CA Kindergarten students already significantly exceed the 2020 Healthy People 90% Goals, with the Personal Belief

Exemption in place. There is no need to change the current system.

CA Kindergarten Vaccination Rates

http://www.cdph.ca.gov/programs/immunize/Documents/2011SelectiveReviewResults.pdf

Polio

All Req'd

ChicPox

HepB

Cond

Dtap

*MMWR News Synopsis for September 6, 2012 http://www.cdc.gov/media/mmwrnews/2012/0906.html

MMR

PBE

Med

100 90 80 70 60 50 40 30 20 10 0

2.48%
Personal Belief Exemptions 90% Goals Exceeded 94.4% 95.7% 96.0% 96.0% 96.8% 97.0% Any student missing even a single dose of a required vaccine needs an exemption for school enrollment Most of these students have received some or many of the required vaccines and are using an exemption to opt out of a problematic vaccine or Chicken Pox. The CDC says less than 1% of children have no vaccines* .08%

3.3%
Conditional Admission These students are in process of getting all shots and will add to the already exceptional rates at left

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, 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

It has been misrepresented that an exemption equals a completely unvaccinated child. This is false. Very few children are completely unvaccinated.
According to the CDC's latest National Immunization Survey (NIS)

"The survey found less than 1% of toddlers had received no vaccines at all."
MMWR News Synopsis for September 6, 2012 http://www.cdc.gov/media/mmwrnews/2012/0906.html

Vaccination Rates are at all time highs. Parents are judicously using exemptions to moderate an expanding shot schedule. This is not about Public Health or education. The Vaccine Lobby is systematically dismantling non-medical exemptions in the school age population. The real reason is the future intention to begin mandating adult vaccines, starting with Health Care Providers, who have abysmal vaccination rates. If vaccines are needed to prevent schools from being infection hubs of disease, don't we need them in hospitals and office buildings, sports arenas, and public transport? What is the difference between a school and a workplace other than the age of the people? The attack on the PBE is so that when the "successful and accepted" school age vaccine mandates are used as justification for mandate adult vaccines, the adults cannot point to the Personal Belief Exemptions and say, 'I want to use that, too".
Prepared by the California Department of Public Health, Immunization Branch