization record

Limitations of the data:

Any student counted as not met for an individual vaccine must also be represented as either having an exemption or provisional

admittance

Exemptions and provisional admittance represent an individual student with one or more vaccines affected. When looking at the

individual vaccines by school or grade it is not always possible to determine why compliance was not met.

Vermont 2011/2012 Immunization Data Reporthttp://healthvermont.gov/hc/imm/ImmSurv.aspx

http://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_20112012.xls


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Highlights of the 2011-12 Immunization Data Report: Public and Private Schools

This report represents data collected from all public and private schools in Vermont. 93% of all students

entering kindergarten were in public schools and 92% of students entering seventh grade were in public

schools.

Students entering Kindergarten

The percentage of students entering kindergarten who were fully immunized was 87.0%. This is an

increase from the 83.2% who were fully immunized in the 2010-11 academic year.

The percentage of students entering a public kindergarten who were vaccinated against diphtheria,

tetanus, pertussis, polio, measles, mumps, rubella, hepatitis B and varicella (chicken pox) increased for

each individual vaccine to levels higher than reported in the previous two years.

The vaccination rate of students entering public kindergarten is at least 10% higher for each individual

vaccine when compared to students entering private kindergarten.

The percentage of students in public and private kindergarten with a provisional admittance for one or

more vaccines was 7.3%. The provisional admittance rate decreased from 10.4% to 7.0% in public

schools and 14.8% to 11.5% in private schools from the 2010-11 to the 2011-12 academic year.

The percentage of students in public and private kindergarten with a philosophical exemption for one or

more vaccines was 5.2%, down from 5.4% in the prior year. The philosophical exemption ratedecreased from 5.1% to 4.7% in public schools and increased from 9.8% to 13.2% in private schools

from the 2010-11 to the 2011-12 academic year.

Students entering Seventh Grade

90.6% of students entering seventh grade had received one dose of Tdap, as required. Tdap protects

against tetanus, diphtheria and pertussis. Immunity against pertussis wanes and vaccination with Tdap is

important to prevent the spread of pertussis. In the recent pertussis outbreak in Vermont, 58% of thecases were among those 10-14 years of age.

The overall philosophical exemption rate was 3.3% for students entering seventh grade. The

philosophical exemption rate for students entering seventh grade in public schools was 2.8%, while the

t f i t h l 9 7%

Vaccine

Rates on the

Rise!

3.8% INCREASE IN FULLY IMMUNIZED* KINDERGARTNERS WITH

PHILOSOPHICAL EXEMPTION IN PLACE! *(ALL REQUIREMENTS MET)

PHILOSOPHICAL EXEMPTION USE DECREASED .4%

IN PUBLIC SCHOOLS (93% of VT kids) 2011/2012!

Rates for All Vaccines Rising!



Private

Schools

Enrollmentso small

3.5% PE

Increase

= 15 Kids,

57 total

over

53 schools

P i t S h l E ll t ll


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School Year 2011-2012

Enrollment and Exemption DataEnrollment Question

Number % Number %

1. Number of schools with selected grade(s) 223 127

2. Number of Schools Surveyed 223 100.00% 127 100.00%

3. Number of children enrolled in selected grade(s) 6,115 6,357

4. Number of children surveyed 6,115 100.00% 6,357 100.00%

5. Number of surveyed children with no immunization records

available 13 0.21% 7 0.11%

6. Number of children exempted from required vaccines for medical

reasons 19 0.31% 20 0.31%

7. Number of children exempted from required vaccines for religious

reasons 7 0.11% 7 0.11%

8. Number of children exempted from required vaccines for

philosophical reasons 285 4.64% 176 2.77%

9. Number of children exempted from required vaccines on a

temporary basis 429 7.01% 610 9.60%

Kindergarten Middle (7)

School Immunization Assessment for Kindergarten and Middle School (Public)

Do these numbers

justify any change in the

exemption program?

How can 285 students

with a Philosophical

Exemption on file, out of6,115 K students in 223

schools, with most

Exemptions for only

Chicken Pox or a single

dose of a Vaccine be a

threat to Public Health?

Are 176 Philosophical

Exemptions, out of

6,357 Seventh Graders

a cause for concern?

What is really

going on here?




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Enrollment and Exemption DataEnrollment Question

Number % Number %

1. Number of schools with selected grade(s) 53 62

2. Number of Schools Surveyed 53 100.00% 62 100.00%

3. Number of children enrolled in selected grade(s) 433 534

4. Number of children surveyed 433 100.00% 534 100.00%

5. Number of surveyed children with no immunization records

available 4 0.92% 6 1.12%

6. Number of children exempted from required vaccines for medical

reasons 2 0.46% 2 0.37%

7. Number of children exempted from required vaccines for religious

reasons 2 0.46% 4 0.74%

8. Number of children exempted from required vaccines for

philosophical reasons 57 13.16% 52 9.73%

9. Number of children exempted from required vaccines on a

temporary basis 50 11.55% 55 10.29%

School Immunization Assessment for Kindergarten and Middle School (Private)

Kindergarten Middle (7)

Vermont 2011/2012 Immunization Data Reporthttp://healthvermont.gov/hc/imm/ImmSurv.aspxhttp://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_20112012.xls


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Public and Private School Immunization Data


Immunization Data Summary Sheet

2011-12 PUBLIC SCHOOLS DATA

Grade EnrollmentDTaP/TdapMet

DTaP/TdapNOT Met Polio Met

Polio NOTMet MMR Met

MMRNOT Met HepB Met

Hep BNOT Met

VaricellaMet

VaricellaNOT Met

ExemptMedical

ExemptReligious

Exempt

Philosophical

ProvisionalAdmittance

Provisional

Admittance

subsetno IZ Record

subset

Studentsin Dorm

MeningMet

MeningNot Met

Kinder 6,115 5,710 405 5,719 396 5,725 390 5,895 220 5,575 540 19 7 285 429 13 0 0 0

93.38% 6.62% 93.52% 6.48% 93.62% 6.38% 96.40% 3.60% 91.17% 8.83% 0.31% 0.11% 4.66% 7.02% 3.03%

Seventh 6,357 5,785 572 6,256 101 6,258 99 6,207 150 5,906 451 20 7 176 610 7 0 0 0

91.00% 9.00% 98.41% 1.59% 98.44% 1.56% 97.64% 2.36% 92.91% 7.09% 0.31% 0.11% 2.77% 9.60% 1.15%

Total 12,472 11,495 977 11,975 497 11,983 489 12,102 370 11,481 991 39 14 461 1,039 20 0 0 0

2011-12 PRIVATE SCHOOLS DATA

Grade Enrollment

DTaP/Tdap

Met

DTaP/Tdap

NOT Met Polio Met

Polio NOT

Met MMR Met

MMR

NOT Met HepB Met

Hep B

NOT Met

Varicella

Met

Varicella

NOT Met

Exempt

Medical

Exempt

Religious

Exempt

Philosop

hical

Provisional

Admittance

Provisional

Admittance

subset

no IZ Record

subset

Students

in Dorm

Mening

Met

Mening

Not Met

Kinder 433 361 72 353 80 360 73 362 71 335 98 2 2 57 50 4 0 0 0

83.37% 16.63% 81.52% 18.48% 83.14% 16.86% 83.60% 16.40% 77.37% 22.63% 0.46% 0.46% 13.16% 11.55% 8.00%

Seventh 534 459 75 483 51 481 53 466 68 447 87 2 4 52 55 6 27 21 6

85.96% 14.04% 90.45% 9.55% 90.07% 9.93% 87.27% 12.73% 83.71% 16.29% 0.37% 0.75% 9.74% 10.30% 10.91% 77.78% 22.22%

Total 967 820 147 836 131 841 126 828 139 782 185 4 6 109 105 10 27 21 6

2011-12 TOTALS BY GRADE, PUBLIC & PRIVATE SCHOOLS

Grade Enrollment

DTaP/Tdap

Met

DTaP/Tdap

NOT Met Polio Met

Polio NOT

Met MMR Met

MMR

NOT Met HepB Met

Hep B

NOT Met

Varicella

Met

Varicella

NOT Met

Exempt

Medical

Exempt

Religious

Exempt

Philosop

hical

Provisional

Admittance

Provisional

Admittance

subset

no IZ Record

subset

Students

in Dorm

Mening

Met

Mening

Not Met

Kinder Public 6,115 5,710 405 5,719 396 5,725 390 5,895 220 5,575 540 19 7 285 429 13 0 0 0

Kinder Private 433 361 72 353 80 360 73 362 71 335 98 2 2 57 50 4 0 0 0

Total Kinder 6,548 6,071 477 6,072 476 6,085 463 6,257 291 5,910 638 21 9 342 479 17 0 0 0

92.72% 7.28% 92.73% 7.27% 92.93% 7.07% 95.56% 4.44% 90.26% 9.74% 0.32% 0.14% 5.22% 7.32% 3.55%

Seventh Public 6,357 5,785 572 6,256 101 6,258 99 6,207 150 5,906 451 20 7 176 610 7 0 0 0

Seventh Private 534 459 75 483 51 481 53 466 68 447 87 2 4 52 55 6 27 21 6

Total 7th 6,891 6,244 647 6,739 152 6,739 152 6,673 218 6,353 538 22 11 228 665 13 27 21 6

90.61% 9.39% 97.79% 2.21% 97.79% 2.21% 96.84% 3.16% 92.19% 7.81% 0.32% 0.16% 3.31% 9.65% 1.95% 77.78% 22.22%

Vermont 2011/2012 Immunization Data Reporthttp://healthvermont.gov/hc/imm/ImmSurv.aspxhttp://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_20112012.xls

Documents

Vermont Vaccine and Exemption Rates 2011/2012- Vaccines Up Exemptions Down