U.S. kindergarten vaccination rates dipped [in 2023] and the proportion of children with exemptions rose to an all-time high, according to federal data.
The share of kids exempted from vaccine requirements rose to 3.3%, up from 3% the year before. Meanwhile, 92.7% of kindergartners got their required shots, which is a little lower than the previous two years. Before the COVID-19 pandemic the vaccination rate was 95%, the coverage level that makes it unlikely that a single infection will spark a disease cluster or outbreak.
The changes may seem slight but are significant, translating to about 80,000 kids not getting vaccinated, health officials say.
The rates help explain a worrisome creep in cases of whooping cough, measles and other vaccine-preventable diseases, said Dr. Raynard Washington, chair of the Big Cities Health Coalition, which represents 35 large metropolitan public health departments.
Related on the SLP
Measles and whooping cough cases are at their highest levels since 2019, and there are still three months left in the year. And 200 flu-associated pediatric deaths were reported in the 2023-2024 season, the most since 2009.


















