Exhibit 3.

Reported Reasons Why Nursing Home Residents Did Not Receive Flu Vaccines, 2006–09

	2006–07 flu season			2007–08 flu season			2008–09 flu season
Reason reported	Overall (%)	White (%)	Black (%)	Overall (%)	White (%)	Black (%)	Overall (%)	White (%)	Black (%)
None, resident reported as vaccinated	81.73	82.62	75.42	82.54	83.29	77.27	82.75	83.46	77.75
None, although resident not reported as  vaccinated	0.89	0.83	1.35	0.83	0.78	1.18	0.77	0.71	1.17
Not in facility during this year’s flu  season	0.25	0.25	0.24	0.22	0.22	0.21	0.24	0.25	0.19
Received outside of this facility	1.15	1.17	0.98	1.49	1.52	1.21	1.79	1.83	1.50
Not eligible	1.02	1.04	0.84	1.01	1.05	0.71	0.99	1.03	0.73
Offered and declined	8.55	8.05	12.16	8.69	8.18	12.31	8.93	8.37	12.88
Not offered	5.25	4.90	7.70	4.56	4.29	6.44	3.96	3.77	5.28
Unable to obtain vaccine	1.16	1.14	1.32	0.66	0.66	0.66	0.57	0.58	0.52

source Authors’ analysis of data on nursing home residents from the national Minimum Data Set (2006–09). note Sample sizes are available in Exhibit 1.