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WASHINGTON (AP) — While millions of soccer fans cheer or groan over World Cup matches spanning North America, health officials will be on high alert for germs.

A heat wave may be the most obvious health threat. But infectious diseases can spread in a crowd, and experts are set to scrutinize wastewater, hospital visits, even social media for any signs that an outbreak might be brewing.

Measles, one of the most contagious diseases, is among the top concerns, sparking a warning this week from the Pan American Health Organization, PAHO. With a nearly six-week stretch of packed stadiums, bars and tourist sites in 16 cities, officials are on the lookout for a long list of infections, from the stomach bug norovirus to mosquito-borne dengue fever.

“This is truly a marathon,” said Palak Raval-Nelson, Philadelphia’s health commissioner.

The mass gatherings come at a tense moment for budget-strapped health agencies in the U.S. The Centers for Disease Control and Prevention, hit hard by Trump administration staffing cuts, already was grappling with a growing Ebola outbreak in central Africa and a cruise ship hantavirus outbreak. While CDC officials have advised state and local health departments behind the scenes, its expected World Cup disease surveillance dashboard still was “in final development” days before games began, according to the Department of Health and Human Services.

“Our public health professionals are pretty stretched,” said global health specialist Rebecca Katz of Georgetown University, who is leading an unusual new hub to help.

At the Health Security Operations Center, a joint effort between Georgetown and MedStar Health, workers are analyzing data from around the country so they can alert health authorities, even emergency rooms, to any early signs of trouble. The center is issuing daily “situation reports” about disease trends around World Cup host cities and team base camps to several hundred local and federal public health groups, emergency management and hospital officials and others who’ve signed up.

“It’s important that we don’t become alarmist,” said MedStar emergency medicine specialist Dr. Shane Kappler. “We’re trying to be the insurance policy.”

Measles is a top concern for potential World Cup spread

Already more than 2,000 people in the U.S. have come down with measles this year, nearly as many as during all of last year, according to the CDC. Patients can spread measles before the rash appears and they realize they’re sick. Not too long ago, the U.S. seldom saw measles except from international travel by unvaccinated people.

Now with frequent U.S. outbreaks, “actually a lot of our international partners are worried about measles being exported to them after the games,” said Georgetown’s Katz.

Measles is spreading in Canada, too, and has exceeded 11,000 cases in Mexico, according to PAHO. It’s urging soccer fans to be sure they’re vaccinated, with a health campaign saying a single measles patient can spread the virus to up to 18 unprotected people.

Is Ebola a concern at the World Cup?

Brown University’s Dr. Craig Spencer, who survived Ebola while working in the West Africa outbreak over a decade ago, said he’s repeatedly asked about the risk of Ebola during the World Cup — but “for me, Ebola is not the No. 1 or No. 2 or even No. 3 threat.”

“I am concerned about importation of measles, I am much more concerned about the importation of other infectious threats that may not seem as scary to us as Ebola,” Spencer said.

Many health experts agree that the risk of Ebola spreading in the U.S. is very low. That’s partly because of government travel screenings and restrictions on people recently in outbreak-affected areas. Moreover, Ebola spreads by contact with bodily fluids from someone showing symptoms, not through the air like measles or respiratory viruses.

“One fortunate thing about this virus is you’re most contagious when you’re really quite ill. It’s not like COVID, where you could be sitting next to someone who doesn’t even know they’re infected and perhaps contract the virus,” said Jennifer Nuzzo, director of Brown’s Pandemic Center.

How to spot brewing diseases

There’s precedent for germs invading major sporting events. Canadian scientists linked a community measles outbreak to the 2010 Olympics in Vancouver, and clusters of norovirus had to be contained during the Olympics this year in Milan and in 2018 in South Korea.

One way to detect signs of trouble: People with certain viral or bacterial infections shed genetic material that sophisticated testing of wastewater can spot. For example, measles can appear in wastewater days before an emergency room sees its first patients.

This week’s surveillance reports from Katz’s center note that wastewater testing recently found diarrhea-causing rotavirus, hepatitis A and norovirus in some parts of the U.S., something to watch as soccer crowds arrive.

In Dallas, officials ramped up wastewater screening including at the international airport, casting a wide net rather than looking for specific illnesses, said Dr. Phil Huang, director of Dallas County Health and Human Services.

His team also is enhancing the usual mosquito testing, checking not just for West Nile virus that regularly spreads in the U.S. but for viruses more common in other countries like dengue and chikungunya.

Public health officials have been preparing for months, said Philadelphia’s Raval-Nelson, including with mock emergency drills and communications with counterparts around the country.

“I don’t want to send a message that there’s one key thing,” she said. “We have the frameworks in place to carry out what we need to.”

AUSTIN, Texas (THE TEXAS TRIBUNE) — Gov. Greg Abbott on Tuesday released sweeping regulatory recommendations on data centers for the Legislature to pass in the 2027 session, as Texas grapples with an explosion of artificial intelligence-driven development and soaring power demands.

In a letter to state regulators, Abbott outlined a series of proposals designed to ensure data centers shoulder the costs of their growth rather than Texas ratepayers.
Angelina County residents call for action against AI data centers

Among his legislative priorities:

Requiring new facilities to add power generation to the state’s power grid
Requiring data centers pay for their own grid interconnection and infrastructure costs
Mandating the use of “closed-loop” water systems, which draw a large amount of water at the start but reuse it over some period of years
Require annual reporting by all data centers on electricity and water use
Establishing best-practice standards to address community concerns like noise
Repealing data center sales tax exemptions and “other outdated or unnecessary incentives for data centers”

The Texas Tribune reported earlier this year that the state is poised to lose $3.2 billion in sales tax revenue over the next two years because of a sales tax exemption.

“The rapid scale of data center development requires oversight to ensure everyday Texans are not burdened with the costs of infrastructure driven by data center expansion, and to ensure that as data centers interconnect to the Electric Reliability Council of Texas (ERCOT) grid, residential electric bills are not negatively affected,” Abbott wrote in the letter first obtained by the Texas Bullpen.

It’s a striking call for industry regulation by the Republican governor in a state that has long prided itself on being a favorable environment for business. In recent months, Abbott has toed the line of championing the industry, declaring Texas the “epicenter” of AI development, and issuing statements about how his office was sensitive to the concerns about strain on resources and quality of life.

The Data Center Coalition welcomed the governor’s proposals saying the industry already follows many of the recommended practices and is committed to working with agencies to support “responsible infrastructure growth.”
Locals sound alarm over data center planned near Henderson County water source

“It’s important to recognize that data centers are a diverse industry serving a wide range of needs, and there is no one-size-fits-all solution when it comes to facility design, cooling technology, or regulation. The right approach in one community may not be the right approach in another, which is why siting and operational decisions are made in close coordination with local utilities, water providers, and management districts,” said Dan Diorio, the organization’s vice president of state policy.

In the immediate, the governor directed the Public Utility Commission of Texas to “initiate action to reduce residential transmission costs” by July 31 and start requiring data centers to pay for all of their costs associated with building power infrastructure for their operations, to ensure residential ratepayers bear none of it.

He’s also asked the PUC and the Electric Reliability Council of Texas, the state’s main grid operator, to submit a joint memorandum by July 17 summarizing what they’ve done to prevent that data center development have caused risks and added costs onto Texans.

The move comes as opposition to large-scale data center projects grows across Texas. Community groups have organized against proposed developments over concerns about water use, noise, land impacts, and strain on local infrastructure. A March Quinnipiac poll found that 65% of Americans oppose the building of an AI data center in their community.

A Texas Tribune analysis found that nearly 60% of data centers that are planned or under construction would be in red state House districts that voted for President Donald Trump.

As of May, ERCOT reported that large projects requesting to connect to the grid totaled 439 gigawatts of power capacity — five times larger than the all-time peak demand on the state’s grid. Of those projects, about 89% are data centers, though energy experts say it’s unlikely that all of them will be built.

ERCOT CEO Pablo Vegas previously described the influx of requests as “an unprecedented change in the pace of growth.”