Georgia adolescent immunization study, 2015 [2015]

Georgia Adolescent Immunization Study
--2015--
GEORGIA DEPARTMENT of PUBLIC HEALTH
Immunization Program Acute Disease Epidemiology Section dph.georgia.gov/immunization-section
PREPARED BY
Manoj T. Rema, MPH, Principle Investigator, Author Jessica Tuttle, MD, Primary Editor Cherie Drenzek, MS, DVM, Editor Sheila Lovett, Editor

1

Acknowledgements
The Georgia Department of Public Health Epidemiology and Immunization Programs would like to thank the public health representatives who participated in this study for all of their hard work, support and dedication. This study could not have been completed successfully without the cooperation of the Immunization Program Consultants and State staff throughout Georgia.
A profound thank you and sincere appreciation is also given to the public and private schools, and their immunization staff and nurses, that participated in this collaborative effort. Their cooperation and assistance throughout the study is greatly appreciated.
Additional gratitude goes to Karl Soetebier for the development and maintenance of our data collection system, and to LaTonya Thomas and Ben Sloat for their collaborative effort in making this study possible. "This publication was supported by the Cooperative Agreement Number 5H23IP000744-02 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention."
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2

Acknowledgements

Table of Contents
Contents

Table of Contents

Section I: Project Overview

Purpose of Study Methods (Sampling, Data Collection, Data Analysis)

Limitations

Section II: Statewide Results

Contributing Staff from Georgia Department of Public Health State of Georgia Immunization Report

Section III: Health District Immunization Reports

District 1-1 Immunization Report (Rome District) District 1-2 Immunization Report (Dalton District) District 2-0 Immunization Report (Gainesville District) District 3-1 Immunization Report (Cobb-Douglas District) District 3-2 Immunization Report (Fulton District) District 3-3 Immunization Report (Clayton District)

District 3-4 Immunization Report (Lawrenceville District) District 3-5 Immunization Report (DeKalb District)

District 4-0 Immunization Report (LaGrange District)

District 5-1 Immunization Report (Dublin District) District 5-2 Immunization Report (Macon District)

District 6-0 Immunization Report (Augusta District)

District 7-0 Immunization Report (Columbus District)

District 8-1 Immunization Report (Valdosta District)

District 8-2 Immunization Report (Albany District)

District 9-1 Immunization Report (Savannah District)

District 9-2 Immunization Report (Waycross District)

District 10-0 Immunization Report (Athens District)

Appendix Appendix A: Margins of Error for UTD Immunization Rates

Appendix B: Frequency of Exemptions

Appendix C: District Immunization Measures by Vaccine-Antigen

Additional Resources

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Page(s)
1 3 5--8 6 7--8 8 9--12 11 12 13--50 14--15 16--17 18--19 20--21 22--23 24--25 26--27 28--29 30--31 32--33 34--35 36--37 38--39 40--41 42--43 44--45 46--47 48--49 i-vi iii iv v vi

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Section I Project Overview
Georgia Adolescent Immunization Study, 2015
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Purpose of Study
The Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP) recommend that adolescents routinely receive Tdap, MCV4, and the 3 dose HPV series at 11 to 12 years of age1. Beginning in the 2014-2015 school year, Tdap and MCV4 were added to the list of required vaccines for Georgia students entering seventh grade who were born on or after January 1, 2002. This report summarizes the first annual assessment of immunization coverage for Tdap and MCV4 as well as one and three dose coverage of HPV among seventh grade students in Georgia's 18 Public Health Districts. In addition to determining adolescent coverage rates for vaccines required for school entry, the GA Immunization Program is interested in determining whether providers are making strong, clear HPV recommendations to parents of adolescents when teens are seen in clinics for their seventh grade Tdap and MCV4 vaccinations.
1Department of Health and Human Services Centers for Disease Control and Prevention. (January 28, 2011). MMWR weekly: General Recommendations of Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2011; 60(RR02);1-60. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6002a1.htm
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Methods

Study Design The first-annual Georgia Adolescent Immunization Study (GAIS) employs a cross-sectional research design to ascertain the vaccine coverage rate for 7th grade children in the State of Georgia. Immunization history data for cohorts of children in the 7th grade from 18 Health Districts were analyzed to calculate these rates. Identifying information and immunization history data were obtained from school 3231 files and the Georgia Registry of Immunization Transactions and Services (GRITS). Immunization rates for Tdap, Polio, MMR, MCV4 (meningococcal), Hepatitis B, Varicella and HPV vaccines were calculated.
Data collection for the GAIS study began January 15, 2015 and lasted for three months. A two-stage clustersampling scheme was developed to randomly select the study sample. Stage one of the cluster sampling scheme involved randomly selecting 30 middle schools from each of the 18 Health Districts. The number of schools was determined using a target population size for each Health District, coupled with an estimated percent response rate and other various statistical factors, including estimate design effect, confidence coefficient and confidence interval width. If a District had fewer than 30 schools, then all schools in that District were sampled.
Stage two of the sampling scheme involved randomly selecting an established number of students from each school. This number varied by District depending on the number of schools sampled and population. Basic coverage rates were then calculated for each of the specific vaccines of interest.
Target and Sample Populations The target population of the 2015 GAIS included all 7th grade children in the State of Georgia during the 20142015 school year. A sample of 6,521 7th grade students

attending both private and public Georgia schools were selected for the study. The sample design allowed for independent estimates to be calculated for each of the 18 Health Districts in the state.
Data Collection An electronic web-based data collection system named "GAIS" was created to systematically collect the required information for each child. The GAIS data collection system contains three distinct sections for completion: Child, Notes and VX List (Immunization History).
Data collection was carried out primarily by each Health District's Immunization Program Consultant (IPC). IPCs in each Health District participated in training at the start of the data collection period. A Training Manual was also provided and made available on the GAIS log-in screen.
Data Collection Protocol Step #1: Obtain student sample Before the data collection process began, IPCs were assigned a maximum of 30 schools in their respective Districts and assigned a required number of students per school to be sampled; this was a maximum of 13. Once at a school, the IPC obtained an alphabetized roster of all current 7th graders attending that school. Using the total number of 7th graders, a random number generator was applied to randomly select the 13 students chosen as the GAIS sample for 2015.
Step #2: Collect immunization forms at public and private schools. Once the IPC selected the school sample, each specific child's 3231 form was located to obtain their immunization history. A comparison of the GRITS record and the 3231 form was conducted for each child to make sure all vaccines received matched

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between sources. If any dates were missing from either source, steps were taken to update the 3231 form and/or the GRITS record to match. If a 3231 was found to be expired, a new one was printed from GRITS for school record.

chance of over- or underrepresentation of the population, leading to skewed results. The two-stage cluster sampling scheme was used because of its low-cost and efficient method of collecting a larger sample size across a wide area.

Step #3: Input children to data collection website

2. Some IPCs had less than 30 middle schools in their

A record was then created by the IPC for each child in the District and were forced to sample all the middle schools in

GAIS website. Information collected included first and last the District. Larger Districts were only required to sample

name, DOB, county, school, exemption and waiver status 30 schools, due to time and resource restraints, and

and lab confirmation of immunity. A blank vaccine list was therefore many schools were not sampled which may have

also available in the GAIS record for the IPC to either: 1) affected the results of the study.

add each of the vaccine dates of interest in the table; or,

2) perform a direct upload from GRITS into the GAIS

record.

Step #4: Data returned to State Epidemiology office Using the GAIS system, data collectors completed adding records for all required children in their District. As the records were completed using the GAIS system, each record was reviewed by the Principal Investigator. Attempts were made to resolve any unclear information before data cleaning using Microsoft Excel and SPSS 19.

Data Analysis Analyses were done using IBM SPSS Statistics 19 software and macros developed by the Principal Investigator. Data were used to determine what percentage of 7th graders were up-to-date (UTD), which was defined as having at least 2 doses of MMR, 2 doses of Varicella, 3 doses of Hepatitis B, 1 dose of Tdap and 1 dose of MCV4 vaccines. UTD immunization rates as well as individual vaccine coverage rates were assessed at both the state and District levels.

Limitations When interpreting study results, the following limitations of the study should be considered:

1. Compared to other sampling methods, cluster sampling is least representative of the population. Individuals within a cluster tend to have similar characteristics and there is a
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Section II Statewide Results
Georgia Adolescent Immunization Study, 2015
9

10

State of Georgia
2015 Georgia Adolescent Immunization Study Report

Manoj T. Rema, MPH Jessica Tuttle, MD

State-Level Immunization Study Staff Immunization Study Epidemiologist, Principal Investigator & Author Medical Epidemiologist, Primary Editor

1-2 1-1

2-0 10

4-0

6-0

5-2

7-0 8-2

5-1 9-1
9-2
8-1

Metro Atlanta Districts

3-1

3-4

3-2 3-5

3-3

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State of Georgia
2015 Georgia Adolescent Immunization Study

For the 2015 GAIS, up-to-date (UTD) status for 7th grade adolescents was defined as having received 2 MMR, 2 Varicella, 3 Hep B, 1 Tdap and 1 MCV4 vaccines. The UTD immunization rate for adolescents in Georgia was 89.9 percent (Table 1).
The final study sample for the 2015 GAIS was made up of 6,521 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the sample, 51.1 percent were male and 48.4 percent were female (Table 2).

Table 2: Gender

Male

3333 51.1%

Female 3154 48.4%

Unknown 34

0.5%

Total

6521 100.0%

Table 4: Medical Exemption

Yes

4

0.1%

No

6471 99.2%

Table 3: School Waiver Period

Yes

15

0.2%

No

6462 99.1%

Unknown 44

0.7%

Total

6521 100.0%

Table 5: Religious Exemption

Yes

110

1.7%

No

6367 97.6%

Only 0.2 percent of the students in the final sample were found to be in the school "waiver" period and were incomplete on their school-required immunizations because they were newly enrolled (Table 3).
Table 1: Immunization Coverage Rates by Vaccine Antigen--Georgia, 2015

Unknown Total

46 6521

0.7% 100.0%

Unknown Total

44 6521

0.7% 100.0%

New students with incomplete immunization records have a 30-day waiver period to obtain the necessary immunizations to meet requirements.

UTD immunization rate* 3 Hepatitis B

2015 (%)
89.9
96.9

Within the final study sample, 0.1 percent of the adolescents were found to have a medical exemption for one or more vaccinations (Table 4). Only 1.7 percent of students had a religious exemption (Table 5).

2 MMR 4 Polio 2 Varicella**

96.8 95.1 95.7

Coverage rates among males and females were similar for all vaccines except HPV (Table 6). More females received 1 dose of the HPV vaccine than males (45.8 percent vs. 39.6 percent). Also, more females received 3 doses of HPV than males (17.2 percent vs 12.5 percent).

1 Tdap 1 MCV4 1 HPV 3 HPV

93.0 92.5 42.5 14.8

In the overall State sample, 16 adolescents had serologic evidence of immunity-- 12 for varicella; one for mumps; one for measles, mumps and rubella; one for measles, mumps, rubella and hepatitis B; and one for varicella, measles, mumps, rubella and hepatitis B. For the state, 79 students had either physician-diagnosed or a history of varicella illness.

Table 6: GAIS Study Population by Gender & Vaccine Coverage Rates Georgia, 2015

State sample
of Georgia
7th Graders n=6,521 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

State Rates

96.9

96.8 95.1

95.7

93.0 92.5 42.5 14.8 89.9

Male (n=3,333)

51.1

97.0

96.9 95.2

96.0

93.2 92.7 39.6 12.5 90.3

Female (n=3154)

48.4

97.0

96.9 95.2

95.7

93.2 92.6 45.8 17.2 89.8

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate. There were 34 students that had an unknown gender status

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Section III Health District Adolescent
Immunization Reports
Georgia Adolescent Immunization Study, 2015
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District 1-1
2015 Georgia Adolescent Immunization Study Report

Rick Naus

District 1-1 Data Collection Team Immunization Program Consultant

County

Number in Sample

Bartow

52

Catoosa

40

Chattooga

13

Dade

13

Floyd

92

Gordon

52

Haralson

13

Paulding

52

Polk

13

Walker

53

District 1-1 393

District UTD 92.9%

State of Georgia 6521

State UTD 89.9%

Dade

Catoosa

Walker

Chattooga

Gordon

Floyd

Bartow

Polk

Haralson

Paulding

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District 1-1
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 1-1 was 92.9 percent (Table 1-1-A).
The final study sample for District 1-1 was made up of 393 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 50.9 percent were male and 48.9 percent were female (Table 1-1-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 11-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 1-1-B: Gender

Male

200

50.9

Female

192

48.9

Unknown

1

0.3

Total

393 100.0

Table 1-1-D: Medical Exemption

Yes

0

0.0

No

391

99.5

Unknown

2

0.5

Total

393 100.0

Table 1-1-C: School Waiver Period

Yes

0

0.0

No

391

99.5

Unknown

2

0.5

Total

393 100.0

Table 1-1-E: Religious Exemption

Yes

3

0.8

No

388

98.7

Unknown

2

0.5

Total

393 100.0

Table 1-1-A: Immunization Coverage Rates by Vaccine Antigen--District 1-1, 2015

2015 (%)

UTD immunization rate*

92.9

3 Hepatitis B

98.7

2 MMR

98.5

4 Polio

95.2

2 Varicella**

96.2

1 Tdap

96.7

1 MCV4

95.7

1 HPV

44.8

3 HPV

18.8

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 1-1-D). Only 0.8 percent of students had a religious exemption (Table 1-1-E).
Coverage rates among males and females were similar for all vaccines except 3 HPV (Table 1-1-F). More females received 3 doses of the HPV vaccine than males (26.6 percent vs. 11.5 percent, respectively).
Of the District sample, two adolescents had serologic evidence of immunity--both for varicella. For the District, 3 students had either physician-diagnosed or a history of varicella illness.

Table 1-1-F: Sample Population by Gender & Vaccine Coverage Rates District 1-1, 2015

District sam-
ple of 7th
graders n=393 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 1-1 Rates

98.7

98.5 95.2

96.2

96.7 95.7 44.8 18.8 92.9

Male (n=200)

50.9

99.5

99.0 97.0

98.0

96.5 96.5 43.0 11.5 95.0

Female (n=192)

48.9

97.9

97.9 93.2

94.2

96.9 95.3 46.9 26.6 91.1

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There was 1 student that had an unknown gender status

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District 1-2
2015 Georgia Adolescent Immunization Study Report

District 1-2 Data Collection Team

Addie Barros-Yanez

Immunization Program Consultant

County

Number in Sample

Cherokee

133

Fannin

23

Gilmer

22

Murray

16

Pickens

25

Whitfield

101

District 1-2 320

District UTD 83.1%

State of Georgia 6521

State UTD 89.9%

Murray Whitfield

Fannin Gilmer

Pickens Cherokee

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District 1-2
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 1-2 was 83.1 percent (Table 1-1-A).
The final study sample for District 1-2 was made up of 320 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 52.2 percent were male and 47.2 percent were female (Table 1-2-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 12-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 1-2-B: Gender

Male

167

52.2

Female

151

47.2

Unknown

2

0.6

Total

320 100.0

Table 1-2-D: Medical Exemption

Yes

0

0.0

No

317

99.1

Unknown

3

0.9

Total

320 100.0

Table 1-2-C: School Waiver Period

Yes

0

0.0

No

317

99.1

Unknown

3

0.9

Total

320 100.0

Table 1-2-E: Religious Exemption

Yes

24

7.5

No

293

91.6

Unknown

3

0.9

Total

320 100.0

Table 1-2-A: Immunization Coverage Rates by Vaccine Antigen--District 1-2, 2015

2015 (%)

UTD immunization rate*

83.1

3 Hepatitis B

95.9

2 MMR

95.3

4 Polio

92.5

2 Varicella**

92.8

1 Tdap

85.9

1 MCV4

85.0

1 HPV

39.7

3 HPV

11.9

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 1-2-D). But, 7.5 percent of students had a religious exemption (Table 1-2-E).
Coverage rates among males and females were fairly similar for all vaccines (Table 1-2-F). More females received 3 doses of the HPV vaccine than males (13.9 percent vs. 10.2 percent, respectively).
Of the District sample, one adolescents had serologic evidence of immunity--one for varicella. For the District, no students had either physician-diagnosed or a history of varicella illness.

Table 1-2-F: Sample Population by Gender & Vaccine Coverage Rates District 1-2, 2015

District sam-
ple of 7th
graders n=320 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 1-2 Rates

95.9

95.3 92.5

92.8

85.9 85.0 39.7 11.9 83.1

Male (n=167)

52.2

95.2

94.6 91.6

91.0

85.0 83.8 38.9 10.2 80.8

Female (n=151)

47.2

97.4

96.7 94.0

95.4

88.1 87.4 41.1 13.9 86.8

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 2 students that had an unknown gender status

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District 2-0
2015 Georgia Adolescent Immunization Study Report

District 2-0 Data Collection Team

Angie Webster

Immunization Program Consultant

Valerie Pritchett

Immunization Program Consultant

Kelly Seegmueller

Immunization Program Consultant

Saron Ephraim

Immunization Program Consultant

Addie Barros-Yanez

Immunization Program Consultant

Rick Naus

Immunization Program Consultant

Manoj Rema

Immunization Study Epidemiologist

County

Number in Sample

Banks

0

Dawson

18

Forsyth

132

Franklin

13

Habersham

26

Hall

63

Hart

13

Lumpkin

13

Rabun

13

Stephens

13

Towns

13

Union

14

White

13

District 2-0 344

District UTD 83.7%

State of Georgia 6521

State UTD 89.9%

Union

Towns Rabun

Lumpkin

White Habersham Stephens

Dawson Hall
Forsyth

Banks Franklin Hart

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District 2-0
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 2-0 was 83.7 percent (Table 2-0-A).
The final study sample for District 2-0 was made up of 344 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 46.5 percent were male and 52.3 percent were female (Table 2-0-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 20-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 2-0-B: Gender

Male

160

46.5

Female

180

52.3

Unknown

4

1.2

Total

344 100.0

Table 2-0-D: Medical Exemption

Yes

1

0.3

No

342

99.4

Unknown

1

0.3

Total

344 100.0

Table 2-0-C: School Waiver Period

Yes

0

0.0

No

343

99.7

Unknown

1

0.3

Total

344 100.0

Table 2-0-E: Religious Exemption

Yes

12

3.5

No

331

96.2

Unknown

1

0.3

Total

344 100.0

Table 2-0-A: Immunization Coverage Rates by Vaccine Antigen--District 2-0, 2015

2015 (%)

UTD immunization rate*

83.7

3 Hepatitis B

95.9

2 MMR

95.3

4 Polio

94.2

2 Varicella**

95.2

1 Tdap

90.1

1 MCV4

88.4

1 HPV

29.9

3 HPV

14.2

Within the final District sample, 0.3 percent of the adolescents were found to have a medical exemption for one or more vaccinations (Table 2-0-D). Only 3.5 percent of students had a religious exemption (Table 2-0-E).
Coverage rates among males and females were similar for all vaccines except 1 dose and 3 dose HPV (Table 2-0 -F). More females received 1 dose of the HPV vaccine than males (34.4 percent vs. 25.6 percent) and 3 doses of HPV than males (16.7 percent vs. 11.9 percent).
Of the District sample, no adolescents had serologic evidence of immunity. For the District, 13 students had either physician-diagnosed or a history of varicella illness.

Table 2-0-F: Sample Population by Gender & Vaccine Coverage Rates District 2-0, 2015

District sam-
ple of 7th
graders n=344 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 2-0 Rates

95.9

95.3 94.2

95.2

90.1 88.4 29.9 14.2 83.7

Male (n=160)

46.5

95.6

95.6 95.0

96.1

90.6 88.1 25.6 11.9 84.4

Female (n=180)

52.3

96.7

95.6 93.9

95.3

90.6 89.4 34.4 16.7 83.9

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 4 students that had an unknown gender status

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District 3-1
2015 Georgia Adolescent Immunization Study Report

District 3-1 Data Collection Team

Noreen Dahill

Immunization Program Consultant

County

Number in Sample

Cobb

321

Douglas

52

District 3-1 373

District UTD 87.4%

State of Georgia 6521

State UTD 89.9%

Cobb Douglas

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District 3-1
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 3-1 was 87.4 percent (Table 3-1-A).
The final study sample for District 3-1 was made up of 373 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 46.9 percent were male and 52.8 percent were female (Table 3-1-B).
Only 0.5 percent of the students in the final sample were found to be in the school "waiver" period (Table 3-1-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 3-1-B: Gender

Male

175

46.9

Female

197

52.8

Unknown

1

0.3

Total

373 100.0

Table 3-1-D: Medical Exemption

Yes

0

0.0

No

373

100.0

Unknown

0

0.0

Total

373 100.0

Table 3-1-C: School Waiver Period

Yes

2

0.5

No

370

99.2

Unknown

1

0.3

Total

373 100.0

Table 3-1-E: Religious Exemption

Yes

7

1.9

No

366

98.1

Unknown

0.0

0.0

Total

373 100.0

Table 3-1-A: Immunization Coverage Rates by Vaccine Antigen--District 3-1, 2015

2015 (%)

UTD immunization rate*

87.4

3 Hepatitis B

97.6

2 MMR

97.9

4 Polio

96.2

2 Varicella**

97.0

1 Tdap

90.9

1 MCV4

90.6

1 HPV

37.0

3 HPV

9.7

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 3-1-D). Only 1.9 percent of students had a religious exemption (Table 3-1-E).
Coverage rates among males and females were similar for all vaccines (Table 3-1-F).
Of the District sample, no adolescents had serologic evidence of immunity. For the District, nine students had either physician-diagnosed or a history of varicella illness.

Table 3-1-F: Sample Population by Gender & Vaccine Coverage Rates District 3-1, 2015

District sam-
ple of 7th
graders n=373 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 3-1 Rates

97.6

97.9 96.2

97.0

90.9 90.6 37.0

9.7

87.4

Male (n=175)

46.9

98.3

98.9 97.1

97.6

92.0 91.4 35.4

9.1

87.4

Female (n=197)

52.8

97.5

97.5 95.9

96.9

90.4 90.4 38.6 10.2 87.8

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There was 1 student that had an unknown gender status

21

District 3-2
2015 Georgia Adolescent Immunization Study Report

District 3-2 Data Collection Team

Saron Ephraim

Immunization Program Consultant

County

Number in Sample

Fulton

391

District 3-2 391

District UTD 91.6%

State of Georgia 6521

State UTD 89.9%

Fulton

22

District 3-2
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 3-2 was 91.6 percent (Table 3-2-A).
The final study sample for District 3-2 was made up of 391 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 51.9 percent were male and 47.8 percent were female (Table 3-2-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 32-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 3-2-B: Gender

Male

203

51.9

Female

187

47.8

Unknown

1

0.3

Total

391 100.0

Table 3-2-D: Medical Exemption

Yes

0

0.0

No

391

100.0

Unknown

0

0.0

Total

391 100.0

Table 3-2-C: School Waiver Period

Yes

0

0.0

No

391

100.0

Unknown

0

0.0

Total

391 100.0

Table 3-2-E: Religious Exemption

Yes

5

1.3

No

386

98.7

Unknown

0

0.0

Total

391 100.0

Table 3-2-A: Immunization Coverage Rates by Vaccine Antigen--District 3-2, 2015

2015 (%)

UTD immunization rate*

91.6

3 Hepatitis B

97.7

2 MMR

97.4

4 Polio

95.9

2 Varicella**

97.1

1 Tdap

95.7

1 MCV4

95.4

1 HPV

41.9

3 HPV

12.8

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 3-2-D). Only 1.3 percent of students had a religious exemption (Table 3-2-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose of HPV (Table 3-2-F). More females received 1 dose of the HPV vaccine than males (46.5 percent vs. 37.9 percent)
Of the District sample, only one adolescent had serologic evidence of immunity--one for varicella. For the District, 12 students had either physician-diagnosed or a history of varicella illness.

Table 3-2-F: Sample Population by Gender & Vaccine Coverage Rates District 3-2, 2015

District sam-
ple of 7th
graders n=391 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 3-2 Rates

97.7

97.4 95.9

97.1

95.7 95.4 41.9 12.8 91.6

Male (n=203)

51.9

97.0

96.6 94.6

96.4

95.1 95.1 37.9 12.8 90.6

Female (n=187)

47.8

98.4

98.4 97.3

97.8

96.3 95.7 46.5 12.8 92.5

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There was 1 student that had an unknown gender status

23

District 3-3
2015 Georgia Adolescent Immunization Study Report
District 3-3 Data Collection Team Kelly Seegmueller Immunization Program Consultant

County

Number in Sample

Clayton

316

District 3-3 316

District UTD 86.4%

State of Georgia 6521

State UTD 89.9%

Clayton

24

District 3-3
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 3-3 was 86.4 percent (Table 3-3-A).
The final study sample for District 3-3 was made up of 316 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 51.6 percent were male and 47.5 percent were female (Table 3-3-B).
Only 0.9 percent of the students in the final sample were found to be in the school "waiver" period (Table 3-3-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 3-3-B: Gender

Male

163

51.6

Female

150

47.5

Unknown

3

0.9

Total

316 100.0

Table 3-3-D: Medical Exemption

Yes

0

0.0

No

315

99.7

Unknown

1

0.3

Total

316 100.0

Table 3-3-C: School Waiver Period

Yes

3

0.9

No

312

98.7

Unknown

1

0.3

Total

316 100.0

Table 3-3-E: Religious Exemption

Yes

3

0.9

No

312

98.7

Unknown

1

0.3

Total

316 100.0

Table 3-3-A: Immunization Coverage Rates by Vaccine Antigen--District 3-3, 2015

2015 (%)

UTD immunization rate*

86.4

3 Hepatitis B

95.9

2 MMR

96.2

4 Polio

94.9

2 Varicella**

95.8

1 Tdap

89.2

1 MCV4

88.9

1 HPV

44.6

3 HPV

11.7

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 3-3-D). Only 0.9 percent of students had a religious exemption (Table 3-3-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose of HPV (Table 3-3-F). More females received 1 dose of the HPV vaccine than males (46.7 percent vs. 42.3 percent).
Of the District sample, only one adolescent had serologic evidence of immunity--for varicella. For the District, seven students had either physician-diagnosed or a history of varicella illness.

Table 3-3-F: Sample Population by Gender & Vaccine Coverage Rates District 3-3, 2015

District sam-
ple of 7th
graders n=316 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 3-3 Rates

95.9

96.2 94.9

95.8

89.2 88.9 44.6 11.7 86.4

Male (n=163)

51.6

95.7

95.7 93.9

96.2

89.6 89.6 42.3 11.0 87.1

Female (n=150)

47.5

96.7

97.3 97.3

95.9

89.3 88.7 46.7 12.0 86.0

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 3 students that had an unknown gender status

25

District 3-4
2015 Georgia Adolescent Immunization Study Report
District 3-4 Data Collection Team Valerie Pritchett Immunization Program Consultant

County

Number in Sample

Gwinnett

302

Newton

49

Rockdale

39

District 3-4 390

District UTD 88.2%

State of Georgia 6521

State UTD 89.9%

Gwinnett
Rockdale Newton

26

District 3-4
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 3-4 was 88.2 percent (Table 3-4-A).
The final study sample for District 3-4 was made up of 390 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 52.8 percent were male and 46.7 percent were female (Table 3-4-B).
Only 0.3 percent of the students in the final sample were found to be in the school "waiver" period (Table 3-4-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 3-4-B: Gender

Male

206

52.8

Female

182

46.7

Unknown

2

0.5

Total

390 100.0

Table 3-4-D: Medical Exemption

Yes

0

0.0

No

390

100.0

Unknown

0

0.0

Total

390 100.0

Table 3-4-C: School Waiver Period

Yes

1

0.3

No

389

99.7

Unknown

0

0.0

Total

390 100.0

Table 3-4-E: Religious Exemption

Yes

5

1.3

No

985

98.7

Unknown

0

0.0

Total

390 100.0

Table 3-4-A: Immunization Coverage Rates by Vaccine Antigen--District 3-4, 2015

2015 (%)

UTD immunization rate*

88.2

3 Hepatitis B

97.2

2 MMR

97.4

4 Polio

95.4

2 Varicella**

97.9

1 Tdap

90.8

1 MCV4

91.8

1 HPV

40.8

3 HPV

14.9

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 3-4-D). Only 1.3 percent of students had a religious exemption (Table 3-4-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose of Tdap and MCV4 (Table 3-4-F). More males received 1 dose of the Tdap vaccine than females (93.7 percent vs. 88.5 percent) and similarly for MCV4 (95.1 percent vs. 89.0 percent).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, seven students had either physician-diagnosed or a history of varicella illness.

Table 3-4-F: Sample Population by Gender & Vaccine Coverage Rates District 3-4, 2015

District sam-
ple of 7th
graders n=390 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 3-4 Rates

97.2

97.4 95.4

97.9

90.8 91.8 40.8 14.9 88.2

Male (n=206)

52.8

98.1

98.1 96.1

98.5

93.7 95.1 42.7 16.0 90.8

Female (n=182)

46.7

96.7

97.3 95.1

97.8

88.5 89.0 39.0 13.7 86.3

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 2 students that had an unknown gender status

27

District 3-5
2015 Georgia Adolescent Immunization Study Report

Janet Kelly

District 3-5 Data Collection Team Immunization Program Consultant

County

Number in Sample

DeKalb

378

District 3-5 378

District UTD 88.9%

State of Georgia 6521

State UTD 89.9%

DeKalb

28

District 3-5
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 3-5 was 88.9 percent (Table 3-5-A).
The final study sample for District 3-5 was made up of 378 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 48.9 percent were male and 49.7 percent were female (Table 3-5-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 35-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 3-5-B: Gender

Male

185

48.9

Female

188

49.7

Unknown

5

1.3

Total

378 100.0

Table 3-5-D: Medical Exemption

Yes

1

0.3

No

375

99.2

Unknown

2

0.5

Total

378 100.0

Table 3-5-C: School Waiver Period

Yes

0

0.0

No

376

99.5

Unknown

2

0.5

Total

378 100.0

Table 3-5-E: Religious Exemption

Yes

11

2.9

No

365

96.6

Unknown

2

0.5

Total

378 100.0

Table 3-5-A: Immunization Coverage Rates by Vaccine Antigen--District 3-5, 2015

2015 (%)

UTD immunization rate*

88.9

3 Hepatitis B

95.8

2 MMR

95.8

4 Polio

92.3

2 Varicella**

94.1

1 Tdap

92.9

1 MCV4

91.5

1 HPV

42.3

3 HPV

12.4

Within the final District sample, only 0.3 percent of the adolescents were found to have a medical exemption for one or more vaccinations (Table 3-5-D). Only 2.9 percent of students had a religious exemption (Table 3-5-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose of MCV4, 1 dose of HPV and 3 doses of HPV (Table 3-5-F). More females received 1 dose of MCV4 vaccine than males (94.1 percent vs. 89.7 percent). Also, more females received 1 dose of HPV and 3 doses of HPV than males (47.3 percent vs. 38.4 percent; 15.4 percent vs. 9.7 percent, respectively).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, three students had either physician-diagnosed or a history of varicella illness.

Table 3-5-F: Sample Population by Gender & Vaccine Coverage Rates District 3-5, 2015

District sam-
ple of 7th
graders n=378 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 3-5 Rates

95.8

95.8 92.3

94.1

92.9 91.5 42.3 12.4 88.9

Male (n=185)

48.9

95.7

96.2 93.5

94.6

92.4 89.7 38.4

9.7

88.6

Female (n=188)

49.7

96.8

96.3 92.0

94.6

94.1 94.1 47.3 15.4 89.9

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 5 students that had an unknown gender status

29

District 4-0
2015 Georgia Adolescent Immunization Study Report

District 4-0 Data Collection Team

Tina Dempsey

Immunization Program Consultant

County

Number in Sample

Butts

0

Carroll

66

Coweta

74

Fayette

64

Heard

0

Henry

89

Lamar

13

Meriwether

26

Pike

13

Spalding

13

Troup

13

Upson

13

District 4-0 384

District UTD 91.1%

State of Georgia 6521

State UTD 89.9%

Carroll Heard

Coweta

Fayette

Henry

Spalding Butts

Troup Meriwether Pike Lamar

Upson

30

District 4-0
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 4-0 was 91.1 percent (Table 4-0-A).
The final study sample for District 4-0 was made up of 384 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 57.8 percent were male and 42.2 percent were female (Table 4-0-B).
Only 0.8 percent of the students in the final sample were found to be in the school "waiver" period (Table 4-0-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 4-0-B: Gender

Male

222

Female

162

Unknown

0

Total

384

57.8 42.2 0.0 100.0

Table 4-0-D: Medical Exemption

Yes No Unknown Total

1

0.3

381

99.2

2

0.5

384 100.0

Table 4-0-C: School Waiver Period

Yes

3

0.8

No

379

98.7

Unknown

2

0.5

Total

384 100.0

Table 4-0-E: Religious Exemption

Yes No Unknown Total

6

1.6

376

97.9

2

0.5

384 100.0

Table 4-0-A: Immunization Coverage Rates by Vaccine Antigen--District 4-0, 2015

2015 (%)

UTD immunization rate*

91.1

3 Hepatitis B

97.9

2 MMR

97.9

4 Polio

97.4

2 Varicella**

96.1

1 Tdap

94.3

1 MCV4

93.5

1 HPV

37.8

3 HPV

13.5

Within the final District sample, only 0.3 percent of the adolescents were found to have a medical exemption for one or more vaccinations (Table 4-0-D). Only 1.6 percent of students had a religious exemption (Table 4-0-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose of HPV and 3 doses of HPV (Table 4-0-F). More females received 1 dose of HPV and 3 doses of HPV than males (44.4 percent vs. 32.9 percent; 18.5 percent vs. 9.9 percent, respectively).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, two students had either physician-diagnosed or a history of varicella illness.

Table 4-0-F: Sample Population by Gender & Vaccine Coverage Rates District 4-0, 2015

District sample of 7th graders n=384 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 4-0 Rates

97.9

97.9 97.4

96.1

94.3 93.5 37.8 13.5 91.1

Male (n=222)

57.8

97.3

97.3 96.8

95.5

95.0 94.6 32.9

9.9

91.9

Female (n=162)

42.2

98.8

98.8 98.1

96.9

93.2 92.0 44.4 18.5 90.1

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4 **Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they were included in the UTD rate

31

District 5-1
2015 Georgia Adolescent Immunization Study Report

District 5-1 Data Collection Team

DeAnna Brown

Immunization Program Consultant

Montgomery

County

Number in Sample

Bleckley

24

Dodge

27

Johnson

23

Laurens

92

Montgomery

23

Pulaski

23

Telfair

23

Treutlen

23

Wheeler

23

Wilcox

26

District 5-1 307

District UTD 87.9%

State of Georgia 6521

State UTD 89.9%

Johnson

Bleckley

Laurens

Treutlen

Pulaski

Dodge

Wheeler

Wilcox

Telfair

32

District 5-1
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 5-1 was 87.9 percent (Table 5-1-A).
The final study sample for District 5-1 was made up of 307 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 51.8 percent were male and 47.9 percent were female (Table 5-1-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 51-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 5-1-B: Gender

Male

159

51.8

Female

147

47.9

Unknown

1

0.3

Total

307 100.0

Table 5-1-D: Medical Exemption

Yes

0

0.0

No

307

100.0

Unknown

0

0.0

Total

307 100.0

Table 5-1-C: School Waiver Period

Yes

0

0.0

No

307

100.0

Unknown

0

0.0

Total

307 100.0

Table 5-1-E: Religious Exemption

Yes

1

0.3

No

305

99.3

Unknown

1

0.3

Total

307 100.0

Table 5-1-A: Immunization Coverage Rates by Vaccine Antigen--District 5-1, 2015

2015 (%)

UTD immunization rate*

87.9

3 Hepatitis B

90.6

2 MMR

90.2

4 Polio

89.6

2 Varicella**

90.7

1 Tdap

89.9

1 MCV4

89.6

1 HPV

29.3

3 HPV

8.5

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 5-1-D). Only 0.3 percent of students had a religious exemption (Table 5-1-E).
Coverage rates among males and females were similar for all vaccines (Table 5-1-F).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, six students had either physician-diagnosed or a history of varicella illness.

Table 5-1-F: Sample Population by Gender & Vaccine Coverage Rates District 5-1, 2015

District sam-
ple of 7th
graders n=307 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 5-1 Rates

90.6

90.2 89.6

90.7

89.9 89.6 29.3

8.5

87.9

Male (n=159)

51.8

89.9

89.9 89.3

90.4

89.3 89.3 28.9

7.5

88.1

Female (n=147)

47.9

91.2

90.5 89.8

91.0

90.5 89.8 29.3

9.5

88.4

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There was 1 student that had an unknown gender status

33

District 5-2
2015 Georgia Adolescent Immunization Study Report

Kelly Duke

District 5-2 Data Collection Team Immunization Program Consultant

County

Number in Sample

Baldwin Bibb Crawford Hancock Houston Jasper Jones Monroe Peach Putnam Twiggs Washington Wilkinson
District 5-2 District UTD State of Georgia
State UTD

41 132 13 26 39 13 27
0 27 26 10 13 13 380 93.9% 6521 89.9%

Jasper Putnam

Hancock

Monroe

Baldwin Jones

Washington

Bibb Crawford

Wilkinson Twiggs

Peach

Houston

34

District 5-2
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 5-2 was 93.9 percent (Table 5-2-A).
The final study sample for District 5-2 was made up of 380 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 51.3 percent were male and 48.7 percent were female (Table 5-2-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 52-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 5-2-B: Gender

Male

195

51.3

Female

185

48.7

Unknown

0

0.0

Total

380 100.0

Table 5-2-D: Medical Exemption

Yes

0

0.0

No

379

99.7

Unknown

1

0.0

Total

380 100.0

Table 5-2-C: School Waiver Period

Yes

0

0.0

No

379

99.7

Unknown

1

0.0

Total

380 100.0

Table 5-2-E: Religious Exemption

Yes

14

3.7

No

365

96.1

Unknown

1

0.3

Total

380 100.0

Table 5-2-A: Immunization Coverage Rates by Vaccine Antigen--District 5-2, 2015

2015 (%)

UTD immunization rate*

93.9

3 Hepatitis B

97.6

2 MMR

97.1

4 Polio

96.6

2 Varicella**

95.5

1 Tdap

96.1

1 MCV4

95.8

1 HPV

47.6

3 HPV

16.3

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 5-2-D). Only 3.7 percent of students had a religious exemption (Table 5-2-E).
Coverage rates among males and females were similar for all vaccines except for 3 doses of HPV (Table 5-2-F). More females received 3 doses of HPV than males (18.9 percent vs. 13.8 percent).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, no students had either physician-diagnosed or a history of varicella illness.

Table 5-2-F: Sample Population by Gender & Vaccine Coverage Rates District 5-2, 2015

District sample of 7th graders n=380 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 5-2 Rates

97.6

97.1 96.6

95.5

96.1 95.8 47.6 16.3 93.9

Male (n=195)

51.3

97.4

96.9 96.4

95.9

95.4 94.9 47.7 13.8 93.3

Female (n=185)

48.7

97.8

97.3 96.8

95.1

96.8 96.8 47.6 18.9 94.6

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4 **Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they were included in the UTD rate

35

District 6-0
2015 Georgia Adolescent Immunization Study Report

Shelia Fultz

District 6-0 Data Collection Team Immunization Program Consultant

County

Number in Sample

Burke

38

Columbia

91

Emanuel

26

Glascock

13

Jefferson

23

Jenkins

0

Lincoln

0

McDuffie

13

Richmond

138

Screven

13

Taliaferro

0

Warren

13

Wilkes

13

District 6-0 381

District UTD 91.3%

State of Georgia 6521

State UTD 89.9%

Wilkes

Lincoln

Taliaferro

Columbia

McDuffie
Warren

Richmond

Glascock

Jefferson

Burke

Jenkins Emanuel

Screven

36

District 6-0
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 6-0 was 91.3 percent (Table 6-0-A).
The final study sample for District 6-0 was made up of 381 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 51.4 percent were male and 48.0 percent were female (Table 6-0-B).
Only 0.3 percent of the students in the final sample were found to be in the school "waiver" period (Table 6-0-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 6-0-B: Gender

Male

196

51.4

Female

183

48.0

Unknown

2

0.5

Total

381 100.0

Table 6-0-D: Medical Exemption

Yes

0

0.0

No

381

100.0

Unknown

0

0.0

Total

381 100.0

Table 6-0-C: School Waiver Period

Yes

1

0.3

No

380

99.7

Unknown

0

0.0

Total

381 100.0

Table 6-0-E: Religious Exemption

Yes

2

0.5

No

379

99.5

Unknown

0

0.0

Total

381 100.0

Table 6-0-A: Immunization Coverage Rates by Vaccine Antigen--District 6-0, 2015

2015 (%)

UTD immunization rate*

91.3

3 Hepatitis B

96.3

2 MMR

96.6

4 Polio

95.0

2 Varicella**

94.8

1 Tdap

93.2

1 MCV4

93.4

1 HPV

44.6

3 HPV

18.1

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 6-0-D). Only 0.5 percent of students had a religious exemption (Table 6-0-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose and 3 doses of HPV (Table 6-0-F). More females received 1 dose of HPV and 3 doses of HPV than males (49.7 percent vs. 40.3 percent; 20.2 percent vs. 16.3 percent, respectively).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, no students had either physician-diagnosed or a history of varicella illness.

Table 6-0-F: Sample Population by Gender & Vaccine Coverage Rates District 6-0, 2015

District sam-
ple of 7th
graders n=381 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 6-0 Rates

96.3

96.6 95.0

94.8

93.2 93.4 44.6 18.1 91.3

Male (n=196)

51.4

96.4

96.4 95.4

94.4

92.9 92.9 40.3 16.3 91.8

Female (n=183)

48.0

96.7

97.3 95.1

95.6

94.0 94.5 49.7 20.2 91.3

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 2 students that had an unknown gender status

37

District 7-0
2015 Georgia Adolescent Immunization Study Report

Libby Massiah

District 7-0 Data Collection Team Immunization Program Consultant

County

Number in Sample

Chattahoochee

12

Clay

13

Crisp

24

Dooly

26

Harris

14

Macon

18

Marion

12

Muscogee

160

Quitman

12

Randolph

0

Schley

0

Stewart

12

Sumter

38

Talbot

0

Taylor

13

Webster

12

District 7-0 366

District UTD 91.5%

State of Georgia 6521

State UTD 89.9%

Harris

Talbot

Muscogee

Taylor

Chatta- Marion hoochee

Macon

Schley

Stewart

Webster

Quitman
Randolph

Sumter

Dooly Crisp

Clay

38

District 7-0
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 7-0 was 91.5 percent (Table 7-0-A).
The final study sample for District 7-0 was made up of 366 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 50.8 percent were male and 48.4 percent were female (Table 7-0-B).
Only 0.5 percent of the students in the final sample were found to be in the school "waiver" period (Table 7-0-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 7-0-B: Gender

Male

186

50.8

Female

177

48.4

Unknown

3

0.8

Total

366 100.0

Table 7-0-D: Medical Exemption

Yes

0

0.0

No

365

99.7

Unknown

1

0.3

Total

366 100.0

Table 7-0-C: School Waiver Period

Yes

2

0.5

No

364

99.5

Unknown

0

0.0

Total

366 100.0

Table 7-0-E: Religious Exemption

Yes

2

0.5

No

364

99.5

Unknown

0

0.0

Total

366 100.0

Table 7-0-A: Immunization Coverage Rates by Vaccine Antigen--District 7-0, 2015

2015 (%)

UTD immunization rate*

91.5

3 Hepatitis B

95.9

2 MMR

96.2

4 Polio

95.6

2 Varicella**

94.5

1 Tdap

94.0

1 MCV4

94.5

1 HPV

57.1

3 HPV

19.9

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 7-0-D). Only 0.5 percent of students had a religious exemption (Table 7-0-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose and 3 doses of HPV (Table 7-0-F). More females received 1 dose of HPV and 3 doses of HPV than males (62.1 percent vs. 53.2 percent; 22.6 percent vs. 17.7 percent, respectively).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, three students had either physician-diagnosed or a history of varicella illness.

Table 7-0-F: Sample Population by Gender & Vaccine Coverage Rates District 7-0, 2015

District sam-
ple of 7th
graders n=366 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 7-0 Rates

95.9

96.2 95.6

94.5

94.0 94.5 57.1 19.9 91.5

Male (n=186)

50.8

96.2

96.2 95.7

95.1

94.6 94.6 53.2 17.7 93.5

Female (n=177)

48.4

96.0

96.6 96.0

94.3

93.8 94.9 62.1 22.6 89.8

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 3 students that had an unknown gender status

39

District 8-1
2015 Georgia Adolescent Immunization Study Report

District 8-1 Data Collection Team

Jenny Howell

Immunization Program Consultant

County

Number in Sample

Ben Hill

23

Berrien

20

Brooks

23

Cook

23

Echols

23

Irwin

23

Lanier

23

Lowndes

114

Tift

46

Turner

22

District 8-1 340

District UTD 95.6%

State of Georgia 6521

State UTD 89.9%

Turner Tift

Ben Hill Irwin

Berrien

Cook

Lanier

Brooks

Lowndes Echols

40

District 8-1
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 8-1 was 95.6 percent (Table 8-1-A).
The final study sample for District 8-1 was made up of 340 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 48.2 percent were male and 50.9 percent were female (Table 8-1-B).
Only 0.6 percent of the students in the final sample were found to be in the school "waiver" period (Table 8-1-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 8-1-B: Gender

Male

164

48.2

Female

173

50.9

Unknown

3

0.9

Total

340 100.0

Table 8-1-D: Medical Exemption

Yes

1

0.3

No

335

98.5

Unknown

4

1.2

Total

340 100.0

Table 8-1-C: School Waiver Period

Yes

2

0.6

No

335

98.5

Unknown

3

0.9

Total

340 100.0

Table 8-1-E: Religious Exemption

Yes

3

0.9

No

335

98.5

Unknown

2

0.6

Total

340 100.0

Table 8-1-A: Immunization Coverage Rates by Vaccine Antigen--District 8-1, 2015

2015 (%)

UTD immunization rate*

95.6

3 Hepatitis B

97.6

2 MMR

97.6

4 Polio

95.0

2 Varicella**

96.7

1 Tdap

97.9

1 MCV4

97.6

1 HPV

48.2

3 HPV

18.5

Within the final District sample, only 0.3 percent of the adolescents were found to have a medical exemption for one or more vaccinations (Table 8-1-D). Only 0.9 percent of students had a religious exemption (Table 8-1-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose and 3 doses of HPV vaccines (Table 8-1-F). More females received 1 dose of HPV and 3 doses of HPV than males (50.3 percent vs. 46.3 percent; 23.1 percent vs. 14.0 percent, respectively).
Of the District sample, two of the adolescents had serologic evidence of immunity--one for measles, mumps, rubella and hepatitis B; one for varicella. For the District, two students had either physician-diagnosed or a history of varicella illness.

Table 8-1-F: Sample Population by Gender & Vaccine Coverage Rates District 8-1, 2015

District sam-
ple of 7th
graders n=340 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 8-1 Rates

97.6

97.6 95.0

96.7

97.9 97.6 48.2 18.5 95.6

Male (n=164)

48.2

98.8

98.8 95.1

97.5

98.8 98.8 46.3 14.0 97.0

Female (n=173)

50.9

96.5

96.5 94.8

95.9

97.1 96.5 50.3 23.1 94.2

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 3 students that had an unknown gender status

41

District 8-2
2015 Georgia Adolescent Immunization Study Report

Lisa Jenkins

District 8-2 Data Collection Team Immunization Program Consultant

County

Number in Sample

Baker

0

Calhoun

23

Colquitt

14

Decatur

12

Dougherty

96

Early

24

Grady

36

Lee

12

Miller

12

Mitchell

36

Seminole

12

Terrell

12

Thomas

47

Worth

12

District 8-2 348

District UTD 97.4%

State of Georgia 6521

State UTD 89.9%

Terrell Lee

Calhoun Dougherty

Early

Baker

Miller

Mitchell

Worth Colquitt

Seminole

Decatur Grady Thomas

42

District 8-2
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 8-2 was 97.4 percent (Table 8-2-A).
The final study sample for District 8-2 was made up of 348 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 48.3 percent were male and 51.7 percent were female (Table 8-2-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 82-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 8-2-B: Gender

Male

168

48.3

Female

180

51.7

Unknown

0

0.0

Total

348 100.0

Table 8-2-D: Medical Exemption

Yes

0

0.0

No

348

100.0

Unknown

0

0.0

Total

348 100.0

Table 8-2-C: School Waiver Period

Yes

0

0.0

No

348

100.0

Unknown

0

0.0

Total

348 100.0

Table 8-2-E: Religious Exemption

Yes

2

0.6

No

345

99.1

Unknown

1

0.3

Total

348 100.0

Table 8-2-A: Immunization Coverage Rates by Vaccine Antigen--District 8-2, 2015

2015 (%)

UTD immunization rate*

97.4

3 Hepatitis B

99.1

2 MMR

99.4

4 Polio

98.9

2 Varicella**

98.8

1 Tdap

98.3

1 MCV4

98.3

1 HPV

52.3

3 HPV

16.7

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 8-2-D). Only 0.6 percent of students had a religious exemption (Table 8-2-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose and 3 doses of HPV (Table 8-2-F). More females received 1 dose of HPV and 3 doses of HPV than males (55.6 percent vs. 48.8 percent; 19.4 percent vs. 13.7 percent, respectively).
Of the District sample, none of the adolescents had serologic evidence of immunity. For the District, one student had either physician-diagnosed or a history of varicella illness.

Table 8-2-F: Sample Population by Gender & Vaccine Coverage Rates District 8-2, 2015

District sample of 7th graders n=348 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 8-2 Rates

99.1

99.4 98.9

98.8

98.3 98.3 52.3 16.7 97.4

Male (n=168)

48.3

98.8

98.8 97.6

98.2

98.2 98.2 48.8 13.7 97.6

Female (n=180)

51.7

99.4

100.0 100.0

99.4

98.3 98.3 55.6 19.4 97.2

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4 **Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they were included in the UTD rate

43

District 9-1
2015 Georgia Adolescent Immunization Study Report

District 9-1 Data Collection Team

Georgia Dittmar

Immunization Program Consultant

Effingham

County

Number in Sample

Bryan

30

Camden

0

Chatham

198

Effingham

26

Glynn

69

Liberty

23

Long

13

McIntosh

13

District 9-1 372

District UTD 89.2%

State of Georgia 6521

State UTD 89.9%

Bryan Chatham Liberty Long
McIntosh Glynn Camden
44

District 9-1
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 9-1 was 89.2 percent (Table 9-1-A).
The final study sample for District 9-1 was made up of 372 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 52.7 percent were male and 46.5 percent were female (Table 9-1-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 91-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 9-1-B: Gender

Male

196

52.7

Female

173

46.5

Unknown

3

0.3

Total

372 100.0

Table 9-1-D: Medical Exemption

Yes

0

0.0

No

343

92.2

Unknown

29

7.8

Total

372 100.0

Table 9-1-C: School Waiver Period

Yes

0

0.0

No

344

92.5

Unknown

28

7.5

Total

372 100.0

Table 9-1-E: Religious Exemption

Yes

2

0.5

No

342

91.9

Unknown

28

7.5

Total

372 100.0

Table 9-1-A: Immunization Coverage Rates by Vaccine Antigen--District 9-1, 2015

2015 (%)

UTD immunization rate*

89.2

3 Hepatitis B

96.5

2 MMR

96.0

4 Polio

93.8

2 Varicella**

92.7

1 Tdap

94.1

1 MCV4

92.5

1 HPV

44.1

3 HPV

17.5

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 9-1-D). Only 0.5 percent of students had a religious exemption (Table 9-1-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose and 3 doses of HPV (Table 9-1-F). More females received 1 dose of HPV and 3 doses of HPV than males (50.9 percent vs. 38.3 percent; 20.2 percent vs. 14.8 percent, respectively).
Of the District sample, six of the adolescents had serologic evidence of immunity--one for measles, mumps, rubella, hepatitis B and varicella; five for varicella alone. For the District, no students had either physiciandiagnosed or a history of varicella illness.

Table 9-1-F: Sample Population by Gender & Vaccine Coverage Rates District 9-1, 2015

District sam-
ple of 7th
graders n=372 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 9-1 Rates

96.5

96.0 93.8

92.7

94.1 92.5 44.1 17.5 89.2

Male (n=196)

52.7

98.0

97.4 95.4

94.9

94.9 93.4 38.3 14.8 90.8

Female (n=173)

46.5

94.8

94.2 91.9

90.2

93.6 91.9 50.9 20.2 87.9

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 3 students that had an unknown gender status

45

District 9-2
2015 Georgia Adolescent Immunization Study Report

Lorie Banks

District 9-2 Data Collection Team Immunization Program Consultant

County

Number in Sample

Appling

20

Atkinson

13

Bacon

12

Brantley

0

Bulloch

74

Candler

14

Charlton

12

Clinch

12

Coffee

24

Evans

25

Jeff Davis

12

Pierce

12

Tattnall

36

Toombs

36

Ware

36

Wayne

24

District 9-2 362

District UTD 89.0%

State of Georgia 6521

State UTD 89.9%

Bulloch Candler

Toombs

Evans

Tattnall

Jeff Davis

Appling

Coffee Atkinson

Bacon

Wayne

Pierce

Ware

Brantley

Clinch

Charlton

46

District 9-2
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 9-2 was 89.0 percent (Table 9-2-A).
The final study sample for District 9-2 was made up of 362 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 50.8 percent were male and 48.6 percent were female (Table 9-2-B).
Only 0.3 percent of the students in the final sample were found to be in the school "waiver" period (Table 9-2-C) and were incomplete on their schoolrequired immunizations because they were newly enrolled.

Table 9-2-B: Gender

Male

184

50.8

Female

176

48.6

Unknown

2

0.6

Total

362 100.0

Table 9-2-D: Medical Exemption

Yes

0

0.0

No

362

100.0

Unknown

0

0.0

Total

362 100.0

Table 9-2-C: School Waiver Period

Yes

1

0.3

No

361

99.7

Unknown

0

0.0

Total

362 100.0

Table 9-2-E: Religious Exemption

Yes

3

0.8

No

359

99.2

Unknown

0

0.0

Total

362 100.0

Table 9-2-A: Immunization Coverage Rates by Vaccine Antigen--District 9-2, 2015

2015 (%)

UTD immunization rate*

89.0

3 Hepatitis B

97.8

2 MMR

97.2

4 Polio

96.7

2 Varicella**

96.6

1 Tdap

92.3

1 MCV4

90.3

1 HPV

40.1

3 HPV

16.0

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 9-2-D). Only 0.8 percent of students had a religious exemption (Table 9-2-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose of HPV (Table 9-2-F). More females received 1 dose of HPV than males (44.3 percent vs. 35.9 percent).
Of the District sample, one of the adolescents had serologic evidence of immunity--one for mumps. For the District, four students had either physician-diagnosed or a history of varicella illness.

Table 9-2-F: Sample Population by Gender & Vaccine Coverage Rates District 9-2, 2015

District sam-
ple of 7th
graders n=362 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 9-2 Rates

97.8

97.2 96.7

96.6

92.3 90.3 40.1 16.0 89.0

Male (n=184)

50.8

97.3

96.7 95.1

96.2

91.8 90.2 35.9 15.8 89.1

Female (n=176)

48.6

98.3

97.7 98.3

97.1

92.6 90.3 44.3 15.9 88.6

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There were 2 students that had an unknown gender status

47

District 10-0
2015 Georgia Adolescent Immunization Study Report

District 10 Data Collection Team

Angie Webster

Immunization Program Consultant

County

Number in Sample

Barrow

65

Clarke

84

Elbert

14

Greene

13

Jackson

44

Madison

13

Morgan

13

Oconee

65

Oglethrope

13

Walton

52

District 10 376

District UTD 87.0%

State of Georgia 6521

State UTD 89.9%

Jackson

Madison

Elbert

Barrow Walton

Clarke Oconee

Oglethorpe

Morgan

Greene

48

District 10-0
Georgia Adolescent Immunization Study Report, p2

For the 2015 GAIS, the UTD immunization rate for 7th grade adolescents in District 10-0 was 87.0 percent (Table 10-0-A).
The final study sample for District 10-0 was made up of 376 seventh graders. The tables to the right show a breakdown of the different variables the GAIS study collected. Of all the students in the District sample, 54.3 percent were male and 45.5 percent were female (Table 10-0-B).
None of the students in the final sample were found to be in the school "waiver" period (Table 10-0-C) and were incomplete on their school-required immunizations because they were newly enrolled.

Table 10-0-B: Gender

Male

204

54.3

Female

171

45.5

Unknown

1

0.3

Total

376 100.0

Table 10-0-D: Medical Exemption

Yes

0

0.0

No

376

100.0

Unknown

0

0.0

Total

376 100.0

Table 10-0-C: School Waiver Period

Yes

0

0.0

No

376

100.0

Unknown

0

0.0

Total

376 100.0

Table 10-0-E: Religious Exemption

Yes

5

1.3

No

371

98.7

Unknown

0

0.0

Total

376 100.0

Table 10-0-A: Immunization Coverage Rates by Vaccine Antigen--District 10-0, 2015

2015 (%)

UTD immunization rate*

87.0

3 Hepatitis B

98.4

2 MMR

98.4

4 Polio

95.2

2 Varicella**

98.6

1 Tdap

90.4

1 MCV4

89.9

1 HPV

40.4

3 HPV

12.5

Within the final District sample, none of the adolescents were found to have a medical exemption for one or more vaccinations (Table 10-0-D). Only 1.3 percent of students had a religious exemption (Table 10-0-E).
Coverage rates among males and females were similar for all vaccines except for 1 dose and 3 doses of HPV (Table 10-0-F). More females received 1 dose of HPV and 3 doses of HPV than males (46.2 percent vs. 35.3 percent; 18.7 percent vs. 7.4 percent, respectively).
Of the District sample, two of the adolescents had serologic evidence of immunity--one for measles, mumps and rubella; one for varicella. For the District, seven students had either physician-diagnosed or a history of varicella illness.

Table 10-0-F: Sample Population by Gender & Vaccine Coverage Rates District 10-0, 2015

District sam-
ple of 7th
graders n=376 (%)

3 Hepatitis B

2 MMR

4 Polio 2 Varicella**

1 Tdap

1 MCV4

1 HPV

3 HPV

UTD* (%)

District 10-0 Rates

98.4

98.4 95.2

98.6

90.4 89.9 40.4 12.5 87.0

Male (n=204)

204

99.5

99.5 96.1

99.5

89.2 89.7 35.3

7.4

85.8

Female (n=171)

171

97.1

97.1 94.2

97.6

91.8 90.1 46.2 18.7 88.3

*An adolescent was classified as UTD if they had received the following: 2 MMR, 2 Varicella, 3 Hepatitis B, 1 Tdap and 1 MCV4
**Those who had physician diagnosed or history of varicella illness were not included in the Varicella coverage rate. However, they
were included in the UTD rate There was 1 student that had an unknown gender status

49

50

Appendices
Georgia Adolescent Immunization Study, 2015
i

ii

Appendix A: Margins of Error

Appendix Table A: Margin of Error for UTD Immunization Rates by District, Georgia, 2015

District

Final Sample (n)

Immunization Rate

1Immunization
Rate

Margin of Error*

95% Confidence Intervals

1-1 Northwest (Rome)

393

92.9

7.1

1.3%

90.4% - 95.4%

1-2 North Georgia (Dalton)

320

83.1

16.9

2.1%

79.0% - 87.2%

2-0 North (Gainesville)

344

83.7

16.3

2.0%

79.8% - 87.6%

3-1 Cobb-Douglas

373

87.4

12.6

1.7%

84.0% - 90.8%

3-2 Fulton

391

91.6

8.4

1.4%

88.9% - 94.3%

3-3 Clayton

316

86.4

13.6

1.9%

82.6% - 90.2%

3-4 Gwinnett, Newton, Rockdale

390

88.2

11.8

1.6%

85.0% - 91.4%

3-5 DeKalb

378

88.9

11.1

1.6%

85.7% - 92.1%

4-0 LaGrange

384

91.1

8.9

1.5%

88.3% - 93.9%

5-1 South Central (Dublin)

307

87.9

12.1

1.9%

84.3% - 91.5%

5-2 North Central (Macon)

380

93.9

6.1

1.2%

91.5% - 96.3%

6-0 East Central (Augusta)

381

91.3

8.7

1.4%

88.5% - 94.1%

7-0 West Central (Columbus)

366

91.5

8.5

1.5%

88.6% - 94.4%

8-1 South (Valdosta)

340

95.6

4.4

1.1%

93.4% - 97.8%

8-2 Southwest (Albany)

348

97.4

2.6

0.9%

95.7% - 99.1%

9-1 Coastal (Savannah)

372

89.2

10.8

1.6%

86.0% - 92.4%

9-2 Southeast (Waycross)

362

89.0

11.0

1.6%

85.8% - 92.2%

10-0 Northeast (Athens)

376

87.0

13.0

1.7%

83.6% - 90.4%

Georgia

6521

89.9

10.1

0.4%

89.2% - 90.6%

*The margin of error (MOE) is a statistic conveying the amount of random sampling error in a survey's results. It expresses the maximum expected difference between the true population parameter and a sample estimate of that parameter. The larger the MOE around an estimated value, the less accurate the estimated value is.

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Appendix B: Frequency of Exemptions

Appendix Table B: Frequency of Exemptions and Within School Waiver Period Status by District Georgia, 2015

A.Religious Exemption B.Medical Exemption C.Within School Waiver Period

District 1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2-0 North (Gainesville) 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton 3-4 Gwinnett, Newton, Rockdale 3-5 DeKalb 4-0 LaGrange 5-1 South Central (Dublin) 5-2 North Central (Macon) 6-0 East Central (Augusta) 7-0 West Central (Columbus) 8-1 South (Valdosta) 8-2 Southwest (Albany) 9-1 Coastal (Savannah) 9-2 Southeast (Waycross) 10-0 Northeast (Athens)
Georgia

Sample

A

B

C

Total

393

3

0

0

3

320

24

0

0

24

344

12

1

0

13

373

7

0

2

9

391

5

0

0

5

316

3

0

3

6

390

5

0

1

6

378

11

1

0

12

384

6

1

3

10

307

1

0

0

1

380

14

0

0

14

381

2

0

1

3

366

2

0

2

4

340

3

1

2

6

348

2

0

0

2

372

2

0

0

2

362

3

0

1

4

376

5

0

0

5

6521

110

4

15

129

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Appendix C: District Immunization Measures by Vaccine-Antigen

Appendix Table C: Vaccine Antigen-Specific Immunization Measures by District, Georgia 2015 Highest Rate

District
1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2-0 North (Gainesville) 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton 3-4 East Metro (Lawrenceville 3-5 DeKalb 4-0 LaGrange 5-1 South Central (Dublin) 5-2 North Central (Macon) 6-0 East Central (Augusta) 7-0 West Central (Columbus) 8-1 South (Valdosta) 8-2 Southwest (Albany) 9-1 Coastal (Savannah) 9-2 Southeast (Waycross) 10-0 Northeast (Athens) Georgia

3 Hep B
(%)

2 MMR(%)

4 Polio (%)

98.7 98.5 95.2

95.9 95.3 92.5

95.9 95.3 94.2

97.6 97.9 96.2

97.7 97.4 95.9

95.9 96.2 94.9

97.2 97.4 95.4

95.8 95.8 92.3

97.9 97.9 97.4

90.6 90.2 89.6

97.6 97.1 96.6

96.3 96.6 95.0

95.9 96.2 95.6

97.6 97.6 95.0

99.1 99.4 98.9

96.5 96.0 93.8

97.8 97.2 96.7

98.4 98.4 95.2

96.9 96.8 95.1

2 Varicella
(%) 96.2 92.8 95.2 97.0 97.1 95.8 97.9 94.1 96.1 90.7 95.5 94.8 94.5 96.7 98.8 92.7 96.6 98.6 95.7

1 Tdap (%) 96.7 85.9 90.1 90.9 95.7 89.2 90.8 92.9 94.3 89.9 96.1 93.2 94.0 97.9 98.3 94.1 92.3 90.4 93.0

1 MCV4
(%) 95.7 85.0 88.4 90.6 95.4 88.9 91.8 91.5 93.5 89.6 95.8 93.4 94.5 97.6 98.3 92.5 90.3 89.9 92.5

1 HPV (%) 44.8 39.7 29.9 37.0 41.9 44.6 40.8 42.3 37.8 29.3 47.6 44.6 57.1 48.2 52.3 44.1 40.1 40.4 42.5

3 HPV (%) 18.8 11.9 14.2 9.7 12.8 11.7 14.9 12.4 13.5 8.5 16.3 18.1 19.9 18.5 16.7 17.5 16.0 12.5 14.8

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Additional Resources For more information about the Georgia Department of Public Health Immunization Program, please visit the following website: http://dph.georgia.gov/immunization-section For past Georgia Immunization Study Final Reports, please visit the following website: http://dph.georgia.gov/immunization-publications For more information about the Georgia Department of Public Health Acute Disease Epidemiology Unit, please visit the following website: http://dph.georgia.gov/acute-disease-epidemiology For more information about the Centers for Disease Control and Prevention's (CDC) National Immunization Survey (NIS), please visit the following website: http://www.cdc.gov/nchs/nis.htm To access current vaccine schedules, vaccine information sheets and other immunization materials, please visit the Immunization Action Coalition website: http://www.immunize.org
For questions relating specifically to this document, please email the editor at Jessica.Tuttle@dph.ga.gov
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