Midway into 2026, the most overt attacks on vaccines in the United States have stopped. With the midterm elections looming, the White House reportedly asked Health Secretary Robert F. Kennedy Jr. to quiet his anti-vaccine rhetoric— publicly, at least . But protections against infectious disease are continuing to falter, both domestically and abroad, through sheer neglect. Although the full impact of the U.S.’s disinterest has only started to play out, one effect is already clear: When vaccines’