Grant County, Washington, recently had 7 avian flu detections in wild birds.
The findings highlight a critical gap in many national and global H5N1 surveillance systems.
In September cholera cases were down 27% from August.
Senegal's Rift Valley fever outbreak now has 302 confirmed cases.
Chicken farms in Georgia and Pennsylvania were also hit with high-path avian flu.
Six Canada geese in Campaign County, Illinois, died from H5N1, as did 6 geese found in Kent County, Michigan.
Avian flu activity is increasing across the county after relatively few detections this summer.
In 2025 there have been 25 H9N2 cases reported from mainland China.
Cambodia confirms its 16th H5N1 avian flu case of the year, the first since early August.
Affected states include Arizona, Illinois, Indiana, Kentucky, Minnesota, Montana, New Hampshire, Oregon, Texas, Utah, West Virginia, Washington, Wisconsin, and Wyoming.