One reason is the epidemiological phenomenon of clustering of susceptible individuals which happens when a group of unvaccinated individuals in a specific area grows large enough to render protection from overall high immunization rates less effective. The outbreak is the largest chickenpox epidemic in North Carolina in over two decades. Waldorf schools emphasize “independent and inclusive” education as well as academic rigor, and alternative educational institutions such as Waldorf have much higher rates of vaccine refusal than public schools and other private schools.
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