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Published · Council on Foreign Relations · April 2026

Vaccine Skepticism Has Risen in the U.S.—And in Many Other Countries

Graphic article on the global decline in trust in vaccines and the threat it poses to decades of progress in immunization coverage. The piece combines cross-country public opinion data with long-run vaccination and measles trends to show how confidence, coverage, and disease burden do not always move together.

Full article
Contribution
Research, writing, data visualization
With
Will Merrow, Associate Director of Data Visualization at CFR
Publication
Council on Foreign Relations
Format
Graphic article
Council on Foreign Relations article header for Vaccine Skepticism Has Risen in the U.S.—And in Many Other Countries
Published on CFR, April 17, 2026
The Article

Vaccination is one of the most successful global health interventions in history — but that success is increasingly under pressure. Trust in vaccine safety has declined in most countries surveyed since 2015, deepened during the COVID-19 pandemic, when debates over mandates intensified and spread to routine vaccines, amplified by a surge of health misinformation. The piece traces what that erosion looks like across countries, how it relates to actual coverage, and the risk it poses to global health systems.

Contribution

I co-authored the article and designed the accompanying charts with Will Merrow, Associate Director of Data Visualization at CFR. The work involved shaping the narrative arc, defining the comparative frames, and translating multiple public-health datasets into a visual sequence that remains clear without flattening the complexity of the subject matter.

Arrow chart comparing confidence in vaccine safety across selected countries between 2015 and 2024
Historic regional chart showing vaccination coverage increasing across world regions in recent decades
Scatter plot showing relationship between vaccination coverage and confidence in vaccine safety
World choropleth showing measles incidence surging in many countries
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