National Updates
Economic & Data Reporting Disruptions Due to Shutdown
The federal shutdown, which began October 1, has suspended release of key economic data (e.g. employment, inflation) since agencies like the Bureau of Labor Statistics and Census Bureau have halted operations. Reuters
CMS & FDA Activity Scaled Back
Under the shutdown, the FDA is limited to public health/safety work and cannot accept new user-fee–based submissions. CMS has suspended many nonessential services like facility surveys and rulemaking. Foley Hoag+1
Texas Updates
Fentanyl Awareness Month Proclaimed
Governor Greg Abbott has designated October 2025 as Fentanyl Poisoning Awareness Month to educate Texans about the growing epidemic of pills laced with fentanyl. Texas.gov
State Rules Ban Sale of Consumable Hemp to Minors
The Texas DSHS has adopted emergency rules prohibiting sale of consumable hemp products to persons under 21, aiming to curb teen access. Texas Health Services
Global Health Alerts
New “Pandemic Emergency” Alert Level in WHO Regulations
As of September 19, 2025, amendments to the International Health Regulations introduced a “pandemic emergency” level, enabling stronger global collaboration when outbreaks cross thresholds beyond PHEIC. World Health Organization
Brazil’s Avian Influenza Outbreak Under Study
The HPAI outbreak in Brazil’s poultry sector (Rio Grande do Sul) resulted in major bird losses (≈92%) and triggered movement restrictions. The dynamics, including wild bird introduction, are being modeled for risk assessment. arXiv
Clinical Tips for Providers
Expect delays in regulatory approvals, data access, and public health guidance until the shutdown ends.
Use the month of awareness to screen and counsel patients about fentanyl risks and overdose prevention.
For younger patients seeking hemp products, annually counsel on safety, legal status, and alternatives.
In global traveler screening, remain alert to novel zoonotic risks under new WHO alert frameworks.
Monitor influenza-like illness in regions near avian flu outbreaks, and educate on contact with poultry or wild birds.
