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Following four measles-related deaths in Pennsylvania, health officials have begun going door to door in Amish communities to encourage vaccination in an effort to curb the deadly spread of the disease. The outreach reflects sensitivity to the community's cultural and religious practices, aiming to build trust through private, individual conversations rather than public campaigns. The effort highlights broader challenges in addressing vaccine hesitancy in insular communities amid a resurgence of measles cases in parts of the US.