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===United States=== Vaccines have led to major decreases in the prevalence of infectious diseases in the United States. In 2007, studies regarding the effectiveness of vaccines on mortality or morbidity rates of those exposed to various diseases found almost 100% decreases in death rates, and about a 90% decrease in exposure rates.<ref>{{cite journal | vauthors = Roush SW, Murphy TV | title = Historical comparisons of morbidity and mortality for vaccine-preventable diseases in the United States | journal = JAMA | volume = 298 | issue = 18 | pages = 2155β63 | date = November 2007 | pmid = 18000199 | doi = 10.1001/jama.298.18.2155 | doi-access = free }}</ref> Vaccination adoption is reduced among some populations, such as those with low incomes, people with limited access to health care, and members of certain racial and ethnic minorities. Distrust of health-care providers, language barriers, and misleading or false information also contribute to lower adoption, as does [[anti-vaccine activism]].<ref>{{Cite journal |last=Hill |first=Holly A. |date=2024 |title=Decline in Vaccination Coverage by Age 24 Months and Vaccination Inequities Among Children Born in 2020 and 2021 β National Immunization Survey-Child, United States, 2021β2023 |url=https://www.cdc.gov/mmwr/volumes/73/wr/mm7338a3.htm |journal=MMWR. Morbidity and Mortality Weekly Report |volume=73 |issue=38 |pages=844β853 |doi=10.15585/mmwr.mm7338a3 |pmid=39325676 |issn=0149-2195|pmc=11563569 }}</ref> Most government and private health insurance plans cover recommended vaccines at no charge when received by providers in their networks.<ref>{{Cite web |date=10 July 2024 |title=How to pay for vaccines |url=https://www.cdc.gov/vaccines-adults/recommended-vaccines/how-to-pay-adult-vaccines.html}}</ref> The federal [[Vaccines for Children Program]] and the [[Social Security Act]] are among the major sources of financial support for vaccination of those in lower-income groups.<ref>{{cite web |title=About the Vaccines for Children (VFC) Program |url=https://www.cdc.gov/vaccines/programs/vfc/index.html |publisher=U.S. [[Centers for Disease Control and Prevention]] (CDC) |access-date=8 December 2019 |date=2 April 2019 |archive-date=1 May 2020 |archive-url=https://web.archive.org/web/20200501175435/https://www.cdc.gov/vaccines/programs/vfc/index.html |url-status=live }}</ref><ref>{{cite web |title=Program for Distribution of Pediatric Vaccines |url=https://www.ssa.gov/OP_Home/ssact/title19/1928.htm |website=Social Security |publisher=U.S. Government |access-date=8 December 2019 |archive-date=30 October 2019 |archive-url=https://web.archive.org/web/20191030185531/https://www.ssa.gov/OP_Home/ssact/title19/1928.htm |url-status=live }}</ref> The [[Centers for Disease Control and Prevention]] (CDC) publishes uniform national vaccine recommendations and immunization schedules, although state and local governments, as well as nongovernmental organizations, may have their own policies.<ref>{{Cite journal |date=7 September 2022 |title=Who Calls the Shots? A Legal and Historical Perspective on Vaccine Mandates |pmc=9449301 |last1=Fraser |first1=E. M. |last2=Neuss |first2=M. J. |journal=Chest |volume=162 |issue=3 |pages=659β663 |doi=10.1016/j.chest.2022.04.142 |pmid=36088093 }}</ref>
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