The Exemption Challenge

A Strategic Roadmap for Fulton County Public Health

The "Administrative" Gap

Fulton County sits in a critical position. With a Kindergarten Immunization Rate of 90.52%, we are below the herd immunity threshold. However, the data reveals a clear opportunity: 3.63% of students are simply "Not Up-To-Date" (neither exempt nor fully vaccinated). Addressing this administrative backlog is the fastest route to raising county-wide protection levels.

Fulton County Data Map

Measles Risk. Data for mapping from collaboration between Boston Children's Hospital, Harvard Medical School, and Icahn School of Medicine at Mt. Sinai. Map Design by ABC owned TV stations data team.

0% Kindergarten Rate
Target: 95% (Action Needed)
0% Religious Exemptions
Moderate Hesitancy
0% Not Up-To-Date
Administrative Gap (Fixable)
0% Childcare Certs
Strong Early Compliance
0% Toddler MMR Rate
Good Baseline (19-35 Mos)
0% Toddler DTaP Rate
Coverage Gap vs MMR

Strategic Recommendations

1. Close the Administrative Gap

The 3.63% of students listed as "Not Up-To-Date" likely represent missing paperwork or missed appointments rather than hesitancy.

Logistics
Audit school records to identify these specific students and conduct direct outreach to parents.
2. Bridge the Toddler Drop-off

There is a notable gap between Toddler MMR (88.9%) and DTaP (82.7%). This suggests multi-dose series are not being completed.

Retention
Implement automated recall systems in clinics for the final doses of multi-shot series (like DTaP).
3. Sustain Childcare Success

Childcare facilities are performing well (92.41%). The drop happens during the transition to Kindergarten.

Transition
Create a "Kindergarten Ready" packet for childcare centers to hand off to parents graduating to K-12.
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.