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The Marshall Islands is projected to see a slight decline in vaccination coverage for one-year-old children by 2028. According to recent data, the vaccination rate is expected to drop to 77% from its current level of 78% in 2023. This represents an average annual decrease of 0.3 percentage points. This trend is part of a longer-term decline that has been ongoing since 1992. Over the past three decades, the vaccination coverage rate has been decreasing at an average rate of 0.5 percentage points per year. The steady reduction in vaccination rates raises concerns about potential impacts on public health in the Marshall Islands, particularly in the context of preventing vaccine-preventable diseases among young children.