Objectives. To examine trends in meningococcal B (MenB) vaccination coverage among US adolescents aged 16 and 17 years. Methods. We conducted cross-sectional and longitudinal analyses of 2018 to 2023 National Immunization Survey-Teen data to calculate the annual percentage of eligible adolescents who received the MenB vaccine and to assess changes over time. Results. Only 19.8% of the 41 505 eligible adolescents initiated MenB vaccination between 2018 and 2023. A total of 24.5% (95% confidence interval [CI] = 22.5, 26.6) of adolescents received 1 or more MenB vaccinations in 2023, as compared with 13.2% (95% CI = 11.7, 14.6) in 2018. Among initiators, most received only 1 dose. Conclusions. MenB vaccination coverage among 16- and 17-year-old adolescents increased modestly between 2018 and 2023. As of 2023, approximately 3 out of 4 adolescents in this age group had not received the MenB vaccine. Public Health Implications. As of 2023, less than one quarter of 16- and 17-year-old adolescents had initiated MenB vaccination. Given that MenB has accounted for most meningococcal disease among adolescents and young adults since 2013, efforts to improve uptake are warranted. (Am J Public Health. 2026;116(6):851-854. https://doi.org/10.2105/AJPH.2026.308459).

Objectives. To estimate the mortality burden attributable to daily mean temperatures during the heat season (April through October) in Maricopa County, Arizona. Methods. We examined the effects of heat exposure on 126 854 deaths that occurred in Maricopa County during the 2019 to 2023 heat seasons. Using a quasi-Poisson regression with distributed lag nonlinear models, we estimated the cumulative relative risk (relative to 77°F) between population-weighted daily mean temperatures and all-cause mortality over a lag period of 3 days. Results. At 99°F (the 95th percentile of the population-weighted daily mean temperature), we observed an 11% (95% confidence interval [CI] = 7%, 16%) increase in daily all-cause mortality relative to 77°F. Overall, 3036 (95% empirical CI = 968, 4887) deaths were attributable to heat, which is 57% more deaths than identified through epidemiological heat surveillance. Conclusions. The mortality burden increases with increasing population-weighted daily mean temperatures, indicating that the effects of heat on mortality can be indirect and incompletely captured by routine surveillance. Public Health Implications. Statistical approaches can help estimate the mortality burden associated with heat exposure, complementing countywide surveillance efforts that provide actionable insights into enhancing heat prevention strategies. (Am J Public Health. 2026;116(6):810-813. https://doi.org/10.2105/AJPH.2026.308443).

In An American Health Dilemma (2000), W. Michael Byrd and Linda A. Clayton synthesized historical scholarship to trace the devastating health impacts of chattel slavery, White supremacy, and racial science. Their study exposed disparate levels of death and illness experienced by generations of enslaved African Americans. My retrospective review of An American Health Dilemma demonstrates how subsequent scholarship has reinforced Byrd and Clayton's analysis of the roots of African American health disparities but also illuminated some of the limitations of the authors' physician perspectives. By decentering biomedical frameworks and introducing new interdisciplinary approaches, historians of enslaved health and healing complicate the authors' conceptualization of the "slave health deficit" and challenge their assumptions about the "slave health subsystem." New studies of slavery and capitalism, gender, reproduction, and disability expand the account of slavery's full impact on African American health. Furthermore, rather than viewing enslaved healers as members of a subsystem of superior Euro-American professional training, a new body of literature today explores the spiritual and intellectual worlds of Black healers grounded in Black mobility and the cultures of the African diaspora. (Am J Public Health. 2026;116(5):649-656. https://doi.org/10.2105/AJPH.2026.308422).

Evidence-based interventions for Ending the HIV Epidemic inadequately reach Latino men who have sex with men, particularly in Florida and Puerto Rico, stressing the need for implementation strategies. SOMOS Alianza (San Juan, Orlando, Miami Organizational Strategic Alliance) connects implementers, community members, and researchers pursuing Ending the HIV Epidemic goals among Latino men who have sex with men. We describe SOMOS Alianza, present its post-one-year outcomes, and explore how strategic alliances serve as implementation strategies that reduce HIV disparities. (Am J Public Health. 2026;116(5):619-624. https://doi.org/10.2105/AJPH.2025.308390).