The Documentation Gap

A Strategic Roadmap for Bryan County Public Health

The Current Landscape

Bryan County faces a clear administrative crisis. While toddler immunization rates are in line with state averages—with 87.4% receiving their MMR—school entry compliance has collapsed to 77.13%.

This is not primarily a story of vaccine hesitancy; the Religious Exemption rate is a moderate 4.63%. The real issue is that nearly 1 in 5 children (18.24%) are listed as "Not Up-To-Date." This massive gap suggests that the system is failing to capture data or complete final boosters for students entering kindergarten.

Risk of Measles
Risk of Measles
0% Kindergarten Rate
Target: 95% (Critical Action Needed)
0% Not Up-To-Date
Primary Barrier to Compliance
0% Religious Exemptions
Low/Moderate Resistance
0% Toddler MMR Rate
Strong Early Foundation
0% Toddler DTaP Rate
Strong Early Foundation
0% Childcare Certificates
Low Formal Enrollment

Strategic Recommendations

1. Triage the "Not Up-To-Date" List

With an 18.24% non-compliance rate (4x the exemption rate), the priority is logistics, not persuasion.

Rapid Response
Audit school records immediately to distinguish between missing shots vs. missing paperwork.
Access
Host "Paperwork & Boosters" events at schools during registration to clear the backlog.
2. Bridge the Gap (Ages 4-6)

Toddlers are 88.8% vaccinated, yet kindergartners are only 77%. The system is losing track of kids between these ages.

Outreach
Utilize immunization registry data to send text reminders to parents of 4-year-olds regarding school requirements.
3. Addressing Low Childcare Reach

Only 28.6% of kids are in certified care, meaning we cannot rely on daycare centers alone to check records.

Strategy
Shift focus to pediatric offices and WIC clinics as the primary touchpoints for pre-school vaccine verification.
4. Driving Policy Change

Sustainable improvement requires a supportive policy environment that prioritizes student health.

Advocacy
Provide policy analysis on vaccine requirements and encourage advocacy.
Contact State Elected Officials Contact School Board Officials