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Vermont 2011/2012 Immunization Data Report

http://healthvermont.gov/hc/imm/ImmSurv.aspx http://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_2011 2012.xls

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 Report


http://healthvermont.gov/hc/imm/ImmSurv.aspx http://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_2011 2012.xls

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

Vaccine Rates on the Rise!

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. 3.8% INCREASE IN FULLY IMMUNIZED* KINDERGARTNERS WITH PHILOSOPHICAL EXEMPTION IN PLACE! *(ALL REQUIREMENTS MET) 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. Rates for All Vaccines Rising! 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.
Private Schools Enrollment so small 3.5% PE Increase = 15 Kids, 57 total over 53 schools

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 rate decreased 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. PHILOSOPHICAL EXEMPTION USE DECREASED .4% IN PUBLIC SCHOOLS (93% of VT kids) 2011/2012! 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 the cases 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 Private Schools Enrollment so small rate for private schools was 9.7%.
9.7% = 52 Kids over 62 Schools

This report clearly and undisputedly illustrates the misrepresentations by the VT DOH and AAP regarding the vaccination status of VT children. Vaccination Rates are Rising and Exemption Use Decreasing, so what are they talking about? This report closed Jan 1, 2012, BEFORE legislation was even proposed!

School Immunization Assessment for Kindergarten and Middle School (Public) Enrollment and Exemption Data Enrollment Question 1. Number of schools with selected grade(s) 2. Number of Schools Surveyed 3. Number of children enrolled in selected grade(s) 4. Number of children surveyed 5. Number of surveyed children with no immunization records available 6. Number of children exempted from required vaccines for medical reasons 7. Number of children exempted from required vaccines for religious reasons 8. Number of children exempted from required vaccines for philosophical reasons 9. Number of children exempted from required vaccines on a temporary basis

School Year 2011-2012

Kindergarten Number % 223 223 6,115 6,115 100.00% 100.00%

Middle (7) Number % 127 127 6,357 6,357 100.00% 100.00%

Do these numbers justify any change in the exemption program? How can 285 students with a Philosophical Exemption on file, out of 6,115 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?

13

0.21%

0.11%

19

0.31%

20

0.31%

0.11%

0.11%

285

4.64%

176

2.77%

429

7.01%

610

9.60%

What is really going on here?

Vermont 2011/2012 Immunization Data Report


http://healthvermont.gov/hc/imm/ImmSurv.aspx http://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_2011 2012.xls

School Immunization Assessment for Kindergarten and Middle School (Private) Enrollment and Exemption Data Enrollment Question 1. Number of schools with selected grade(s) 2. Number of Schools Surveyed 3. Number of children enrolled in selected grade(s) 4. Number of children surveyed 5. Number of surveyed children with no immunization records available 6. Number of children exempted from required vaccines for medical reasons 7. Number of children exempted from required vaccines for religious reasons 8. Number of children exempted from required vaccines for philosophical reasons 9. Number of children exempted from required vaccines on a temporary basis

School Year 2011-2012

Kindergarten Number % 53 53 433 433 100.00% 100.00%

Middle (7) Number % 62 62 534 534 100.00% 100.00%

0.92%

1.12%

0.46%

0.37%

0.46%

0.74%

57

13.16%

52

9.73%

50

11.55%

55

10.29%

Vermont 2011/2012 Immunization Data Report


http://healthvermont.gov/hc/imm/ImmSurv.aspx http://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_2011 2012.xls

Public and Private School Immunization Data School Year 2011-2012 Immunization Data Summary Sheet

2011-12 PUBLIC SCHOOLS DATA Provisional Admittance subset Exempt Students Mening Mening Philosop Provisional subset Not Met hical Admittance no IZ Record in Dorm Met 285 429 13 0 0 0 4.66% 7.02% 3.03% 176 610 7 0 0 0 2.77% 9.60% 1.15% 461 1,039 20 0 0 0

Grade Kinder Seventh Total

DTaP/Tdap DTaP/Tdap Polio NOT MMR Hep B Varicella Varicella Exempt Exempt Enrollment Met NOT Met Polio Met Met MMR Met NOT Met HepB Met NOT Met Met NOT Met Medical Religious 6,115 5,710 405 5,719 396 5,725 390 5,895 220 5,575 540 19 7 93.38% 6.62% 93.52% 6.48% 93.62% 6.38% 96.40% 3.60% 91.17% 8.83% 0.31% 0.11% 6,357 5,785 572 6,256 101 6,258 99 6,207 150 5,906 451 20 7 91.00% 9.00% 98.41% 1.59% 98.44% 1.56% 97.64% 2.36% 92.91% 7.09% 0.31% 0.11% 12,472 11,495 977 11,975 497 11,983 489 12,102 370 11,481 991 39 14

2011-12 PRIVATE SCHOOLS DATA Provisional Exempt Admittance subset Philosop Provisional subset Students Mening Mening hical Admittance no IZ Record in Dorm Met Not Met 57 50 4 0 0 0 13.16% 11.55% 8.00% 52 55 6 27 21 6 9.74% 10.30% 10.91% 77.78% 22.22% 109 105 10 27 21 6

Grade Kinder Seventh Total

Polio NOT DTaP/Tdap DTaP/Tdap MMR Hep B Varicella Varicella Exempt Exempt Enrollment Met NOT Met Polio Met Met MMR Met NOT Met HepB Met NOT Met Met NOT Met Medical Religious 433 361 72 353 80 360 73 362 71 335 98 2 2 83.37% 16.63% 81.52% 18.48% 83.14% 16.86% 83.60% 16.40% 77.37% 22.63% 0.46% 0.46% 534 459 75 483 51 481 53 466 68 447 87 2 4 85.96% 14.04% 90.45% 9.55% 90.07% 9.93% 87.27% 12.73% 83.71% 16.29% 0.37% 0.75% 967 820 147 836 131 841 126 828 139 782 185 4 6

2011-12 TOTALS BY GRADE, PUBLIC & PRIVATE SCHOOLS Provisional Exempt Admittance subset Philosop Provisional subset Students Mening Mening hical Admittance no IZ Record in Dorm Met Not Met 285 429 13 0 0 0 57 50 4 0 0 0 342 479 17 0 0 0 5.22% 7.32% 3.55%

Grade Kinder Public Kinder Private Total Kinder

DTaP/Tdap DTaP/Tdap Polio NOT MMR Hep B Varicella Varicella Exempt Exempt Enrollment Met NOT Met Polio Met Met MMR Met NOT Met HepB Met NOT Met Met NOT Met Medical Religious 6,115 5,710 405 5,719 396 5,725 390 5,895 220 5,575 540 19 7 433 361 72 353 80 360 73 362 71 335 98 2 2 6,548 6,071 477 6,072 476 6,085 463 6,257 291 5,910 638 21 9 92.72% 7.28% 92.73% 7.27% 92.93% 7.07% 95.56% 4.44% 90.26% 9.74% 0.32% 0.14%

Seventh Public Seventh Private Total 7th

6,357 534 6,891

5,785 459 6,244 90.61%

572 75 647 9.39%

6,256 483 6,739 97.79%

101 51 152 2.21%

6,258 481 6,739 97.79%

99 53 152 2.21%

6,207 466 6,673 96.84%

150 68 218 3.16%

5,906 447 6,353 92.19%

451 87 538 7.81%

20 2 22 0.32%

7 4 11 0.16%

176 52 228 3.31%

610 55 665 9.65%

7 6 13 1.95%

0 27 27

0 21 21 77.78%

0 6 6 22.22%

Vermont 2011/2012 Immunization Data Report


http://healthvermont.gov/hc/imm/ImmSurv.aspx http://healthvermont.gov/hc/imm/documents/school_nurse_report_immunization_data_2011 2012.xls

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