Interactive infographic

How Herd Immunity Works: Why Measles Needs ~95%

Move the sliders to see how contagious a disease is, how many people must be immune to stop it spreading, and why measles needs very high vaccination.

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What this infographic shows

A disease spreads only while each case infects more than one other person. If enough people are immune, the virus keeps hitting dead ends and the outbreak fades. That tipping point is the herd immunity threshold.

Each dot is one person in a group of 100:

  • Teal: immune because they were vaccinated and the vaccine worked.
  • Light coral: can still catch the disease.
  • Amber ring: the people who need to be immune for herd immunity.

When every ringed dot is teal, the outbreak shrinks.

How to use it

  1. Set how contagious the disease is. The slider starts at 15, in the middle of the range for measles.
  2. Set the vaccine’s effectiveness.
  3. Move share vaccinated until “each case infects” drops below one person.
  4. Try a much less contagious disease, such as an R0 of 2. Far fewer people need to be immune.

Why the number is so high for measles

Measles spreads through the air and can linger in a room after an infected person has left. Because one case can infect 12 to 18 people, even a small drop in vaccination can let outbreaks start again.

This is a simplified model. It assumes people mix evenly; real communities have clusters where vaccination is lower, and outbreaks start there.

Frequently asked questions

What is herd immunity?

Protection for a whole community that comes from most people being immune. When enough people cannot catch or pass on a disease, it cannot find new people to infect and outbreaks stop.

What percentage is needed for herd immunity to measles?

About 92% to 95% of people need to be immune. Because the vaccine is not quite 100% effective, vaccination coverage needs to be around 95% or higher.

What does R0 mean?

The basic reproduction number. It is the average number of people one infected person passes a disease to in a group where nobody is immune.

Who does herd immunity protect?

Everyone, but most of all people who cannot be vaccinated, such as babies too young for the vaccine and people with weak immune systems.

Sources

  1. Measles vaccine recommendations — U.S. Centers for Disease Control and Prevention
  2. Measles glossary (R0 of 12–18) — U.S. Centers for Disease Control and Prevention
  3. Measles fact sheet — World Health Organization
Text version of this infographic

How herd immunity stops an outbreak

A disease dies out when each sick person passes it to fewer than one other. Set how contagious it is and how many people are protected.

How contagious (R0)

People one case infects when nobody is immune. Measles: 12–18.

Vaccine effectiveness

Two doses of MMR vaccine: 97% against measles.

Share of people vaccinated

Must be immune

Must be vaccinated

Each case infects

Immune

Can catch it

Needed for herd immunity