Dengue Watch: Hawaiʻi’s DOH says a wastewater sample from Hilo tested positive for dengue virus, but officials report no active cases right now and stress the result is an early warning, not proof of community spread. Climate & Health Risk: Pacific communities facing a prolonged fuel crisis are also bracing for a strong El Niño, with forecasts pointing to drought in some areas and heavier rain in others—raising pressure on drinking water, food, and children’s health. Food Security & Nutrition: The Pacific Islands Forum Fisheries Agency and SPC are rolling out “Tuna Bites” for World Tuna Day, using a country-by-country cooking competition to highlight tuna as a key protein source across the region. Regional Health Cooperation: At the Pacific Islands Forum in Palau, the Philippines pledged deeper ties with Pacific nations, including cooperation on health, food security, disaster preparedness, and energy and ocean governance. Local Health Systems Link: A Micronesian feature highlights United Airlines’ “Island Hopper” as more than transport—often acting as an emergency lifeline for patients and a supply route for medicine and essentials. Policy Shock for Care Access: Medicaid changes in North Carolina include new work and renewal rules and tighter eligibility for some non-citizens, with a toolkit released to help residents prepare. Ocean Governance Debate: A Marianas discussion on deep-sea mining weighs potential funding for local infrastructure against concerns about permanent damage to marine habitats.