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School-Level Gaps in MMR Coverage as the Fuel for Measles Outbreaks.

Title: School-Level Gaps in MMR Coverage as the Fuel for Measles Outbreaks.
Authors: Fitzpatrick, Meagan C.; Wells, Chad R.; Pandey, Abhishek; Ayaz, Lamia; Hotez, Peter J.; Moghadas, Seyed M.; Galvani, Alison P.
Source: Annals of Internal Medicine; Jan2026, Vol. 179 Issue 1, p149-152, 10p
Subject Terms: MMR vaccines; Measles; Combined vaccines; Viral vaccines; Public health
Abstract: The article focuses on how school-level gaps in measles, mumps, and rubella (MMR) vaccination coverage—rather than state or county averages—are driving recent measles outbreaks in the U.S., particularly along the Texas–New Mexico border. Topics include hidden school-based vaccination heterogeneity, the role of social clustering and vaccine hesitancy in outbreak risk, and the need for school-level data collection and targeted public health interventions.
Database: Complementary Index