An outbreak investigation team in a district in Maharashtra identifies 47 cases of mumps in a single school over 2 weeks. The attack rate is highest among children aged 8–12 years. Vaccination records show that 62% of affected children had received one dose of MMR vaccine, and 18% had received two doses. The remaining 20% were unvaccinated. What is the most likely explanation for this outbreak pattern despite significant vaccine coverage?
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