I don't know that it is the school exemption rate that is necessarily driving the outbreak. If you look at just the Buckingham County schools report (as opposed to the overall rate reported above), as recently as Fall 2024, the public school kindergarten rate for 2-doses of MMR was 99% and the private school rate was 90%: https://www.vdh.virginia.gov/immunization/sis-reports-2021-present/
But there is an Amish community with children who attend neither public or private schools . . .
I don't know that it is the school exemption rate that is necessarily driving the outbreak. If you look at just the Buckingham County schools report (as opposed to the overall rate reported above), as recently as Fall 2024, the public school kindergarten rate for 2-doses of MMR was 99% and the private school rate was 90%: https://www.vdh.virginia.gov/immunization/sis-reports-2021-present/
But there is an Amish community with children who attend neither public or private schools . . .
And a Mennonite community...
There has been no confirmation if that is what is driving this outbreak, but with no public exposures listed, it seems likely.