HOW TO CALCULATE ACTUAL UNDUPLICATED COUNT OF STUDENTS - NUMBER OF STUDENTS IN NONCOMPLIANCE WITH THE PHYSICAL EXAMINATION REQUIREMENT ONLY, AND TOTAL NUMBER OF STUDENTS IN NONCOMPLIANCE FOR INDIVIDUAL GRADES - Immunization Compliance

Oct 10, 2026

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Guidance explains how a school nurse calculates state-required immunization compliance metrics: the actual unduplicated student count, the number of students noncompliant with the physical examination requirement only, and the total number of noncompliant students by grade. Using grade 6 (sixth grade) as an example, it details how students are classified into full compliance, compliance with limited non-immunization, and noncompliance across disease categories and health examinations, including exclusions. The worked table shows how the nurse derives counts such as 7 unduplicated noncompliant and 2 health-exam-only noncompliant.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Immunization compliance metrics

Classify students by disease and health-exam status

Build a noncompliance table and compute unduplicated counts

HOW TO CALCULATE ACTUAL UNDUPLICATED COUNT OF STUDENTS, NUMBER OF STUDENTS IN NONCOMPLIANCE WITH THE PHYSICAL EXAMINATION REQUIREMENT ONLY, AND TOTAL NUMBER OF STUDENTS IN NONCOMPLIANCE FOR INDIVIDUAL GRADES Jane Doe is a school nurse for a middle school that serves grades 6, 7, and 8. She is compiling state-mandated immunization data for school year 2011-2012 for the first time. Everything looks great but she is a little confused by how to calculate the actual unduplicated count of students, the number of students in noncompliance with the physical examination requirement only, and the total number of students in noncompliance. Here is the immunization situation as of October 15, 2011, for the 125 students in grade 6 at the school: Of the 125 students, 110 are fully protected and in compliance. Another six students are unprotected but in compliance. Of the six, one has a valid religious objection, one has an approved schedule from a physician/clinic for completion of required doses on file or deferrals due to possible shortages in vaccine, and another four provided medical objections from physicians. This means that 116 out of 125 students are in compliance. The remaining students were noncompliant for various disease categories, as well as for health examinations. To make her life a little easier, Jane creates a table of the students’ compliance status for various disease categories and health examinations, including students who are excluded from school for one or more days for noncompliance. Noncompliance Status for Grade 6 Students | Student ID \# | Noncompliant
in Polio | Noncompliant
in
DTP/DTaP/Td | Noncompliant
in Measles | Noncompliant
in Rubella | Noncompliant
in Mumps | Noncompliant
in Hepatitis B | Noncompliant
in Hib | Noncompliant
in Varicella | Noncompliant
in Health Exam | Actual
Unduplicated
Count | Noncompliant
in Health
Exam only | Excluded for One
or More Days for
Noncompliance | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 111111111 | Y | N | N | N | N | N | NA | N | Y | 1 | | 1 | | 222222222 | N | Y | Y | Y | Y | N | NA | N | N | 1 | | | | 333333333 | N | N | N | N | N | N | NA | N | Y | | 1 | | | 444444444 | N | N | N | N | N | Y | NA | N | N | 1 | | | | 555555555 | N | N | N | N | N | N | NA | N | Y | | 1 | | | 666666666 | N | N | Y | N | N | N | NA | N | Y | 1 | | | | 777777777 | N | N | Y | N | Y | N | NA | N | N | 1 | | | | 888888888 | N | N | N | N | Y | N | NA | N | N | 1 | | 1 | | 999999999 | N | Y | Y | N | N | Y | NA | N | N | 1 | | | | | | | | | | | | | Total Count | 7 | 2 | 2 | Jane is now able to calculate the actual unduplicated student count (7), the number of students noncompliant for the physical examination requirement only (2), and the total number of noncompliant students (7 + 2 = 9) . Jane has also recorded the number of grade 6 students excluded from school for one or more days for noncompliance (2) .

FAQs

What does “actual unduplicated count” mean in this immunization calculation?

It represents the total number of students who are noncompliant at least once, without double-counting students who are noncompliant in multiple categories.

How is the “noncompliance with the physical examination requirement only” number determined?

It counts students who fail the health examination requirement while being compliant with immunization disease category requirements.

How are excluded students handled when calculating totals for a grade?

Students excluded from school for one or more days due to noncompliance are recorded in the table and included in the relevant compliance/noncompliance counts for that grade.

Oct 10, 2026

Uploaded by McGucket