SAT Reading & Writing · Text Structure and Purpose

Before widespread vaccination, the United States recorded hundreds of thousands of measles cases annually. Following the introduction and…

Before widespread vaccination, the United States recorded hundreds of thousands of measles cases annually. Following the introduction and expansion of measles vaccination programs, endemic transmission within the country was declared eliminated in 2000. However, imported cases from other countries can still spark local outbreaks in communities where vaccination coverage has gaps.

Which choice best states the main purpose of the text?

Answer and explanation

Answer: B: To trace a public health achievement while clarifying what "elimination" does and does not guarantee going forward

The passage moves from describing a major historical improvement, to naming the specific achievement (elimination), to precisely qualifying what that achievement means going forward, still-possible outbreaks from imported cases in under-vaccinated pockets. B captures that full arc. A contradicts the passage's clear description of a major public health success. C overstates "elimination" into an absolute, permanent guarantee the passage explicitly denies by mentioning ongoing outbreak risk. D mischaracterizes a factual clarification as a criticism, which the passage doesn't frame as blame.

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