Hawaii State Law requires students to meet immunization requirements before attending school. Exemptions from the immunization requirements may be allowed for medical or religious reasons, if the appropriate documentation is presented to the school. No other exemptions are allowed by the State.
All schools in Hawaii are required to submit an Immunization Assessment Report (EPI 12A or EPI 12B) to the Hawaii Department of Health by October 10th and January 10th of each school year. Schools must identify students who have not complied with the State health and immunization requirements upon school entry, and student who have religious or medical exemptions.
The tables accessed using the links below provide a summary of self-reported enrollment, incomplete immunizations, and medical and religious exemption data submitted by each school for students in kindergarten through grade 12. Self-reported data are not validated by the Department of Health. Schools that have not submitted the final report (due January 10th of each school year) are noted as “N/R.”
Immunization Exemptions Reports by School Year
- 2021-2022 (view as map)
- 2020-2021 (no report due to COVID-19 pandemic)
Each year, the Department of Health selects a random sample of public, private, and charter schools with kindergarten students to assess coverage and exemptions rates, using a sampling approach approved by the Centers for Disease Control and Prevention (CDC). An assessment is performed using data reviewed by Department of Health staff from a random sample at each of the selected schools. The data is submitted to CDC annually to calculate state-level coverage and exemption rates. Schools selected for this purpose are identified in the tables.
For more information about Hawaii’s school immunization requirements, visit:
- School Health Requirements – https://health.hawaii.gov/docd/vaccines-immunizations/school-health-requirements/
- Frequently Asked Questions – https://health.hawaii.gov/docd/vaccines-immunizations/school-health-requirements/faqs/
- Hawaii Administrative Rules 11-157 – https://health.hawaii.gov/docd/files/2013/07/11-157.pdf