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National MMR coverage declined from 96.0% in 2018–2019 to 92.7% in 2023–2024, while exemption rates increased from 2.5% to 3.3%. Diego R. Hijano analyzed 8 years of CDC kindergarten vaccination surveillance data to assess state-level trends and the association between exemptions and coverage. Updated 2024–2025 estimates indicate coverage remained near 92.5% and exemption rates increased to 3.6%.
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