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Kindergarten vaccine coverage slips again as exemption rates hit record highs

Federal data show kindergarten immunization rates fell slightly last year while the share of children with vaccine exemptions rose to a historic 4.2%, about 155,000 kids.

According to newly released CDC data, the proportion of kindergarten students who received the required measles-mumps-rubella vaccine slipped to 92.4% for the 2025-26 school year, down from the prior year and far beneath the 95% threshold that previously kept outbreaks unlikely. At the same time, the overall exemption rate climbed to 4.2%, an estimated 155,000 children, marking the fourth straight year of record-setting exemptions, most of which are non-medical.

The rise occurred across 41 states and the District of Columbia, with Idaho reporting the highest state exemption level at 17.5% and Connecticut the lowest at under 0.5%. Health officials, including Robert F. Kennedy Jr. and President Donald Trump, have recently pushed for changes to vaccination schedules that critics say lack scientific support. Dr. James Campbell of the American Academy of Pediatrics attributed the downturn to “chaos and confusion” in vaccine recommendations and urged parents to consult doctors. State and local health leaders, such as North Carolina’s Dev Sangvai, are calling on families to vaccinate as the new school year begins.

Why it matters

Lower vaccination rates and higher exemptions increase the risk of preventable disease outbreaks in schools and communities.

How this story developed

  1. Aug 11 Vaccine industry pushes back against Trump's new childhood immunization order
  2. Aug 12 President Trump signed the executive order.
  3. Aug 13 The World Health Organization’s Director‑General publicly criticized the order.
  4. Aug 16 Federal health agencies were given 90 days to draft implementation plans for the order.

In this story

kindergarten vaccinationexemption ratemeasles-mumps-rubellanonmedical exemptionspublic health guidanceCDC datavaccine schedule controversy
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