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Vaccine PolicyExplainerAug 22, 2026, 9:35 PM· 6 min read· in health

CDC Data Shows Record High Vaccine Exemptions for Kindergartners Amid Measles Resurgence

National kindergarten vaccine exemptions reached an all-time high of 4.2 percent for the 2025–2026 school year, driven entirely by nonmedical opt-outs. As measles cases hit a 35-year peak, pediatricians are urging parents to check local school vaccination rates and ensure their children are protected.

By Sophie Garnier

Public Health Advocates 40%Pediatric Clinicians 40%Parental Choice Advocates 20%
Public Health Advocates
Emphasize the necessity of high vaccination rates to maintain herd immunity and prevent outbreaks.
Pediatric Clinicians
Focus on clinical safety, patient education, and protecting medically vulnerable children in schools.
Parental Choice Advocates
Argue for the right of parents to make individualized medical decisions regarding their children's vaccines.

At a glance

  1. U.S. kindergarten vaccine exemptions reached a record high of 4.2 percent for the 2025–2026 school year.
  2. National coverage for the MMR vaccine has fallen to 92.4 percent, below the 95 percent threshold needed for herd immunity.
  3. The increase is driven entirely by nonmedical exemptions, while medical exemptions remain flat at 0.2 percent.
  4. Measles cases have surged to a 35-year high, with over 2,500 confirmed cases in 2026.
  5. Pediatricians urge parents to check local school vaccination rates and ensure their own children's immunizations are up to date.

Why it matters now

As national vaccination rates dip below the threshold required for herd immunity, the risk of highly contagious diseases like measles spreading in local classrooms increases. Understanding these trends helps parents take practical steps to protect their own children, especially those who are medically vulnerable or too young to be vaccinated.

As millions of children head back to classrooms this fall, parents are navigating a subtle but significant shift in the school environment. The invisible shield that has long protected students from highly contagious diseases is beginning to thin, fundamentally changing the baseline risk for families across the country. This shift is especially consequential for households with infants at home who are too young for their shots, or children who are medically vulnerable and rely entirely on the immunity of their peers to safely attend school.

This week, the Centers for Disease Control and Prevention (CDC) released its annual data on kindergarten vaccination rates for the 2025–2026 school year, revealing that vaccine exemptions have reached an all-time high. Nationwide, 4.2 percent of kindergartners—roughly 155,000 children—started the school year with an exemption from at least one required school vaccine. While the vast majority of children remain fully immunized, this record-breaking figure represents a growing cohort of students entering the education system without standard protections against preventable illnesses.[1]

This marks a notable jump from the 3.6 percent exemption rate recorded the previous year, continuing a steady upward trend that accelerated following the disruptions of the COVID-19 pandemic. Consequently, national coverage for the measles, mumps, and rubella (MMR) vaccine has dipped to 92.4 percent, while coverage for the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine fell to 92.0 percent. These incremental percentage drops translate to tens of thousands of additional children navigating their communities without the benefit of immunization.[2][3]

Kindergarten vaccine exemptions reached 4.2 percent nationwide for the 2025-2026 school year.

For parents, these percentages are more than just abstract public health statistics; they directly dictate the likelihood of an outbreak occurring in their immediate community. Public health relies heavily on the concept of 'herd immunity'—a mathematical threshold where enough people in a given population are vaccinated that a virus cannot easily find a new host to infect. For a highly contagious and airborne virus like measles, that protective threshold is widely recognized by medical professionals as 95 percent.[4]

The real-world consequences of slipping below that 95 percent mark are already materializing in communities nationwide. The United States is currently experiencing its worst resurgence of measles in 35 years, with the CDC confirming more than 2,500 cases by mid-August 2026. Measles is notoriously infectious; the virus can linger in the air of a classroom or a pediatrician's waiting room for up to two hours after an infected person has left the area, making community-level protection essential.

Understanding exactly why these exemptions are rising helps parents accurately assess their own community's risk profile. The CDC data clearly shows that medical exemptions—which are granted when a child has a severely compromised immune system, is undergoing treatments like chemotherapy, or has a documented severe allergy to a specific vaccine component—have remained completely flat at 0.2 percent for the past decade. The biological and medical need to skip routine childhood vaccines has not changed at all over this period.[4]

Understanding exactly why these exemptions are rising helps parents accurately assess their own community's risk profile.

The entirety of the recent increase stems from nonmedical exemptions, which encompass both religious and philosophical objections to immunization. These nonmedical exemptions have skyrocketed in recent years, rising from 1.9 percent in the 2020–2021 school year to 4.2 percent today, driven by shifting state legislations, changing political climates, and growing vaccine hesitancy among parents. Currently, 24 states report overall exemption rates above 5 percent, highlighting a widespread shift in how families approach school health mandates.[1][3][4]

The recent rise in exemptions is driven entirely by nonmedical opt-outs, while medical exemptions remain flat.

This behavioral shift places a unique and heavy burden on families whose children genuinely cannot be vaccinated for legitimate health reasons. Children battling pediatric cancers, those living with specific autoimmune conditions, or those with rare severe allergies rely entirely on the collective immunity of their classmates to safely attend school and participate in normal childhood activities. When the community vaccination rate drops, these medically fragile children are the very first to face life-threatening risks from otherwise preventable diseases.[7]

However, national averages often obscure the highly localized nature of vaccine protection, which is a crucial detail for concerned parents. A 92.4 percent national vaccination rate does not mean every single classroom is equally exposed to potential outbreaks. Vaccination rates tend to cluster geographically and socially; some school districts maintain near-perfect 99 percent coverage, while others may see rates plunge well below 80 percent, creating isolated pockets where outbreaks can easily ignite and spread rapidly.[3]

For parents, the most practical response to this data is to shift focus away from national headlines and look closely at local realities. Most state health departments and local school districts are required to publish their specific, school-level vaccination and exemption rates online for public viewing. Checking your own school's data provides a much clearer, actionable picture of the actual risk your child faces in their specific classroom environment, allowing you to make informed decisions.

If you discover that your local school has a high exemption rate, pediatricians recommend taking immediate proactive steps to safeguard your family. First, ensure that your own child's routine immunizations are fully up to date before the school year begins. The MMR vaccine remains exceptionally effective; receiving the standard two doses provides roughly 97 percent protection against measles, offering robust individual defense for your child even if the broader community immunity begins to wane.

Open conversations with pediatricians can help parents navigate localized outbreak risks.

Second, families with infants under 12 months old—who are simply too young to receive their first dose of the MMR vaccine—should exercise increased caution in communities with known low vaccination rates. This practical approach might involve limiting the infant's exposure to crowded indoor public spaces during known local outbreaks, and strictly ensuring that all older siblings, grandparents, and regular caregivers are fully vaccinated to create a protective bubble around the vulnerable baby.

While the rising exemption rates and the corresponding surge in measles cases are undoubtedly concerning, the broader context offers a measure of reassurance for families. The overwhelming majority of American parents—more than 92 percent—continue to trust their pediatricians and vaccinate their children according to established, evidence-based schedules. The systems designed to protect public health are currently strained by these shifting trends, but they are far from broken, and the tools to protect individual families remain highly accessible.[3]

Ultimately, the decision to vaccinate remains a cornerstone of both personal health management and broader community responsibility. By staying informed about local school vaccination rates, keeping personal immunizations on schedule, and maintaining open, honest conversations with trusted pediatricians, parents can confidently navigate this shifting public health landscape. Taking these practical steps ensures that their families remain protected, while also contributing to the safety of the most vulnerable children in their communities.[5]

Terms to know

Herd Immunity
A form of indirect protection from infectious disease that occurs when a sufficient percentage of a population has become immune, reducing the likelihood of infection for individuals who lack immunity.
Nonmedical Exemption
Permission granted by a state allowing a child to attend school without required vaccines based on a parent's religious beliefs or personal philosophy.
MMR Vaccine
A combined childhood immunization that protects against three viral diseases: measles, mumps, and rubella.
DTaP Vaccine
A combination vaccine that protects children against diphtheria, tetanus, and pertussis (whooping cough).

Questions readers ask

What is herd immunity?

Herd immunity occurs when a high enough percentage of a community is vaccinated against a disease, making it difficult for the virus to spread. For highly contagious diseases like measles, this threshold is 95 percent.

How effective is the MMR vaccine?

The MMR vaccine is highly effective. Two doses provide about 97 percent protection against measles, offering strong individual defense even in communities with lower vaccination rates.

Who qualifies for a medical vaccine exemption?

Medical exemptions are granted to children who cannot safely receive vaccines, such as those with severely compromised immune systems, undergoing chemotherapy, or with life-threatening allergies to vaccine ingredients.

How can I find out my local school's vaccination rate?

Most state health departments and local school districts publish their specific school-level vaccination and exemption rates online. Parents can search their state's health department website or ask their school nurse directly.

Sources

Source coverage

7 outlets

3 viewpoints surfaced

Public Health Advocates 40%Pediatric Clinicians 40%Parental Choice Advocates 20%
  1. [1]CDCPublic Health Advocates

    New findings on vaccination coverage and exemptions among kindergartners (2025-2026 school year)

    Read on CDC
  2. [2]HealthlineParental Choice Advocates

    Childhood Vaccine Exemptions Hit Record High as Measles Cases Surge Across U.S.

    Read on Healthline
  3. [3]The GuardianParental Choice Advocates

    US kindergarten vaccination rates dip as exemptions hit record high

    Read on The Guardian
  4. [4]HealioPublic Health Advocates

    CDC: Kindergarten vaccine exemptions exceed 4% nationwide

    Read on Healio
  5. [5]Contagion LivePediatric Clinicians

    Vaccine Exemptions Increase Among Kindergartners

    Read on Contagion Live
  6. [6]PhillyVoicePediatric Clinicians

    Childhood vaccine exemptions reached a record high during the 2025-2026 school year

    Read on PhillyVoice
  7. [7]WebMDPediatric Clinicians

    Vaccine Exemptions by State

    Read on WebMD

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