Georgia adolescent immunization study, 2016 [2016]

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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 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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Table of Contents
Contents Acknowledgements 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 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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Section I Project Overview
Georgia Adolescent Immunization Study, 2016
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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 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 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 2016 GAIS study began January 15, 2016 and lasted for three months. A two-stage cluster-sampling scheme was developed to randomly select the study sample. Stage one of the cluster sampling scheme involved randomly selecting up to 30 middle schools from each of the 18 Health Districts. The number of schools sampled from each district was determined using the following factors:
A) target population size per district B) estimated percent response rate C) estimate design effect D) confidence coefficient E) 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 2016 GAIS included all 7th grade children in the State of Georgia during the 2015-2016 school year. A sample of 6,191 seventh 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. Once at a school, the IPC obtained an alphabetized roster of all current 7th graders attending that school. Using the total number of seventh graders, a random number generator was applied to randomly select the 13 students chosen as the 2016 GAIS sample.

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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 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 out from GRITS for school record.
Step #3: Input children to data collection website A record was then created by the IPC for each child in the GAIS website. Information collected included first and last name, date of birth, county, school, exemption and waiver status and lab confirmation of immunity. A blank vaccine list was also available in the GAIS record for the IPC to either: 1) 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 SAS 9.4 software.

Data Analysis Analyses were done using SAS 9.4 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 3 doses of Hepatitis B, 2 doses of MMR, 2 doses of Varicella, 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 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.
2. Some IPCs had less than 30 middle schools in their District and were forced to sample all the middle schools in the District. Larger Districts were only required to sample 30 schools, due to time and resource restraints, and therefore many schools were not sampled which may have affected the results of the study.

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Section II Statewide Results
Georgia Adolescent Immunization Study, 2016
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State of Georgia
2016 Georgia Adolescent Immunization Study Report

Fabio R. Machado, MPH Jessica Tuttle, MD

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

Metro Atlanta Districts

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State of Georgia
2016 Georgia Adolescent Immunization Study Report

The 2016 Georgia Adolescent Immunization Study (GAIS) sampled 6,191 adolescents in seventh grade (Table 1).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for 7th graders in Georgia was 94.7% for 2016. Overall, females were slightly more likely to be UTD than males. Immunization rates that decreased from the previous year are bolded (Table 1).
Coverage rates among male and female adolescents were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (47.4% vs. 41.3%). A higher number of female adolescents received 3 doses of HPV vaccine than male adolescents (16.2% vs 13.3%)(Table 1).
In the overall State sample, 5 adolescents had serologic evidence of immunity-- 3 for Varicella, 1 for MMR, and 1 for Hepatitis B. Statewide, 43 students had either physician-diagnosed or a history of varicella illness (not shown).

Table 1: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender, 2016

2015

2016

Overall n=6,521
(%)

Overall n=6,191
(%)

Male n=3,089
(%)

Female n=2,971
(%)

UTD rate*

90.7 0.7 94.7 0.6 95.0 0.8 96.2 0.7

3 Hepatitis B 96.9 0.4 97.7 0.4 98.7 0.4 98.7 0.4

2 MMR

96.8 0.4 97.6 0.4 98.4 0.4 98.6 0.4

2 Varicella** 94.5 0.6 96.5 0.5 97.2 0.6 97.7 0.5

1 Tdap

93.0 0.6 96.1 0.5 96.8 0.6 97.2 0.6

1 MCV4

92.5 0.6 96.0 0.5 96.5 0.6 97.2 0.6

4 Polio

95.1 0.5 96.0 0.5 96.5 0.6 97.1 0.6

1 HPV

42.5 1.2 43.8 1.2 41.3 1.7 47.4 1.8

3 HPV

14.8 0.9 14.5 0.9 13.3 1.2 16.2 1.3

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 131 students that had an unknown or missing gender status.

Of the 6,191 seventh graders sampled, 49.9% were male, 48.0% were female and 2.1% had missing gender information (Table 2).
Transfer students with incomplete immunization records have a 30-day waiver period to meet immunization requirements. Only 15 (0.2%) of the students in the final sample were found to be in the school "waiver" period, meaning they were incomplete on their schoolrequired immunizations because they were newly enrolled (Table 2).
Within the final study sample, 10 (0.2%) of the adolescents were found to have a medical exemption for one or more vaccinations and 115 (1.9%) had a religious exemption on file (Table 2).

Table 2: Gender, School Waiver and Exemptions among Georgia Adolescents, 2016 (n=6,191)

n

Percent of sample (%)

Gender

Male

3,089

49.9

Female

2,971

48.0

Missing or unknown gender

131

2.1

School waiver

Within waiver period

15

0.2

Not within waiver period

6,176

99.8

Medical Exemptions

Medical exemption

10

0.2

No medical exemption

6,181

99.8

Religious Exemptions

Religious exemption

115

1.9

No religious exemption

6,076

98.1

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Section III Health District Adolescent
Immunization Reports
Georgia Adolescent Immunization Study, 2016
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District 1-1
2016 Georgia Adolescent Immunization Study Report

District 1-1 Data Collection Team

Rick Naus

Immunization Program Consultant

County
Bartow Catoosa Chattooga
Dade Floyd Gordon Haralson Paulding Polk Walker
District 1-1 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample
40 39 27 13 69 24 13 70 13 55 363 96.1% 6,191 94.7%

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District 1-1
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 363 adolescents in seventh grade from District 1-1 (Table 1-1-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 1-1 was 96.1% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 1-1-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (47.8% vs. 40.1%). A higher number of female adolescents received 3 doses of HPV vaccine than male adolescents (12.4% vs 7.0%) (Table 1 -1-A).
Of the 363 seventh graders sampled from District 1-1, 47.4% were male and 51.2% were female. The gender for five students (1.4%) was unknown or missing (Table 1-1-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 1-1-B).
None of the adolescents in the District 1-1 sample were found to have a medical exemption for one or more vaccinations. Eight adolescents (2.2%) had a religious exemption on file (Table 1-1-B).

Table 1-1-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 1-1, 2016

State

District 1-1

Overall n=6,191
(%)

Overall n=363
(%)

Male n=172
(%)

Female n=186
(%)

UTD rate*

94.7 0.6 96.1 2.0 96.5 2.7 97.3 2.3

3 Hepatitis B 97.7 0.4 98.6 1.2 100 0.0 98.9 1.5

2 MMR

97.6 0.4 98.3 1.3 100 0.0 98.4 1.8

2 Varicella** 96.5 0.5 97.0 1.8 97.7 2.3 97.8 2.1

1 Tdap

96.1 0.5 97.2 1.7 98.8 1.6 97.3 2.3

1 MCV4

96.0 0.5 97.2 1.7 98.3 2.0 97.8 2.1

4 Polio

96.0 0.5 97.0 1.8 97.7 2.3 97.8 2.1

1 HPV

43.8 1.2 43.8 5.1 40.1 7.3 47.8 7.2

3 HPV

14.5 0.9 9.9 3.1 7.0 3.8 12.4 4.7

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 or missing gender status.

Table 1-1-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 1-1, 2016 (n=363)

n

Percent of sample (%)

Gender

Male

172

47.4

Female

186

51.2

Missing or unknown gender

5

1.4

School waiver

Within waiver period

0

0

Not within waiver period

363

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

363

Religious Exemptions

100.0

Religious exemption

8

2.2

No religious exemption

355

97.8

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District 1-2
2016 Georgia Adolescent Immunization Study Report

District 1-2 Data Collection Team

Jennifer Hooker

Immunization Program Consultant

County
Cherokee Fannin Gilmer Murray Pickens
Whitfield District 1-2
District UTD Rate State of Georgia State UTD Rate

Number in Final Sample
146 25 12 1 32
110 326 90.5% 6,191 94.7%

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District 1-2
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 326 adolescents in seventh grade from District 1-2 (Table 1-2-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 1-2 was 90.5% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 1-2-A).
Coverage rates among male and female seventh graders were similar for all vaccines. (Table 1-2-A).
Of the 326 seventh graders sampled from District 1-2, 51.5% were male and 46.9% were female. The gender for five students (1.5%) was unknown or missing (Table 1-2-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 1-2-B).
None of the adolescents in the District 1-2 sample were found to have a medical exemption for one or more vaccinations. Seventeen adolescents (5.2%) had a religious exemption on file (Table 1-2-B).

Table 1-2-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 1-2, 2016

State

District 1-2

Overall n=6,191
(%)

2016 n=326
(%)

Male n=168
(%)

Female n=153
(%)

UTD rate*

94.7 0.6 90.5 3.2 89.3 4.7 94.1 3.7

3 Hepatitis B 97.7 0.4 96.0 2.1 97.0 2.6 96.7 2.8

2 MMR

97.6 0.4 95.1 2.3 95.8 3.0 96.1 3.1

2 Varicella** 96.5 0.5 93.9 2.6 94.0 3.6 95.4 3.3

1 Tdap

96.1 0.5 92.6 2.8 92.3 4.0 95.4 3.3

1 MCV4

96.0 0.5 91.4 3.0 90.5 4.4 94.8 3.5

4 Polio

96.0 0.5 92.0 2.9 91.7 4.2 94.1 3.7

1 HPV

43.8 1.2 39.9 5.3 39.3 7.4 41.8 7.8

3 HPV

14.5 0.9 14.1 3.8 13.1 5.1 15.7 5.8

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 or missing gender status.

Table 1-2-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 1-2, 2016 (n=326)

n

Percent of sample (%)

Gender

Male

168

51.5

Female

153

46.9

Missing or unknown gender

5

1.5

School waiver

Within waiver period

0

0

Not within waiver period

326

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

363

Religious Exemptions

100.0

Religious exemption

17

5.2

No religious exemption

309

94.8

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District 2-0
2016 Georgia Adolescent Immunization Study Report

District 2-0 Data Collection Team

Jennifer Hooker

Immunization Program Consultant

County
Banks Dawson Forsyth Franklin Habersham
Hall Hart Lumpkin Rabun Stephens Towns Union White
District 2-0 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample
0 27 105
0 39 110
8 0 13 13 13 3 13 344 94.8% 6,191 94.7%

Union

Lumpkin

White Habersham Stephens

Hall

Banks Franklin Hart

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District 2-0
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 344 adolescents in seventh grade from District 2-0 (Table 2-0-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 2-0 was 94.8% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 2-0-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (40.1% vs. 29.2%) (Table 2-0-A).
Of the 344 seventh graders sampled from District 2-0, 49.7% were male and 48.5% were female. The gender for six students (1.7%) was unknown or missing (Table 2-0-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 2-0-B).
None of the adolescents in the District 2-0 sample were found to have a medical exemption for one or more vaccinations. Fourteen adolescents (4.1%) had a religious exemption on file (Table 2-0-B).

Table 2-0-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 2-0, 2016

State

District 2-0

Overall n=6,191
(%)

2016 n=344
(%)

Male n=171
(%)

Female n=167
(%)

UTD rate*

94.7 0.6 94.8 2.4 95.3 3.2 94.6 3.4

3 Hepatitis B 97.7 0.4 97.4 1.7 97.7 2.3 97.6 2.3

2 MMR

97.6 0.4 96.8 1.9 97.1 2.5 97.0 2.6

2 Varicella** 96.5 0.5 95.9 2.1 96.5 2.8 95.8 3.0

1 Tdap

96.1 0.5 94.8 2.4 95.3 3.2 94.6 3.4

1 MCV4

96.0 0.5 95.1 2.3 95.9 3.0 94.6 3.4

4 Polio

96.0 0.5 95.3 2.2 96.5 2.8 94.6 3.4

1 HPV

43.8 1.2 34.9 5.0 29.2 6.8 40.1 7.4

3 HPV

14.5 0.9 11.3 3.4 9.4 4.4 13.8 5.2

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 6 students that had an unknown or missing gender status.

Table 2-0-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 2-0, 2016 (n=344)

n

Percent of sample (%)

Gender

Male

171

49.7

Female

167

48.5

Missing or unknown gender

6

1.7

School waiver

Within waiver period

0

0

Not within waiver period

344

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

344

Religious Exemptions

100.0

Religious exemption

14

4.1

No religious exemption

330

95.9

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District 3-1
2016 Georgia Adolescent Immunization Study Report

District 3-1 Data Collection Team

Noreen Dahill

Immunization Program Consultant

County

Number in Final Sample

Cobb

253

Douglas

105

District 3-1

358

District UTD Rate

94.1%

State of Georgia

6,191

State UTD Rate

94.7%

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District 3-1
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 358 adolescents in seventh grade from District 3-1 (Table 3-1-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 3-1 was 94.1% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 3-1-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (51.1% vs. 44.7%) (Table 3-1-A).
Of the 358 seventh graders sampled from District 3-1, 50.0% were male and 49.2% were female. The gender for three students (0.8%) was unknown or missing (Table 3-1-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 3-1-B).

Table 3-1-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 3-1, 2016

State

District 3-1

Overall n=6,191
(%)

2016 n=358
(%)

Male n=179
(%)

Female n=176
(%)

UTD rate*

94.7 0.6 94.1 2.4 92.7 3.8 96.0 2.9

3 Hepatitis B 97.7 0.4 99.2 0.9 98.9 1.5 100 0.0

2 MMR

97.6 0.4 99.2 0.9 98.9 1.5 100 0.0

2 Varicella** 96.5 0.5 96.4 1.9 95.0 3.2 98.3 1.9

1 Tdap

96.1 0.5 95.3 2.2 94.4 3.4 96.6 2.7

1 MCV4

96.0 0.5 95.5 2.1 94.4 3.4 97.2 2.5

4 Polio

96.0 0.5 97.5 1.6 97.2 2.4 98.3 1.9

1 HPV

43.8 1.2 48.0 5.2 44.7 7.3 51.1 7.4

3 HPV

14.5 0.9 17.0 3.9 18.4 5.7 15.3 5.3

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 or missing gender status.

None of the adolescents in the District 3-1 sample were found to have a medical exemption for one or more vaccinations. Eight adolescents (2.2%) had a religious exemption on file (Table 3-1-B).

Table 3-1-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 3-1, 2016 (n=358)

n

Percent of sample (%)

Gender

Male

179

50.0

Female

176

49.2

Missing or unknown gender

3

0.8

School waiver

Within waiver period

0

0

Not within waiver period

358

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

358

100.0

Religious Exemptions

Religious exemption

8

2.2

No religious exemption

350

97.8

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District 3-2
2016 Georgia Adolescent Immunization Study Report

District 3-2 Data Collection Team

Saron Ephraim

Immunization Program Consultant

County

Number in Final Sample

Fulton

362

District 3-2

362

District UTD Rate

95.3%

State of Georgia

6,191

State UTD Rate

94.7%

25

District 3-2
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 362 adolescents in seventh grade from District 3-2 (Table 3-2-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 3-2 was 95.3% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 3-2-A).
Coverage rates among male and female seventh graders were similar for all vaccines (Table 3-2-A).
Of the 362 seventh graders sampled from District 3-2, 47.0% were male and 51.4% were female. The gender for six students (1.7%) was unknown or missing (Table 3-2-B).
One student in the sample was found to be in the school "waiver" period, meaning they were incomplete due to being newly enrolled in school (Table 3-2-B).
None of the adolescents in the District 3-2 sample were found to have a medical exemption for one or more vaccinations. Seven adolescents (1.9%) had a religious exemption on file (Table 3-2-B).

Table 3-2-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 3-2, 2016

State

District 3-2

Overall n=6,191
(%)

2016 n=362
(%)

Male n=170
(%)

Female n=186
(%)

UTD rate*

94.7 0.6 95.3 2.2 96.5 2.8 95.2 3.1

3 Hepatitis B 97.7 0.4 97.5 1.6 98.8 1.6 97.3 2.3

2 MMR

97.6 0.4 97.5 1.6 98.2 2.0 97.8 2.1

2 Varicella** 96.5 0.5 96.7 1.8 97.1 2.5 97.3 2.3

1 Tdap

96.1 0.5 96.7 1.8 97.6 2.3 96.8 2.5

1 MCV4

96.0 0.5 97.0 1.8 98.2 2.0 96.8 2.5

4 Polio

96.0 0.5 96.4 1.9 97.1 2.5 96.8 2.5

1 HPV

43.8 1.2 43.1 5.1 42.4 7.4 44.6 7.2

3 HPV

14.5 0.9 11.9 3.3 11.8 4.9 12.4 4.7

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 6 students that had an unknown or missing gender status.

Table 3-2-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 3-2, 2016 (n=362)

n

Percent of sample (%)

Gender

Male

170

47.0

Female

186

51.4

Missing or unknown gender

6

1.7

School waiver

Within waiver period

1

0.3

Not within waiver period

361

99.7

Medical Exemptions

Medical exemption

0

0

No medical exemption

362

100.0

Religious Exemptions

Religious exemption

7

1.9

No religious exemption

355

98.1

26

District 3-3
2016 Georgia Adolescent Immunization Study Report
District 3-3 Data Collection Team Antoinette Foster Immunization Program Consultant

County
Clayton District 3-3
District UTD Rate State of Georgia State UTD Rate

Number in Final Sample 293 293 92.8% 6,191 94.7%

27

District 3-3
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 293 adolescents in seventh grade from District 3-3 (Table 3-3-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 3-3 was 92.8% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 3-3-A).
Coverage rates among male and female seventh graders were similar for all vaccines (Table 3-3-A).
Of the 293 seventh graders sampled from District 3-3, 54.3% were male and 39.2% were female. The gender for nineteen students (6.5%) was unknown or missing (Table 3-3-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 3-3-B).
Five (1.7%) of the adolescents in the District 33 sample were found to have a medical exemption for one or more vaccinations. Three adolescents (1.0%) had a religious exemption on file (Table 3-3-B).

Table 3-3-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 3-3, 2016

State

District 3-3

Overall n=6,191
(%)

2016 n=293
(%)

Male n=159
(%)

Female n=115
(%)

UTD rate*

94.7 0.6 92.8 3.0 97.5 2.4 96.5 3.4

3 Hepatitis B 97.7 0.4 95.6 2.4 100 0.0 99.1 1.7

2 MMR

97.6 0.4 95.2 2.4 100 0.0 99.1 1.7

2 Varicella** 96.5 0.5 94.5 2.6 97.5 2.4 99.1 1.7

1 Tdap

96.1 0.5 93.9 2.8 98.1 2.1 96.5 3.4

1 MCV4

96.0 0.5 93.9 2.8 98.1 2.1 96.5 3.4

4 Polio

96.0 0.5 94.2 2.7 98.7 1.7 96.5 3.4

1 HPV

43.8 1.2 57.7 5.7 60.4 7.6 60.0 9.0

3 HPV

14.5 0.9 16.7 4.3 17.6 5.9 17.4 6.9

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 19 students that had an unknown or missing gender status.

Table 3-3-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 3-3, 2016 (n=293)

n

Percent of sample (%)

Gender

Male

159

54.3

Female

115

39.2

Missing or unknown gender

19

6.5

School waiver

Within waiver period

0

0

Not within waiver period

293

100.0

Medical Exemptions

Medical exemption

5

1.7

No medical exemption

288

98.3

Religious Exemptions

Religious exemption

3

1.0

No religious exemption

290

99.0

28

District 3-4
2016 Georgia Adolescent Immunization Study Report
District 3-4 Data Collection Team Valerie Pritchett Immunization Program Consultant

County
Gwinnett Newton Rockdale
District 3-4 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample
284 69 0
353 92.1% 6,191 94.7%

29

District 3-4
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 353 adolescents in seventh grade from District 3-4 (Table 3-4-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 3-4 was 92.1% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 3-4-A).
The UTD immunization rate for female seventh graders was higher than male seventh graders (97.0% vs. 92.0%). More female adolescents received 1 dose of HPV vaccine than male adolescents (43.5% vs. 37.7%) (Table 3-4-A).
Of the 353 seventh graders sampled from District 3-4, 49.6% were male and 47.6% were female. The gender for ten students (2.8%) was unknown or missing (Table 3-4-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 3-4-B).

Table 3-4-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 3-4, 2016

State

District 3-4

Overall n=6,191
(%)

2016 n=353
(%)

Male n=175
(%)

Female n=168
(%)

UTD rate*

94.7 0.6 92.1 2.8 92.0 4.0 97.0 2.6

3 Hepatitis B 97.7 0.4 96.3 2.0 98.3 1.9 99.4 1.2

2 MMR

97.6 0.4 96.0 2.0 97.7 2.2 99.4 1.2

2 Varicella** 96.5 0.5 95.5 2.2 96.6 2.7 99.4 1.2

1 Tdap

96.1 0.5 94.1 2.5 96.0 2.9 97.0 2.6

1 MCV4

96.0 0.5 93.8 2.5 94.9 3.3 97.6 2.3

4 Polio

96.0 0.5 93.2 2.6 93.7 3.6 97.6 2.3

1 HPV

43.8 1.2 39.4 5.1 37.7 7.2 43.5 7.5

3 HPV

14.5 0.9 15.6 3.8 16.6 5.5 15.5 5.5

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 10 students that had an unknown or missing gender status.

Two (0.6%) of the adolescents in the District 34 sample were found to have a medical exemption for one or more vaccinations. Six adolescents (1.7%) had a religious exemption on file (Table 3-4-B).

Table 3-4-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 3-4, 2016 (n=353)

n

Percent of sample (%)

Gender

Male

175

49.6

Female

168

47.6

Missing or unknown gender

10

2.8

School waiver

Within waiver period

0

0

Not within waiver period

353

100.0

Medical Exemptions

Medical exemption

2

0.6

No medical exemption

351

99.4

Religious Exemptions

Religious exemption

6

1.7

No religious exemption

347

98.3

30

District 3-5
2016 Georgia Adolescent Immunization Study Report

District 3-5 Data Collection Team

Janet Kelly

Immunization Program Consultant

County
DeKalb District 3-5
District UTD Rate State of Georgia State UTD Rate

Number in Final Sample
374 374 88.2% 6,191 94.7%

31

District 3-5
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 374 adolescents in seventh grade from District 3-5 (Table 3-5-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 3-5 was 88.2% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 3-5-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. A higher number of female adolescents received 3 doses of HPV vaccine than male adolescents (20.2% vs 14.9%) (Table 3-5A).
Of the 374 seventh graders sampled from District 3-5, 53.7% were male and 43.6% were female. The gender for ten students (2.7%) was unknown or missing (Table 3-5-B).
Eleven of the students in the sample were found to be in the school "waiver" period, meaning they were incomplete due to being newly enrolled in school (Table 3-5-B).
None of the adolescents in the District 3-5 sample were found to have a medical exemption for one or more vaccinations. Nine adolescents (2.4%) had a religious exemption on file (Table 3-5-B).

Table 3-5-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 3-5, 2016

State

District 3-5

Overall n=6,191
(%)

2016 n=374
(%)

Male n=201
(%)

Female n=163
(%)

UTD rate*

94.7 0.6 88.2 3.3 88.6 4.4 91.4 4.3

3 Hepatitis B 97.7 0.4 95.7 2.1 97.0 2.4 98.2 2.1

2 MMR

97.6 0.4 96.5 1.9 98.0 1.9 98.8 1.7

2 Varicella** 96.5 0.5 96.0 2.0 98.0 1.9 97.5 2.4

1 Tdap

96.1 0.5 92.2 2.7 93.5 3.4 94.5 3.5

1 MCV4

96.0 0.5 91.7 2.8 93.0 3.5 93.9 3.7

4 Polio

96.0 0.5 90.9 2.9 90.5 4.1 95.1 3.3

1 HPV

43.8 1.2 52.7 5.1 55.2 6.9 52.8 7.7

3 HPV

14.5 0.9 16.8 3.8 14.9 4.9 20.2 6.2

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 10 students that had an unknown or missing gender status.

Table 3-5-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 3-5, 2016 (n=374)

n

Percent of sample (%)

Gender

Male

201

53.7

Female

163

43.6

Missing or unknown gender

10

2.7

School waiver

Within waiver period

11

2.9

Not within waiver period

363

97.1

Medical Exemptions

Medical exemption

0

0

No medical exemption

374

100.0

Religious Exemptions

Religious exemption

9

2.4

No religious exemption

365

97.6

32

District 4-0
2016 Georgia Adolescent Immunization Study Report

District 4-0 Data Collection Team

Tina Dempsey

Immunization Program Consultant

County
Butts Carroll Coweta Fayette Heard Henry Lamar Meriwether
Pike Spalding
Troup Upson
District 4-0 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample 0 40 55 53 0 89 12 13 14 26 13 0 315 94.6% 6,191 94.7%

33

District 4-0
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 315 adolescents in seventh grade from District 4-0 (Table 4-0-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 4-0 was 94.6% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 4-0-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (40.2% vs. 34.5%) (Table 4-0-A).
Of the 315 seventh graders sampled from District 4-0, 46.0% were male and 52.1% were female. The gender for six students (1.9%) was unknown or missing (Table 4-0-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 4-0-B).
None of the adolescents in the District 4-0 sample were found to have a medical exemption for one or more vaccinations. Five adolescents (1.6%) had a religious exemption on file (Table 4-0-B).

Table 4-0-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 4-0, 2016

State

District 4-0

Overall n=6,191
(%)

2016 n=315
(%)

Male n=145
(%)

Female n=164
(%)

UTD rate*

94.7 0.6 94.6 2.5 95.2 3.5 94.5 3.5

3 Hepatitis B 97.7 0.4 98.1 1.5 98.6 1.9 98.2 2.1

2 MMR

97.6 0.4 97.8 1.6 97.9 2.3 98.2 2.1

2 Varicella** 96.5 0.5 96.5 2.0 96.6 3.0 97.0 2.6

1 Tdap

96.1 0.5 96.5 2.0 96.6 3.0 97.0 2.6

1 MCV4

96.0 0.5 96.8 1.9 96.6 3.0 97.6 2.4

4 Polio

96.0 0.5 96.8 1.9 97.2 2.7 97.0 2.6

1 HPV

43.8 1.2 37.1 5.3 34.5 7.7 40.2 7.5

3 HPV

14.5 0.9 12.4 3.6 10.3 5.0 14.6 5.4

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 6 students that had an unknown or missing gender status.

Table 4-0-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 4-0, 2016 (n=315)

n

Percent of sample (%)

Gender

Male

145

46.0

Female

164

52.1

Missing or unknown gender

6

1.9

School waiver

Within waiver period

0

0

Not within waiver period

315

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

315

100.0

Religious Exemptions

Religious exemption

5

1.6

No religious exemption

310

98.4

34

District 5-1
2016 Georgia Adolescent Immunization Study Report

District 5-1 Data Collection Team

DeAnna Brown

Immunization Program Consultant

County
Bleckley Dodge Johnson Laurens Montgomery Pulaski Telfair Treutlen Wheeler Wilcox
District 5-1 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample 23 26 24 92 23 23 23 24 23 23 304 97.7% 6,191 94.7%

35

District 5-1
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 304 adolescents in seventh grade from District 5-1 (Table 5-1-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 5-1 was 97.7% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 5-1-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (39.3% vs. 31.1%) (Table 5-1-A).
Of the 304 seventh graders sampled from District 5-1, 53.0% were male and 46.1% were female. The gender for three students (1.0%) was unknown or missing (Table 5-1-B).
Two of the students in the sample were found to be in the school "waiver" period, meaning they were incomplete due to being newly enrolled in school (Table 5-1-B).

Table 5-1-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 5-1, 2016

State

District 5-1

Overall n=6,191
(%)

2016 n=304
(%)

Male n=161
(%)

Female n=140
(%)

UTD rate*

94.7 0.6 97.7 1.7 98.1 2.1 98.6 2.0

3 Hepatitis B 97.7 0.4 99.0 1.1 100 0.0 99.3 1.4

2 MMR

97.6 0.4 99.0 1.1 100 0.0 99.3 1.4

2 Varicella** 96.5 0.5 98.4 1.4 100 0.0 97.9 2.4

1 Tdap

96.1 0.5 98.4 1.4 98.8 1.7 99.3 1.4

1 MCV4

96.0 0.5 98.0 1.6 98.1 2.1 99.3 1.4

4 Polio

96.0 0.5 98.7 1.3 99.4 1.2 99.3 1.4

1 HPV

43.8 1.2 34.5 5.4 31.1 7.2 39.3 8.1

3 HPV

14.5 0.9 12.2 3.7 10.6 4.8 14.3 5.8

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 or missing gender status.

One (0.3%) of the adolescents in the District 51 sample was found to have a medical exemption for one or more vaccinations. Two adolescents (0.7%) had a religious exemption on file (Table 5-1-B).

Table 5-1-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 5-1, 2016 (n=304)

n

Percent of sample (%)

Gender

Male

161

53.0

Female

140

46.1

Missing or unknown gender

3

1.0

School waiver

Within waiver period

2

0.7

Not within waiver period

302

99.3

Medical Exemptions

Medical exemption

1

0.3

No medical exemption

303

99.7

Religious Exemptions

Religious exemption

2

0.7

No religious exemption

302

99.3

36

District 5-2
2016 Georgia Adolescent Immunization Study Report

District 5-2 Data Collection Team

Kelly Duke

Immunization Program Consultant

County

Number in Final Sample

Baldwin

26

Bibb

143

Crawford

0

Hancock

13

Houston

105

Jasper

0

Jones

26

Monroe

0

Peach

13

Putnam

26

Twiggs

9

Washington

27

Wilkinson

0

District 5-2

388

District UTD Rate

96.6%

State of Georgia State UTD Rate

6,191 94.7%

37

District 5-2
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 388 adolescents in seventh grade from District 5-2 (Table 5-2-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 5-2 was 96.6% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 5-2-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (48.1% vs. 38.5%) (Table 5-2-A).
Of the 388 seventh graders sampled from District 5-2, 51.5% were male and 47.7% were female. The gender for three students (0.8%) was unknown or missing (Table 5-2-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 5-2-B).

Table 5-2-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 5-2, 2016

State

District 5-2

Overall n=6,191
(%)

2016 n=388
(%)

Male n=200
(%)

Female n=185
(%)

UTD rate*

94.7 0.6 96.6 1.8 97.5 2.2 96.8 2.6

3 Hepatitis B 97.7 0.4 98.5 1.2 99.0 1.4 98.9 1.5

2 MMR

97.6 0.4 97.9 1.4 98.5 1.7 98.4 1.8

2 Varicella** 96.5 0.5 97.9 1.4 98.5 1.7 98.4 1.8

1 Tdap

96.1 0.5 96.9 1.7 98.0 1.9 96.8 2.6

1 MCV4

96.0 0.5 96.6 1.8 97.5 2.2 96.8 2.6

4 Polio

96.0 0.5 97.4 1.6 98.5 1.7 97.3 2.3

1 HPV

43.8 1.2 42.8 4.9 38.5 6.8 48.1 7.2

3 HPV

14.5 0.9 16.8 3.7 15.0 5.0 18.9 5.7

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 or missing gender status.

None of the adolescents in the District 5-2 sample were found to have a medical exemption for one or more vaccinations. Nine adolescents (2.3%) had a religious exemption on file (Table 5-2-B).

Table 5-2-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 5-2, 2016 (n=388)

n

Percent of sample (%)

Gender

Male

200

51.5

Female

185

47.7

Missing or unknown gender

3

0.8

School waiver

Within waiver period

0

0

Not within waiver period

388

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

388

Religious Exemptions

100.0

Religious exemption

9

2.3

No religious exemption

379

97.7

38

District 6-0
2016 Georgia Adolescent Immunization Study Report

District 6-0 Data Collection Team

Sheila Fultz

Immunization Program Consultant

County
Burke Columbia Emanuel Glascock Jefferson Jenkins Lincoln McDuffie Richmond Screven Taliaferro Warren
Wilkes District 6-0
District UTD Rate State of Georgia State UTD Rate

Number in Final Sample
30 65 38
0 13 13 13 13 100 11 15 13 12 336 97.0% 6,191 94.7%

39

District 6-0
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 336 adolescents in seventh grade from District 6-0 (Table 6-0-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 6-0 was 97.0% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 6-0-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (62.9% vs. 36.8%). A higher number of female adolescents received 3 doses of HPV vaccine than male adolescents (19.5% vs 8.8%) (Table 6 -0-A).
Of the 336 seventh graders sampled from District 6-0, 50.9% were male and 47.3% were female. The gender for six students (1.8%) was unknown or missing (Table 6-0-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 6-0-B).
None of the adolescents in the District 6-0 sample were found to have a medical exemption for one or more vaccinations. None adolescents had a religious exemption on file (Table 6-0-B).

Table 6-0-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 6-0, 2016

State

District 6-0

Overall n=6,191
(%)

2016 n=336
(%)

Male n=171
(%)

Female n=159
(%)

UTD rate*

94.7 0.6 97.0 1.8 97.1 2.5 99.4 1.2

3 Hepatitis B 97.7 0.4 98.8 1.2 100 0.0 100 0.0

2 MMR

97.6 0.4 98.8 1.2 99.4 1.1 100 0.0

2 Varicella** 96.5 0.5 97.6 1.6 98.2 2.0 98.7 1.7

1 Tdap

96.1 0.5 98.8 1.2 99.4 1.1 100 0.0

1 MCV4

96.0 0.5 98.8 1.2 99.4 1.1 100 0.0

4 Polio

96.0 0.5 98.2 1.4 98.2 2.0 100 0.0

1 HPV

43.8 1.2 49.1 5.4 36.8 7.2 62.9 7.5

3 HPV

14.5 0.9 14.0 3.7 8.8 4.2 19.5 6.2

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 6 students that had an unknown or missing gender status.

Table 6-0-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 6-0, 2016 (n=336)

n

Percent of sample (%)

Gender

Male

171

50.9

Female

159

47.3

Missing or unknown gender

6

1.8

School waiver

Within waiver period

0

0

Not within waiver period

336

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

336

100.0

Religious Exemptions

Religious exemption

0

0

No religious exemption

336

100.0

40

District 7-0
2016 Georgia Adolescent Immunization Study Report
District 7-0 Data Collection Team Kelly Seegmuller Immunization Program Consultant

County
Chattahoochee Clay Crisp Dooly Harris Macon
Marion Muscogee Quitman Randolph
Schley Stewart Sumter Talbot Taylor Webster
District 7-0 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample 14 12 25 26 16 17 11 139 12 0 2 11 22 0 11 0 318 89.6% 6,191 94.7%

41

District 7-0
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 318 adolescents in seventh grade from District 7-0 (Table 7-0-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 7-0 was 89.6% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 7-0-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (44.2% vs. 35.7%) (Table 7-0-A).
Of the 318 seventh graders sampled from District 7-0, 49.4% were male and 48.4% were female. The gender for seven students (2.2%) was unknown or missing (Table 7-0-B).
One student in the sample was found to be in the school "waiver" period, meaning they were incomplete due to being newly enrolled in school (Table 7-0-B).

Table 7-0-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 7-0, 2016

State

District 7-0

Overall n=6,191
(%)

2016 n=318
(%)

Male n=157
(%)

Female n=154
(%)

UTD rate*

94.7 0.6 89.6 3.4 88.5 5.0 93.5 3.9

3 Hepatitis B 97.7 0.4 94.7 2.5 94.9 3.4 96.8 2.8

2 MMR

97.6 0.4 94.3 2.5 93.6 3.8 96.8 2.8

2 Varicella** 96.5 0.5 94.3 2.5 93.6 3.8 96.1 3.1

1 Tdap

96.1 0.5 94.0 2.6 93.0 4.0 96.1 3.1

1 MCV4

96.0 0.5 93.7 2.7 93.0 4.0 95.5 3.3

4 Polio

96.0 0.5 93.7 2.7 93.0 4.0 95.5 3.3

1 HPV

43.8 1.2 39.0 5.4 35.7 7.5 44.2 7.9

3 HPV

14.5 0.9 12.9 3.7 11.5 5.0 14.9 5.6

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 7 students that had an unknown or missing gender status.

One (0.3%) of the adolescents in the District 70 sample was found to have a medical exemption for one or more vaccinations. Three adolescents (0.9%) had a religious exemption on file (Table 7-0-B).

Table 7-0-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 7-0, 2016 (n=318)

n Percent of sample (%)

Gender

Male

157

49.4

Female

154

48.4

Missing or unknown gender

7

2.2

School waiver

Within waiver period

1

0.3

Not within waiver period

317

99.7

Medical Exemptions

Medical exemption

1

0.3

No medical exemption

317

99.7

Religious Exemptions

Religious exemption

3

0.9

No religious exemption

315

99.1

42

District 8-1
2016 Georgia Adolescent Immunization Study Report

District 8-1 Data Collection Team

Jenny Howell

Immunization Program Consultant

County
Ben Hill Berrien Brooks
Cook Echols Irwin Lanier Lowndes
Tift Turner
District 8-1 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample
23 25 23 23 23 23 23 115 46 23 347 97.7% 6,191 94.7%

43

District 8-1
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 347 adolescents in seventh grade from District 8-1 (Table 8-1-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 8-1 was 97.7% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 8-1-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. A higher number of male adolescents received 3 doses of HPV vaccine than female adolescents (21.3% vs 15.9%) (Table 8-1 -A).
Of the 347 seventh graders sampled from District 8-1, 50.1% were male and 47.3% were female. The gender for nine students (2.6%) was unknown or missing (Table 8-1-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 8-1-B).
None of the adolescents in the District 8-1 sample were found to have a medical exemption for one or more vaccinations. Four adolescents (1.2%) had a religious exemption on file (Table 8-1-B).

Table 8-1-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 8-1, 2016

State

District 8-1

Overall n=6,191
(%)

2016 n=347
(%)

Male n=174
(%)

Female n=164
(%)

UTD rate*

94.7 0.6 97.7 1.6 100 0.0 97.0 2.6

3 Hepatitis B 97.7 0.4 98.8 1.1 100 0.0 98.8 1.7

2 MMR

97.6 0.4 98.6 1.3 100 0.0 98.2 2.1

2 Varicella** 96.5 0.5 98.0 1.5 100 0.0 97.6 2.4

1 Tdap

96.1 0.5 98.6 1.3 100 0.0 98.2 2.1

1 MCV4

96.0 0.5 98.6 1.3 100 0.0 98.2 2.1

4 Polio

96.0 0.5 96.0 2.1 96.6 2.7 96.3 2.9

1 HPV

43.8 1.2 43.2 5.2 43.1 7.4 43.3 7.6

3 HPV

14.5 0.9 18.4 4.1 21.3 6.1 15.9 5.6

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 9 students that had an unknown or missing gender status.

Table 8-1-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 8-1, 2016 (n=347)

n

Percent of sample (%)

Gender

Male

174

50.1

Female

164

47.3

Missing or unknown gender

9

2.6

School waiver

Within waiver period

0

0

Not within waiver period

347

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

347

100.0

Religious Exemptions

Religious exemption

4

1.2

No religious exemption

343

98.8

44

District 8-2
2016 Georgia Adolescent Immunization Study Report

District 8-2 Data Collection Team

Lisa Jenkins

Immunization Program Consultant

County
Baker Calhoun Colquitt Decatur Dougherty
Early Grady
Lee Miller Mitchell Seminole Terrell Thomas Worth
District 8-2 District UTD Rate State of Georgia
State UTD Rate

Number in Final Sample
12 24 13 24 60 24 36 12 12 48 12 12 40 12 341 99.1% 6,191 94.7%

45

District 8-2
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 341 adolescents in seventh grade from District 8-2 (Table 8-2-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 8-2 was 99.1% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 8-2-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (60.5% vs. 49.1%) (Table 8-2-A).
Of the 341 seventh graders sampled from District 8-2, 47.2% were male and 51.9% were female. The gender for three students (0.9%) was unknown or missing (Table 8-2-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 8-2-B).

Table 8-2-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 8-2, 2016

State

District 8-2

Overall n=6,191
(%)

2016 n=341
(%)

Male n=161
(%)

Female n=177
(%)

UTD rate*

94.7 0.6 99.1 1.0 98.8 1.7 99.4 1.1

3 Hepatitis B 97.7 0.4 100 0.0 100 0.0 100 0.0

2 MMR

97.6 0.4 100 0.0 100 0.0 100 0.0

2 Varicella** 96.5 0.5 99.4 0.8 99.4 1.2 99.4 1.1

1 Tdap

96.1 0.5 99.7 0.6 99.4 1.2 100 0.0

1 MCV4

96.0 0.5 100 0.0 100 0.0 100 0.0

4 Polio

96.0 0.5 100 0.0 100 0.0 100 0.0

1 HPV

43.8 1.2 55.1 5.3 49.1 7.7 60.5 7.2

3 HPV

14.5 0.9 17.3 4.0 15.5 5.6 19.2 5.8

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 or missing gender status.

None of the adolescents in the District 8-2 sample were found to have a medical exemption for one or more vaccinations. None adolescents had a religious exemption on file (Table 8-2-B).

Table 8-2-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 8-2, 2016 (n=341)

n

Percent of sample (%)

Gender

Male

161

47.2

Female

177

51.9

Missing or unknown gender

3

0.9

School waiver

Within waiver period

0

0

Not within waiver period

341

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

341

100.0

Religious Exemptions

Religious exemption

0

0

No religious exemption

341

100.0

46

District 9-1
2016 Georgia Adolescent Immunization Study Report
District 9-1 Data Collection Team Kimberly Skinner Immunization Program Consultant

County
Bryan Camden Chatham Effingham
Glynn Liberty
Long McIntosh
District 9-1 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample
0 4 237 24 41 26 12 0 344 94.8 6,191 94.7%

47

District 9-1
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 344 adolescents in seventh grade from District 9-1 (Table 9-1-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 9-1 was 94.8% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 9-1-A).
Coverage rates among male and female seventh graders were similar for all vaccines (Table 9-1-A).
Of the 344 seventh graders sampled from District 9-1, 50.6% were male and 45.1% were female. The gender for fifteen students (4.4%) was unknown or missing (Table 9-1-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 9-1-B).
None of the adolescents in the District 9-1 sample were found to have a medical exemption for one or more vaccinations. Seven adolescents (2.0%) had a religious exemption on file (Table 9-1-B).

Table 9-1-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 9-1, 2016

State

District 9-1

Overall n=6,191
(%)

2016 n=344
(%)

Male n=174
(%)

Female n=155
(%)

UTD rate*

94.7 0.6 94.8 2.4 96.0 2.9 96.1 3.0

3 Hepatitis B 97.7 0.4 97.7 1.6 99.4 1.1 98.7 1.8

2 MMR

97.6 0.4 97.7 1.6 99.4 1.1 98.7 1.8

2 Varicella** 96.5 0.5 95.1 2.3 97.1 2.5 96.8 2.8

1 Tdap

96.1 0.5 95.9 2.1 97.1 2.5 97.4 2.5

1 MCV4

96.0 0.5 95.3 2.2 96.6 2.7 96.8 2.8

4 Polio

96.0 0.5 95.3 2.2 97.1 2.5 96.1 3.0

1 HPV

43.8 1.2 43.6 5.2 46.0 7.4 43.2 7.8

3 HPV

14.5 0.9 14.5 3.7 14.9 5.3 15.5 5.7

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 15 students that had an unknown or missing gender status.

Table 9-1-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 9-1, 2016 (n=344)

n

Percent of sample (%)

Gender

Male

174

50.6

Female

155

45.1

Missing or unknown gender

15

4.4

School waiver

Within waiver period

0

0

Not within waiver period

344

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

344

100.0

Religious Exemptions

Religious exemption

7

0

No religious exemption

337

98.0

48

District 9-2
2016 Georgia Adolescent Immunization Study Report

District 9-2 Data Collection Team

Lorie Banks

Immunization Program Consultant

County
Appling Atkinson
Bacon Brantley Bulloch Candler Charlton Clinch Coffee
Evans Jeff Davis
Pierce Tattnall Toombs
Ware Wayne
District 9-2 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample
24 12 12 12 79 12 12 12 12 12 12 12 36 36 36 24 355 96.9% 6,191 94.7%

49

District 9-2
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 355 adolescents in seventh grade from District 9-2 (Table 9-2-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 9-2 was 96.9% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 9-2-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. A higher number of female adolescents received 3 doses of HPV vaccine than male adolescents (18.0% vs 11.6%) (Table 9-2A).
Of the 355 seventh graders sampled from District 9-2, 48.7% were male and 48.5% were female. The gender for ten students (2.8%) was unknown or missing (Table 9-2-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 9-2-B).
One (0.3%) of the adolescents in the District 92 sample was found to have a medical exemption for one or more vaccinations. Two adolescents (0.6%) had a religious exemption on file (Table 9-2-B).

Table 9-2-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 9-2, 2016

State

District 9-2

Overall n=6,191
(%)

2016 n=355
(%)

Male n=173
(%)

Female n=172
(%)

UTD rate*

94.7 0.6 96.9 1.8 97.1 2.5 98.3 2.0

3 Hepatitis B 97.7 0.4 98.6 1.2 98.8 1.6 100 0.0

2 MMR

97.6 0.4 99.2 1.0 100 0.0 100 0.0

2 Varicella** 96.5 0.5 98.3 1.3 98.8 1.6 99.4 1.1

1 Tdap

96.1 0.5 97.5 1.6 98.3 1.9 98.3 2.0

1 MCV4

96.0 0.5 98.0 1.4 98.8 1.6 98.8 1.6

4 Polio

96.0 0.5 97.7 1.5 99.4 1.1 97.7 2.3

1 HPV

43.8 1.2 44.5 5.2 45.1 7.4 45.9 7.5

3 HPV

14.5 0.9 14.6 3.7 11.6 4.8 18.0 5.8

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 10 students that had an unknown or missing gender status.

Table 9-2-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 9-2, 2016 (n=355)

n

Percent of sample (%)

Gender

Male

173

48.7

Female

172

48.5

Missing or unknown gender

10

2.8

School waiver

Within waiver period

0

0

Not within waiver period

355

Medical Exemptions

100.0

Medical exemption

1

0.3

No medical exemption

354

99.7

Religious Exemptions

Religious exemption

2

0.6

No religious exemption

353

99.4

50

District 10
2016 Georgia Adolescent Immunization Study Report

District 10 Data Collection Team

Angie Webster

Immunization Program Consultant

County
Barrow Clarke Elbert Greene Jackson Madison Morgan Oconee Oglethrope Walton
District 10 District UTD Rate
State of Georgia State UTD Rate

Number in Final Sample 70 54 1 39 43 13 65 65 13 72 370 95.7% 6,191 94.7%

51

District 10
2016 Georgia Adolescent Immunization Study Report

The 2016 GAIS sampled 370 adolescents in seventh grade from District 10 (Table 10-A).
An adolescent was considered up-to-date (UTD) if they received at least 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4 vaccines by the time they enrolled in school. The UTD immunization rate for seventh graders in District 10 was 95.7% for 2016. Immunization rates that decreased from the previous year are shown bolded (Table 10-A).
Coverage rates among male and female seventh graders were similar for all vaccines except HPV. More female adolescents received 1 dose of HPV vaccine than male adolescents (44.9% vs. 33.1%). A higher number of female adolescents received 3 doses of HPV vaccine than male adolescents (17.6% vs 10.1%) (Table 10-A).
Of the 370 seventh graders sampled from District 10, 48.1% were male and 50.5% were female. The gender for five students (1.4%) was unknown or missing (Table 10-B).
None of the students in the sample were found to be in the school "waiver" period, meaning that no student was incomplete due to being newly enrolled in school (Table 10-B).
None of the adolescents in the District 10 sample were found to have a medical exemption for one or more vaccinations. Eleven adolescents (3.0%) had a religious exemption on file (Table 10-B).

Table 10-A: Georgia Adolescent Immunization Coverage Rates by Vaccine Antigen and Gender--District 10, 2016

State

District 10

Overall n=6,191
(%)

2016 n=370
(%)

Male n=178
(%)

Female n=187
(%)

UTD rate*

94.7 0.6 95.7 2.1 94.9 3.2 96.3 2.7

3 Hepatitis B 97.7 0.4 98.4 1.3 97.8 2.2 98.9 1.5

2 MMR

97.6 0.4 98.1 1.4 97.2 2.4 98.9 1.5

2 Varicella** 96.5 0.5 95.7 2.1 93.8 3.5 97.3 2.3

1 Tdap

96.1 0.5 96.8 1.8 96.1 2.9 97.3 2.3

1 MCV4

96.0 0.5 96.2 1.9 94.9 3.2 97.3 2.3

4 Polio

96.0 0.5 96.8 1.8 95.5 3.0 97.9 2.1

1 HPV

43.8 1.2 39.5 5.0 33.1 6.9 44.9 7.1

3 HPV

14.5 0.9 14.1 3.5 10.1 4.4 17.6 5.5

* An adolescent was classified as UTD if they had received at least the follow-
ing vaccine doses: 3 Hepatitis B, 2 MMR, 2 Varicella, 1 Tdap and 1 MCV4. ** 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 or missing gender status.

Table 10-B: Gender, School Waiver and Exemptions among Georgia Adolescents--District 10, 2016 (n=370)

n

Percent of sample (%)

Gender

Male

178

48.1

Female

187

50.5

Missing or unknown gender

5

1.4

School waiver

Within waiver period

0

0

Not within waiver period

370

100.0

Medical Exemptions

Medical exemption

0

0

No medical exemption

370

100.0

Religious Exemptions

Religious exemption

11

3.0

No religious exemption

359

97.0

52

Appendices
Georgia Adolescent Immunization Study, 2016
i

ii

Appendix A: Margins of Error

Appendix Table A: Margin of Error for UTD Immunization Rates by District, Georgia, 2016

District

Final Sample
(n)

Immunization 1-Immunization Margin of

Rate

Rate

Error*

(%)

(%)

(%)

95% Confidence Interval (%)

1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2-0 North (Gainesville) 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton

363

96.1

326

90.5

344

94.8

358

94.1

362

95.3

293

92.8

3.9

2.0

94.2 - 98.1

9.5

3.2

87.3 - 93.7

5.2

2.4

92.4 - 97.1

5.9

2.4

91.7 - 96.6

4.7

2.2

93.1 - 97.5

7.2

3.0

89.9 - 95.8

3-4 Gwinnett, Newton, Rockdale

353

92.1

7.9

2.8

89.2 - 94.9

3-5 DeKalb

374

88.2

11.8

3.3

85.0 - 91.5

4-0 LaGrange

315

94.6

5-1 South Central (Dublin)

304

97.7

5-2 North Central (Macon)

388

96.6

6-0 East Central (Augusta)

336

97.0

7-0 West Central (Columbus)

318

89.6

8-1 South (Valdosta)

347

97.7

5.4

2.5

92.1 - 97.1

2.3

1.7

96.0 - 99.4

3.4

1.8

94.9 - 98.4

3.0

1.8

95.2 - 98.9

10.4

3.4

86.3 - 93.0

2.3

1.6

96.1 - 99.3

8-2 Southwest (Albany)

341

99.1

0.9

1.0

98.1 - 100.0

9-1 Coastal (Savannah)

344

94.8

5.2

2.4

92.4 - 97.1

9-2 Southeast (Waycross)

355

96.9

3.1

1.8

95.1 - 98.7

10-0 Northeast (Athens)

370

95.7

4.3

2.1

93.6 - 97.8

Georgia

6,191

94.7

5.3

0.6

94.1 - 95.3

*The margin of error (MOE) is a sta s c conveying the amount of random sampling error in a survey's results. It expresses the maximum expected difference between the true popula on parameter and a sample es mate of that parameter. The larger the MOE around an es mated value, the less accurate the es mated value is.

iii

Appendix B: Frequency of Exemptions

Appendix Table B: Frequency of Exemptions and Within School Waiver Period Status by District, Georgia, 2016

District

Final Religious Medical Within School Sample Exemption Exemption Waiver Period

Total

1-1 Northwest (Rome)

363

8

0

0

8

1-2 North Georgia (Dalton)

326

17

0

0

17

2-0 North (Gainesville)

344

14

0

0

14

3-1 Cobb-Douglas

358

8

0

0

8

3-2 Fulton

362

7

0

1

8

3-3 Clayton

293

3

5

0

8

3-4 Gwinnett, Newton, Rockdale

353

6

2

0

8

3-5 DeKalb

374

9

0

11

20

4-0 LaGrange

315

5

0

0

5

5-1 South Central (Dublin)

304

2

1

2

5

5-2 North Central (Macon)

388

9

0

0

9

6-0 East Central (Augusta)

336

0

0

0

0

7-0 West Central (Columbus)

318

3

1

1

5

8-1 South (Valdosta)

347

4

0

0

4

8-2 Southwest (Albany)

341

0

0

0

0

9-1 Coastal (Savannah)

344

7

0

0

7

9-2 Southeast (Waycross)

355

2

1

0

3

10-0 Northeast (Athens)

370

11

0

0

11

Georgia

6,191

115

10

15

129

iv

Appendix C: District Immunization Measures by Vaccine-Antigen

Appendix Table C: Vaccine Antigen-Specific Immunization Measures by District, Georgia 2016
Highest Rate

District

3

2

2

1

1

4

1

3

Hep B MMR Varicella Tdap MCV4 Polio HPV HPV

(%) (%)

(%)

(%) (%) (%) (%) (%)

1-1 Northwest (Rome)

98.6 98.3

97.0

97.2 97.2 97.0 43.8 9.9

1-2 North Georgia (Dalton)

96.0 95.1

93.9

92.6 91.4 92.0 39.9 14.1

2-0 North (Gainesville)

97.4 96.8

95.9

94.8 95.1 95.3 34.9 11.3

3-1 Cobb-Douglas

99.2 99.2

96.4

95.3 95.5 97.5 48.0 17.0

3-2 Fulton

97.5 97.5

96.7

96.7 97.0 96.4 43.1 11.9

3-3 Clayton

95.6 95.2

94.5

93.9 93.9 94.2 57.7 16.7

3-4 East Metro (Lawrenceville

96.3 96.0

95.5

94.1 93.8 93.2 39.4 15.6

3-5 DeKalb

95.7 96.5

96.0

92.2 91.7 90.9 52.7 16.8

4-0 LaGrange

98.1 97.8

96.5

96.5 96.8 96.8 37.1 12.4

5-1 South Central (Dublin)

99.0 99.0

98.4

98.4 98.0 98.7 34.5 12.2

5-2 North Central (Macon)

98.5 97.9

97.9

96.9 96.6 97.4 42.8 16.8

6-0 East Central (Augusta)

98.8 98.8

97.6

98.8 98.8 98.2 49.1 14.0

7-0 West Central (Columbus)

94.7 94.3

94.3

94.0 93.7 93.7 39.0 12.9

8-1 South (Valdosta)

98.8 98.6

98.0

98.6 98.6 96.0 43.2 18.4

8-2 Southwest (Albany)

100.0 100.0 99.4

99.7 100.0 100.0 55.1 17.3

9-1 Coastal (Savannah)

97.7 97.7

95.1

95.9 95.3 95.3 43.6 14.5

9-2 Southeast (Waycross)

98.6 99.2

98.3

97.5 98.0 97.7 44.5 14.6

10-0 Northeast (Athens)

98.4 98.1

95.7

96.8 96.2 96.8 39.5 14.1

Georgia

97.7 97.6 96.5

96.1 90.6 96.0 43.8 14.5

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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 ques ons rela ng to this document, please email the author at Fabio.Machado@dph.ga.gov
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