Snohomish County, WA Adopts Ordinance Requiring Septic System Inspections Before Home Sales

• As of April 25, 2026, Medicaid/CHIP enrollment exceeds pre-pandemic levels in 32 states, totaling 68 million Medicaid and 7.2 million CHIP enrollees nationwide. • The unwinding process disenrolled 25.2 million since September 2024, yet 69% of renewals—56.4 million—were approved in reporting states. • Elevated enrollment supports ongoing public health efforts but strains budgets amid procedural disenrollments in states like Florida and Texas.

• A new clinical trial launched April 24, 2026 (NCT07549529), examines postural motor activation deficits following mild traumatic brain injury (mTBI) in US patients. • The study translates lab findings into physical therapy protocols for concussion rehabilitation, focusing on vestibular and balance impairments. • Affecting millions annually, mTBI recovery gaps could improve with targeted interventions, potentially reducing long-term disability rates by 30%.

• Health officials confirmed the first case of mpox clade I in New York City on Friday, a strain known to cause more severe disease and higher mortality than clade II. • Clade I mpox leads to greater illness severity, prompting heightened vigilance in the densely populated urban area amid the ongoing national mpox situation. • Detection underscores risks in international travel hubs, as clade I has driven recent African outbreaks with fatality rates exceeding 3% in some regions.

• American Medical Association warns that $100,000 H-1B visa application fees jeopardize physician recruitment for rural and underserved U.S. areas. • Costs deter international doctors, who fill 25% of rural positions, exacerbating provider shortages affecting 60 million Americans. • AMA urges policy reform to maintain care access amid growing demand.

• The CDC reported six more US children died from influenza last week, bringing the season's pediatric flu deaths to 149 as respiratory virus activity slows nationwide. • About 85% of deceased children with known vaccination status were unvaccinated, with flu positivity in labs dropping to 4.7% and hospitalizations falling to 1.3 per 100,000 people. • Influenza B now predominates after surpassing A viruses, with high wastewater levels of RSV, influenza B, rotavirus, and norovirus signaling ongoing risks.

• Public health officials confirmed two cases of measles in Sacramento County, California, amid ongoing monitoring for potential spread. • The cases highlight persistent risks despite national vaccination efforts, with officials urging unvaccinated residents to seek immunization. • Measles outbreaks underscore gaps in herd immunity, particularly in localized communities, prompting heightened surveillance statewide.

• President Trump issued an Executive Order directing the Department of Health and Human Services to expedite access to treatments for patients with serious mental illness. • The FDA is accelerating its review process for mental health therapies in response to the directive. • This policy shift aims to reduce barriers to treatment approval and expand therapeutic options for affected patients.

• The U.S. daily COVID-19 case average increased by 13.3% over the past week, though hospitalizations continue to decline according to federal data. • About 48,000 patients are currently hospitalized with COVID-19, representing a decrease of nearly 104,000 patients over the past eight weeks, with hospital admissions down 11.7% weekly. • Alaska has the highest infection rate in the nation, followed by Montana, North Dakota, and Wyoming, while Puerto Rico, Florida, and Hawaii report the lowest rates.

• A multiyear international campaign is underway to repair damage to childhood immunization efforts caused by the COVID-19 pandemic. • The initiative focuses on restoring vaccination rates that declined during the pandemic period across multiple countries. • Public health experts view this effort as critical to preventing resurgence of vaccine-preventable diseases in vulnerable pediatric populations.

• The Trump administration will require all 50 states to explain their plans to revalidate Medicaid providers as part of a national escalation of anti-fraud efforts, announced by Dr. Mehmet Oz on Tuesday. • This marks a significant expansion from previous anti-fraud initiatives that have largely focused on specific states rather than a nationwide mandate. • The move aims to strengthen program integrity and reduce fraudulent claims across the Medicaid system.

• President Trump signed an executive order directing federal regulators to fast-track FDA review of psychedelic drugs including psilocybin and ibogaine for treating depression, anxiety, and PTSD. • The order allocates $50 million in federal funds to states implementing or developing psychedelic treatment programs as part of a federal-state partnership initiative. • Trump highlighted that over 14 million American adults have serious mental illness, with approximately 8 million on prescription medication, framing psychedelics as addressing a national mental health crisis including suicide prevention.