3. Where are immunizations
required?
• Public
Schools • Private
• Preschool
Children’s • Child Care
Facilities • Head Start
• 2 doses of
Colleges measles vaccine
11. Enrollment, Exclusion Letters and
Exclusions, 2001-2012
700,000
600,000
500,000
400,000
300,000
200,000
100,000
0
Number of exclusions
Number of exclusion orders issued
Number of children enrolled in schools and children's facilities
12. Percent of Children with School/Children's Facility Required
Vaccines, 2012
100
90
80
70
60
Percent
50
40
30
20
10
0
DTaP Polio MMR 2nd Hep B Varicella Hep A Hib
Tdap Measles
Children's Facility Kindergarten 7th Grade
13.
14. Percent of Children with Exemptions to
School/Children's Facility Immunization Requirements
or No Record, 2012
7
6
5
Percent
4
3
2
1
0
Medical Exemptions Religious Exemptions No Record
Children's Facility Kindergarten 7th Grade
15. Religious Exemption Rates, 2000-2012
7
6
% Religious Exempt
5
4
3
2
1
0
Children's Facility Kindergarten and 1st Grade* 7th Grade
16.
17.
18. Clatsop
Kindergarten and First Grade Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 2.7%
facilities 1.3%
2 facilities 2000-2001 (Oregon 1.9%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
2.0% 1 school resurvey
1.1% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.0%
0.2% 2 8.5%
schools
1 facility 1.3%
none Morrow
1 school Gilliam 0.0%
none
1.5%
2 schools
Sherman 1 facility
0.0% Union
Clackamas none 2 3.5%
schools
Yamhill
11.7%
facility 1.1%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
1.5%
1.5% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 0.0% 1.7%
Jefferson 1 school 1 school resurvey
0.9% 2.8%
1 school 1 facility
3 schools Linn 1.5% Grant
Benton 0.8%
none 3.6%
1 school
Crook
11.5%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
4.2%
1 facility 0.4%
Malheur
Douglas Harney 1 2.1%
facility
Coos 1 0.5%
facility
5 schools
1.1% 2 schools
21.6%
facilities
1 school
Lake
1.6%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
5.0% Josephine
Jackson
Klamath
1 facility
0.8% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 5.2%
1 facility 3 facilities
3.6% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
19. Clatsop
Kindergarten and First Grade Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 3.8%
facilities 1.6%
2 facilities 2001-2002 (Oregon 2.4%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
2.2% 1 school resurvey
1.4% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.1%
2.0% 2 7.9%
schools
1 facility 3.2%
none Morrow
1 school Gilliam 0.0%
none
2.0%
2 schools
Sherman 1 facility
0.0% Union
Clackamas none 2 4.7%
schools
Yamhill
12.7%
facility 1.2%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
1.6%
2.5% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 3.5% 2.1%
Jefferson 1 school 1 school resurvey
1.5% 3.5%
1 school 1 facility
3 schools Linn 0.6% Grant
Benton 0.8%
none 4.2%
1 school
Crook
12.8%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
5.0%
1 facility 2.7%
Malheur
Douglas Harney 1 0.4%
facility
Coos 1 1.2%
facility
5 schools
1.3% 2 schools
21.6%
facilities
1 school
Lake
0.0%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
4.5% Josephine
Jackson
Klamath
1 facility
0.1% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 11.2%
1 facility 3 facilities
3.4% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
20. Clatsop
Kindergarten and First Grade Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 3.5%
facilities 2.6%
2 facilities 2002-2003 (Oregon 2.8%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
2.8% 1 school resurvey
1.5% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.0%
2.0% 2 4.7%
schools
1 facility 3.2%
none Morrow
1 school Gilliam 0.8%
none
2.3%
2 schools
Sherman 1 facility
0.0% Union
Clackamas none 2 3.1%
schools
Yamhill
13.1%
facility 1.3%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
1.8%
1.6% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 12.5% 1.9%
Jefferson 1 school 1 school resurvey
1.9% 4.4%
1 school 1 facility
3 schools Linn 0.0% Grant
Benton 0.9%
none 10.2%
1 school
Crook
11.2%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
5.8%
1 facility 4.1%
Malheur
Douglas Harney 1 0.4%
facility
Coos 1 2.5%
facility
5 schools
1.3% 2 schools
21.1%
facilities
1 school
Lake
0.0%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
9.6% Josephine
Jackson
Klamath
1 facility
1.0% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 10.8%
1 facility 3 facilities
4.3% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
21. Clatsop
Kindergarten Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 2.8%
facilities 1.5%
2 facilities 2003-2004 (Oregon 2.8%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
3.0% 1 school resurvey
1.6% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.2%
1.6% 2 1.6%
schools
1 facility 4.6%
none Morrow
1 school Gilliam 1.8%
none
2.4%
2 schools
Sherman 1 facility
0.0% Union
Clackamas none 2 4.5%
schools
Yamhill
13.2%
facility 1.0%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
1.7%
2.5% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 6.3% 0.6%
Jefferson 1 school 1 school resurvey
2.1% 3.2%
1 school 1 facility
3 schools Linn 1.3% Grant
Benton 4.4%
none 3.0%
1 school
Crook
11.5%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
5.6%
1 facility 4.9%
Malheur
Douglas Harney 1 2.9%
facility
Coos 1 3.4%
facility
5 schools
0.8% 2 schools
23.4%
facilities
1 school
Lake
1.3%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
7.2% Josephine
Jackson
Klamath
1 facility
1.0% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 7.3%
1 facility 3 facilities
4.5% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
22. Clatsop
Kindergarten Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 3.5%
facilities 1.0%
2 facilities 2004-2005 (Oregon 3.4%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
4.2% 1 school resurvey
2.0% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 0.7%
1.6% 2 10.5%
schools
1 facility 2.6%
none Morrow
1 school Gilliam 1.8%
none
2.2%
2 schools
Sherman 1 facility
0.0% Union
Clackamas none 2 7.9%
schools
Yamhill
13.5%
facility 2.7%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
2.2%
2.8% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 100% 4.3%
Jefferson 1 school 1 school resurvey
2.1% 6.0%
1 school 1 facility
3 schools Linn 1.8% Grant
Benton 1.2%
none 6.5%
1 school
Crook
11.3%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
6.2%
1 facility 5.1%
Malheur
Douglas Harney 1 0.5%
facility
Coos 1 0.0%
facility
5 schools
2.1% 2 schools
23.6%
facilities
1 school
Lake
1.4%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
8.8% Josephine
Jackson
Klamath
1 facility
1.9% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 7.7%
1 facility 3 facilities
4.9% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
23. Clatsop
Kindergarten Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 3.5%
facilities 2.3%
2 facilities 2005-2006 (Oregon 3.5%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
4.0% 1 school resurvey
1.6% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.2%
3.0% 2 7.8%
schools
1 facility 6.7%
none Morrow
1 school Gilliam 1.6%
none
2.2%
2 schools
Sherman 1 facility
10.0% Union
Clackamas none 2 4.9%
schools
Yamhill
14.2%
facility 3.1%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
2.0%
3.0% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 18.2% 4.4%
Jefferson 1 school 1 school resurvey
3.3% 5.5%
1 school 1 facility
3 schools Linn 2.1% Grant
Benton 1.2%
none 8.6%
1 school
Crook
12.0%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
6.6%
1 facility 6.0%
Malheur
Douglas Harney 1 0.4%
facility
Coos 1 1.3%
facility
5 schools
2.2% 2 schools
22.4%
facilities
1 school
Lake
5.8%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
6.1% Josephine
Jackson
Klamath
1 facility
1.7% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 8.5%
1 facility 3 facilities
5.8% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
24. Clatsop
Kindergarten Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 4.3%
facilities 1.6%
2 facilities 2006-2007 (Oregon 3.6%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
4.7% 1 school resurvey
1.9% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.4%
3.4% 2 4.8%
schools
1 facility 7.0%
none Morrow
1 school Gilliam 0.5%
none
2.8%
2 schools
Sherman 1 facility
6.7% Union
Clackamas none 2 4.4%
schools
Yamhill
14.3%
facility 3.1%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
2.0%
1.6% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 25.0% 5.9%
Jefferson 1 school 1 school resurvey
2.3% 4.9%
1 school 1 facility
3 schools Linn 1.9% Grant
Benton 3.0%
none 3.8%
1 school
Crook
12.5%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
5.8%
1 facility 5.7%
Malheur
Douglas Harney 1 0.0%
facility
Coos 1 1.3%
facility
5 schools
3.1% 2 schools
24.2%
facilities
1 school
Lake
1.2%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
3.9% Josephine
Jackson
Klamath
1 facility
1.3% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 8.1%
1 facility 3 facilities
6.1% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
25. Clatsop
Kindergarten Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 5.6%
facilities 1.0%
2 facilities 2007-2008 (Oregon 3.9%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
5.2% 1 school resurvey
1.9% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.5%
4.0% 2 9.0%
schools
1 facility 4.3%
none Morrow
1 school Gilliam 0.5%
none
2.2%
2 schools
Sherman 1 facility
0.0% Union
Clackamas none 2 7.2%
schools
Yamhill
14.9%
facility 3.2%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
2.2%
2.3% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 6.7% 7.6%
Jefferson 1 school 1 school resurvey
1.7%
1 school 1 facility
5.8%
3 schools Linn 2.0% Grant
Benton 3.6%
none 8.5%
1 school
Crook
11.5%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
5.3%
1 facility 6.6%
Malheur
Douglas Harney 1 1.2%
facility
Coos 1 1.6%
facility
5 schools
2.6% 2 schools
23.2%
facilities
1 school
Lake
1.3%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
1.3% Josephine
Jackson
Klamath
1 facility
1.6% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 8.7%
1 facility 3 facilities
6.4% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
26. Clatsop
Kindergarten Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 6.2%
facilities 1.8%
2 facilities 2008-2009 (Oregon 4.9%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
6.3% 1 school resurvey
2.9% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 2.0%
4.2% 2 14.3%
schools
1 facility 8.9%
none Morrow
1 school Gilliam 1.0%
none
3.1%
2 schools
Sherman 1 facility
0.0% Union
Clackamas none 2 5.8%
schools
Yamhill
15.8%
facility 5.9%
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
3.3%
3.7% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 0.0% 5.7%
Jefferson 1 school 1 school resurvey
3.4%
1 school 1 facility
6.1%
3 schools Linn 0.4% Grant
Benton 5.1%
none 2.2%
1 school
Crook
13.2%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
7.6%
1 facility 7.4%
Malheur
Douglas Harney 1 0.8%
facility
Coos 1 3.8%
facility
5 schools
3.8% 2 schools
24.8%
facilities
1 school
Lake
1.4%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine 2-4%
Facilities—36
Curry
4.4% Josephine
Jackson
Klamath
1 facility
1.6% Peggy 4-6%
Schools—42
Facility Resurveys—3
1 facility 10.9%
1 facility 3 facilities
5.1% 1 school Stacy 6-8%
School Resurveys—2
None >8%
Total Surveys—83
27. Clatsop
Kindergarten Religious Exemptions,
Validation Surveys
2 facilities
Columbia 1 facility resurvey
2 6.1%
facilities 3.4%
2 facilities 2009-2010 (Oregon 5.2%)
2007 1 facility
1 school 5 facilities 2 schools
1 school
6.8% 1 school resurvey
3.4% Umatilla
Tillamook Hood Wallowa
Washington Multnomah River 1.4%
5.0% 2 10.3%
schools
1 facility 5.7%
none ←1.9%→ Morrow
1 school Gilliam 1.0%
none
3.3%
2 schools
Sherman 1 facility Union
Clackamas none 2 6.2%
schools
Yamhill
15.6%
facility
Wasco
2 schools 1 facility
Polk Marion 1 school
3 schools 2 facilities, 3 schools
3.6%
3.5% 2 schools
Baker
1 facility resurvey Wheeler 1 school
Lincoln 0.0% 4.0%
Jefferson 1 school 1 school resurvey
2.0%
1 school 1 facility
7.3%
3 schools Linn 1.4% Grant
Benton 4.1%
none 1.8%
1 school
Crook
13.6%
facility
4 facilities 2 schools
1 school
1 facility resurvey
Lane Deschutes
7.8%
1 facility 9.5%
Malheur
Douglas Harney 1 0.6%
facility
Coos 1 3.0%
facility
5 schools
3.8% 2 schools
26.6%
facilities
1 school
Lake
4.5%
1 facility
1 school
Janis <2%
Validation Survey Totals
Lorraine Facilities—36 2-4%
Curry
5.9% Josephine
Jackson
Klamath
1 facility
3.1% Peggy Schools—42
4-6%
Facility Resurveys—3
1 facility 9.3%
1 facility 3 facilities
6.0% 1 school Stacy 6-8%
School Resurveys—2
None
Total Surveys—83>8%
Notes de l'éditeur
Exclusion summary 2012Children covered by school and children’s facility immunization law:661,099Exclusion Orders:34,868Children excluded:4,618
Doctors in our state asked for a clear and concise handout to accompany the VIS. A pediatrician on our workgroup assisted us in creating this. We sent them to every VFC in the state. It’s also available in Spanish on our website—soon to be in Russian.
Many of you know about the new CDC provider vaccine conversation tools. We’ve also added AAP videos and training guide.
Anecdotes resonate with patients. Read immunization stories about real Oregonians.
The open letter has over 200 signatures.
The open letter has over 200 signatures.
The open letter has over 200 signatures.
Our website address is healthoregon.org/imm
We’ve placed op-eds and letters to the editor in newspapers. For example, this guest editorial was in the Ashland Tidings for Exclusion Day. It was signed by Dr. Shames, who is on our social marketing workgroup, as well as our medical director Dr. Paul Cieslak
We’re working with local health departments in areas with high religious exemption rates to assist them with their own unique vaccine safety social marketing campaigns.
When Crook County had a meningococcal outbreak, we were ready to assist with talking points and a press release.
We’re working with VAX NW to pilot school information sessions that target schools with high religious exemption rates. We are recruiting parent advocates and VAX NW will train them and provide them with discussion guides. Each school will have a plan that is unique and will speak to that audience.