On the heels of measles cases popping up in North Dakota, local health officials stress the importance and safety of immunizations for young children.

The state Health and Human Services Department said the batch of new cases in Williams County all involve children who were unvaccinated. Measles is mostly common in kids who have not received their measles-mumps-rubella vaccine. The Centers for Disease Control and Prevention said the disease is highly contagious, causing symptoms like fever, rash and a cough, with possible serious side effects including brain damage.

Lisa Edholm-Moch, administrator of Emmons County Public Health, warned parents still leery of scheduling a shot for their child.

"A lot of people think the disease is going to be a piece of cake, but kids will get sick," Edholm-Moch emphasized. "Forty percent of infected people will end up in the hospital. Some may have long-lasting health issues."

Health leaders said they understand people's personal and religious beliefs but confirmed the measles vaccine has a good track record. Measles was declared eliminated from the U.S. in 2000, with officials crediting a strong immunization program. But skepticism has pushed vaccination rates lower. North Dakota's cases follow bigger outbreaks in states like Texas, where deaths have been reported.

Edholm-Moch acknowledged vaccination rates are not where they should be in her county. She feels misinformation is getting in the way of relaying accurate messages to parents. For families who want to learn more, especially those with newborns, she noted there's a key timeline to follow.

"The first measles vaccination is mumps, measles and rubella, and that should be given after they're 12 months old," Edholm-Moch outlined. "It's repeated again after age four -- between ages four and six -- about the time they're ready to start kindergarten."

She added even if children do not get the second dose, they still have protection from the first but the follow-up is recommended. When a local outbreak does occur, Edholm-Moch pointed out babies can be vaccinated a little sooner, before their first birthday. The CDC said common, temporary side effects of receiving the MMR vaccine include a sore arm or fever. They have been linked to certain types of seizures but experts said the risk is small and has no long-term effects.


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As Congress considers cuts to safety net programs in what Republicans are calling the "One Big Beautiful Bill Act," a new analysis from the nonpartisan Congressional Budget Office estimates 16 million Americans, including 140,000 in Colorado, would lose Medicaid health insurance.

Josh Bivens, chief economist at nonpartisan think tank the Economic Policy Institute, said if the bill passes as-is, health providers would see a steep increase in what is known as uncompensated care, when people without coverage get sick but cannot afford to pay their medical bill.

"It means hospitals and doctors no longer receive that income stream from Medicaid payments," Bivens pointed out. "Lots of them are going to be forced out of business and there's going to be closures of hospitals, especially in rural counties."

Republicans have cast doubt on the Congressional Budget Office projections and claimed cutting $715 billion from Medicaid by eliminating fraud and adding work requirements for adults would not reduce coverage. The GOP bill aims to fund Trump administration priorities, including more immigration raids and border wall construction, and extending tax cuts passed in 2017.

Bivens stressed if the bill becomes law, it would result in what he describes as the direct transfer of income from vulnerable families to the richest Americans. He noted the average cuts to Medicaid, which would kick in after the 2026 midterm elections, would be more than $70 billion a year.

"Then if you look at the tax cuts that will be received by just people making over $1 million per year, those are $70 billion as well," Bivens explained. "We're going to take $70 billion away from poor families on Medicaid, and we're going to give it to families who are making more than $1 million per year."

Six Nobel laureate economists have signed an open letter opposing cuts to safety net programs in the budget reconciliation bill, warning the measure would add $5 trillion to the national debt.

While headlines about the latest Trump-Musk feud may catch more people's attention, Bivens added the bill will have the biggest effects on Coloradans.

"I think the fact that six Nobel Prize winners said, 'This is important enough for me to try to draw attention to the implications of this bill,' should make people realize the stakes are really large," Bivens emphasized.


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A New Mexico coalition is stressing an urgent need for the state to adopt the strongest possible heat risk standards for indoor and outdoor workers.

New Mexico is the sixth-fastest-warming state in the nation, according to the Union of Concerned Scientists, fueled by climate change which makes heat waves more common.

Carlos Matutes, community advocate for the environmental group GreenLatinos, said 80% of those working in agriculture are Latino, as are 64% of those working in the building trades. He added Latino workers are overrepresented in oil and gas production and need to be protected.

"Depriving them of paid rest periods, of shade, of water during the summer months is unconscionable," Matutes asserted. "We're trying to make sure New Mexico Environment Department establishes these rules as quickly as possible."

Two states, Texas and Florida, have passed laws limiting local governments' ability to require employers to provide water breaks to outdoor workers. In contrast, California adopted protections in 2006. Matutes noted the Environmental Department has already announced the process to consider a heat-protection rule has been delayed and will not take effect before workers endure this summer's heat.

It is not just workers who suffer from extreme heat but also kids in school classrooms.

Whitney Holland, president of the American Federation of Teachers-New Mexico, said the days of putting a box fan in a classroom window on hot days are long past and the number of sweltering days increases each year.

"Thinking through a student's day, from the time they get on the bus, with buses that don't have air conditioning, in the cafeteria, in the library, all of those places," Holland outlined. "If they don't have proper ventilation and good air quality, research shows students feel fatigued, they are unable to focus, all of those things."

As might be expected, Holland added late afternoon, following the lunch break, is when students are most miserable, which disrupts the learning environment. This summer's forecast calls for hotter-than-normal temperatures from coast to coast, according to NOAA's Climate Prediction Center.


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Missouri Foundation for Health and its partners are putting $500,000 toward tornado recovery, boosting local relief efforts after storms devastated parts of St. Louis in May.

The emergency funds will help support groups already on the ground distributing supplies, repairing homes, and feeding families - especially in the hardest-hit areas.

Ivory Clarke is the vice president of strategic relations at the Missouri Foundation For Health. She shared the motivation behind stepping up and helping those in need.

"We've seen the effects of this tornado on St. Louis and communities that have traditionally been marginalized," said Clarke. "We've always been focused on ensuring that everyone in Missouri has a fair opportunity to thrive and be healthy."

The funds will be distributed among a dozen local groups that are involved in the relief efforts.

Missouri Gov. Mike Kehoe has asked President Donald Trump to issue a federal emergency declaration for the state due to the severe storms. If approved, it would unlock up to $5 million in federal aid.

Following the storms, hundreds of volunteers, first responders, and humanitarian groups mobilized for cleanup and food distribution.

Clarke stressed that her organization's mission is something they can't do alone, and said the effort is rooted in collaboration and collective strength.

"This response involves a network of non-profits, local organizations, and community leaders," said Clarke, "who are all working towards a shared goal of recovery."

Missouri averages 30 to 45 tornadoes per year, although the number can fluctuate depending on weather patterns.

Most tornadoes in the state occur between April and June, with May typically being the most active month.