{
  "abstract": "US measles elimination is in question, and the protective doses are already committed; which schools receive them first is unresolved. Of 36,031 US schools, 12,196 hold enough susceptible children to sustain transmission once a case arrives. One 77,292-dose budget would clear 2,497 of them under a lightly hedged rule against 1,511 under the lowest-coverage-first rule now in use, leaving 112,733 fewer children where a chain can persist at no additional dose. The gain comes from finishing schools near the herd-immunity threshold rather than starting schools far below it. Allocation theorys point-optimal form of that rule assumes every school is equally likely to see a case; pre-outbreak records from a 2025-26 South Carolina outbreak show exposed schools over-represented 5.0-fold in susceptible headcount, unlike enrollment. Under non-uniform risk, whose strength one outbreak cannot identify, that optimum is the least robust of seven rules, while the hedge holds roughly 90% of attainable benefit.",
  "abstract_shown": true,
  "affiliations": [
    "Cornell Universiity"
  ],
  "article_type": "PUBLISHAHEADOFPRINT",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "name": "L. W. Alexander"
    },
    {
      "name": "A. Pandey"
    },
    {
      "name": "N. Hupert"
    },
    {
      "name": "E. A. Serman"
    },
    {
      "name": "L. Rennert"
    },
    {
      "affs": [
        0
      ],
      "name": "A. I. Bento"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/defc74nzrwvbf.bib",
  "cited_by": 0,
  "doi": "10.64898/2026.08.20.26360961",
  "fulltext_url": "https://www.medrxiv.org/content/10.64898/2026.08.20.26360961v2.full",
  "id": "defc74nzrwvbf",
  "issns": [],
  "landing_url": "https://www.medrxiv.org/content/10.64898/2026.08.20.26360961v2",
  "language": null,
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "medrxiv",
      "epidemiology"
    ],
    [
      "openalex",
      "2713|Virology and Viral Diseases"
    ]
  ],
  "openalex": "W7204125260",
  "pdf_url": "https://www.medrxiv.org/content/10.64898/2026.08.20.26360961v2.full.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-08-20",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/defc74nzrwvbf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:31Z",
      "native_id": "10.64898/2026.08.20.26360961",
      "source": "medrxiv",
      "url": "https://www.medrxiv.org/content/10.64898/2026.08.20.26360961v2"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "medrxiv:epidemiology",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Hedged allocation of committed measles doses clears more US schools of transmission risk",
  "title_text": "Hedged allocation of committed measles doses clears more US schools of transmission risk",
  "type": "preprint",
  "updated_at": "2026-10-30T12:17:31Z",
  "url": "https://research.draconitic.com/paper/defc74nzrwvbf",
  "venue": "medRxiv",
  "versions": []
}