Kindergarten vaccination rates are plummeting nationwide, with exemptions hitting an all-time high of 4.2%—up in 41 states—and 24 states now exceeding 5%. Experts warn this erodes herd immunity, risking a measles resurgence as MMR coverage dips below the critical 95% threshold. Complicating matters, a new executive order proposes limiting shots to 11 and splitting MMR into three doses. The patchwork of state-level data reveals stark disparities: some communities like West Virginia remain protected, while others like Idaho and Arizona face heightened vulnerability.

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