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.
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]
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]
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]
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.
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]
Key points
- U.S. kindergarten vaccine exemptions reached a record high of 4.2 percent for the 2025–2026 school year.
- National coverage for the MMR vaccine has fallen to 92.4 percent, below the 95 percent threshold needed for herd immunity.
- The increase is driven entirely by nonmedical exemptions, while medical exemptions remain flat at 0.2 percent.
- Measles cases have surged to a 35-year high, with over 2,500 confirmed cases in 2026.
Unanswered questions
- Whether the rising trend in nonmedical exemptions will plateau or continue to climb in upcoming school years.
- How many localized school districts have vaccination rates that have fallen below 80 percent.
- The long-term impact of recent state-level legislative changes that make it easier to obtain nonmedical exemptions.
How we got here
Pre-2020
National kindergarten vaccination rates consistently hovered around the 95 percent threshold required for herd immunity.
January 2023
The CDC reported that national coverage for state-required vaccines had declined to approximately 93 percent following the pandemic.
August 2025
Vaccine exemptions for the 2024–2025 school year hit 3.6 percent, continuing a multi-year upward trend.
August 2026
The CDC announced exemptions reached a record 4.2 percent for the 2025–2026 school year amid a 35-year high in measles cases.
- 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.
Perspectives this story doesn't cover
- Immunocompromised students who rely on herd immunity
- School administrators managing local outbreaks
Sources
[1]CDCPublic Health AdvocatesNew findings on vaccination coverage and exemptions among kindergartners (2025-2026 school year)
Read on CDC →
[2]HealthlineParental Choice AdvocatesChildhood Vaccine Exemptions Hit Record High as Measles Cases Surge Across U.S.
Read on Healthline →
[3]The GuardianParental Choice AdvocatesUS kindergarten vaccination rates dip as exemptions hit record high
Read on The Guardian →
[4]HealioPublic Health AdvocatesCDC: Kindergarten vaccine exemptions exceed 4% nationwide
Read on Healio →
[5]Contagion LivePediatric CliniciansVaccine Exemptions Increase Among Kindergartners
Read on Contagion Live →
[6]PhillyVoicePediatric CliniciansChildhood vaccine exemptions reached a record high during the 2025-2026 school year
Read on PhillyVoice →
[7]WebMDPediatric CliniciansVaccine Exemptions by State
Read on WebMD →
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