This episode discusses four MMWR reports. First, the cost of birth defect-associated hospitalizations among patients younger than 65 totaled $22 billion in 2019. Second, increased international effort is urgently needed to accelerate the use of new and underused lifesaving vaccines worldwide. Third, an increase in gastrointestinal illnesses in Florida in 2022 was linked to salad kits. Finally, scrub typhus, typically only seen in the Asia-Pacific region, causes a recent outbreak in southern Chile.