Bill Gates says vaccine hesitancy has derailed global measles eradication efforts.

Bill Gates said his foundation has abandoned global measles eradication as a near-term goal because declining vaccination rates and growing hesitancy in wealthy countries have made elimination unattainable. He called the development tragic and warned that outbreaks are returning in parts of the United States and Europe where measles had largely disappeared. Measles deaths have fallen sharply since vaccines were introduced, but roughly 100,000 children still die each year, mainly in poorer countries affected by conflict, malnutrition and limited health care. Gates said vaccination skepticism has not yet significantly spread to the lower-income countries where his foundation operates, though coverage above 95% is needed to prevent outbreaks. He also warned that cuts to international aid by the United States under current President Donald Trump and other wealthy governments have harmed global health efforts.
Before the measles vaccine was introduced in the 1960s, the virus killed about 2 million children annually—far more than the roughly 100,000 deaths recorded today.
Measles is among the world’s most contagious diseases and typically causes a high fever, cough and distinctive rash.
Gates made the comments ahead of the Gates Foundation’s annual Goalkeepers event, which assesses progress toward the United Nations’ 2030 global development goals, including health targets.
Gates said that although aid cuts by wealthy governments had probably caused deaths, some restoration of funding had helped avert even more severe consequences for global health programs.
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