A new state law requires all children in grades seven through 12 to have the vaccine by the first day of school this year, but districts struggling to get families to comply asked for and received a 30-day extension.
San Francisco, which had a mid-August start to school, was among the first districts in the state to enforce the new measure.
The law applies to both public and private school students in an age group that is most likely to spread a disease that is a racking three-month illness for adults and a potentially deadly disease for infants.
Despite phone calls to homes, several written reminders in multiple languages, daily in-school announcements and free community vaccination clinics, 10 percent of the district's 24,000 middle and high school students still hadn't complied by Thursday's deadline, district officials said.
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