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National Updates

WIC Program Faces Major Disruptions During Shutdown
The U.S. shutdown threatens food assistance via WIC (Women, Infants, and Children). Unlike entitlement programs, WIC needs annual reauthorization. The USDA says they’ll maintain benefits “while funds last,” but many rely on state-level backstops. Reuters

Federal Health & Science Agencies Hobbled
Many CDC, NIH, and HHS operations are severely limited. Under contingency plans, the FDA and CMS remain operational in a reduced capacity. Foley Hoag+2Reuters+2

 FDA new drug review, nonurgent inspections, and research funding are largely paused. Foley Hoag

 Concerns over layoffs are mounting if the shutdown continues. FedNews Network+1

• Impact on Health Insurance & Premiums Looms

Expiring ACA (Affordable Care Act) tax credits are central to the shutdown standoff. Premiums for many already subsidized plans could spike if credits lapse. AP News+1

Texas Updates

West Nile Virus Cases Increasing
According to CDC data, Texas has reported 41 human West Nile virus cases so far in 2025. CDC
Local health departments are monitoring hotspots and issuing mosquito-bite prevention guidance.

Screwworm Threat Near Texas Border
A recent screwworm detection in Sabinas Hidalgo, Mexico (≈70 miles from Texas border) continues to prompt surveillance. No confirmed Texas human cases yet, but livestock monitoring is being intensified. Reuters

Global Health Alerts

Avian Influenza Outbreak in Brazil—Ongoing Surveillance
Brazil’s outbreak of highly pathogenic avian influenza (HPAI) continues to be monitored. The original farm outbreak in Rio Grande do Sul had ~92% mortality among affected birds. arXiv
Governments and public health agencies are watching for potential spread and zoonotic risk.

Clinical Tips for Providers

  1. Be aware of WIC disruptions—some patients dependent on nutritional support may face sudden gaps.

  2. For suspect cases, prioritize mosquito-borne disease screenings (e.g. West Nile) given rising incidence in Texas.

  3. Counsel patients on the importance of continuing preventive care despite federal disruptions.

  4. In agricultural or rural practice, remain vigilant for screwworm signs in animals and suspect lesions in people.

  5. Stay updated on avian influenza alerts, especially in areas with poultry or wild bird contact.

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