Abstract

Vaccination is one of history's most successful public health interventions. Since 2000, vaccination campaigns against measles, which is highly contagious but preventable through the measles-mumps-rubella (MMR) vaccine, have reduced both the global incidence of the disease and measles deaths by 80 percent. However, progress toward measles elimination has slid backward in several previously well-protected global regions. With more communities below or at risk of falling below the 95 percent immunization rates required for herd immunity-due more and more to vaccine skepticism and declination rather than lack of access-many U.S. states and countries must reappraise their vaccination policies and programs.

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