Cities in the USA, Canada, and Mexico are preparing for the World Cup. Millions of people will visit these cities starting June 11.

美國、加拿大和墨西哥的城市正為世界盃做準備。從6月11日開始，將有數百萬人造訪這些城市。

City health offices have a lot of work. Some cities, like Los Angeles, do not have enough money or workers. Other cities, like Dallas and Atlanta, are building cool stations for the heat. They are also checking food to keep people safe.

城市衛生部門有很多工作要做。有些城市，例如洛杉磯，缺乏資金或人力。其他城市，如達拉斯和亞特蘭大，則在建立防暑站以應對高溫。他們也在檢查食品以確保民眾安全。

Doctors are worried about sickness. They are looking for viruses in the water. They are also worried about measles. Many children do not have their vaccines. The big crowds can spread these sicknesses to other countries.

醫生擔心疾病爆發。他們正在檢測水中的病毒。他們同時也擔心麻疹問題。許多兒童尚未接種疫苗。大規模的人群聚集可能會將這些疾病傳播到其他國家。

Some universities and hospitals are helping because the national government is not doing enough. New York City is practicing for big emergencies. They want to be ready for many sick people at once.

由於聯邦政府的投入不足，部分大學和醫院正提供協助。紐約市正在演習大型緊急狀況，希望做好準備，以應對大量病患同時湧入的情況。

Local health offices are ready for the games. However, they still need more money and they worry about the measles virus.

地方衛生部門已為賽事做好準備。然而，他們仍需要更多資金，且擔心麻疹病毒的問題。

Health authorities in the United States, Canada, and Mexico are putting safety plans in place to manage the millions of fans expected for the World Cup starting on June 11.

美國、加拿大與墨西哥的衛生部門正制定安全計劃，以管理預計將在6月11日開始的世界盃期間到訪的數百萬名球迷。

Much of the responsibility has fallen on local health departments because there is a perceived lack of federal funding and staff. For example, Los Angeles has had to stop some routine inspections and increase staff overtime to cope. In contrast, officials in Dallas and Atlanta have planned further ahead by setting up cooling stations and increasing food safety checks to prevent heat-related illnesses and food poisoning.

由於聯邦資金與人力被認為不足，大部分責任已落在地方衛生部門身上。例如，洛杉磯不得不停止部分例行檢查，並增加員工加班時間以應對。相比之下，達拉斯與亞特蘭大的官員規劃較早，透過設置冷卻站並增加食品安全檢查，以防止熱擊及食物中毒。

Health monitoring has also increased to track both local and imported diseases. Dallas County has expanded its water testing and insect surveillance for viruses like West Nile and Zika. Furthermore, there is a growing concern about measles, which has seen a rise in the U.S. with over 2,000 cases this year. Experts emphasize that the large crowds at the tournament could make it easier for the virus to spread internationally, especially since vaccination rates among children have dropped.

健康監測也已增加，以追蹤本地及輸入性疾病。達拉斯郡擴大了水質測試與昆蟲監測，以防範西尼羅河病毒與 Zika 病毒。此外，對麻疹的擔憂日益增加，美國今年已出現超過 2,000 宗病例。專家強調，賽事期間的大量人群可能使病毒更容易在國際間傳播，尤其是兒童的疫苗接種率有所下降。

To make up for the lack of federal coordination, private organizations have stepped in. Georgetown University and MedStar Health have created a Health Security Operations Center to analyze data and track movement in real-time. Additionally, New York City has used simulation exercises to prepare for major emergencies, ensuring that special resources are kept separate from daily health services.

為了彌補聯邦協調的不足，私人機構已介入協助。喬治敦大學與 MedStar Health 成立了健康安全行動中心，用以分析數據並實時追蹤移動情況。此外，紐約市利用模擬演習為重大緊急事件做準備，確保特種資源與日常衛生服務分開處理。

Local health agencies are ready for the event, even though they face significant funding gaps and a risky health environment with rising measles cases.

儘管地方衛生機構面臨顯著的資金缺口，以及麻疹病例上升的風險衛生環境，但他們已為此次活動做好準備。

Municipal health authorities in the United States, Canada, and Mexico are implementing safety protocols to manage the anticipated influx of millions of spectators for the World Cup commencing June 11.

美國、加拿大與墨西哥的市級衛生部門正實施安全協定，以管理預計於6月11日開始的世界盃將湧入的數百萬名觀眾。

The operational burden has shifted significantly toward municipal health departments due to a perceived diminution of federal resources and personnel. In Los Angeles, this resource constraint has necessitated the suspension of routine inspections and the accrual of staff overtime. Conversely, officials in Dallas and Atlanta have utilized an extended planning horizon to establish cooling stations and enhance environmental health inspections of food vendors to mitigate heat-related morbidity and foodborne illnesses.

由於聯邦資源與人力被認為減少，運作壓力已顯著轉移至市級衛生部門。在洛杉磯，這種資源限制導致例行檢查被迫暫停，且員工需增加加班。相反地，達拉斯與亞特蘭大的官員利用較長的規劃週期來設立冷卻站，並強化對食物攤販的環境衛生檢查，以減輕與高溫相關的發病率及食物中毒。

Epidemiological surveillance has been intensified to address both endemic and imported pathogens. Dallas County has expanded wastewater genomic sequencing and vector surveillance for West Nile, dengue, chikungunya, and Zika viruses. Concurrently, there is a heightened concern regarding the transmission of measles, which has seen a resurgence in the U.S. with 2,030 confirmed cases across 30 outbreaks this year. This trend is attributed to declining vaccination rates, particularly among pediatric populations. Experts suggest that the high-density environment of the tournament could facilitate further transmission, potentially leading to international viral dissemination.

流行病監測已強化，以應對本地及輸入的病原體。達拉斯郡擴展了廢水基因組定序，以及對西尼羅河病毒、登革熱、基孔肯雅熱和齊卡病毒的媒介監測。同時，對於麻疹傳播的擔憂增加，美國今年已有 30 起爆發、2,030 例確診，麻疹正呈現回升趨勢。此趨勢歸因於疫苗接種率下降，特別是在兒童群體中。專家指出，賽事的高密度環境可能會促使進一步傳播，潛在導致病毒在國際間散播。

To compensate for the reported lack of federal coordination, non-governmental entities have intervened. Georgetown University and MedStar Health have established a Health Security Operations Center to provide real-time data analysis and mobility tracking. Meanwhile, New York City has implemented incident command structures and simulation exercises to prepare for mass casualty events, ensuring that emergency resources are sequestered from routine operations.

為了彌補據報缺乏的聯邦協調，非政府實體已介入。喬治城大學與 MedStar Health 成立了衛生安全運作中心，提供即時數據分析與移動追蹤。同時，紐約市實施了事故指揮結構與模擬演習，為大規模傷亡事件做準備，確保緊急資源與例行運作分開。

Local health agencies remain prepared for the event despite significant federal funding gaps and a volatile epidemiological landscape characterized by rising measles cases.

儘管存在顯著的聯邦資金缺口，且麻疹病例上升導致流行病形勢動盪，當地衛生機構仍為此次賽事做好準備。