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Thursday June 04, 2026
(NEW YORK) -- A deadly Ebola outbreak is continuing to spread in the Democratic Republic of Congo and Uganda, with officials on Tuesday saying there were more than 600 confirmed and suspected cases and more than 100 suspected deaths.
The World Health Organization (WHO) declared the outbreak a public health emergency of international concern, and at least one American in the DRC has tested positive, according to the Centers for Disease Control and Prevention (CDC).
Several public health experts told ABC News that while they agree with the CDC that the risk to the U.S. public is currently low, the outbreak is still concerning. They also expressed unease that the U.S. may not be prepared to adequately respond due to cuts to federal health agencies and its withdrawal from the WHO.
The experts noted cases have been found in remote regions of the DRC and Uganda, as well as urban areas, and the outbreak is growing rapidly. They added that although Ebola is a rare disease, it can be highly contagious and can lead to deadly consequences.
"We're worried that if this outbreak is not contained, that it could spread elsewhere on the continent, which could increase the risk of the virus spreading outside of the African continent," Dr. Jennifer Nuzzo, professor of epidemiology and director of the Pandemic Center at Brown University School of Public Health, told ABC News.
"Ebola is not as transmissible a virus as, say, a coronavirus ... and that's why I don't think that this will ever become a pandemic scenario, but it doesn't have to be a pandemic to be a worrisome situation," she added.
Americans affected by outbreak
On Monday, the CDC confirmed that least one American in the DRC contracted Ebola while working in the country.
Dr. Satish K. Pillai, incident manager for the CDC's Ebola response, told reporters that the individual developed symptoms over the weekend and tested positive late Sunday, adding that the patient and six other high-risk contacts were being moved to Germany for care and monitoring.
Serge, an international Christian missions organization, confirmed the patient is American medical missionary Dr. Peter Stafford, a board-certified general surgeon with a specialization in burn care, who was serving patients in the eastern DRC.
Pillai did not say if or when the Americans would be returning to the U.S., but experts say, even if the patient and contacts do, the risk level to the public does not change.
"We safely and effectively have [returned affected Americans home] many times before," Emily Smith, interim chair of the department of global health at the Milken Institute School of Public Health at George Washington University, told ABC News. "It's something we have good experience in and have always safely and effectively done. So, to me, no concerns about doing that."
Dr. Jesse Goodman, a professor of medicine and infectious disease at Georgetown University and former chief scientist at the Food and Drug Administration, said it is encouraging that when countries such as the DRC have experienced outbreaks in the past, they have not progressed to pandemic status.
"I think the most [the U.S.] would see is the kind of limited transmission that we've seen in the past because this virus almost always appears that transmission is from people who have symptoms," he told ABC News. "I think if there are cases that come to this country, I would expect limited transmission and think we have the capability to contain it."
During the 2014 Ebola outbreak, there were two cases of suspected transmission from a patient with Ebola to nurses caring for him. The CDC has established detailed infection prevention and control procedures for health facilities that suspect they have cases of Ebola.
U.S. may not be as connected to the global health community
Even with possible U.S. capability to contain Ebola domestically, the experts who spoke to ABC News said the U.S. is likely at a disadvantage when it comes to responding to several health crises both at home and abroad due to public health capacity cuts.
Last year, the State Department announced it would be taking over programs previously run by the U.S. Agency for International Development (USAID). Secretary of State Marco Rubio said the agency -- which oversaw foreign aid, disaster relief and international development programs -- would no longer be providing assistance to other countries.
In previous Ebola outbreaks, USAID provided millions of dollars and operational support in response, in addition to helping with preparedness activities in neighboring countries.
Additionally, earlier this year, the U.S. officially completed its withdrawal from the WHO, with federal officials saying at the time there are "plans" in place to work with organizations on surveillance, diagnostics and outbreak response to fill in gaps left by exiting the WHO.
Brown University's Nuzzo said the Ebola outbreak is the kind of situation public health experts warned about as USAID was gutted and the U.S. withdrew from the WHO.
"We warned that the United States would be flying blind, and it would be learning about deadly outbreaks late, and then it would be very difficult for the U.S. to respond because we would have fewer tools to do that,'" Nuzzo said. "The big worry here is that the outbreak wasn't declared until there were more than 200 suspected cases of the virus and that is very unusual. Usually, we get signals of an outbreak much earlier."
George Washington University's Smith concurred, "When we are talking about public health infrastructure and global health infrastructure, we're in a worse place today than we were two years ago."
Nuzzo also noted that the National Institute of Allergy and Infectious Diseases, an agency within the National Institutes of Health, ended research at its high containment lab in Fort Detrick, Maryland, due to "a safety stand-down" last year.
The lab was one of the few federal facilities studying Ebola and other deadly pathogens, which Nuzzo said could have been useful in understanding the virus and developing therapies for the recent outbreak.
"So now that we have Americans potentially exposed to a virus that's deadly, for which we have no vaccines or treatments, you can imagine how beneficial it would be to have a laboratory that can conduct world-class research to make sure we develop cures for this," Nuzzo said. "But we don't have it. So, we're basically behind the curve in being ready for this."
Goodman also said that the U.S. may not be as prepared because Health and Human Services Secretary Robert F. Kennedy Jr. has been actively shifting the department's focus away from infectious disease management and towards chronic illnesses.
During his confirmation hearings last year, Kennedy argued that too much federal funding has been "devoted" to "infectious disease and to drug development and very little to chronic diseases."
Goodman argued that there needs to be a focus on infectious diseases because of the threats they may pose to public health.
"I think the message here is these infectious disease, we may be done with them, but they're not done with us," he said. "There's a reason that so many of us work for so many years to be prepared for whatever the next thing is because we don't know what it is and we just need to be ready."
Kennedy told ABC News on Monday that his agency is addressing the recent hantavirus and Ebola outbreaks.
"Yeah, we're working on it," Kennedy replied when asked if he was worried about the outbreaks. Kennedy did not respond when asked what his message might be to Americans who are concerned about the diseases potentially spreading in the U.S.
On Sunday, the State Department issued "Level 4 -- Do not travel" advisories for Uganda and the DRC due to the outbreak.
Secretary of State Marco Rubio called the Ebola outbreak "concerning" while speaking to the press on Tuesday.
"The lead is obviously going to be CDC and the World Health Organization, which was a little late to identify this thing unfortunately," he said. "It's a little tough to get to because it's in a rural area. So it's a kind of confined and hard-to-get-to place, in a war-torn country, unfortunately. But we'll have more to announce on that. We're going to lean into that pretty heavy."
Nuzzo said she's worried that the U.S. hasn't built a public health system that acknowledges viral outbreaks as recurring threats, saying the U.S. has been caught off guard with previous incidents such as COVID-19.
"We don't do that with other recurring hazards you know; we don't try to build FEMA in the midst of a hurricane," Nuzzo said.
ABC News' Shannon Kingston contributed to this report.
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(NEW YORK) -- A rare rodent-borne disease may be behind an outbreak aboard a cruise ship.
The World Health Organization (WHO) says there has been one laboratory confirmed case and five suspected cases. Of those six people, three have died.
The deaths occurred between April 11 and May 2 and the variant of hantavirus identified in at least one patient who is currently in intensive care, according to the WHO.
The WHO ?said on Monday that investigations into the deaths and illnesses are ongoing, including further laboratory testing.
The outbreak was reported on the MV Hondius, run by Oceanwide Expeditions, which was traveling between Argentina and the Canary Islands via Cape Verde.
Currently, the ship is off the coast of Cape Verde with 149 people on board representing 23 different nationalities, Oceanwide Expeditions said in a press release on Monday.
Here's what you need to know about the outbreak, what hantavirus is and how it spreads.
Timeline of the outbreak
South African health officials said in a statement on Monday that the first two deaths occurred in a married couple from the Netherlands. The 70-year-old male passenger became ill first with a fever, headache, abdominal pain and diarrhea. He passed away upon arriving in St. Helena, a British territory in the South Atlantic Ocean, according to the statement.
The deceased passenger's wife, 69, collapsed at Johannesburg O.R. Tambo International Airport while trying to connect to fly home to the Netherlands, according the country's department of health. She was taken to a medical facility in nearby Kempton Park, where she also passed away, the statement said.
Another patient, a British national, fell ill while the ship was traveling from St. Helena to Ascension, also a British territory, according to the statement.
"Despite medical treatment provided to him at Ascension, his condition did not improve and necessitated his medical evacuation to a South African private health facility in Sandton for further medical management," the statement said.
The patient is currently in critical condition in isolation but receiving medical attention, according to health officials, who said his laboratory test results came back positive for hantavirus.
Oceanwide Expeditions said in Monday's press release that the first death occurred on April 11 and that the company learned of the second death on April 27. The British national also fell in on April 27.
A third passenger of German nationality died on May 2 from causes not yet known, according to Oceanwide Expeditions.
Meanwhile, two crew members – one of British nationality and one of Dutch nationality – are on board the MV Hondius with acute respiratory symptoms. One has a mild illness and one has severe symptoms, with both requiring urgent medical care, Oceanwide Expeditions said, adding that no other people with symptoms have been identified.
The company said that hantavirus has not been confirmed in the two patients still on board the ship, nor has it been confirmed as the cause of the three passenger deaths.
"Strict precautionary measures are in process on board, including isolation measures, hygiene protocols and medical monitoring. All passengers have been informed and are being supported," the company said. "We understand the considerable interest and concern and will share new information as soon as it has been verified."
WHO Director-General Dr. Tedros Ghebreysus said in a post on X on Sunday that the organization is working closely with both member states and ship operators in response to the suspected hantavirus cases.
"WHO is facilitating medical evacuation of two symptomatic passengers, conducting a full risk assessment, and supporting affected people onboard," Ghebreysus wrote.
What is hantavirus?
Hantaviruses are a family of viruses that can cause serious illnesses and death, according to the Centers for Disease Control and Prevention (CDC).
The viruses cause two syndromes: hantavirus pulmonary syndrome (HPS) and hemorrhagic fever with renal syndrome (HFRS). HPS is mostly found in the Western Hemisphere, including the U.S., and HFRS is mostly found in Europe and Asia.
Surveillance for hantavirus in the U.S. began in 1993 during an outbreak in the Four Corners region, where Arizona, Colorado, New Mexico and Utah meet, the CDC said. Between 1993 and the end of 2023, 890 cases of hantavirus disease have been reported in the U.S., according to the CDC.
Hantavirus became more widely known after being identified as the cause of death of the wife of actor Gene Hackman after the couple was found dead at their New Mexico home in February 2025.
How does hantavirus spread?
Hantaviruses are usually spread through rodents, including rats and mice, mostly from exposure to urine, droppings or saliva. Although the viruses can spread through a rodent bite or scratch, such infection is rare, the CDC says.
Hantaviruses may also spread from person to person but that also is rare and only suspected for one subtype from South America, according to the WHO.
What are the hantavirus symptoms?
HPS symptoms typically appear from one to eight weeks after contact with the virus, with early signs including fever, fatigue and muscle aches, according to the CDC. Half of HPS patients will experience headaches, chills, dizziness, nausea, vomiting, diarrhea and abdominal pain.
The CDC says that between four and 10 days after the initial phase of illness, the late symptoms will appear, including coughing, shortness of breath and tightness in the chest as the lungs fill with fluid.
About 38% of people who develop HPS respiratory symptoms may die from the disease, according to the CDC.
Symptoms of HFRS usually develop one to two weeks after exposure and typically include intense headaches, fever, chills, back pain, abdominal pain, nausea and vomiting, the CDC says.
Later symptoms may include low blood pressure, lack of blood flow, internal bleeding and acute kidney failure. Depending on the virus causing the infection, fatality among infected humans can range from less than 1% to as high as 15%, the CDC says.
What hantavirus treatments are available?
No specific treatment is available for hantavirus infection, with the CDC recommending patients receive supportive care such as rest, hydration and treatment of symptoms.
Because HPS can cause breathing difficulties, patients may need breathing support, such as intubation, the CDC says.
Because HFRS can disrupt kidney function, infected patients may need dialysis to remove toxins from the blood, according to the CDC.
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(NEW YORK) -- A few months ago, a measles outbreak seemed poised to overwhelm the northern region of South Carolina.
More than 100 infections were being reported every week, with the total eventually surpassing that of last year’s record-setting outbreak in Texas.
However, after six months and nearly 1,000 cases, the outbreak took a dramatic turn in the right direction.
Over the weekend, the South Carolina Department of Public Health said no new cases had been confirmed for 42 days, leading to an announcement on Monday that the outbreak is officially over.
Public health experts told ABC News that the combination of a strong vaccination push, people following isolation and quarantine orders and an awareness campaign helped beat back the disease.
"Measles vaccinations [were] the most effective single containment tool," Dr. James Harber, an internal medicine physician with Spartanburg Regional Medical Center, told ABC News. "And then to identify the index cases and their exposures and enforcing quarantine, and there's that integrated public health and private sector collaboration. Those are the keys."
Vaccination push
The Centers for Disease Control and Prevention (CDC) currently recommends people receive two doses of the measles, mumps, rubella (MMR) vaccine -- the first at ages 12 to 15 months and the second between 4 and 6 years old.
One dose is 93% effective, and two doses are 97% effective against measles, according to the CDC.
In Spartanburg County -- the epicenter of the outbreak in northwestern South Carolina -- 88.9% of students had the required immunizations needed to attend school, among the lowest in the state, according to state health department data.
This is lower than the 95% threshold needed to achieve herd immunity.
In the wider Upstate region of South Carolina, some pockets have much lower vaccination rates. State data shows that, for the 2025-2026 school year, one elementary and middle school only had 17% of students with the required immunizations.
Of the 997 cases during the outbreak, 932 were among unvaccinated individuals who were mostly under the age of 17, state data shows. Experts told ABC News that a vaccination campaign helped play a big role in reigning in cases.
"We believe vaccination is one of the primary reasons this outbreak came to an end," Dr. Brannon Traxler, deputy director of health promotion and services and chief medical officer at the state health department, told ABC News. "Thousands of people got vaccinated. An additional 3,788 doses of MMR were administered in Spartanburg County during the six months of the outbreak compared to the previous year."
Traxler said that 15,000 additional doses were administered in the Upstate counties over this period competed to the year prior.
She added that January and February were record months for MMR vaccination in the state.
The health department does not track vaccine exemptions at the individual level, but Spartanburg Regional Medical Center's Harber believes some vaccine-hesitant parents were encouraged to vaccinate their children -- even those with previous exemptions on file -- as the outbreak grew and their kids were exposed to the virus.
"I think the numbers ... speak to the idea that that definitely happened," he said. "Parents and/or young people who have historically requested and been granted exemptions and not been vaccinated saw what was happening within the community and then changed their minds."
People following isolation, quarantine orders
South Carolina health authorities first confirmed the outbreak on Oct. 2, 2025, after eight cases were recorded in the Upstate region.
Most cases were recorded in Spartanburg County, with some confirmed in neighboring Anderson, Cherokee, Greenville and Pickens counties.
Only two other counties that didn't border the epicenter saw measles cases: Lancaster County in the north central area and Sumter County in the central area.
Harber said that people generally followed health officials' orders about quarantine and isolation, which helped keep the outbreak under control
"I think that's probably the second most important part, the very aggressive quarantine and exposure control when index cases were identified," he said. "They were very quickly provided with information around isolation and what they needed to do -- staying away from others and to help prevent that spread."
Harber said more than 2,000 quarantine orders were issued and almost 900 students stayed home when they tested positive across 33 schools in the Upstate region.
"That rapid identification and isolation of the suspected cases .. once they were confirmed really helped to prevent that secondary spread that is such a big problem because of how contagious [measles] really is," he said. "So, we really had great compliance especially within families and that really helped shorten transmission window based on all the data we have."
Awareness campaigns
Traxler said the state health department conducted wide-range outreach in Spartanburg County and surrounding areas to "educate the public about the facts regarding measles and the outbreak as well as to encourage people to consider being vaccinated to get long-term protection against the virus."
She noted that the department communicated with schools, churches, community-based organizations, community leaders, local health care professionals and other organizations.
Traxler added that the health department offered vaccinations at mobile health units at libraries, churches and other locations, where workers also distributed educational materials.
Ukrainian and Russian-speaking communities in South Carolina were hard hit by measles during the outbreak, and so the health department translated measles fact sheets and vaccine information into Ukrainian and Russian, as well as Spanish, Traxler said.
However, just because the outbreak is over doesn't mean the work is done, she added.
Other states are continuing to see measles cases and the U.S. is currently at risk of losing its elimination status, which it earned in 2000. Measles would once again be considered endemic or constantly circulating.
"The outbreak is over, but our work to understand and prevent measles is not. Large outbreaks of measles, and other infectious diseases, can be prevented entirely when vaccine coverage in the population is very high," Traxler said.
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(NEW YORK) -- Earlier this week, pharmaceutical company Pfizer and its partner Valneva announced that an experimental Lyme disease vaccine showed more than 70% efficacy in late-stage clinical trials.
The candidate, PF-07307405, showed 73.2% efficacy in reducing confirmed cases of Lyme disease cases after the fourth and final dose was administered when compared to a placebo.
However, the companies said there were fewer than anticipated cases of Lyme disease during the trial period and the study missed an important benchmark.
The trial did not reach its primary endpoint to provide an idea of how the results of this vaccine would turn out in a much larger population of people. Only with re-analyzing the data were researchers able to generate a statistically meaningful result.
Experts in tick-borne diseases told ABC News they still need to see the full data from the trials and that it's early to determine what kind of impact the vaccine will have -- but they add that results are "encouraging."
"There are many other companies that are trying to develop something, but those are years and years and years away from being anywhere close to being marketed," Dr. Gene Shapiro, a professor of pediatric infectious diseases and epidemiology of microbial diseases, told ABC News. "So, this vaccine was very similar to the vaccine that we know worked in the past. I think we have to pay attention to [this new one]."
Lyme disease is a bacterial infection that is spread through the bite of blacklegged ticks, also known as deer ticks, according to the Centers for Disease Control and Prevention (CDC).
Symptoms include fever, headache, fatigue and a skin rash known as erythema migrans, the CDC says. If left untreated, the infection can spread to joints, the heart and the nervous system.
More than 89,000 cases of Lyme disease were reported to the CDC by state health departments and the District of Columbia in 2023, according to the latest data available from the federal health agency. Estimates suggest about 476,000 Americans may be diagnosed and treated for Lyme disease annually.
Currently, no vaccine for Lyme disease is available in the U.S. Previously, a vaccine was available, but it was discontinued in 2002, according to the CDC.
"The uptake was poor. The sales were poor, and the company decided to stop selling it," Shapiro said. "The currently developed vaccine [by Pfizer and Valneva] is very, very similar to that vaccine, with very minor modifications."
Dr. Martin Becker, a clinical associate professor in the department of medicine at NYU Grossman Long Island School of Medicine, added that there were concerns raised, including about vaccine recipients having joint problems but several studies examining a link failed to find an association.
Becker said there have been many clinical trials underway "but this one that Pfizer just announced, I believe, is the one that's been most advanced," he told ABC News. "We were eagerly awaiting results from this large Phase III trial. Other previous trials were already published showing the safety and immunogenicity [of the vaccine]."
Pfizer and Valneva said they are planning to file for approval with the U.S. Food and Drug Administration, with Pfizer telling ABC News that the trial results show there is a level of protection against Lyme disease.
"It doesn't mean it doesn't work, but it does mean -- if we had higher numbers of incidence of infection -- we would be more confident about the degree of protection. It's very encouraging," Becker said.
Questions remain about whether the vaccine, if approved, will have higher uptake than the previous vaccine did decades earlier.
Shapiro said there might be more uptake with this vaccine if stronger recommendations are made. At the time the old vaccine was approved by federal regulators, Shapiro said the recommendation from the CDC's Advisory Committee on Immunization Practices was to consider the shot for those at higher risk, but it was not recommended for those at low or no risk.
"It was not a very strong recommendation," Shapiro said. "And I think there was less awareness of Lyme disease. So, most likely, [the newer vaccine] would get a stronger endorsement today."
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(NEW YORK) -- When Jessica Chamberlain went to sign up for health insurance coverage under the Affordable Care Act (ACA) for 2026, she not prepared for the sticker shock.
Last year, Chamberlain was paying $59.67 in monthly premiums. This year, she would be paying nearly $100.
The 43-year-old mother of two from Illinois said she was floored to see her monthly premiums were nearly doubling.
"I can't afford that as a single mom with two kids," she told ABC News.
After carefully weighing her options, Chamberlain decide to forego health insurance and is currently uninsured.
"What do I sacrifice [to pay for health insurance]? I'm diabetic," she said. "What do I have to sacrifice to keep my medications and my health afloat?
Chamberlain is not alone. Nearly one in 10 people enrolled in the ACA Marketplace last year dropped their coverage in 2026, according to a new KFF survey published Thursday.
The findings come amid rising health care costs and the end of the enhanced premium tax credits. The tax credits helped lower the cost of monthly premiums for about 22 million Americans covered under the ACA and expired at the end of 2025, with no plans by Congress to extend them.
The survey built upon a previous KFF poll conducted in 2025 among Marketplace enrollees. Surveyors re-interviewed more than 1,100 adults between Feb. 2 and March 2, 2026.
Of the respondents, 69% said they re-enrolled in Marketplace coverage with 39% selecting the same plan and 29% switching plans.
More than half, or 51%, of returning ACA enrollees said their health care costs are "a lot higher" this year compared to last year. Of this group, four in 10 specifically said their premiums are "a lot higher." Additionally, 80% said all health care costs -- including premiums, deductibles, co-pays or coinsurance -- are higher.
Meanwhile, 9% of Marketplace enrollees dropped their ACA coverage and are currently uninsured.
When asked why they decided to drop or change their coverage, most respondents said costs were the driving factor.
One of the respondents, Holly Weir, a 26-year-old from Ohio, told ABC News she was paying $30 in monthly premiums last year under a plan run by UnitedHealthcare. This year, her plan went to $177 in monthly premiums.
"I didn't do anything to pick a new health care plan. I got the bill in the mail and I was like, '[Expletive]!'" Weir said. "I didn't pay too much attention until I got the bill the next month and I was like 'Oh my God, this isn't from me going to see a medical provider.'"
Weir decided to cancel her insurance and has applied for Medicaid coverage. She is currently waiting to see if she will be approved.
Weir said she is a thyroid cancer survivor, and she has to see an oncologist every two months or so, in addition to taking regular medication.
"Once that runs out, I'll get a lot more scared," she said. "Of course, I'm not going to be stupid and leave it so long. If it does come to it, I'll pay [for the insurance]. The idea that I would have to spend that each month is frustrating. I'm already not doing amazingly financially."
The survey found that even those who re-enrolled in the ACA Marketplace may need to rework their household budgets.
More than half, or 55%, said they need to cut spending on food or other basic household expenses to afford their health care costs.
Among those with chronic health conditions, 62% of those who reenrolled in the ACA Marketplace said they will be cutting back on food and other basics.
The survey found that 22% of respondents did not re-enroll in the ACA Marketplace and got coverage through an employer, Medicare, Medicaid or another health plan outside the Marketplace.
Chamberlain, who also responded to the survey, said her kids qualify to be on state-run Medicaid. However, she said she doesn't qualify because she makes too much in her current role working in probation.
She is hoping she can find another insurance plan to help cover health care costs.
"This is destroying people who have pre-existing conditions," she said. "It is affecting people, especially single moms. We're just trying to live."
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(NEW YORK) -- As many as 724,000 service members, their families and veterans may rely on health care at hospitals that face financial vulnerability, partly due to cuts in President Donald Trump's megabill, according to a new analysis.
The bill, known as HR.1, was signed into law in last summer and included sweeping changes to health care including Medicaid. Strict work requirements, reduced federal funding and tightening provider tax rules impacts hospitals that are dependent on Medicaid, increasing their risk of uncompensated care and reducing revenue.
Service members and their families -- many of whom are covered by the military health insurance program TRICARE -- rely heavily on civilian hospitals for health care, particularly in areas without military treatment facilities.
The analysis, conducted by researchers the Healthcare Quality and Outcomes Lab at Harvard's T.H. Chan School of Public Health (HSPH) and first viewed by ABC News, looked at how many TRICARE beneficiaries may be reliant on hospitals considered at risk of financial distress under these new changes.
The researchers said many hospitals rely so heavily on Medicaid reimbursements that cuts to the program under HR.1 will affect care the hospitals provide to other patients, including those in the military community.
"We wanted to get a sense of how many hospitals are potentially at risk for becoming potentially financially unstable with the upcoming looming HR.1 Medicaid cuts," Dr. Jose Figueroa, co-author of the analysis and associate professor of Health Policy and Management at HPSH told ABC News. "There's a big focus on rural hospitals, but it is not just rural hospitals at risk, that we were finding that across the country, many urban hospitals are at risk."
Figueroa said medical services that many TRICARE beneficiaries need are often only offered in civilian hospitals or in civilian health care systems. These beneficiaries are then exposed to hospitals that are potentially at financial risk, he noted.
"Military active duty service members on TRICARE and their families also on TRICARE are increasingly relying on civilian hospitals for their care, even when they're living within a military base," Figueroa said. "If we're finding evidence that there are many hospitals across the country that are at risk, to what extent will that affect military personnel and their families?"
TRICARE is run by the U.S. Department of Defense for those connected to the military, including active duty members, National Guard and reserve members, military retirees and their families. It is not the same as Medicaid, although some may qualify for both.
For their analysis, the team used three different criteria to identify a hospital that might be at risk.
If more than one in four of patients being treated at the hospital are on Medicaid, given that the HR.1. cuts are disproportionally affecting those on the federal health insurance program.
If the hospital is a safety net hospital, which serves a large number of patients with no insurance or with Medicaid, or a critical access hospital, which is a rural facility that provides essential health care services to underserved communities.
The Altman Z-score, which is an aggregate measure of the financial health of a hospital, combining liquidity, profitability, financial efficiency and solvency measures to categorize a hospital as being at risk for bankruptcy.
About 4% of hospitals were considered at higher risk of financial distress -- meeting three of the criteria and about 19% were at moderate risk of financial distress -- meeting two -- according to the analysis.
The team then used a dataset to help to identify 8.9 million TRICARE beneficiaries and their ZIP codes.
The analysis estimated that more than 117,000 TRICARE beneficiaries are currently living on or near military installations potentially exposed to a hospital at higher risk of financial distress. Additionally, more than 607,000 are living near a hospital with a moderate risk of financial distress.
This means that more than 724,000 TRICARE beneficiaries are living in military installation ZIP codes -- including bases, camps, posts, depots and stations -- where at least one hospital has multiple risk factors for financial distress.
Additionally, more than 3.5 million TRICARE beneficiaries living in ZIP codes without a military installation are potentially exposed to a higher-risk or moderate-risk hospital, the analysis found.
"As a country, we should do our best to take care of the people protecting us," Figueroa said. "Military personnel and their family members should be protected, and sometimes we have to remind ourselves that drastic cuts to our health care that affect our health delivery system also affects our active military personnel and their families as well."
Last month, during a Senate hearing, Chief Master Sergeant of the Air Force David Wolfe said troops were struggling to get health care appointments and made reference to issues with TRICARE's reimbursement rate for providers.
"What we've all seen over the length of our careers is a gradual erosion in the availability of that health care for our service members and their families," Wolfe said, according to the Military Times.
Based on the results of the Harvard analysis, Sen. Elizabeth Warren, D- Mass., is launching an investigation into how the Pentagon is guiding military families through health care cuts and whether Republicans and the Trump administration consulted the Pentagon before the cuts were made, her office told ABC News first.
Warren is also pressing the Pentagon to explain how these cuts are affecting military readiness.
"Donald Trump is putting troops' lives on the line in the Middle East while ripping away health care from their families at home," Warren said in a statement to ABC News. "Republicans swore the Medicaid cuts in their Big Beautiful Bill were about cutting waste, fraud, and abuse -- is that what they think of our military families' health care?"
In a statement sent to ABC News, the Pentagon didn't address Warren's comments.
"As with all congressional correspondences, the Department will respond directly to the authors as appropriate," a spokesperson said.
A Pentagon official also said it wouldn't be appropriate to comment on the methodology of studies not conducted by the department.
The White House didn't respond to ABC News' request for comment.
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(NEW YORK) -- Wyoming Gov. Mark Gordon signed a bill into law on Monday banning abortion in the state after a "fetal heartbeat" has been detected.
HB 126, or the Human Heartbeat Act, prohibits abortion once cardiac activity is identified, which is around six weeks of pregnancy, before many women know they're pregnant.
If cardiac activity is detected, an abortion can only be performed in the case of a medical emergency, meaning if the life of the mother is in danger or if continuing the pregnancy would cause serious or irreversible impairment of a major bodily function, according to the bill.
The bill does not include exceptions for pregnancies as a result of rape or incest.
Any person who intentionally or knowingly violates the act will be charged with a felony punishable by up to five years in prison, a fine of up to $10,000, or both, according to the bill.
"Today I signed the Human Heartbeat Act into law, reaffirming my view that life is sacred. I resoundingly share the determination to defend the lives of unborn children and support the intentions behind the Human Heartbeat Act," Gordon wrote in a post on X on Monday.
Previously, abortion was allowed in Wyoming until fetal viability, which occurs between 24 and 26 weeks of gestation.
Wyoming is now the fifth state at least to have a "heartbeat ban" following bans enacted in Florida, Georgia, Iowa and South Carolina.
"This ban is an attack on Wyomingites' constitutional freedom to make their own health care decisions, and it puts the health and well-being of our communities at risk," Julie Burkhart, president of Wellspring Health Access, Wyoming's only abortion clinic, said in a statement.
"Every day that this law is in effect means people in our state will face even greater barriers to abortion care -- and some may be denied this care altogether," the statement continued. "With so many across Wyoming already struggling to access reproductive health care, restrictive policies like these take us further in the wrong direction."
Burkhart said Wellspring Health Access is prepared to challenge the ban in court and will continue to work with regional and national partners to help patients access the care they need.
Gordon wrote in the post on X that he was concerned the bill was "well-intentioned" but would lead to a "fragile legal effort with significant risk of ending in the courts rather than in lasting, durable policy."
Gordon suggested that voters should decide on the issue and that a question be placed on a ballot asking if an abortion ban should be cemented in the state constitution.
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(NEW YORK) -- As the U.S.-Israeli military escalation with Iran continues, children may be experiencing devastating consequences of being caught in a conflict zone. Dozens of children and adolescents have been killed, many of whom were attending school at the time, according to the Iranian education ministry.
Doctors and humanitarian aid workers told ABC News that millions of children in the region are at risk of physical and mental health repercussions.
They add that it's important children have as much structure as possible to keep a sense of stability in their lives.
“Every war is a war on children,” Ahmad Alhendawi, regional director for the Middle East, North Africa and Eastern Europe at Save the Children, told ABC News. “They are not the reason why the war started, but they are the ones who pay the highest prices. Their childhood simply gets disrupted.”
Mental health effects
Dr. Zaher Sahloul, president and co-founder of the humanitarian organization MedGlobal, told ABC News that the mental and emotional toll on children in conflict zones is a “huge problem.”
“Children are some of the most vulnerable sectors of the community because they need to feel that they are supported, they need it to feel that there is safety and shelter and supporting communities and they need normalcy,” he said.
Sahloul said that when children are caught in conflict zones, a sense of stability and routine is essential.
This includes going to school consistently, having playgrounds available so they can play, regular family meals and a place to sleep at night.
When any of these are disrupted, it can affect children’s mental health, causing anxiety, hyperactivity, withdrawal or feelings of sadness, according to Sahloul.
He added, “The trauma that [children] incur from violence and from what they see on TV, and of course the direct witnessing of bombs and missiles and its impact on their communities and neighbors and families, all of this will cause a lot of mental health trauma that manifests itself based on the age of the child.”
Studies of past conflicts have shown the effects of living in war-torn areas.
At least 10% of those who experience traumatic events in armed conflict will have serious mental health problems and another 10% "will develop behavior that will hinder their ability to function effectively," according to the World Health Organization in a review of research findings.
Mental health impacts can be exacerbated when locales that are supposed to be safe spaces come under attack, Sahloul said.
Over the weekend, Shajare Tayyiba Elementary School, an all-girls elementary school in Minab located in southern Iran was hit by airstrikes, according to Iranian officials.
Iran has blamed the U.S. and Israel for the strike on the school, but Israel Defense Forces (IDF) have denied any connection. Top U.S. officials, including Secretary of State Marco Rubio, have insisted the U.S. does not target civilian infrastructure.
“That adds, of course, to the trauma,” Sahloul said. “These are areas that should be considered safe and when people die in school or in a hospital or in the market, I think that adds to the trauma.”
Physical effects on children
There are physical risks for children that come with living in conflict zones, such as breathing in smoke and ash from fires and blasts that can affect the nose and lungs.
Children may also be seriously injured during air strikes, resulting in disability such as the loss of limb, sight or cognitive capacity.
“The physical impact on children is much more significant because there are fears for their development,” Alhendawi said.
Sahloul added that because children’s bodies are often smaller, shorter and thinner than those of adults, they are more likely to be hurt by projectiles such as bullets or shrapnel.
In children, severe bleeding can lead to shock, he said. Children are also more prone to amputation because of the smaller size of their limbs and they’re more prone to burns because their skin is thinner than adults’ skin.
Sahloul said that mental health trauma in children can have effects on their physical health. Research has shown a significant association between physical health problems and clinical mental health symptoms.
“So [mental health symptoms] can lead to depressed immunity to fight infection,” he said. “It can lead to malnutrition. It can lead to stunted growth.”
Health experts noted adults may also experience similar physical and mental health effects in conflict zones and may benefit from similar interventions.
How to help
Experts told ABC News it's important to make sure that children are provided structure as much as possible while living in war zones to help with their development and well-being. Additionally, when possible, they said it important to create child-friendly spaces that allow children to learn, play and receive psychosocial support.
Alhendawi said Save the Children is not currently operating in Iran but is stationed in nine surrounding countries and is prepared to provide full shelter and basic services for a population that may be displaced.
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(NEW YORK) -- An emergency rule from the Florida Department of Health went into effect on Sunday that could restrict tens of thousands of people from accessing HIV medication.
The state issued cuts to the AIDS Drug Assistance Program (ADAP), a federal-state partnership that provides free FDA-approved HIV medication for low-income, uninsured or underinsured people.
Under the emergency rule, eligibility for ADAP was lowered to include those at or below 130% of the federal poverty level, which equals about $20,345 per year for a one-person household, according to the Department of Health and Human Services.
Previous eligibility was at or below 400% of the poverty level, which equals about $62,600 per year for a one-person household, according to HHS.
Additionally, the emergency rule limits insurance coverage of Biktarvy, a once-daily pill to treat HIV and used by about 60% of those enrolled in ADAP.
HIV advocates estimate that as many as 16,000 of the 30,000 Floridians enrolled in ADAP could be at risk of restricted access.
"These cuts will impact communities throughout the state, will threaten the lives of people with HIV and will lead to spikes in new HIV diagnoses and a rise in health care costs as people with HIV develop serious infections requiring hospitalization," said Dr. Anna K. Person, chair of the HIV Medicine Association, a community of health care professionals that works toward advancing the response of the HIV epidemic, in a statement.
"HIV treatment disruptions of this magnitude will result in a public health disaster. Florida must follow due process and work with health care professionals, people with HIV and the state legislature to address any funding challenges," the statement continued.
The new emergency rule is only in effect for 90 days and cannot be renewed unless a rule is proposed to implement the changes through formal administrative rulemaking.
Health officials have cited the "rising health care insurance premiums nationwide" and lack of federal funding as reason for the cuts. Officials said the adjustments will prevent a shortfall of more than $120 million for the state.
The Florida Department of Health did not immediately return ABC News' request for comment.
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(NEW YORK) -- Measles cases have topped 1,000 in the United States for the third time in 26 years.
At least 154 new measles cases have been confirmed in the last week for a total of 1,136, according to updated data from the Centers for Disease Control and Prevention (CDC).
So far this year, cases have been confirmed in 27 states: Arizona, California, Colorado, Florida, Georgia, Idaho, Illinois, Kentucky, Maine, Minnesota, Nebraska, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Texas, Utah, Vermont, Virginia, Washington and Wisconsin.
Just six measles cases were reported among international travelers so far this year, according to CDC data.
About 92% of cases are among people who are unvaccinated or whose vaccination status is unknown, CDC data shows.
Meanwhile, 4% of cases are among those who have received just one dose of the measles, mumps, rubella (MMR) vaccine and 4% of cases are among those who received the recommended two doses, according to the CDC.
The current measles situation in the U.S. is partly being driven by a large outbreak in South Carolina that began last year, with 979 cases recorded as of Friday, according to state health officials.
Last year, the U.S. recorded 2,281 measles cases, which is the highest number of national cases in 33 years, according to the CDC. Before that, the last time measles cases rose above 1,000 was 2019 -- CDC data showed 1,274 that year. Recorded cases dropped to a low of 13 in 2020, the first year of the COVID-19 pandemic.
It also marked the first U.S. deaths recorded from measles in a decade, two among school-aged unvaccinated children in Texas and a third of an unvaccinated adult in New Mexico.
The CDC currently recommends people receive two doses of the MMR vaccine, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective against measles, according to the CDC.
However, federal data shows vaccination rates have been lagging in recent years. During the 2024-2025 school year, 92.5% of kindergartners received the MMR vaccine, according to data. This is lower than the 92.7% seen in the previous school year and the 95.2% seen in the 2019-2020 school year, before the COVID-19 pandemic.
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(WASHINGTON) -- President Donald Trump's surgeon general nominee, Dr. Casey Means, indicated she supports vaccines but stopped short of recommending certain shots during her confirmation hearing before the Senate Health, Education, Labor and Pensions (HELP) committee on Wednesday.
Means, who has a medical degree but does not hold an active medical license, appeared hesitant to say that some vaccines, such as the flu vaccine, prevent serious disease.
When asked by HELP committee chair Sen. Bill Cassidy, R-La., if she would encourage mothers to vaccinate their children with the measles, mumps and rubella (MMR) vaccine amid widespread illness in the U.S., Means said, "I absolutely am supportive of the measles vaccine, and I do believe vaccines save lives and are important part of the public health strategy."
However, she stressed personal autonomy and said each patient or parent needs to have a conversation with their doctor or pediatrician before taking any medication.
Later in the hearing, Sen. Tim Kaine, D-Va., asked Means for her opinion on the efficacy of the flu vaccine.
"Do you believe that there is evidence that the flu vaccine prevents serious disease and prevents hospitalization or deaths in children?" Kaine said.
"I believe that all patients should talk to their doctor--" Means began answering.
"And so do I, and that's not what I'm asking," Kaine interjected.
"I support the CDC's guidance on the flu vaccine," Means replied, adding that she believes the shot reduced the risk of hospitalization "at the population level."
Earlier this year, the Centers for Disease Control and Prevention announced that it was changing the childhood immunization schedule, removing the universal recommendation for multiple shots, including the flu vaccine.
Means was originally scheduled to testify before the HELP committee in October, but her appearance was postponed for four months after she went into labor.
If confirmed, Means would become the nation's top doctor, leading more than 6,000 members of the U.S. Public Health Service, including physicians, nurses, scientists and engineers working at various federal health agencies.
Means' views largely mirror those of Health and Human Services Secretary Robert F. Kennedy Jr., with a focus on tackling the chronic disease epidemic, creating a healthier food supply and expressing vaccine skepticism.
This is a developing story. Check back for updates.
ABC News' Youri Benadjaoud and Arthur Jones II contributed to this report.
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(NEW YORK) -- The U.S. is close to reaching at least 1,000 measles cases for the third time in eight years.
At least 72 new measles cases have been confirmed in the last week, according to updated data from the Centers for Disease Control and Prevention.
So far this year, there have been total of 982 cases in 26 states, including Arizona, California, Colorado, Florida, Georgia, Idaho, Illinois, Kentucky, Maine, Minnesota, Nebraska, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Texas, Utah, Vermont, Virginia, Washington and Wisconsin.
Just six measles cases were reported among international travelers so far this year, according to CDC data.
About 94% of cases are among people who are unvaccinated or whose vaccination status is unknown, the CDC said.
Meanwhile, 3% of cases are among those who have received just one dose of the measles, mumps, rubella (MMR) vaccine and 4% of cases are among those who received the recommended two doses, according to the CDC.
The current measles situation in the U.S. is partly being driven by a large outbreak in South Carolina that began last year, with 962 cases recorded as of Friday, according to state health officials.
Last year, the U.S. recorded 2,281 measles cases, which is the highest number of national cases in 33 years, according to the CDC.
It also marked the first U.S. deaths recorded from measles in a decade, two among school-aged unvaccinated children in Texas and a third among an unvaccinated adult in New Mexico.
The CDC currently recommends people receive two doses of the MMR vaccine, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective against measles, the CDC said.
However, federal data shows vaccination rates have been lagging in recent years. During the 2024-2025 school year, 92.5% of kindergartners received the MMR vaccine, according to data. This is lower than the 92.7% seen in the previous school year and the 95.2% seen in the 2019-2020 school year, before the COVID-19 pandemic.
Last month marked one year since a measles outbreak began in West Texas, with infections soon spreading to neighboring counties and other states.
Public health experts previously told ABC News that if cases in other states are found to be linked to the cases in Texas, it would mean the virus has been spreading for a year, which could lead to a loss of elimination status.
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