[2018 Bull’s-Eye Award Winner!] To better understand North Dakota’s decreasing immunization rates, increasing exemption rates, and the large number of students with an unknown immunization status, the North Dakota Department of Health (NDDoH) implemented quality improvement to increase rates at…
The Kentucky Immunization Program (KIP) worked persistently to ensure additional protection for Kentucky’s children through increased and/or enforceable immunization requirements. The new legislation was drafted, reviewed, open for public comments, and finally passed after two years of dedicated work by…
The Minnesota Department of Health conducted outbreak activities and extended community interventions during their measles outbreak that began in April of 2017. Most of the cases were within the Somali-Minnesotan community and could have been attributed to declines in MMR…
Seeking a new approach to reduce exemption and out-of-compliance rates from school requirements, Washington began returning kindergarten immunization data to school administrators and nurses in the form of an annual report card. The report cards include three years of immunization…
To increase public access to and awareness of immunization rates in local communities (individual childcares and schools), the Massachusetts immunization program sought to change the data release policy on immunization rates at childcares and schools (Kindergarten and 7th grade) to…
Conditional Entrants (CEs) are children who have not received all required immunizations for age or grade but cannot yet receive one or more of their catch-up doses. In 2014, of the 37,000 CEs in California’s kindergartens, 90% failed to meet…