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US school vaccination rates inch down yet again and exemptions reach record high

US school vaccination rates inch down yet again and exemptions reach record high

Summary

U.S. kindergarten vaccination rates dropped slightly in the 2025-2026 school year, while the number of children exempted from vaccines reached a record high of 4.2%. Most exemptions are for nonmedical reasons, and experts connect the trend to mixed messages from federal health officials, including Health Secretary Robert F. Kennedy Jr.

Key Facts

  • The exemption rate for vaccine requirements rose to 4.2% from 3.6% the previous year, affecting about 155,000 children nationally.
  • Exemptions increased in 41 states plus the District of Columbia.
  • The required measles-mumps-rubella vaccine coverage fell to 92.4% in kindergartners, down from 95% before the COVID-19 pandemic.
  • Vaccination rates also declined for polio, diphtheria-tetanus-pertussis, and chickenpox vaccines.
  • Most exemptions come from parents refusing vaccines for nonmedical reasons.
  • Federal health leaders, including Health Secretary Robert F. Kennedy Jr., have proposed changes to vaccination guidelines that contribute to confusion.
  • President Trump supports revising vaccine schedules to space shots out, a theory that experts say is incorrect.
  • The U.S. is experiencing its worst measles outbreak since 1991, partly because of lowered vaccination rates.
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