The Oklahoman

Vaccinatio­n rates rise, but so do exemptions

- By Paul Monies

The share of Oklahoma kindergart­ners up to date on all their vaccines rose slightly last year, but the percentage granted exemptions from at least one vaccine also increased, according to the latest survey's preliminar­y results.

It was at least the third straight year that Oklahoma's overall exemption rate has risen — a trend that has worried contagious disease experts. The overall exemption rate for all kind erg artne rs was 2.6%, the state Department of Heath reported. That compared with 2.2% in 2017-18 and 1.9% in 201617, according to federal data. In 2009-10, the Oklahoma kindergart­ner exemption rate was 1.1%.

The overall vaccinatio­n rate for kindergart­ners rose to 91.4%, up from 90.4% in the 2017-18 school year. Meanwhile, 89% of private school kindergart­ners were fully vaccinated, up from 84% in the 2017-18 school year.

The latest survey by the state Department of Health and the state Department of Education included responses from 91% of public schools and 44% of private schools. A total of 131 schools didn't respond to the voluntary survey.

Oklahoma requires kindergart­ners to be vaccinated for about a dozen diseases, including measles, chickenpox and polio. Parents can apply for exemptions on medical, religious or personal grounds. Medical exemptions are usually the smallest share of exempt i ons, with most parents opposing on personal or religious grounds.

Public and private school exemptions went in opposite directions in the latest survey. The public school exemption rate was 2.6%, up from 2.1% in the 2017-18 school year. Private school exemptions fell to 4.7%, down from 6% in the previous school year. It's not clear what led the decline in the private school exemption rate.

“Analysis of this data drives program activities to improve vaccinatio­n coverage in our state ,” Interim Commission­er of Health Tom Bates said in a news release .“We know that vaccinatio­ns are among the most effective ways to protect against serious diseases.”

For the first time, the health department has published an onli ne map of schools and counties and their vaccinatio­n and exemption rates. The latest survey results are preliminar­y, and will be sent to the Centers for Disease Control and Prevention for inclusion in its national report in October.

Laurence Burnsed, state epidemiolo­gist, said public health officials use the survey results to work with schools and local health officials to identify trends and coverage levels.

“Following the recommende­d immunizati­on schedule helps you protect your child against vaccine- preventabl­e diseases,” Burned said. “These are diseases that can be potentiall­y serious, even life-threatenin­g.

He said Oklahoma has tracked closely with national medians for both vaccinatio­n coverage and exemptions.

“This data really kind of drives a better understand­ing. Overall, we have a good level of coverage, but we do have some room for improvemen­t,” he said.

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