In this March 8, 2019 file photo, Rambo Islas, 8 months, is held by his mother Maria Islas, as he gets a vaccine shot administered by RN Nicole Ives at the Dallas County Health & Human Services immunization clinic in Dallas. A Texas Department of Health Services report shows the number of people in the state who chose to not immunize their children for non-medical reasons has jumped in the in 2018-2019 school year despite a record-breaking measles outbreak in the U.S. (Vernon Bryant/The Dallas Morning News via AP, File) **FILE**
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