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Mpox is continuing to spread at low levels in the United States, suggesting the virus may be transitioning toward endemic circulation rather than remaining linked primarily to travel.

In 2024 and 2025, 76% of U.S. mpox cases occurred among unvaccinated people, who were nearly 10 times more likely to be hospitalized than those who received both Jynneos vaccine doses. Mpox remains most common among men who have sex with men, while transmission can occur through close contact, including within households.

The findings highlight the importance of vaccination for people at increased risk and ongoing monitoring of transmission. Read more from CIDRAP here.

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Maternity care access remains limited across much of the U.S., with 34.6% of counties classified as maternity care deserts and more than half lacking a hospital with labor and delivery services.

The March of Dimes found little change since 2016, while 57.9% of rural counties lack a practicing obstetric clinician. Financial pressures, low rural birth volumes, inadequate Medicaid reimbursement, hospital staffing shortages, and potential Medicaid cuts could further reduce access, particularly in rural communities.

By 2035, all but six states are projected to have an inadequate supply of obstetric clinicians. Longer travel distances can contribute to missed prenatal and postpartum care and delayed treatment of pregnancy complications. Read more from Time here.
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Individual and systemic racism affects virtually every aspect of public life. It is especially pervasive in medicine and public health. Being Black, indigenous, or a person of color (BIPOC) can be harmful to your health. 

The U.S. Congress and several local and state governments have declared racism a public health crisis. While these declarations are not legally binding, they convey that racial and cultural justice is necessary to safeguard all citizens’ health. Racism at individual and societal levels negatively impacts vulnerable populations’ mental and physical health. It also prevents members of marginalized groups from receiving equitable and adequate healthcare. 

Understanding why racism is a public health emergency can shed light on the health-related harms of racism and bigotry. It also stimulates efforts to remedy the injustices and improve the general health of all Americans. 

Why Is Racism a Public Health Emergency? 

A public health emergency occurs when the effects or consequences of a public health threat are pervasive enough to overwhelm the organizations and facilities responsible for responding to it. In most cases, policymakers and community leaders cannot legally enforce emergency declarations. Nevertheless, they serve as a call to action to review and revise current policies and practices that allow the emergency to permeate. 

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