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Three years later, Mina and his collaborators took blood samples from 77 unvaccinated children in a community in the Netherlands before and then two to six months after the children contracted measles.

“It is important to note that at local levels, vaccine coverage rates may vary considerably, and pockets of unvaccinated people can exist even in areas with high vaccination coverage overall,” the plan said.

Cedars-Sinai Medical Center is an exception and discourages pediatricians in their clinics from treating unvaccinated patients.

An unvaccinated school-aged child in Texas died from the disease in February.

Four years later, amid allegations that a handful of doctors were issuing bogus medical exemptions for unvaccinated children, legislators passed SB 276, giving the state more authority to scrutinize those exemptions.