Medicine

Clusters of Concern — Spatial Link between Childhood Undervaccination and Measles Outbreaks in South Carolina

AI Insight

This study examines the geographic relationship between clusters of undervaccinated children and measles outbreak locations in South Carolina, identifying spatial correlations that suggest localized vaccine hesitancy or access barriers contribute to disease resurgence. The findings indicate that specific communities with below-average childhood vaccination coverage represent concentrated areas of epidemiological vulnerability. These spatial clusters of concern align with documented measles transmission events, reinforcing the role of geographic immunization gaps in outbreak dynamics.


Identifying spatial clusters of undervaccination allows public health authorities to direct targeted intervention efforts, such as community outreach and mobile vaccination programs, to the highest-risk areas before outbreaks occur. This approach could improve resource allocation and help prevent measles resurgence in a disease previously considered eliminated in the United States.


New England Journal of Medicine, Ahead of Print.

Source: Clusters of Concern — Spatial Link between Childhood Undervaccination and Measles Outbreaks in South Carolina