Publication Date

Spring 2022

Degree Type

Master's Project

Degree Name

Master of Public Administration (MPA)


Urban and Regional Planning

First Advisor

France Edwards


Immunizations, Bay Area, Kindergarten, Communicable Diseases


Immunizations are the most effective method for preventing communicable diseases, especially among children. Ensuring that children are vaccinated is of the utmost importance but remains a challenge due to misinformation and the growing anti-vaccination movement. With a population of 39.5 million people as of 2020 (Census Bureau, n.d.), California is the most populous state in the United States. In 2020, the San Francisco Bay Area, which includes the counties of Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma, is home to 7.7 million of those people (Census Bureau, 2021). This research will explore how Bay Area counties have achieved childhood disease immunization goals for kindergarten students, and if they have not reached these goals, why may that be the case, and what can be learned from the counties that have succeeded?