The vaccination rate for California kindergartners went down slightly last school year, including in San Diego County, after hitting a record high the previous year.
Why this matters
California requires kindergartners to be inoculated for nine diseases before they start school. The goal is to prevent the spread of contagious diseases that have been rare in recent years.
One reason for the decline: Medical exemptions are increasing. Statewide, the rate of students with medical exemptions more than tripled since the 2015-16 school year. The rate in San Diego County increased sixfold.
Although medical exemptions represented a small portion of the overall student population last school year — less than 1 percent in California and slightly more than 1 percent in San Diego County — the increase has some concerned.
Dr. Dean Sidelinger, the county’s child health medical officer, said the number of children who need medical exemptions should be small, so he questions what’s behind the increase.
“Is it truly more kids who need a medical exemption, or is it that providers are getting more permissive in giving these medical exemptions?” Sidelinger said.
To start school, kindergartners need vaccinations for diphtheria, tetanus, whooping cough, polio, hepatitis B, measles, mumps, rubella and chickenpox. Parents can get medical exemptions for their children if they have had allergic reactions to vaccines in the past or other health conditions.
The state doesn’t specify what qualifies for a medical exemption from vaccinations. Doctors make those determinations.
Click here to search kindergarten vaccination rates in San Diego County from 2014-2018.
A spokeswoman for state Sen. Richard Pan, D-Sacramento, said he may propose legislation that would change rules for medical exemptions if the upward trend continues. Pan, a physician, authored the 2015 law that banned personal belief exemptions. It’s considered one of the strictest in the nation and prohibits parents from citing religious or other non-medical objections to avoid vaccinating their children.
The senator’s 2015 legislation was prompted by a measles outbreak that infected more than 100 Californians and was traced to an unvaccinated 11-year-old visiting Disneyland.
Sidelinger said although vaccination rates dipped slightly last school year, they remain higher than when personal belief exemptions were allowed, and that is a positive.
The state rate was 95.1 percent, down half of a percentage point from the previous year, while San Diego County’s rate of 93.2 percent was down more than 1 percentage point.
But if the decline continues, Sidelinger said that could become a problem.
“If it looks like it’s a pattern, we’ll have to redouble our efforts in getting the word out, providing education and making sure that people are receiving the vaccines that they should,” he said.
The five schools in San Diego County with the lowest vaccination rates were all charters: Valiant Academy of Southern California, Inspire Charter School South, Pathways Academy Charter, Learning Latitudes Charter and Compass Charter Schools of San Diego. More than 70 percent of the kindergartners in those schools were missing one or more of the required vaccines.
The California Charter Schools Association has no specific stance on vaccinations but wants parents “to follow the law,” said Michelle Anderson, the association’s regional manager in San Diego and Orange County.
One way parents can avoid vaccinating their children is by homeschooling them or enrolling them in independent study programs that have no classroom instructions. The number of these exemptions in the county also is on the rise.
The purpose of vaccination requirements is to protect students in classrooms interacting with each other frequently, Sidelinger said. But he is a pediatrician and said he would like to see that protection for all children.
“I would love to see all kids get vaccines, even if they’re homeschooled,” he said.
For the current school year, vaccination data must be reported to the state by Nov. 1. The results will be available next year.
Related:
“Kindergartner vaccinations rising in San Diego County after state law change”
April 28, 2017
“Record number of whooping cough cases in San Diego County despite immunization”
Dec. 22, 2015
“California legislature passes vaccine bill”
June 30, 2015
“Fewer vaccinations threaten San Diego’s collective immunity”
Jan. 29, 2015
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| Gender Identity | Gender Identity | Gender Identity | |||
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| Sexual Orientation | Sexual Orientation | Sexual Orientation | |||
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| Not specified | 7% | Not specified | 7% | ||
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| Two or more races | 13% | Hispanic or Latinx | 9% | ||
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Lorie Hearn is the chief executive officer, editor and founder of inewsource. She founded inewsource in the summer of 2009, following a successful reporting and editing career in newspapers. She retired from The San Diego Union-Tribune, where she had been a reporter, Metro Editor and finally the senior editor for Metro and Watchdog Journalism. In addition to department oversight, Hearn personally managed a four-person watchdog team, composed of two data specialists and two investigative reporters. Hearn was a Nieman Foundation fellow at Harvard University in 1994-95. She focused on juvenile justice and drug control policy, a natural course to follow her years as a courts and legal affairs reporter at the San Diego Union and then the Union-Tribune.
Hearn became Metro Editor in 1999 and oversaw regional and city news coverage, which included the city of San Diego’s financial debacle and near bankruptcy. Reporters and editors on Metro during her tenure were part of the Pulitzer Prize-winning stories that exposed Congressman Randy “Duke” Cunningham and led to his imprisonment.
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High-profile coverage included the historic state Supreme Court election in 1986, when three sitting justices were ousted from the bench, and the 1992 execution of Robert Alton Harris. That gas chamber execution was the first time the death penalty was carried out in California in 25 years.
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Mark J. Rochester began as inewsource managing editor in April 2021, having served as editor in chief at Type Investigations, a nonprofit investigative newsroom in Manhattan. He was previously senior news director for investigations at the Detroit Free Press. Both newsrooms, he notes, shared a commitment to diversity and inclusion, and their investigative journalism often received national recognition for exposing problems impacting communities of color.
His family looks forward to returning to California, having spent more than seven years in San Francisco where Rochester was a senior manager for the Associated Press. While with the news cooperative, he led computer-assisted reporting training efforts around the West, both inside and outside of AP, and conducted a widely used analysis of the $74 million in campaign contributions that went toward the California gay marriage ballot initiative in 2008. The AP analyzed who gave and why and then made the data available to member newspapers. The resulting series of stories based on the data was AP’s 2009 Pulitzer nomination for Local Reporting.
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