As the federal shutdown continues, states have been forced to fall back on their own resources to spot disease outbreaks — just as respiratory illness season begins.

The shutdown has halted dashboards and expert analysis from the federal Centers for Disease Control and Prevention, which monitors indicators such as wastewater to provide early warnings of the spread of COVID-19, influenza, RSV (respiratory syncytial virus) and other infectious diseases.

The pause leaves states with less early warning on disease outbreaks, potentially endangering lives even as child vaccination rates drop amid increased exemptions and hesitancy fed by misinformation. State and local officials can combat outbreaks with targeted advice to get vaccinated and stay home when sick, but they need to know where to

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