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A version of this chart without the vaccination rates has been used attempting to link Pertussis outbreaks (and low vaccination rates) to non-medical exemption availability. Wisconsin has the 12th most vaccinated 19 to 35 month olds and 97.3% Pertussis coverage in Kindergarten, yet higher Pertussis incidence than states with lower Pertussis vaccination rates. Minnesota has the second highest Pertussis incidence but is very highly vaccinated- it ranks 6th in 19 to 35 toddler coverage, 94% Kindergarten Pertussis coverage and 99.2% middle school Pertussis coverage. Pertussis outbreaks occur in highly vaccinated groups. There is little relationship between vaccination rates and Pertussis outbreaks. Non-medical exemptions do not equal low vaccination rates.
Vaccination Rates for 19-35 month olds (United Health Foundation Ranking) Pertussis Cases per 100k Kindergarten & Middle School (when available) Pertussis Coverage per CDC Philosophical Exemption Availability.
State Wisconsin Minnesota WA Montana Vermont Maine Iowa Utah New Mexico Alaska Oregon Kansas New York North Dakota Illinois New Hampshire Arizona Idaho Pennsylvania Colorado Missouri Kentucky
Pertussis cases /100k 78.6 63.5 58.1 43.7 42.00 37.5 37 29.3 22.9 18.9 18.3 14.6 12.4 11.5 11.4 11.4 11.2 11 11 11 10.6 9.9
% Kinder Pertussis Vax 97.3 94. 90.9 96.3 91.6 96.7 90. 98.3 97.3 98.2 94.1 83 97.7 92.6 95.2 95.4 88. 92.7 92.6 97. 94.3
Exemption PE PE PE * No PE PE PE PE * No PE
PE * No PE PE PE PE PE PE
98.6 69.5
Sources United Health Foundation Ranking by Immunization http://www.americashealthrankings.org/ALL/Immunize/2012 CDC School Reports 2010/2011 (most recent available) http://www2.cdc.gov/nip/schoolsurv/schoolrpt1.asp?st1=422527 States with Religious and Philosophical Exemptions from School Immunization Requirements http://www.ncsl.org/issues-research/health/school-immunization-exemption-state-laws.aspx