The U.S. States With the Highest (and Lowest) Vaccination Rates

THE U.S. STATES WITH THE HIGHEST (AND LOWEST) CHILDHOOD VACCINATION RATES STATES RANKED BY OVERALL VACCINATION RATES DTAP Vaccine (diphtheria, DTAP tetanus, and pertussis) Children 19-35 months old, 2 4 doses MMR Vaccine (measles, Varicella Vaccine MMR mumps, rubella) VZV Children 19-35 months old, > 1 dose Children 19-35 months old, > 1 dose a Combined 7-Vaccine Series [ 7 Influenza Vaccine FLU Children 6 months-17 years old Cumulative flu-season coverage, July-May HPV Vaccine HPV (Female) HPV Vaccine HPV (Male) Children 19-35 months old *Includes >4 DTaP doses, 23 Polio doses, >1 MMR dose, Hib full series, 23 HepB doses, 21 Varicella dose, and >4 PCV doses Females 13-17 years old, 21 dose**HPV vaccination series Males 13-17 years old, >1 dose**HPV vaccination series completion rates are much lower completion rates are much lower Determined by average ranking of each vaccine DTAP MMR VZV FLU HPV HPV RANK STATE MASSACHUSETTS 92.6% 98.3% 97.6% 82.1% 73.8% 85.4% 78.5% 1 RHODE ISLAND 89.2% 95.3% 94.6% 74.4% 76.2% 88.5% 88.7% VIRGINIA 92.8% 97.6% 97.2% 77.1% 65.2% 82.5% 69.0% NEW HAMPSHIRE 89.8% 94.1% 92.1% 78.9% 66.3% 75.2% 73.3% 4 CONNECTICUT 86.8% 94.6% 95.4% 75.3% 71.3% 75.4% 67.3% 5 NORTH DAKOTA 86.1% 95.7% 95.0% 78.8% 62.4% 74.7% 70.4% 6 DELAWARE 88.9% 92.9% 92.1% 77.1% 65.2% 76.2% 74.5% 7 NEBRASKA 86.4% 93.7% 93.4% 77.9% 62.9% 72.0% 70.0% 8 MAINE 90.3% 93.7% 91.6% 72.7% 59.7% 79.6% 72.2% 10 74.0% 75.2% VERMONT 85.5% 93.7% 88.6% 59.5% 83.8% 73.9% MARYLAND 82.4% 92.4% 90.2% 67.5% 73.2% 65.4% 11 CALIFORNIA 83.9% 92.9% 92.6% 68.6% 57.3% 75.6% 68.2% 12 TENNESSEE 88.5% 92.3% 93.1% 79.3% 61.5% 62.8% 49.6% 13 MINNESOTA 83.3% 94.3% 93.1% 66.1% 61.9% 66.0% 70.1% 14 ILLINOIS 84.4% 91.9% 92.4% 75.4% 54.9% 62.3% 69.6% 15 IOWA 83.9% 91.5% 90.1% 72.8% 58.9% 80.0% 63.2% 16 NEW YORK 83.8% 92.5% 91.4% 67.5% 64.9% 71.2% 66.0% 17 NORTH CAROLINA 86.7% 92.2% 91.0% 70.9% 59.3% 66.8% 66.8% 18 PENNSYLVANIA 83.1% 91.7% 88.4% 70.4% 65.3% 69.2% 65.6% 19 MICHIGAN 81.3% 92.2% 93.9% 69.9% 54.0% 71.0% 63.8% 20 NEVADA 82.0% 92.4% 93.8% 71.3% 49.5% 70.6% 59.3% 21 NEW MEXICO 88.1% 89.3% 86.4% 71.9% 62.3% 73.6% 60.3% 22 HAWAII 82.3% 90.5% 90.0% 69.8% 61.0% 78.7% 60.6% 23 FLORIDA 85.3% 91.9% 93.2% 76.2% 46.1% 62.4% 57.2% 24 NEW JERSEY 82.8% 89.0% 90.8% 69.3% 69.1% 71.6% 60.3% 25 SOUTH DAKOTA 81.8% 89.9% 89.9% 74.7% 64.4% 67.9% 58.8% 26 WEST VIRGINIA 85.3% 89.9% 92.3% 74.7% 53.0% 67.5% 54.7% 27 WASHINGTON 81.0% 88.5% 89.2% 69.9% 61.3% 72.6% 71.2% 28 COLORADO 79.9% 87.2% 87.6% 71.0% 62.4% 74.4% 69.8% 29 KENTUCKY 84.6% 92.7% 92.3% 71.0% 55.3% 54.9% 44.4% 30 ARKANSAS 80.0% 92.6% 91.2% 69.4% 63.6% 66.7% 55.7% 31 LOUISIANA 80.7% 91.3% 89.8% 70.0% 55.6% 73.8% 64.6% 32 ARIZONA 82.2% 91.7% 92.4% 66.5% 51.3% 68.9% 61.4% 33 OREGON 79.7% 90.3% 88.9% 70.3% 54.0% 70.1% 72.3% 34 WISCONSIN 81.1% 89.9% 87.1% 69.2% 60.0% 73.5% 65.1% 35 ALABAMA 81.4% 92.3% 92.0% 71.2% 53.8% 61.1% 55.1% 36 IDAHO 82.3% 92.2% 90.1% 69.2% 48.0% 68.4% 56.7% 37 MONTANA 80.1% 92.3% 90.3% 66.2% 50.3% 64.5% 66.4% 38 GEORGIA 80.1% 90.7% 92.4% 65.6% 51.3% 64.5% 64.2% 39 MISSISSIPPI 82.9% 91.8% 92.4% 68.7% 51.2% 56.0% 43.6% 40 OKLAHOMA 78.5% 91.7% 91.5% 67.3% 55.0% 56.0% 60.9% 41 ТЕХAS 81.2% 90.3% 89.1% 67.8% 58.0% 60.4% 55.2% 42 SOUTH CAROLINA 81.4% 88.0% 90.3% 66.0% 57.2% 59.8% 59.3% 43 OHIO 81.1% 88.3% 85.2% 66.4% 56.2% 69.5% 58.8% 44 ALASKA 75.1% 89.3% 85.6% 69.5% 48.4% 61.1% 67.6% 45 INDIANA 82.1% 87.0% 86.4% 66.3% 51.7% 68.0% 51.0% 46 KANSAS 78.5% 89.8% 87.1% 69.5% 53.2% 55.2% 49.8% 47 WYOMING 77.6% 89.1% 89.2% 72.0% 43.2% 50.0% 44.1% 48 MISSOURI 77.0% 85.8% 85.9% 71.2% 50.8% 62.7% 53.1% 49 UTAH 80.6% 88.7% 86.9% 67.9% 47.4% 63.1% 54.7% 50 NATIONAL 83.2% 91.5% 91.0% 70.4% 57.9% 68.6% 62.6% VACCINATION RATES [7] HPV DTAP MMR VZV FLU HPV NON-MEDICAL EXEMPTIONS ALLOWED BY STATE and Significant Outbreaks Over The Past 10 Years States that allow both religious exemptions and philosophical ones States that allow religious exemptions but not philosophical ones States that don’t allow religious exemptions or philosophical ones Mumps outbreak Measles outbreak Pertussis outbreak Hennepin County, Minnesota The Ohio State University, Columbus, Ohio Knox County, Ohio, and surrounding communities Washington (statewide) Feb. 15-April 24, 2011 Jan. 1-June 16, 2012 March 2014 May-June 2014 2,520 21 cases 244 383 cases cases cases Sonoma, Napa, and Marin counties, California ND WA MT MN Jan. 1-Nov. 26, 2014 МЕ SD WI OR ID 9,934 NH NY MA cases WY MI Brooklyn, New York IA NE PA March 13 - June 9, 2013 IL IN UT Co MD N KS MO* KY 58 cases VA OK TN NC AR California (statewide) NM AZ Brooklyn, New York, and surrounding counties in New York and New Jersey SC MS AL GA Jan.-Dec. 2010 TX 9,159 co Disneyland, Anaheim, Čalifornia cases FL June 28, 2009 - Jan. 24, 2010 Dec. 20, 2014 -April 17, 2015 AK 1,521. cases 149 cases HI Philosophical exemptions allowed for day nursery and preschools only Data sourced from the 2017 National Immunization Survey TruePeopleSearch SOURCE: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/i mmunizations/Pages/Across-America.aspx ON