Welcome to the eighteenth edition of FOI Clinical. Each week, we'll send you a briefing on outbreak news. When something urgent breaks, you'll get an alert the same day.
In this edition
FIFA World Cup 2026 - Measles - Tetanus - Tick-borne diseases - Cyclosporiasis - Vibriosis - Campylobacteriosis - Ebola - Hantavirus: MV Hondius
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A note on this week's data: Data from the Nationally Notifiable Disease Surveillance System (NNDSS) confirms the full Memorial Day bounce-back. Data was not retroactively backfilled, meaning the "missing" cases were absorbed into YTD cumulative totals rather than corrected at the weekly level.
National interest
FIFA World Cup 2026: kickoff tomorrow
The tournament opens tomorrow, June 11. We covered the full clinician-facing preparedness landscape in Issue 17. What's changed this week:
- Ebola screening expanded: JFK added as a fourth screening airport alongside Dulles, Atlanta, and Houston. Mexico has introduced its own enhanced airport screening. DRC's national team is based in Belgium under a 21-day isolation bubble; a DRC–Chile friendly in Spain was banned over Ebola concerns.
- PAHO issued two advisories: June 2 urging measles surveillance (20,521 cases across 16 countries in the Americas, a 4x increase over 2025), and June 8 with broader traveler health guidance.
- New surveillance infrastructure: The Georgetown/MedStar HSOC began daily situation reports June 4, integrating wastewater, hospitalization, and real-time health data from host cities (350+ organizations enrolled). Philadelphia deployed a mobile lab near Lincoln Financial Field that can identify pathogens in 45–90 minutes. BU's BEACON program is monitoring signals across FIFA venues. Dallas is expanding wastewater and mosquito surveillance with metagenomic sequencing. King County, WA and Santa Clara County, CA issued provider advisories.
- Funding gap: the federal government allocated $625 million for World Cup security and zero dedicated dollars for public health. There is no permanent CDC director or surgeon general.