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Children were 5 times more likely to have pertussis if it had been more than 3 years since their last vaccine dose.
Though coverage still isn't optimal, for the first time rates topped 60%, with the boys' level gaining ground on the girls'.
Babies living in countries affected by conflict made up more than half of the total of unvaccinated group.
A meta-analysis of 50 studies finds vaccine refusal common in measles, pertussis outbreaks.
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