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  "as_of": "November 05, 2026",
  "annual": {
    "first_year": 1962,
    "cases_1962": 481530,
    "cases_1990": 27808,
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    "cases_1992": 2126,
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    "cases_2024": 285,
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    "cases_2026": 5182,
    "y2026_most_since": 1991,
    "y2026_most_since_cases": 9643,
    "y2025_most_since": 1991,
    "ratio_2026_to_2025": 2.3,
    "ratio_2026_to_2024": 18.2,
    "pct_2026_of_1962": 1.1,
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    },
    "ratio_2026_to_2019": 4.1,
    "y2026_exceeds_2000_2024_total": true
  },
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    "latest_week_end": "2026-11-07",
    "latest_mmwr_week": 44,
    "lag_weeks_excluded": 2,
    "last_complete_week_end": "2026-10-24",
    "sum_by_mmwr_year": {
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      "2024": 285,
      "2025": 2289,
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    "y2025_cumulative_same_week": 1699,
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    "ratio_2026_to_2025_same_week": 3.1,
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    "y2025_peak_cases": 182,
    "y2026_peak_week_end": "2026-01-17",
    "y2026_peak_cases": 296,
    "y2026_last8_complete_weeks_mean": 220,
    "y2026_last8_from": "2026-08-30",
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    "latest_two_weeks": [
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        "week_end": "2026-10-31",
        "cases": 138
      },
      {
        "week_end": "2026-11-07",
        "cases": 93
      }
    ]
  },
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    "visitor_cases_2026": 18,
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    "jurisdictions": 52,
    "jurisdictions_with_cases_2026": 47,
    "jurisdictions_100_plus_2026": 13,
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        "jurisdiction": "Pennsylvania",
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        "cases_2025": 16,
        "cases_2026": 1476,
        "share_2026_pct": 28.6
      },
      {
        "jurisdiction": "South Carolina",
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        "cases_2026": 670,
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      },
      {
        "jurisdiction": "Utah",
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        "cases_2026": 536,
        "share_2026_pct": 10.4
      },
      {
        "jurisdiction": "Wisconsin",
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        "cases_2025": 36,
        "cases_2026": 419,
        "share_2026_pct": 8.1
      },
      {
        "jurisdiction": "New York",
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        "share_2026_pct": 4.1
      },
      {
        "jurisdiction": "Kentucky",
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      },
      {
        "jurisdiction": "Ohio",
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      },
      {
        "jurisdiction": "Texas",
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      },
      {
        "jurisdiction": "Virginia",
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      {
        "jurisdiction": "Florida",
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      }
    ],
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      "South Carolina",
      "Utah",
      "Wisconsin"
    ],
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    "texas_2025": 803,
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    "texas_share_2025_pct": 35
  },
  "clinical_2026": {
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    "hospitalised_pct": 11,
    "deaths": 7,
    "unvaccinated_or_unknown_pct": 96,
    "one_dose_pct": 2,
    "two_doses_pct": 2,
    "age_under_5": 908,
    "age_5_19": 2104,
    "age_20_plus": 2132,
    "age_under_20_pct": 58,
    "hosp_under_5_pct": 17
  },
  "clinical_2025": {
    "hospitalised": 244,
    "deaths_in_json": 3
  },
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    "associated_2026": 4993,
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    "from_2025_outbreaks": 1385,
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    "n_2024": 16
  },
  "national_coverage_cdc": {
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    "pct_2025_26": 92.4,
    "kindergartners_at_risk": 280000
  },
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  "coverage_by_school_year": {
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      "median": 94.5,
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      "below_90": 6,
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      "min": 86.8,
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      "below_90": 5,
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      "at_or_above_95": 17,
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      "min": 86.9,
      "max": 99.2
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      "min": 87.1,
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      "min": 87.3,
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      "max": 98.9
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  },
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    "states_in_file": 51,
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    },
    "lowest_latest": [
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        "state": "Idaho",
        "pct": 75.2
      },
      {
        "state": "Wisconsin",
        "pct": 85.1
      },
      {
        "state": "Minnesota",
        "pct": 85.7
      }
    ],
    "top4_case_states_latest": [
      {
        "state": "Pennsylvania",
        "pct": 92.7
      },
      {
        "state": "South Carolina",
        "pct": 93.4
      },
      {
        "state": "Utah",
        "pct": 87.2
      },
      {
        "state": "Wisconsin",
        "pct": 85.1
      }
    ]
  },
  "cross_checks": {
    "year_file_matches_history_1985_on": true,
    "weekly_2026_total_matches_annual": true,
    "weekly_2025_total_vs_annual": {
      "weekly": 2289,
      "annual": 2289
    },
    "weekly_2023_total_vs_annual": {
      "weekly": 59,
      "annual": 59
    },
    "weekly_2022_total_vs_annual": {
      "weekly": 121,
      "annual": 121
    },
    "hosp_file_total_matches_annual": true,
    "page_headline_matches_annual": true,
    "resident_plus_visitor_equals_total": true
  }
}