Measles Resurgence in the US

Cases hit 2,777; kindergarten MMR vaccination dropped to 92.4% with record exemptions. New data from Hawaiʻi shows rates below 90% and religious exemptions at 6%. Trump executive order to split MMR adds policy threat. PAHO to review US elimination status in November. School-level susceptibility doubled post-pandemic. Cost analysis estimates $134 million in 2025 outbreak costs.