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ALT Bulleted points including the following: Since 2019, 77% of counties and jurisdictions in the U.S. have reported notable declines in childhood vaccination rates. The declines span from less than 1 percentage point to more than 40 percentage points. Vaccine exemptions for school children are rising nationwide: As many as 53% of counties and jurisdictions saw exemption rates more than double from their first year of collecting data to the most recent. Among the states collecting data for the measles-mumps-rubella (MMR) vaccine, 68% of counties and jurisdictions now have immunization rates below 95% — the level of herd immunity doctors say is needed to protect against an outbreak.

























