2015- 2016 KINDERGARTEN IMMUNIZATION ASSESSMENT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, IMMUNIZATION BRANCH Introduction Each autumn all schools with kindergartens in California are required to report student compliance with California School Immunization Laws (California Health and Safety Code Sections 120335-120375). This report summarizes data for the 2015-2016 school year reported by public and private kindergartens statewide (Table 1, Figures 1-5) and by county (Tables 2-7). Methods Schools reported data to the California Department of Public Health (CDPH) in the autumn of 2015, prior to 2016 effective date for Senate Bill (SB) 277 but during the second year of implementation of Assembly Bill (AB) 2109. Based on their immunization status, students were classified by school staff into the following categories: • Fully vaccinated with all required immunizations 1 • Conditional entrants, because either o Not fully-vaccinated but not currently overdue, or o Having a temporary medical exemption (TME) to vaccination • Having a permanent medical exemption (PME) to vaccination • Having a personal beliefs exemption (PBE). In 2014 and 2015, under the provisions of AB 2109 this required additional documentation from the parent or guardian of either: o Receiving information about immunizations and the diseases they prevent from an authorized health care practitioner or o Declaring a religious objection to seeking medical advice or treatment from authorized health care practitioners • Overdue and subject to exclusion from school for non-compliance (new category for this year). Results 8,467 (97%), of 8,752 schools in California with kindergartners submitted immunization assessment reports by December 15, 2015 (Table 2), in comparison to 7,738 (95%) of 8,170 schools that reported in 2014. Private schools accounted for 27% (2401/8752) of all kindergartens but 73% (209/285) of kindergartens that did not submit reports. Figures 1-5 show trends over the last 6-7 years for students in public and private schools reported as fully-vaccinated, conditional entrants, PBEs, PMEs, and fullyvaccinated by vaccine series. Fully vaccinated: Of 551,123 kindergarten children whose schools reported their status, 511,708 (92.9%) had received all required immunizations,1 an increase from the previous school year of 2.5 percentage points overall, 2.5 percentage points in public schools, and 1.6 percentage points in private schools (Table 1). Percentage point increases in completion rates for individual vaccines ranged from 0.9 percentage points for Varicella and Hep B to 1.9 percentage points for MMR (Table 1). The percentage of fully-vaccinated students increased in 46 (79%) of 58 counties (Table 4); Alameda County had the largest increase at 7.3% (Table 4). 1 4 or more doses of Diphtheria, Tetanus, Pertussis (4+ DTP), 3+ Polio, 2+ MMR (Measles, Mumps, Rubella), 3+ Hep B (Hepatitis B), and 1+ Var (Varicella) or physician-documented varicella disease. 1 As in past years, a higher proportion of students in public compared to private schools were fully vaccinated (93.2% vs. 88.2%). Rates for receipt of individual vaccines also are higher in public schools; for MMR, 94.5% of students at public schools vs. 90.5% at private schools were fully vaccinated. Conditional entrants: Compared to the 2014-2015 school year, the proportion of pupils reported as conditional entrants in California decreased by 2.5 percentage points, equal to the increase in the rate of fully-vaccinated students. The rate of conditional entrants decreased in both public (-2.5 percentage points) and private (-1.5 percentage points) schools. Schools in 48 (83%) of 58 counties reported a reduction in conditional entrants, the largest reduction (-9.3 percentage points) occurring in Calaveras County (Table 5). PBEs: Among kindergarteners, 2.38% had PBEs in 2015-2016, reduced from 2.54% (-0.16 percentage points) in 2014-2015 and 3.15% (-0.61 percentage points) in 2013-2014. After these declines, the PBE rate is now similar to the rate in 2011-2012 (2.32%). In 2015-2016, PBE rates declined over one year by 0.4 percentage points in private schools and 0.15 percentage points in public schools. The rates of PBEs continue to vary by county, with a range of 0% - 18.4% (Table 3). PMEs: The percentage of students with PMEs was 0.17%, compared to 0.19% in 2014-15 (Table 1). Overdue: In fall 2015, nearly 1,000 students (0.18%) were reported as being overdue for one or more immunizations (Table 3) and so subject to exclusion until all requirements are met. Discussion The proportion of students entering kindergarten after receiving all required immunizations increased by 2.5 percentage points to 92.9% in the 2015-2016 school year, an increase matched by a 2.5 percentage point reduction in those reported as conditional entrants. Rates of PMEs and PBEs were no higher in 2015-2016 than the prior year. A recent CDPH analysis of a sampling of California kindergartens suggests that fewer than 10% of children previously reported as conditional entrants truly fulfilled criteria for conditional entrance based on the Conditional Admission Immunization Schedule (CDPH, unpublished data). Incorporating pilot efforts by the Alameda County Public Health Department, in 2015 CDPH assisted local health departments in educating school staff on the proper use of conditional entrance criteria. In addition, schools were alerted that the required annual financial and compliance audits of local education agencies for the 2015-2016 school year will scrutinize reimbursement for attendance at schools with higher rates of conditional entrance. Under these interventions, Alameda County had the largest increase of any county in the rate of fully-immunized students (7.3 percentage points) and reported a comparable reduction in the rate of conditional entrants (-7.2 percentage points). With the additional measures required under AB 2109 for requesting PBEs during 2014 and 2015, the rate of PBEs decreased from 3.15% in 2013-2014 to 2.38% in 2015-2016. Under SB 277, chaptered and 2015 and effective in 2016, PBEs will no longer be available for children entering a kindergarten program in California (See ShotsForSchool.org for additional information). In addition to efforts taken to promote compliance of with immunization laws, additional factors may have contributed to increased vaccination rates among kindergarten students in 2015-16. The measles outbreak spreading from Disneyland in December 2014 to 12 CA counties (as well as 6 other states and 2 other countries), may have raised awareness of the risks of vaccine-preventable diseases and the benefits of immunization. Despite improvements in vaccination rates, a number of schools and communities remain at risk of contagion. For example, in 2015-16, 20 (34%) of 58 counties in California have rates of fully immunized kindergarteners that are below 90% (Table 4). Furthermore, 31 (53%) counties have fewer than 95% of 2 kindergarteners reported as having two doses of MMR, an approximate threshold necessary to prevent the transmission of measles. Limitations This report is subject to limitations that include: • 285 schools with kindergartens did not report their data. • Any immunizations received by children with PBEs or PMEs to other immunizations are not currently reported in the rates of students who have received all doses of specific vaccines, so completion rates may be underestimated. • The timing of immunization is often not included in the assessment criteria; if doses were given at clinically inappropriate ages or intervals, the rates may overestimate levels of immunity. • It is possible that some immunization records provided to schools have been incomplete. The presence of incomplete records would decrease estimates of immunization coverage, while any improvements over time in completion would increase estimates. For further information, please contact Kristen Sy at Kristen.Sy@cdph.ca.gov at the California Department of Public Health, Immunization Branch 3 Table 1. Immunization Status, Vaccine-specific Coverage Rates, and 1-Year Percentage Point Change in CA Kindergartens, 2014-16 School Year* 2015-16 Number of Schools Number of Students All Required Immunizations Conditional Entrants Permanent Medical Exemptions Overdue^ Personal Belief Exemptions Pre-January 2014 Health Care Practitioner Counseled Religious 4+ DTP 3+ Polio 2+ MMR 3+ Hep B 1+ Vari (or physician-documented disease) All Public Private 8,467 6,275 2,192 551,123 508,458 42,665 92.9% 93.2% 88.2% 4.4% 4.3% 6.4% 0.17% 0.15% 0.34% 0.18% 0.18% 0.14% 2.37% 2.16% 4.93% 1.81% 1.64% 3.93% 0.56% 0.52% 1.00% 94.2% 94.5% 90.4% 94.7% 95.0% 90.7% 94.5% 94.9% 90.5% 95.8% 96.1% 92.8% 96.3% 96.6% 93.2% 1 YR Change 2014-15 All 7,738 535,234 90.4% 6.9% 0.19% 2.54% 0.38% 1.64% 0.52% 92.4% 93.0% 92.6% 94.9% 95.4% Public 5,895 494,636 90.7% 6.8% 0.19% 2.31% 0.27% 1.54% 0.50% 92.6% 93.3% 92.9% 95.1% 95.7% Private 1,843 40,598 86.6% 7.8% 0.29% 5.33% 1.67% 2.85% 0.81% 89.2% 89.5% 88.8% 92.0% 92.5% All Public Private +2.5% -2.5% -0.02% -0.16% +2.5% -2.5% -0.04% -0.15% +1.6% -1.4% -0.05% -0.40% +1.8% +1.7% +1.9% +0.9% +0.9% +1.9% +1.7% +2.0% +1.0% +0.9% +1.2% +1.2% +1.7% +0.8% +0.7% *Individual antigen status is unavailable for students with PBEs and PMEs.. Therefore, fully-vaccinated and individual antigen immunization coverage may be underestimated. ^ ‘Overdue’ were students subject to exclusion from school. 4 10% All 95% Public Private 90% 85% All % of Students admitted % of Students Fully 100% Public 5% Private 0% School Year School Year Figure 1. Percentage of Fully Vaccinated Kindergarten Students, by School Type and School Year, 2009-10 to 2015-16 Figure 2. Percentage of Kindergarten ‘Conditional’ Entrants, by School Type and School Year, 2010-11 to 2015-16 % Students with All 4% Public Private 2% % of Students with 0.40% 6% 0.30% All Public Private 0.20% 0.10% 0.00% 0% School Year School Year Figure 3. Percentage of Kindergarten PBEs, by School Type and School Year, 2010-11 to 2015-16 Figure 4. Percentage of Kindergarten PMEs, by School Type and School Year, 2010-11 to 2015-16 5 % of Students 100% 4+DTP 3+Polio 2+MMR 3+HepB 1+Vari* 95% 90% School Year Figure 5. Percentage of Fully Vaccinated Kindergarten Students, by Vaccine Type and School Year, 2010-11 to 2015-16 6 KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 2: NUMBER AND PERCENTAGE OF SCHOOLS REPORTING BY SCHOOL TYPE, BY COUNTY SCHOOL TYPE ALL NUMBER OF SCHOOLS STATE TOTAL COUNTY ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA 7 PUBLIC NUMBER PERCENT REPORTING REPORTING NUMBER OF SCHOOLS PRIVATE PERCENT NUMBER REPORTING REPORTING NUMBER OF SCHOOLS NUMBER PERCENT REPORTING REPORTING 8,752 8,467 96.7% 6,351 6,275 98.8% 2,401 2,192 91.3% 339 1 8 68 14 8 247 12 47 249 13 65 47 11 200 44 24 16 2,043 49 80 12 39 73 11 6 97 41 322 1 8 67 13 8 243 12 47 247 13 65 47 11 195 44 22 15 1,867 44 80 12 38 62 11 6 97 41 95.0% 100.0% 100.0% 98.5% 92.9% 100.0% 98.4% 100.0% 100.0% 99.2% 100.0% 100.0% 100.0% 100.0% 97.5% 100.0% 91.7% 93.8% 91.4% 89.8% 100.0% 100.0% 97.4% 84.9% 100.0% 100.0% 100.0% 100.0% 234 1 8 56 13 7 169 11 38 217 11 56 41 11 163 38 19 16 1,360 42 50 11 33 58 9 5 82 26 228 1 8 56 13 7 168 11 38 217 11 56 41 11 162 38 18 15 1,318 39 50 11 32 55 9 5 82 26 97.4% 100.0% 100.0% 100.0% 100.0% 100.0% 99.4% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 99.4% 100.0% 94.7% 93.8% 96.9% 92.9% 100.0% 100.0% 97.0% 94.8% 100.0% 100.0% 100.0% 100.0% 105 94 89.5% 0 12 1 1 78 1 9 32 2 9 6 0 37 6 5 0 683 7 30 1 6 15 2 1 15 15 0 11 0 1 75 1 9 30 2 9 6 0 33 6 4 0 549 5 30 1 6 7 2 1 15 15 0.0% 91.7% 0.0% 100.0% 96.2% 100.0% 100.0% 93.8% 100.0% 100.0% 100.0% 0.0% 89.2% 100.0% 80.0% 0.0% 80.4% 71.4% 100.0% 0.0% 100.0% 46.7% 100.0% 100.0% 100.0% 100.0% KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 2: NUMBER AND PERCENTAGE OF SCHOOLS REPORTING BY SCHOOL TYPE, BY COUNTY SCHOOL TYPE ALL NUMBER OF SCHOOLS 8 STATE TOTAL COUNTY NEVADA ORANGE PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA PUBLIC NUMBER PERCENT REPORTING REPORTING NUMBER OF SCHOOLS PRIVATE PERCENT NUMBER REPORTING REPORTING NUMBER OF SCHOOLS NUMBER PERCENT REPORTING REPORTING 8,752 8,467 96.7% 6,351 6,275 98.8% 2,401 2,192 91.3% 29 649 102 9 419 321 24 472 683 159 199 66 170 106 405 68 76 3 36 78 149 140 35 34 15 133 24 210 46 28 27 649 100 8 419 300 21 472 683 158 199 63 170 104 405 65 73 3 36 72 149 138 34 32 15 129 23 209 46 27 93.1% 100.0% 98.0% 88.9% 100.0% 93.5% 87.5% 100.0% 100.0% 99.4% 100.0% 95.5% 100.0% 98.1% 100.0% 95.6% 96.1% 100.0% 100.0% 92.3% 100.0% 98.6% 97.1% 94.1% 100.0% 97.0% 95.8% 99.5% 100.0% 96.4% 23 405 86 6 306 246 19 362 501 77 170 48 112 79 264 47 61 3 32 60 117 119 31 32 15 120 18 145 35 27 23 405 85 6 306 239 16 362 501 77 170 48 112 79 264 47 60 3 32 58 117 119 31 32 15 118 18 145 35 26 100.0% 100.0% 98.8% 100.0% 100.0% 97.2% 84.2% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 98.4% 100.0% 100.0% 96.7% 100.0% 100.0% 100.0% 100.0% 100.0% 98.3% 100.0% 100.0% 100.0% 96.3% 6 244 16 3 113 75 5 110 182 82 29 18 58 27 141 21 15 0 4 18 32 21 4 2 0 13 6 65 11 1 4 244 15 2 113 61 5 110 182 81 29 15 58 25 141 18 13 0 4 14 32 19 3 0 0 11 5 64 11 1 66.7% 100.0% 93.8% 66.7% 100.0% 81.3% 100.0% 100.0% 100.0% 98.8% 100.0% 83.3% 100.0% 92.6% 100.0% 85.7% 86.7% 0.0% 100.0% 77.8% 100.0% 90.5% 75.0% 0.0% 0.0% 84.6% 83.3% 98.5% 100.0% 100.0% KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 3: TOTAL ENROLLMENT AND ADMISSION STATUS, BY COUNTY TOTAL STUDENTS NUMBER STATE TOTAL COUNTY ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA 9 ENTRANTS WITH ALL REQ. IMMUN. NUMBER PERCENT CONDITIONAL ENTRANTS NUMBER PERCENT ENTRANTS WITH PME NUMBER PERCENT ENTRANTS WITH PBE NUMBER PERCENT OVERDUE NUMBER PERCENT 551,123 511,708 92.8% 24,424 4.4% 931 0.2% 13,086 2.4% 974 0.18% 21,644 6 307 2,936 419 408 15,398 344 2,246 18,763 483 1,741 3,200 209 16,492 2,588 804 378 134,209 2,797 3,306 157 1,191 5,016 128 144 6,960 1,750 896 20,752 6 268 2,654 370 407 14,645 304 2,031 18,043 457 1,428 3,051 206 15,715 2,507 747 325 120,794 2,681 2,926 128 1,041 4,842 112 127 6,593 1,635 691 95.9% 100.0% 87.3% 90.4% 88.3% 99.8% 95.1% 88.4% 90.4% 96.2% 94.6% 82.0% 95.3% 98.6% 95.3% 96.9% 92.9% 86.0% 90.0% 95.9% 88.5% 81.5% 87.4% 96.5% 87.5% 88.2% 94.7% 93.4% 77.1% 534 0 20 118 3 1 415 10 46 512 10 121 126 1 471 52 31 14 11,061 68 176 8 52 102 13 1 245 54 30 2.5% 0.0% 6.5% 4.0% 0.7% 0.2% 2.7% 2.9% 2.0% 2.7% 2.1% 7.0% 3.9% 0.5% 2.9% 2.0% 3.9% 3.7% 8.2% 2.4% 5.3% 5.1% 4.4% 2.0% 10.2% 0.7% 3.5% 3.1% 3.3% 28 0 3 6 0 0 31 0 7 14 1 5 5 0 26 3 6 3 169 6 8 0 5 5 0 0 16 3 2 0.1% 0.0% 1.0% 0.2% 0.0% 0.0% 0.2% 0.0% 0.3% 0.1% 0.2% 0.3% 0.2% 0.0% 0.2% 0.1% 0.7% 0.8% 0.1% 0.2% 0.2% 0.0% 0.4% 0.1% 0.0% 0.0% 0.2% 0.2% 0.2% 263 0 10 156 44 0 304 30 161 181 12 181 17 2 247 24 20 36 1,995 40 196 21 85 39 1 16 98 58 165 1.2% 0.0% 3.3% 5.3% 10.5% 0.0% 2.0% 8.7% 7.2% 1.0% 2.5% 10.4% 0.5% 1.0% 1.5% 0.9% 2.5% 9.5% 1.5% 1.4% 5.9% 13.4% 7.1% 0.8% 0.8% 11.1% 1.4% 3.3% 18.4% 67 0 6 2 2 0 3 0 1 13 3 6 1 0 33 2 0 0 190 2 0 0 8 28 2 0 8 0 8 0.31% 0.00% 1.95% 0.07% 0.48% 0.00% 0.02% 0.00% 0.04% 0.07% 0.62% 0.34% 0.03% 0.00% 0.20% 0.08% 0.00% 0.00% 0.14% 0.07% 0.00% 0.00% 0.67% 0.56% 1.56% 0.00% 0.11% 0.00% 0.89% KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 3: TOTAL ENROLLMENT AND ADMISSION STATUS, BY COUNTY TOTAL STUDENTS NUMBER STATE TOTAL COUNTY ORANGE PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 10 ENTRANTS WITH ALL REQ. IMMUN. NUMBER PERCENT CONDITIONAL ENTRANTS NUMBER PERCENT ENTRANTS WITH PME NUMBER PERCENT ENTRANTS WITH PBE NUMBER PERCENT OVERDUE NUMBER PERCENT 551,123 511,708 92.8% 24,424 4.4% 931 0.2% 13,086 2.4% 974 0.18% 42,007 5,756 188 34,506 20,649 908 34,118 45,646 6,524 12,201 3,147 9,757 6,721 26,269 3,567 2,232 27 488 5,592 6,757 9,397 1,909 1,011 139 9,267 569 12,718 2,725 1,408 38,848 5,113 162 32,857 18,281 872 32,378 42,686 6,035 11,706 2,824 9,285 6,381 24,897 3,120 1,875 27 409 5,303 6,220 8,920 1,719 951 107 8,996 442 11,975 2,500 1,333 92.5% 88.8% 86.2% 95.2% 88.5% 96.0% 94.9% 93.5% 92.5% 95.9% 89.7% 95.2% 94.9% 94.8% 87.5% 84.0% 100.0% 83.8% 94.8% 92.1% 94.9% 90.0% 94.1% 77.0% 97.1% 77.7% 94.2% 91.7% 94.7% 1,749 292 6 819 1,453 19 938 1,088 382 267 140 295 92 842 110 160 0 35 185 169 221 31 27 12 171 79 374 128 45 4.2% 5.1% 3.2% 2.4% 7.0% 2.1% 2.7% 2.4% 5.9% 2.2% 4.4% 3.0% 1.4% 3.2% 3.1% 7.2% 0.0% 7.2% 3.3% 2.5% 2.4% 1.6% 2.7% 8.6% 1.8% 13.9% 2.9% 4.7% 3.2% 92 8 3 71 29 5 55 108 10 18 5 14 7 59 13 1 0 0 9 15 16 6 4 0 7 1 20 1 2 0.2% 0.1% 1.6% 0.2% 0.1% 0.6% 0.2% 0.2% 0.2% 0.1% 0.2% 0.1% 0.1% 0.2% 0.4% 0.0% 0.0% 0.0% 0.2% 0.2% 0.2% 0.3% 0.4% 0.0% 0.1% 0.2% 0.2% 0.0% 0.1% 1,270 343 17 728 838 11 651 1,631 96 159 174 159 240 437 313 187 0 38 84 327 215 150 28 20 83 47 316 95 27 3.0% 6.0% 9.0% 2.1% 4.1% 1.2% 1.9% 3.6% 1.5% 1.3% 5.5% 1.6% 3.6% 1.7% 8.8% 8.4% 0.0% 7.8% 1.5% 4.8% 2.3% 7.9% 2.8% 14.4% 0.9% 8.3% 2.5% 3.5% 1.9% 48 0 0 31 48 1 96 133 1 51 4 4 1 34 11 9 0 6 11 26 25 3 1 0 10 0 33 1 1 0.11% 0.00% 0.00% 0.09% 0.23% 0.11% 0.28% 0.29% 0.02% 0.42% 0.13% 0.04% 0.01% 0.13% 0.31% 0.40% 0.00% 1.23% 0.20% 0.38% 0.27% 0.16% 0.10% 0.00% 0.11% 0.00% 0.26% 0.04% 0.07% KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 4:NUMBER AND PERCENTAGE OF FULLY VACCINATED STUDENTS, AND 1 YEAR PERCENTAGE POINT CHANGE AND NUMBER OF FULLY VACCINATED STUDENTS COMPARED TO LAST YEAR, BY COUNTY 2015-2016 TOTAL STUDENTS STATE TOTAL COUNTY ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA 11 NUMBER FULLY VACC 2014-2015 PERCENT TOTAL NUMBER FULLY VACC 1-YEAR CHANGE PERCENT PERCENT NUMBER FULLY VACC 551,123 511,708 92.9% 535,234 483,877 90.4% +2.5% 27,831 21,644 6 307 2,936 419 408 15,398 344 2,246 18,763 483 1,741 3,200 209 16,492 2,588 804 378 134,209 2,797 3,306 157 1,191 5,016 128 144 6,960 1,750 896 20,752 6 268 2,654 370 407 14,645 304 2,031 18,043 457 1,428 3,051 206 15,715 2,507 747 325 120,794 2,681 2,926 128 1,041 4,842 112 127 6,593 1,635 691 95.9% 100.0% 87.3% 90.4% 88.3% 99.8% 95.1% 88.4% 90.4% 96.2% 94.6% 82.0% 95.3% 98.6% 95.3% 96.9% 92.9% 86.0% 90.0% 95.9% 88.5% 81.5% 87.4% 96.5% 87.5% 88.2% 94.7% 93.4% 77.1% 20,801 0 268 2,735 408 403 14,651 331 2,195 17,965 312 1,613 3,110 243 16,098 2,722 845 358 130,146 2,246 3,334 168 1,191 5,199 111 148 6,984 1,921 854 18,427 0 246 2,386 333 398 13,747 294 1,982 17,095 301 1,221 2,905 233 15,051 2,633 768 300 111,884 2,088 2,806 134 967 4,948 103 128 6,178 1,796 620 88.6% 0.0% 91.8% 87.2% 81.6% 98.8% 93.8% 88.8% 90.3% 95.2% 96.5% 75.7% 93.4% 95.9% 93.5% 96.7% 90.9% 83.8% 86.0% 93.0% 84.2% 79.8% 81.2% 95.2% 92.8% 86.5% 88.5% 93.5% 72.6% +7.3% -4.5% +3.2% +6.7% +1.0% +1.3% -0.4% +0.1% +1.0% -1.9% +6.3% +1.9% +2.7% +1.8% +0.1% +2.0% +2.2% +4.0% +2.9% +4.3% +1.8% +6.2% +1.4% -5.3% +1.7% +6.3% -0.1% +4.5% +2325 +22 +268 +37 +9 +898 +10 +49 +948 +156 +207 +146 -27 +664 -126 -21 +25 +8910 +593 +120 -6 +74 -106 +9 -1 +415 -161 +71 KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 4:NUMBER AND PERCENTAGE OF FULLY VACCINATED STUDENTS, AND 1 YEAR PERCENTAGE POINT CHANGE AND NUMBER OF FULLY VACCINATED STUDENTS COMPARED TO LAST YEAR, BY COUNTY 2015-2016 TOTAL STUDENTS STATE TOTAL COUNTY ORANGE PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 12 NUMBER FULLY VACC 2014-2015 PERCENT TOTAL NUMBER FULLY VACC 1-YEAR CHANGE PERCENT PERCENT NUMBER FULLY VACC 551,123 511,708 92.9% 535,234 483,877 90.4% +2.5% 27,831 42,007 5,756 188 34,506 20,649 908 34,118 45,646 6,524 12,201 3,147 9,757 6,721 26,269 3,567 2,232 27 488 5,592 6,757 9,397 1,909 1,011 139 9,267 569 12,718 2,725 1,408 38,848 5,113 162 32,857 18,281 872 32,378 42,686 6,035 11,706 2,824 9,285 6,381 24,897 3,120 1,875 27 409 5,303 6,220 8,920 1,719 951 107 8,996 442 11,975 2,500 1,333 92.5% 88.8% 86.2% 95.2% 88.5% 96.0% 94.9% 93.5% 92.5% 95.9% 89.7% 95.2% 94.9% 94.8% 87.5% 84.0% 100.0% 83.8% 94.8% 92.1% 94.9% 90.0% 94.1% 77.0% 97.1% 77.7% 94.2% 91.7% 94.7% 42,076 5,524 149 34,377 19,527 897 33,818 43,827 6,560 11,742 2,982 9,343 6,641 24,541 3,680 2,245 28 510 5,273 6,552 8,921 1,852 987 114 9,315 462 12,163 2,504 1,264 37,891 4,773 126 32,439 17,065 868 31,706 40,468 5,670 11,221 2,599 8,740 6,269 22,893 3,082 1,899 28 422 4,982 5,900 8,335 1,675 926 93 8,992 358 10,955 2,318 1,212 90.1% 86.4% 84.6% 94.4% 87.4% 96.8% 93.8% 92.3% 86.4% 95.6% 87.2% 93.5% 94.4% 93.3% 83.8% 84.6% 100.0% 82.7% 94.5% 90.0% 93.4% 90.4% 93.8% 81.6% 96.5% 77.5% 90.1% 92.6% 95.9% +2.4% +2.4% +1.6% +0.9% +1.1% +0.7% +1.1% +1.2% +6.1% +0.4% +2.6% +1.6% +0.5% +1.5% +3.7% -0.6% +1.1% +0.4% +2.0% +1.5% -0.4% +0.2% -4.6% +0.5% +0.2% +4.1% -0.8% -1.2% +957 +340 +36 +418 +1,216 +4 +672 +2,218 +365 +485 +225 +545 +112 +2,004 +38 -24 -13 +321 +320 +585 +44 +25 +14 +4 +84 +1,020 +182 +121 KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 5: NUMBER AND PERCENTAGE OF 'CONDITIONAL' STUDENTS, AND 1 YEAR PERCENTAGE POINT CHANGE AND NUMBER OF 'CONDITIONAL' STUDENTS COMPARED TO LAST YEAR, BY COUNTY 2015-2016 TOTAL STATE TOTAL COUNTY ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA 13 CONDITIONALS 2014-2015 PERCENT TOTAL CONDITIONALS 1-YEAR CHANGE PERCENT PERCENT CONDITIONALS 551,123 24,424 4.4% 535,234 36,731 6.9% -2.5% -12,307 21,644 6 307 2,936 419 408 15,398 344 2,246 18,763 483 1,741 3,200 209 16,492 2,588 804 378 134,209 2,797 3,306 157 1,191 5,016 128 144 6,960 1,750 896 534 0 20 118 3 1 415 10 46 512 10 121 126 1 471 52 31 14 11,061 68 176 8 52 102 13 1 245 54 30 2.5% 0.0% 6.5% 4.0% 0.7% 0.2% 2.7% 2.9% 2.0% 2.7% 2.1% 7.0% 3.9% 0.5% 2.9% 2.0% 3.9% 3.7% 8.2% 2.4% 5.3% 5.1% 4.4% 2.0% 10.2% 0.7% 3.5% 3.1% 3.3% 20,801 0 268 2,735 408 403 14,651 331 2,195 17,965 312 1,613 3,110 243 16,098 2,722 845 358 130,146 2,246 3,334 168 1,191 5,199 111 148 6,984 1,921 854 2,014 0 15 170 41 3 602 8 41 658 7 210 188 5 669 62 36 30 15,983 108 307 10 146 198 5 4 686 61 46 9.7% 5.6% 6.2% 10.0% 0.7% 4.1% 2.4% 1.9% 3.7% 2.2% 13.0% 6.0% 2.1% 4.2% 2.3% 4.3% 8.4% 12.3% 4.8% 9.2% 6.0% 12.3% 3.8% 4.5% 2.7% 9.8% 3.2% 5.4% -7.2% +0.9% -2.2% -9.3% -0.5% -1.4% +0.5% +0.1% -1.0% -0.1% -6.0% -2.1% -1.6% -1.3% -0.3% -0.4% -4.7% -4.1% -2.4% -3.9% -0.9% -7.9% -1.8% +5.7% -2.0% -6.3% -0.1% -2.0% -1,480 +5 -52 -38 -2 -187 +2 +5 -146 +3 -89 -62 -4 -198 -10 -5 -16 -4,922 -40 -131 -2 -94 -96 +8 -3 -441 -7 -16 KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 5: NUMBER AND PERCENTAGE OF 'CONDITIONAL' STUDENTS, AND 1 YEAR PERCENTAGE POINT CHANGE AND NUMBER OF 'CONDITIONAL' STUDENTS COMPARED TO LAST YEAR, BY COUNTY 2015-2016 TOTAL STATE TOTAL COUNTY ORANGE PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 14 CONDITIONALS 2014-2015 PERCENT TOTAL CONDITIONALS 1-YEAR CHANGE PERCENT PERCENT CONDITIONALS 551,123 24,424 4.4% 535,234 36,731 6.9% -2.5% -12,307 42,007 5,756 188 34,506 20,649 908 34,118 45,646 6,524 12,201 3,147 9,757 6,721 26,269 3,567 2,232 27 488 5,592 6,757 9,397 1,909 1,011 139 9,267 569 12,718 2,725 1,408 1,749 292 6 819 1,453 19 938 1,088 382 267 140 295 92 842 110 160 0 35 185 169 221 31 27 12 171 79 374 128 45 4.2% 5.1% 3.2% 2.4% 7.0% 2.1% 2.7% 2.4% 5.9% 2.2% 4.4% 3.0% 1.4% 3.2% 3.1% 7.2% 0.0% 7.2% 3.3% 2.5% 2.4% 1.6% 2.7% 8.6% 1.8% 13.9% 2.9% 4.7% 3.2% 42,076 5,524 149 34,377 19,527 897 33,818 43,827 6,560 11,742 2,982 9,343 6,641 24,541 3,680 2,245 28 510 5,273 6,552 8,921 1,852 987 114 9,315 462 12,163 2,504 1,264 2,806 286 13 1,025 1,536 16 1,317 1,744 762 367 207 412 168 1,203 243 173 0 57 192 275 282 63 19 11 221 69 825 103 23 6.7% 5.2% 8.7% 3.0% 7.9% 1.8% 3.9% 4.0% 11.6% 3.1% 6.9% 4.4% 2.5% 4.9% 6.6% 7.7% 0.0% 11.2% 3.6% 4.2% 3.2% 3.4% 1.9% 9.6% 2.4% 14.9% 6.8% 4.1% 1.8% -2.5% -0.1% -5.5% -0.6% -0.8% +0.3% -1.1% -1.6% -5.8% -0.9% -2.5% -1.4% -1.2% -1.7% -3.5% -0.5% -4.0% -0.3% -1.7% -0.8% -1.8% +0.7% -1.0% -0.5% -1.1% -3.8% +0.6% +1.4% -1,057 +6 -7 -206 -83 +3 -379 -656 -380 -100 -67 -117 -76 -361 -133 -13 -22 -7 -106 -61 -32 +8 +1 -50 +10 -451 +25 +22 KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 6: NUMBER AND PERCENTAGE OF PBE STUDENTS AND PERCENTAGE POINT CHANGE COMPARED TO LAST YEAR, BY COUNTY STUDENTS WITH PBE TOTAL STUDENTS NUMBER 15 STATE TOTAL COUNTY ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA PBE TYPE HEALTH CARE PRACTITIONER NUMBER PERCENT TOTAL PBE RELIGIOUS NUMBER 2015-16 PERCENT NUMBER 2014-15 PERCENT PERCENT PERCENTAGE POINT CHANGE 551,123 9,987 1.81% 3,099 0.56% 13,086 2.37% 2.54% -0.17% 21644 6 307 2936 419 408 15398 344 2246 18763 483 1741 3200 209 16492 2588 804 378 134,209 2,797 3,306 157 1,191 5,016 128 144 6,960 1,750 896 214 0 8 114 28 0 231 13 108 114 10 142 10 0 176 21 16 12 1485 27 195 17 63 25 0 12 70 35 151 0.99% 0.00% 2.61% 3.88% 6.68% 0.00% 1.50% 3.78% 4.81% 0.61% 2.07% 8.16% 0.31% 0.00% 1.07% 0.81% 1.99% 3.17% 1.11% 0.97% 5.90% 10.83% 5.29% 0.50% 0.00% 8.33% 1.01% 2.00% 16.85% 49 0 2 42 16 0 73 17 53 67 2 39 7 2 71 3 4 24 510 13 1 4 22 14 1 4 28 23 14 0.23% 0.00% 0.65% 1.43% 3.82% 0.00% 0.47% 4.94% 2.36% 0.36% 0.41% 2.24% 0.22% 0.96% 0.43% 0.12% 0.50% 6.35% 0.38% 0.46% 0.03% 2.55% 1.85% 0.28% 0.78% 2.78% 0.40% 1.31% 1.56% 263 0 10 156 44 0 304 30 161 181 12 181 17 2 247 24 20 36 1,995 40 196 21 85 39 1 16 98 58 165 1.22% 0.00% 3.26% 5.31% 10.50% 0.00% 1.97% 8.72% 7.17% 0.96% 2.48% 10.40% 0.53% 0.96% 1.50% 0.93% 2.49% 9.52% 1.49% 1.43% 5.93% 13.38% 7.14% 0.78% 0.78% 11.11% 1.41% 3.31% 18.42% 1.54% 0.00% 2.61% 5.96% 8.33% 0.50% 1.90% 7.55% 7.61% 1.03% 0.96% 10.85% 0.45% 2.06% 1.77% 0.81% 4.85% 7.82% 1.62% 2.00% 6.45% 14.29% 6.30% 0.98% 2.70% 10.81% 1.60% 3.18% 21.55% -0.33% 0.00% +.0.65% -0.65% +2.17% -0.50% +0.07% +1.17% -0.44% -0.07% +1.52% -0.45% +0.08% -1.10% -0.27% -0.12% -2.36% +1.70% -0.13% -0.57% -0.52% -0.91% -0.84% -0.20% -1.92% -0.30% -0.19% +0.14% -3.13% KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 6: NUMBER AND PERCENTAGE OF PBE STUDENTS AND PERCENTAGE POINT CHANGE COMPARED TO LAST YEAR, BY COUNTY STUDENTS WITH PBE TOTAL STUDENTS NUMBER 16 STATE TOTAL COUNTY ORANGE PLACER PLUMAS RIVERSIDE SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA PBE TYPE HEALTH CARE PRACTITIONER NUMBER PERCENT TOTAL PBE RELIGIOUS NUMBER 2015-16 PERCENT NUMBER 2014-15 PERCENT PERCENT PERCENTAGE POINT CHANGE 551,123 9,987 1.81% 3,099 0.56% 13,086 2.37% 2.54% -0.17% 42,007 5,756 188 34,506 20,649 908 34,118 45,646 6,524 12,201 3,147 9,757 6,721 26,269 3,567 2,232 27 488 5,592 6,757 9,397 1,909 1,011 139 9,267 569 12,718 2,725 1,408 1,072 264 17 589 564 10 468 1,177 77 115 145 150 178 323 250 145 0 26 77 298 162 86 27 15 70 27 247 89 22 2.55% 4.59% 9.04% 1.71% 2.73% 1.10% 1.37% 2.58% 1.18% 0.94% 4.61% 1.54% 2.65% 1.23% 7.01% 6.50% 0.00% 5.33% 1.38% 4.41% 1.72% 4.50% 2.67% 10.79% 0.76% 4.75% 1.94% 3.27% 1.56% 198 79 0 139 274 1 183 454 19 44 29 9 62 114 63 42 0 12 7 29 53 64 1 5 13 20 69 6 5 0.47% 1.37% 0.00% 0.40% 1.33% 0.11% 0.54% 0.99% 0.29% 0.36% 0.92% 0.09% 0.92% 0.43% 1.77% 1.88% 0.00% 2.46% 0.13% 0.43% 0.56% 3.35% 0.10% 3.60% 0.14% 3.51% 0.54% 0.22% 0.36% 1,270 343 17 728 838 11 651 1,631 96 159 174 159 240 437 313 187 0 38 84 327 215 150 28 20 83 47 316 95 27 3.02% 5.96% 9.04% 2.11% 4.06% 1.21% 1.91% 3.57% 1.47% 1.30% 5.53% 1.63% 3.57% 1.66% 8.77% 8.38% 0.00% 7.79% 1.50% 4.84% 2.29% 7.86% 2.77% 14.39% 0.90% 8.26% 2.48% 3.49% 1.92% 2.99% 8.00% 6.71% 2.48% 4.54% 1.23% 2.18% 3.46% 1.80% 1.13% 5.53% 1.85% 2.94% 1.57% 9.35% 7.53% 0.00% 6.08% 1.80% 5.54% 3.25% 5.83% 4.15% 8.77% 0.96% 7.36% 3.05% 3.23% 2.22% +0.03% -2.04% +2.33% -0.37% -0.48% -0.01% -0.27% -0.11% -0.33% -0.17% 0.00% -0.22% -0.63% -0.09% -0.57% -0.85% 0.00% -1.71% -0.30% -0.70% -0.96% +2.02% -1.38% +5.62% -0.06% -0.90% -0.57% -0.25% -0.30% KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 7: NUMBER AND PERCENTAGE OF FULLY VACCINATED STUDENTS BY VACCINE SERIES, BY COUNTY TOTAL STUDENTS NUMBER 17 STATE TOTAL COUNTY ALAMEDA ALPINE AMADOR BUTTE CALAVERAS COLUSA CONTRA COSTA DEL NORTE EL DORADO FRESNO GLENN HUMBOLDT IMPERIAL INYO KERN KINGS LAKE LASSEN LOS ANGELES MADERA MARIN MARIPOSA MENDOCINO MERCED MODOC MONO MONTEREY NAPA NEVADA ORANGE PLACER PLUMAS RIVERSIDE DTP 4+ NUMBER POLIO 3+ PERCENT NUMBER MMR 2 PERCENT NUMBER HEP B 3+ PERCENT NUMBER VAR 1+ PERCENT NUMBER PERCENT 551,123 519,114 94.2% 521,935 94.7% 520,974 94.5% 527,991 95.8% 530,716 96.3% 21644 6 307 2936 419 408 15398 344 2246 18763 483 1741 3200 209 16492 2588 804 378 134209 2,797 3,306 157 1,191 5,016 128 144 6,960 1,750 896 42,007 5,756 188 34,506 20,952 6 275 2,683 371 407 14,776 306 2,042 18,179 459 1,467 3,095 207 15,867 2,517 757 329 124,321 2,693 2,993 129 1,054 4,868 113 127 6,661 1,654 701 39,374 5,208 164 33,073 96.8% 100.0% 89.6% 91.4% 88.5% 99.8% 96.0% 89.0% 90.9% 96.9% 95.0% 84.3% 96.7% 99.0% 96.2% 97.3% 94.2% 87.0% 92.6% 96.3% 90.5% 82.2% 88.5% 97.0% 88.3% 88.2% 95.7% 94.5% 78.2% 93.7% 90.5% 87.2% 95.8% 21,018 6 276 2,706 372 407 14,811 305 2,053 18,264 462 1,467 3,112 207 15,995 2,542 757 331 125,031 2,717 3,011 133 1,061 4,883 116 127 6,697 1,659 702 39,621 5,242 163 33,285 97.1% 100.0% 89.9% 92.2% 88.8% 99.8% 96.2% 88.7% 91.4% 97.3% 95.7% 84.3% 97.3% 99.0% 97.0% 98.2% 94.2% 87.6% 93.2% 97.1% 91.1% 84.7% 89.1% 97.3% 90.6% 88.2% 96.2% 94.8% 78.3% 94.3% 91.1% 86.7% 96.5% 21,012 6 273 2,681 372 407 14,828 306 2,054 18,279 460 1,471 3,094 206 15,933 2,547 755 331 124,562 2,722 3,009 131 1,071 4,883 114 127 6,704 1,651 701 39,568 5,207 163 33,258 97.1% 100.0% 88.9% 91.3% 88.8% 99.8% 96.3% 89.0% 91.5% 97.4% 95.2% 84.5% 96.7% 98.6% 96.6% 98.4% 93.9% 87.6% 92.8% 97.3% 91.0% 83.4% 89.9% 97.3% 89.1% 88.2% 96.3% 94.3% 78.2% 94.2% 90.5% 86.7% 96.4% 21,074 6 286 2,734 373 408 14,926 307 2,058 18,425 466 1,489 3,147 207 16,063 2,550 770 334 127,894 2,732 3,033 134 1,070 4,911 120 128 6,764 1,670 711 40,130 5,307 168 33,433 97.4% 100.0% 93.2% 93.1% 89.0% 100.0% 96.9% 89.2% 91.6% 98.2% 96.5% 85.5% 98.3% 99.0% 97.4% 98.5% 95.8% 88.4% 95.3% 97.7% 91.7% 85.4% 89.8% 97.9% 93.8% 88.9% 97.2% 95.4% 79.4% 95.5% 92.2% 89.4% 96.9% 21,175 6 287 2,738 373 407 14,980 309 2,071 18,485 466 1,514 3,155 206 16,144 2,558 778 336 128,632 2,738 3,069 135 1,081 4,931 120 128 6,790 1,686 709 40,334 5,369 167 33,587 97.8% 100.0% 93.5% 93.3% 89.0% 99.8% 97.3% 89.8% 92.2% 98.5% 96.5% 87.0% 98.6% 98.6% 97.9% 98.8% 96.8% 88.9% 95.8% 97.9% 92.8% 86.0% 90.8% 98.3% 93.8% 88.9% 97.6% 96.3% 79.1% 96.0% 93.3% 88.8% 97.3% KINDERGARTEN ASSESSMENT - CALIFORNIA, 2015-2016 TABLE 7: NUMBER AND PERCENTAGE OF FULLY VACCINATED STUDENTS BY VACCINE SERIES, BY COUNTY TOTAL STUDENTS NUMBER STATE TOTAL COUNTY SACRAMENTO SAN BENITO SAN BERNARDINO SAN DIEGO SAN FRANCISCO SAN JOAQUIN SAN LUIS OBISPO SAN MATEO SANTA BARBARA SANTA CLARA SANTA CRUZ SHASTA SIERRA SISKIYOU SOLANO SONOMA STANISLAUS SUTTER TEHAMA TRINITY TULARE TUOLUMNE VENTURA YOLO YUBA 18 DTP 4+ NUMBER POLIO 3+ PERCENT NUMBER MMR 2 PERCENT NUMBER HEP B 3+ PERCENT NUMBER VAR 1+ PERCENT NUMBER PERCENT 551,123 519,114 94.2% 521,935 94.7% 520,974 94.5% 527,991 95.8% 530,716 96.3% 20,649 908 34,118 45,646 6,524 12,201 3,147 9,757 6,721 26,269 3,567 2,232 27 488 5,592 6,757 9,397 1,909 1,011 139 9,267 569 12,718 2,725 1,408 18,533 878 32,592 43,078 6,120 11,810 2,859 9,396 6,435 25,181 3,184 1,898 27 418 5,347 6,297 8,982 1,726 959 109 9,039 460 12,066 2,541 1,351 89.8% 96.7% 95.5% 94.4% 93.8% 96.8% 90.8% 96.3% 95.7% 95.9% 89.3% 85.0% 100.0% 85.7% 95.6% 93.2% 95.6% 90.4% 94.9% 78.4% 97.5% 80.8% 94.9% 93.2% 96.0% 18,815 878 32,803 43,212 6,152 11,845 2,864 9,452 6,441 25,310 3,185 1,912 27 421 5,388 6,302 9,009 1,733 970 109 9,081 466 12,114 2,546 1,361 91.1% 96.7% 96.1% 94.7% 94.3% 97.1% 91.0% 96.9% 95.8% 96.3% 89.3% 85.7% 100.0% 86.3% 96.4% 93.3% 95.9% 90.8% 95.9% 78.4% 98.0% 81.9% 95.3% 93.4% 96.7% 18,650 875 32,757 43,184 6,165 11,828 2,891 9,420 6,428 25,285 3,189 1,914 27 417 5,368 6,317 8,997 1,732 965 107 9,094 462 12,114 2,549 1,353 90.3% 96.4% 96.0% 94.6% 94.5% 96.9% 91.9% 96.5% 95.6% 96.3% 89.4% 85.8% 100.0% 85.5% 96.0% 93.5% 95.7% 90.7% 95.5% 77.0% 98.1% 81.2% 95.3% 93.5% 96.1% 19,354 884 32,960 43,360 6,241 11,898 2,937 9,477 6,436 25,518 3,171 1,993 27 426 5,429 6,309 9,089 1,740 970 113 9,129 500 12,252 2,576 1,374 93.7% 97.4% 96.6% 95.0% 95.7% 97.5% 93.3% 97.1% 95.8% 97.1% 88.9% 89.3% 100.0% 87.3% 97.1% 93.4% 96.7% 91.1% 95.9% 81.3% 98.5% 87.9% 96.3% 94.5% 97.6% 19,506 887 33,112 43,596 6,270 11,934 2,949 9,527 6,469 25,615 3,220 2,008 27 425 5,471 6,357 9,127 1,748 971 114 9,158 495 12,291 2,599 1,376 94.5% 97.7% 97.1% 95.5% 96.1% 97.8% 93.7% 97.6% 96.3% 97.5% 90.3% 90.0% 100.0% 87.1% 97.8% 94.1% 97.1% 91.6% 96.0% 82.0% 98.8% 87.0% 96.6% 95.4% 97.7%