A public health report states: 'Vaccination coverage among children aged 2 years reached 91% for the MMR vaccine in 2023, yet measles outbreaks continue to occur in communities with geographic clustering of unvaccinated individuals. Herd immunity thresholds of 95% are required to prevent sustained transmission.' What conclusion is best supported by this passage?
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A
Overall vaccination rates are high enough to eliminate measles outbreaks nationwide
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B
Geographic concentration of unvaccinated individuals can undermine population-level immunity even when average coverage appears adequate
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C
The MMR vaccine is less effective than previously reported
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D
Herd immunity thresholds should be lowered to match current vaccination rates