HB2009 UPDATE MATERIALS- IMPORTANTPLEASE READ IMMEDIATELY

Dear Legislator,

If your HB2009 briefing included the statements:

1. That Washington has dangerously low levels of vaccination rates in some
communities : See K Rate slide, 6th Grade slide, K-12 Exemption slide
2. That every exemption represents a completely unvaccinated child, or easy;
See Exemptions are All or Nothing & Certificate Of Exemptions slide
3. That many schools have unsafe, high percentage use of exemptions;
See Dangerous Pockets Slide
4. That states offering only medical exemptions have superior vaccination
levels and outcomes: See UHF WA compared to WV / MS slide
5. If this was presented to you by a Washington State Medical Association
member or lobbyist, or WA DOH personnel; See WSMA Corrections slide

YOU HAVE BEEN MISINFORMED!

If you were told that, our states vaccination rate for kindergarten-age children
remains below the 90 percent federal baseline for preventing outbreaks, and
that the Personal Belief & Philosophical (PB/Ph) Exemptions are causing this- you
were told a MATHEMATICAL IMPOSSIBILITY! The PB/Ph Kindergarten Exemption
Rate is only 3.2%! A 3.2% Exemption rate can only reduce a vaccination rate by
3.2%. 100% ideal 3.2% PB/PH exemptions = 96.8%. Exemption Use is Dropping!
Kindergarten Rates are deceptively low due to missing records, not missing shots!

PLEASE GET THE FACTS!

WA Kindergartners start the year with average 90% coverage for DTaP, MMR, Polio & Hep B
88.4% Chicken Pox
Statewide Multiyear Kindergarten Immunization Coverage
School Years 1998-99 through 2013-14

School
Year
1998-99
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13#
2013-14#

Reported
Number
% Out-ofEnrolled % Complete % Conditional Compliance % Exempt
5.3%
2.8%
3.2%
84,648
88.6%
2.8%
4.4%
3.0%
79,488
89.8%
2.4%
6.2%
3.5%
81,469
88.1%
2.0%
4.9%
4.0%
78,762
89.1%
4.2%
5.5%
4.1%
75,220
86.2%
75,671
89.4%
2.2%
4.2%
4.2%
78,759
87.3%
1.7%
6.2%
4.4%
72,594
86.5%
1.6%
6.9%
5.0%
75,085
84.8%
1.9%
7.2%
6.0%
75,752
84.5%
1.7%
7.6%
6.3%
78,278
78.5%
2.9%
11.0%
7.6%
75,443
82.9%
2.3%
8.5%
6.2%
83,593
83.3%
1.3%
9.5%
5.9%
75,867
84.6%
1.8%
9.1%
4.5%
83,082
85.5%
1.6%
7.5%
4.6%
78,924
83.3%
1.8%
10.3%
4.6%

% Ex
Med
*
*
*
*
*
*
*
*
*
*
*
*
*
*
1.2%
1.2%

% Exempt:
%
Personal /
Ext:
Philosophi % Ex: Rel
cal
Rel Mem
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
3.2% 0.2% 0.1%
3.2% 0.2% 0.1%

% Complete
Diphtheria & % Complete % Complete % Complete % Complete % Complete % Complete % Complete % Complete
Tetanus
Pertussis
MMR
Measles
Mumps
Rubella
Polio Hepatitis B
Varicella
95.2%
**
***
97.6%
97.7%
97.7%
95.4%
91.9%
****
93.7%
**
***
96.9%
96.9%
96.9%
93.8%
94.3%
****
93.4%
**
***
91.9%
94.8%
94.8%
93.6%
94.4%
****
93.8%
**
***
92.9%
95.1%
95.2%
93.7%
95.0%
****
90.6%
**
***
92.4%
95.0%
95.0%
92.5%
95.1%
****
93.2%
**
***
91.2%
95.6%
95.7%
93.2%
95.2%
****
92.0%
**
***
95.6%
95.8%
95.9%
91.8%
93.7%
****
90.8%
**
***
93.7%
95.3%
95.3%
90.7%
92.6%
****
92.3%
91.9%
***
90.4%
95.2%
95.2%
92.4%
93.1%
92.7%
91.0%
90.9%
91.0%
91.2%
91.2%
91.5%
92.8%
***
93.0%
90.5%
90.4%
90.5%
90.7%
90.5%
91.0%
92.5%
83.8%
***
91.7%
91.4%
***
95.2%
91.7%
91.8%
91.7%
92.7%
88.6%
91.2%
90.4%
***
91.4%
91.4%
91.4%
91.8%
92.5%
90.5%
91.0%
90.9%
***
92.0%
92.0%
91.8%
91.2%
93.1%
90.6%
91.9%
92.4%
91.7%
***
***
***
91.4%
93.4%
90.3%
89.6%
90.3%
89.8%
***
***
***
89.1%
91.8%
88.4%

DTaP
89.6%

Footnotes:
* Beginning in school year 2012-13, Schools reported the counts of students claiming each exemption type.
** Beginning in school year 2006-07, Pertussis is reported separately from Diphtheria and Tetanus.
*** Beginning in school year 2012-13, Measles, Mumps and Rubella are reported as the MMR combination.
**** Beginning in school year 2006-07, Varicella was required for school entry and reported upon.
# Beginning in school year 2012-13, averages are weigthed to account for the number of schools that reported or not.

MMR
89.8%

Polio
89.1%

Hep B
91.8%

C Pox
88.4%

Only 3.2% PB/Ph Exemption Rate

Data Notes:
This report is based on total counts of kindergarten students' immunization status as reported by public and private schools with kindergartens to the department.
Counts include first graders in schools with no kindergarten for school years prior to 2007-2008
The student immunization status is based on parent-reports to the school and may not be healthcare-provider verified.
Only schools that reported their student vaccination status report are included in this summary.
The department makes no other claims about the accuracy of the data as reported by schools.
Prioor to school year 2012-13, the average rate above are un-weighted, so do not account for the percentage of the schools reporting or not.

Maximum impact of the PB/Ph

100% max vax - 3.2% = 96.8%

Immunization Status Definitions:

Complete: The student meets all the school-entry requirements for their age and grade (that is, they are in compliance).
Exempt: The student has a signed Certificate of Exemption on file at the school excusing the student from one or more vaccinations due to medical, personal or religious beliefs.
Conditional: The student is missing the required Certificate of Immunization Status or is missing one or more required vaccinations and is making satisfactory progress towards compliance.
Out-of-Compliance: The student is missing the required Certificate of Immunization Status or is missing one or more required vaccinations.

WA children who are not enrolled in a state licensed daycare or preschool

have NO vaccination requirements. For many children the first time they
encounter vaccine requirements is Kindergarten. In recognition of this
there is a "Conditional" designation, for students who are "making satisfactory progress towards compliance", 1.9% in this report. "Out of Compliance" is kids who are missing documentation, 10.3% here. Both of these
categories move into the "Vaccine Complete" as they catch up to the
schedule
or locate their records. There are many more families who vacciIf you have a disability and need this document in a different format, please call 1-800-525-0127 (TDD/TTY 711).
nate and are missing records than there are families who are missing
shots. By the end of the year and going into 1st grade rates quickly catch
up to the 95% of 6th grade.

Any Vaccination Rate below 96.8% is

UNRELATED to the PB/Ph
Exemption. It is a mathematical
impossibility for the PB/PH
exemption to reduce vaccination
rates more than 3.2%!
Office of Immunization and Child Profile
DOH 348-399 May 2014

6th Grade Average 95.5% Coverage of the Required Vaccines

Statewide Multiyear Summary of Immunization Coverage for 6th grade
SY 1998-99 through SY 2013-14
School
Year
1998-99
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
2013-14

Reported
Number
Enrolled
80,963
78,728
83,793
85,479
78,812
80,153
79,927
68,363
77,974
76,307
74,998
69,978
76,768
73,065
74,856
75,503

%
%
Complete Conditional
94.3%
0.9%
91.8%
0.9%
91.2%
1.1%
91.6%
0.9%
90.8%
1.4%
89.0%
1.9%
87.9%
1.4%
89.5%
1.1%
84.8%
1.4%
70.8%
3.4%
74.9%
2.9%
76.5%
2.3%
79.2%
0.9%
79.3%
1.0%
82.4%
0.9%
76.8%
0.9%

% Out-ofCompliance
2.0%
4.3%
4.7%
4.1%
4.2%
4.3%
5.8%
4.5%
8.0%
20.3%
15.8%
15.1%
13.6%
14.2%
11.3%
16.8%

%
% Exempt:
Exempt Medical
2.8%
*
2.9%
*
2.9%
*
3.4%
*
3.6%
*
4.8%
*
4.5%
*
4.8%
*
5.6%
*
5.5%
*
6.4%
*
6.1%
*
6.3%
*
5.5%
*
5.5%
0.64%
5.6%
0.70%

% Exempt:
Personal / % Exempt:
Philosophical Religious
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
4.61%
0.36%
4.60%
0.40%

Footnotes:
* Beginning in school year 2012-13, Schools reported the counts of students claiming each exemption type.
** Beginning in school year 2006-07, Pertussis is reported separately from Diphtheria and Tetanus.
*** Beginning in school year 2012-13, Measles, Mumps and Rubella are reported as the MMR combination.
**** Beginning in school year 2006-07, Varicella was required for school entry and reported upon.

% Exempt: % Complete
Religious Diphtheria
Membership & Tetanus
*
97.9%
*
97.6%
*
97.3%
*
97.3%
*
97.1%
*
97.4%
*
96.5%
*
96.4%
*
99.8%
*
78.0%
*
82.3%
*
82.1%
*
91.8%
*
92.7%
0.03%
85.2%
0.10%
79.5%

DTP
79.5%

%
Complete
Pertussis
**
**
**
**
**
**
**
**
96.7%
78.1%
82.9%
82.7%
83.8%
83.2%
85.7%
80.7%

%
Complete
MMR
***
***
***
***
***
***
***
***
***
***
***
***
***
***
96.1%
95.4%

%
Complete
Measles
95.1%
92.6%
92.1%
92.7%
91.8%
91.7%
96.1%
95.1%
94.9%
95.9%
95.9%
96.0%
96.1%
96.4%
***
***

MMR
95.4

%
%
Complete Complete % Complete % Complete
Mumps
Rubella
Polio Hepatitis B
97.1%
97.1%
97.8%
100.0%
96.3%
96.3%
97.5%
100.0%
95.9%
95.9%
97.3%
100.0%
95.9%
95.8%
97.3%
100.0%
95.9%
95.8%
97.1%
100.0%
96.5%
96.9%
97.1%
97.2%
96.9%
96.8%
96.5%
95.5%
97.2%
97.2%
96.3%
95.2%
97.4%
97.4%
96.4%
95.5%
95.9%
95.9%
96.3%
95.3%
96.0%
96.0%
96.3%
95.6%
96.0%
96.0%
95.8%
95.5%
96.1%
96.1%
96.1%
95.4%
96.4%
96.4%
83.2%
95.3%
***
***
96.1%
95.7%
***
***
95.5%
95.3%

Polio
95.5%

%
Complete
Varicella
****
****
****
****
****
****
****
****
89.0%
85.8%
98.7%
89.8%
98.8%
92.5%
96.1%
95.6%

HepB C Pox
95.3% 95.6%

DTaP looks low because a Booster is due in 6th Grade, and the
report is generated towards the beginning of the year. Families that
do the MMR, Polio, Hep B and C Pox don't skip DTaP. Note the
"Out of Compliance" rate of 16.8%, while the school nurses chase
down families for the documentation. In the past sympathetic
Immunization Status Definitions:
Complete: The student meets all the school-entry requirements for their age and grade (that is, they are in compliance).
stafforusing
the incorrect PB/Ph Exemption instead of making
Exempt: The student has a signed Certificate of Exemption on file at the school excusing the student from one or more vaccinations due school
to medical, personal
religious beliefs.
Conditional: The student is missing the required Certificate of Immunization Status or is missing one or more required vaccinations and is making satisfactory progress towards compliance.
a
family
dig
up
vaccination
records was the only "convenience "
Out-of-Compliance: The student is missing the required Certificate of Immunization Status or is missing one or more required vaccinations.
exemption use.
Data Notes:
This report is based on total counts of 6th grader immunization status as reported by public and private schools with 6th grades to the department.
The student immunization status is based on parent-reports to the school and may not be healthcare-provider verified.
Only schools that reported their student vaccination status report are included in this summary.
The department makes no other claims about the accuracy of the data as reported by schools.
The summary data in this report is un-weighted, so does not account for the percentage of actually schools reporting.

If you have a disability and need this document in a different format, please call 1-800-525-0127 (TDD/TTY 711).

Office of Immunization and Child Profile

DOH 348-398 June 2014

Statewide Multiyear Summary of Immunization Coverage for All Grades (K-12)

SY 1998-99 through SY 2013-14
School
Year
1998-99
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
2013-14

Reported
Number
Enrolled
1,061,202
1,024,430
1,061,491
1,048,259
1,002,085
1,014,866
1,036,005
921,571
1,019,137
1,022,779
997,040
928,253
1,016,892
984,593
1,104,311
1,038,562

%
% Exempt:
Complete % Exempt
Medical
*
2.8%
0.1%
*
2.9%
0.1%
*
3.0%
0.1%
*
3.5%
0.2%
*
3.8%
0.2%
*
3.9%
0.2%
*
4.4%
0.3%
*
4.7%
0.3%
*
4.8%
0.3%
*
5.2%
0.3%
*
5.6%
0.4%
*
5.9%
0.4%
*
5.8%
0.4%
*
5.6%
0.6%
88.3%
5.2%
0.7%
87.7%
5.0%
0.7%

% Exempt:
Personal / % Exempt:
Philosophical Religious
2.5%
0.1%
2.7%
0.1%
2.8%
0.1%
3.1%
0.1%
3.4%
0.1%
3.6%
0.1%
3.8%
0.1%
4.2%
0.2%
4.4%
0.2%
4.7%
0.2%
5.0%
0.2%
5.3%
0.2%
5.1%
0.2%
4.8%
0.2%
4.4%
0.3%
4.1%
0.3%

% Exempt:
Religious
Membership
**
**
**
**
**
**
**
**
**
**
**
**
**
**
0.03%
0.06%

% Exempt:
Diphtheria / % Exempt: % Exempt: % Exempt: % Exempt:
Tetanus*** Pertussis
Polio
Measles
Mumps
2.1%
***
2.1%
1.8%
1.7%
2.1%
***
2.1%
1.9%
1.8%
2.2%
***
2.2%
2.1%
1.9%
2.2%
***
2.3%
2.3%
2.0%
2.4%
***
2.4%
2.7%
2.2%
2.5%
***
2.6%
3.6%
2.2%
2.6%
***
2.8%
2.1%
2.2%
2.8%
***
3.0%
2.2%
2.3%
1.3%
2.8%
2.8%
3.3%
2.4%
1.7%
3.1%
3.0%
3.3%
3.1%
1.9%
3.1%
3.0%
3.2%
3.2%
2.3%
3.3%
3.1%
3.2%
3.1%
3.2%
3.6%
3.7%
3.2%
3.1%
3.2%
3.5%
3.0%
3.0%
3.0%
3.2%
3.0%
2.9%
****
****
3.2%
3.0%
2.9%
****
****

%
Exempt: % Exempt:
Rubella
MMR
1.7%
****
1.8%
****
1.9%
****
2.0%
****
2.2%
****
2.2%
****
2.1%
****
2.3%
****
2.4%
****
3.1%
****
3.2%
****
3.1%
****
3.1%
****
3.0%
****
****
3.2%
****
3.2%

%
Exempt:
Hep B
0.9%
0.8%
1.1%
1.3%
1.5%
1.7%
2.1%
2.5%
2.8%
3.2%
3.3%
3.6%
3.5%
3.3%
3.2%
3.0%

% Exempt:
Varicella
*****
*****
*****
*****
*****
*****
*****
*****
0.9%
1.3%
1.5%
1.8%
1.8%
1.9%
3.1%
2.6%

Footnotes:
* Beginning in school year 2012-13, Schools reported the counts of students complete.
** Beginning in school year 2012-13, Schools reported the counts of students claiming Religious Membership exemptions.
*** Prior to school year 2006-07, % Exempt: Diphtheria / Tetanus inlcudes pertussis and beinning in school year 2006-07, pertussis is reported separately from diphtheria and tetanus.
**** Beginning in school year 2012-13, Measles, Mumps and Rubella are reported as the MMR combination.
***** Beginning in school year 2006-07, Varicella was required for school entry and reported upon.
Data Notes:
This summary is based on total counts of the immunization status of all students in all grades (kindergarten through twelfth, K-12) as reported by public and private schools to the department.
The student immunization status is based on parent-reports to the school and may not be healthcare-provider verified.
Only schools that reported their student vaccination status report are included in this summary.
The department makes no claims about the accuracy of the data as reported by schools.
The summary data in this report is un-weighted, so does not account for the percentage of actually schools reporting.
Immunization Status Definitions:
Complete: The student meets all the school-entry requirements for their age and grade (that is, they are in compliance).
Exempt: The student has a signed Certificate of Exemption on file at the school excusing the student from one or more vaccinations due to medical, personal or religious beliefs.

If you have a disability and need this document in a different format, please call 1-800-525-0127 (TDD/TTY 711).

Office of Immunization and Child Profile

DOH 348-401 June 2014

Total exemptions 5.0%, PB/Ph exemption rate is 4.1%, but by vaccine exemption rates are only 2.6% to 3.2%?
Statewide Multiyear Summary of Immunization Coverage for All Grades (K-12)
SY 1998-99 through SY 2013-14
School
Year
1998-99
1999-00
2000-01
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
2013-14

Reported
Number
Enrolled
1,061,202
1,024,430
1,061,491
1,048,259
1,002,085
1,014,866
1,036,005
921,571
1,019,137
1,022,779
997,040
928,253
1,016,892
984,593
1,104,311
1,038,562

%
% Exempt:
Complete % Exempt
Medical
*
2.8%
0.1%
*
2.9%
0.1%
*
3.0%
0.1%
*
3.5%
0.2%
*
3.8%
0.2%
*
3.9%
0.2%
*
4.4%
0.3%
*
4.7%
0.3%
*
4.8%
0.3%
*
5.2%
0.3%
*
5.6%
0.4%
*
5.9%
0.4%
*
5.8%
0.4%
*
5.6%
0.6%
88.3%
5.2%
0.7%
87.7%
5.0%
0.7%

% Exempt:
Personal / % Exempt:
Philosophical Religious
2.5%
0.1%
2.7%
0.1%
2.8%
0.1%
3.1%
0.1%
3.4%
0.1%
3.6%
0.1%
3.8%
0.1%
4.2%
0.2%
4.4%
0.2%
4.7%
0.2%
5.0%
0.2%
5.3%
0.2%
5.1%
0.2%
4.8%
0.2%
4.4%
0.3%
4.1%
0.3%

% Exempt:
Religious
Membership
**
**
**
**
**
**
**
**
**
**
**
**
**
**
0.03%
0.06%

% Exempt:
Diphtheria / % Exempt: % Exempt: % Exempt: % Exempt:
Tetanus*** Pertussis
Polio
Measles
Mumps
2.1%
***
2.1%
1.8%
1.7%
2.1%
***
2.1%
1.9%
1.8%
2.2%
***
2.2%
2.1%
1.9%
2.2%
***
2.3%
2.3%
2.0%
2.4%
***
2.4%
2.7%
2.2%
2.5%
***
2.6%
3.6%
2.2%
2.6%
***
2.8%
2.1%
2.2%
2.8%
***
3.0%
2.2%
2.3%
1.3%
2.8%
2.8%
3.3%
2.4%
1.7%
3.1%
3.0%
3.3%
3.1%
1.9%
3.1%
3.0%
3.2%
3.2%
2.3%
3.3%
3.1%
3.2%
3.1%
3.2%
3.6%
3.7%
3.2%
3.1%
3.2%
3.5%
3.0%
3.0%
3.0%
3.2%
3.0%
2.9%
****
****
3.2%
3.0%
2.9%
****
****

What is the Problem?

Compare 2012-13 to 2013-14

Total Exemptions down .2%

PB/Ph Exemptions down .3%
Exemptions by vaccine are dropping or stableWhere is the crisis?
96.8% to 97.4% Voluntary Coverage of Required Vaccines

%
Exempt: % Exempt:
Rubella
MMR
1.7%
****
1.8%
****
1.9%
****
2.0%
****
2.2%
****
2.2%
****
2.1%
****
2.3%
****
2.4%
****
3.1%
****
3.2%
****
3.1%
****
3.1%
****
3.0%
****
****
3.2%
****
3.2%

%
Exempt:
Hep B
0.9%
0.8%
1.1%
1.3%
1.5%
1.7%
2.1%
2.5%
2.8%
3.2%
3.3%
3.6%
3.5%
3.3%
3.2%
3.0%

% Exempt:
Varicella
*****
*****
*****
*****
*****
*****
*****
*****
0.9%
1.3%
1.5%
1.8%
1.8%
1.9%
3.1%
2.6%

Chicken
Pox
added
2006/7

If the Personal / Philosophical Exemption were

being used by parents to irrationally avoid all
vaccines, then the 4.1% PB/Ph exemption rate would
carry over evenly across each individual vaccine.

Footnotes:
* Beginning in school year 2012-13, Schools reported the counts of students complete.
** Beginning in school year 2012-13, Schools reported the counts of students claiming Religious Membership exemptions.
*** Prior to school year 2006-07, % Exempt: Diphtheria / Tetanus inlcudes pertussis and beinning in school year 2006-07, pertussis is reported separately from diphtheria and tetanus.
**** Beginning in school year 2012-13, Measles, Mumps and Rubella are reported as the MMR combination.
***** Beginning in school year 2006-07, Varicella was required for school entry and reported upon.
Data Notes:
This summary is based on total counts of the immunization status of all students in all grades (kindergarten through twelfth, K-12) as reported by public and private schools to the department.
The student immunization status is based on parent-reports to the school and may not be healthcare-provider verified.
Only schools that reported their student vaccination status report are included in this summary.
The department makes no claims about the accuracy of the data as reported by schools.
The summary data in this report is un-weighted, so does not account for the percentage of actually schools reporting.

Instead we see the variations one would expect when

parents are using the PB/Ph exemption to as a "Parent
Administered Medical Exemption". The higher exemption rates are for the more reactive vaccines- DTaP, and
MMR, which both have quantified seizure rates- and ParAn exemption
Immunization Status
Definitions: does not equal an unvaccinated child, and an
ents are avoiding follow up doses. Or avoiding a vaccine
Complete: Theexemption
student meetsfor
all the
school-entry
requirements
for their
and grade
is, they are in compliance).
a specific
vaccine
does
not age
equal
zero(that
doses.
Exempt: The student has a signed Certificate of Exemption on file at the school excusing the student from one or more vaccinations due to medical, personal or religious beliefs.
for a mild infection-Chicken Pox- or an infection that canVery few children have zero doses of all vaccines.
not be transmitted in school-Hep B.
Why not use Medical Exemptions? Because it requires
a very uncomfortable, and potentially adversarial
discussion with Health Care Providers who are very hard
pressed to ever admit a medication they provide can
cause trouble, especially not a vaccine. There are HCP's
who consider a Febrile Seizure to be a normal vaccine
side effect, and will not grant an
exemption even after a
Office of Immunization and Child Profile
child
has
been
in
the
ER.
There
is
tremendous
pressure
If you have a disability and need this document in a different format, please call 1-800-525-0127 (TDD/TTY 711).
DOH 348-401 June
2014
on HCP's to support vaccination unconditionally and
never acknowledge risk. Granting Medical Exemptions is
very, very rare and difficult.

Current Exemption Form Requires Doctor Consult

Exemptions are
granted by
individual
vaccines

Haemophilus influenzae

...a child with an exemption is not necessarily Unvaccinated.

[Link]

[Link]

This document is filled with inaccuracies!

This makes
no senseThe CDC says only
2,866 out of 78,924
WA K students use a
Personal Exemption--

ONLY 3.6%

Not true- Vax K 90%, 6th grade 95%*

100% - 3.6%

= 96.4%
Any Rates below
96.4% are
UNRELATED
TO THE
EXEMPTION!

3.6

*[Link]