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." 1 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 3 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 4 Section I Project Overview Georgia Adolescent Immunization Study, 2015 5 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 6 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 7 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 8 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 11 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 12 Section III Health District Adolescent Immunization Reports Georgia Adolescent Immunization Study, 2015 13 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 14 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 15 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 16 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 17 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 18 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 19 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 20 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. iii 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 iv 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 v 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 vi vii