This year brought a significant shift in New York state policy around vaccines. The state eliminated religious exemptions to vaccines, and children are now required to be vaccinated to attend school unless they have a medical exemption form signed by a doctor. The move came on the heels of some of the largest measles outbreaks in the state since record keeping began, including a cluster in Monroe County that sickened seven children. Brett Dahlberg reported throughout the year on local cases of