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States that Once Led in Child Vaccination Fall as They Expand Exemptions

Kindergarten vaccination rates fell below herd immunity in at least 33 states in 2024-25 as exemptions grew, including in formerly top-ranked Mississippi and West Virginia, Stateline found.

  • Stateline's analysis shows Mississippi and West Virginia are losing ground in childhood vaccination rankings as exemptions expand in early 2026.
  • State laws, executive orders, and court rulings have expanded exemptions, driven by misinformation and policy shifts, as influential leaders influence parental decisions.
  • Stateline's computed average shows about 96.3% of kindergartners vaccinated this year, while Florida's rate fell to about 90% and Mississippi granted 617 religious exemptions, about 1.8% of the class.
  • Mississippi pediatricians report more pertussis than usual and note last year's whooping cough surge included an infant death, raising risks for school teachers, nurses, infants, and people who cannot be vaccinated.
  • On Jan. 26, the Governors' Public Health Alliance endorsed American Academy of Pediatrics standards as Montana made vaccine data private and at least 33 states fell below herd immunity.
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18 Articles

Arizona MirrorArizona Mirror
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States that once led in child vaccination fall as they expand exemptions

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stateline.org broke the news in on Monday, February 2, 2026.
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