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Governor Kathy Hochul today announced an unprecedented investment as the next step to deliver affordable, universal child care for children under five years of age across New York State. The Governor will partner with Mayor Zohran Mamdani to deliver free child care for two-year-olds in New York City, in addition to strengthening the existing 3K program to achieve universal care and ultimately, serve all families across the city.
In 2026, the State will continue to expand access to high-quality child care programs throughout the state, through a diversity of models, saving New York families billions of dollars each year.
Since taking office, Governor Hochul has already taken major steps to expand access to affordable child care for families through an investment of more than $8 billion dollars in the State’s child care infrastructure, dramatically expanding access, as part of laying the groundwork for the implementation of universal child care statewide.
“There’s one thing that every family in New York can agree on, the cost of childcare is simply too high,” Governor Hochul said.
“As New York’s first mom Governor, fighting for New York’s families has always been at the core of my agenda. Since taking office, I’ve put families front and center, fighting to make our state more affordable and laying the groundwork to deliver universal childcare. Today, I’m proud to partner with Mayor Mamdani and leaders across our state to make this a reality, turning that foundation into a concrete roadmap that will transform the lives of working parents and kids across our state.”
New York City Mayor Zohran Mamdani said,
“Over the past 14 months, a movement was born to fight for a city where every New Yorker could afford a life of dignity and every family could afford to raise their kids. Today, Governor Hochul and I meet that movement as we celebrate our joint commitment to universal child care. This victory represents much more than a triumph of city and state government working in partnership — it is proof that when New Yorkers come together, we can transform the way the government serves working families.”
Governor Hochul’s State of the State investments will commit to delivering affordable childcare for nearly 100,000 more kids. Through this $1.7 billion increased investment, the total FY27 investment will be $4.5 billion for childcare and prekindergarten services statewide.
As part of Governor Hochul’s 2026 State of the State, this proposal will:
Alongside these commitments, the Governor will launch an Office of Child Care and Early Education to steer the implementation of high-quality, universal child care for New York families.
Today’s announcement builds on steps that Governor Hochul has taken to expand access to affordable child care for families, laying the groundwork for the implementation of universal child care statewide. Specifically, the State has already:
Achieving Truly Universal Pre-K
While four-year-olds in some parts of New York have long had access to Pre-K, there are dozens of school districts that have not yet been able to make it available. Governor Hochul is providing additional support to ensure truly universal Pre-K for all four-year-olds in the State by the start of the 2028-2029 school year.
The State will not only fund additional seats to achieve universality but will also increase funding for existing seats, bringing them up to the greater of $10,000 or the applicable school district’s current selected foundation aid per pupil, so that districts have what they need to provide high-quality Pre-K. This combination reflects a commitment of roughly a half-billion dollars and will ensure that every child in New York State enters kindergarten ready to learn.
Launching 2-Care and Reaching Universal 3k Access in NYC
New York City has already launched universal Pre-K and 3K, and Governor Hochul will partner with Mayor Zohran Mamdani to age this program down and launch an unprecedented initiative to offer entirely free child care for two-year-olds within New York City. The Governor is committing to fully fund the first two years of the city’s implementation. As envisioned by the incoming mayoral administration, the first year of the program will focus on high-need areas selected by New York City and expand to serve all interested families across the city by year 4. In addition, the Governor will partner with the Mayor to strengthen and fix the city’s 3K program and ensure it achieves its promise of universal access.
Continuing Access to Low-Cost, Affordable Child Care Assistance Programs
Under Governor Hochul’s leadership, New York has more than doubled investment in the state’s Child Care Assistance Program (CCAP), which provides subsidies to help low-income families access child care.
By dramatically increasing the State’s investments in the program while expanding eligibility, the program now supports 2.5 times more children — an additional 100,000 — than when Governor Hochul took office; the number of children served has increased by almost 25 percent in the past year alone. Most of the families of the 170,000 children served by the program pay no more than $15 a week for child care.
This year, Governor Hochul will continue to grow the State’s investment in child care subsidies for those that need it most with a $1.2 billion increased investment, bringing the total available for subsidies to over $3 billion. This is more than 3.5 times more than the $832 million provided prior to the Governor taking office, and a nearly 40 percent increase from what was made available in the FY 2026 Enacted Budget.
Piloting Innovative Community Care Models Across New York Counties
In 2026, Governor Hochul will launch innovative new pilot projects for children in counties outside of New York City that are also ready to launch child care in more expansive ways in their communities.
The Governor will launch a new New York State pilot, designed to support counties in working towards universal access to affordable, year-round, full-day care for thousands of families across these communities, regardless of income. Programs will be a joint collaboration between participating counties and New York State.
Office of Child Care and Early Education
A new Office of Child Care and Early Education will drive the implementation of high-quality, universal child care in New York State. The Office will oversee and support roll out of universal Pre-K, continued investment in 3K, launch of 2-Care and other innovative care options, expansion and improvement of vouchers, and ongoing support for the workforce.
Supporting the Workforce Through Early Childhood Educator Preparation
Governor Hochul’s plan to strengthen New York’s early childhood education workforce includes expanding existing workforce scholarships, seeking opportunities for new Workforce Pell grants, and directing SUNY and CUNY to take a number of steps to expand and streamline early childhood education programs.
Expanding the Child and Dependent Care Credit to Better Support Families
Governor Hochul will expand and simplify the child and dependent care tax credit to provide an additional average benefit of $575 for 230,000 tax filers. She will also undertake a thorough review of existing tax incentives for employers with the goal of helping them better serve the child care needs of their employees.
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If you know someone who works in health, chances are they banged their head against a wall at least once in 2025—myself included. The past year brought the largest measles outbreak in decades and a tidal wave of false information on vaccines, including from the highest levels of government. Just days into 2026, HHS overhauled the recommended childhood vaccine schedule—not because of new science, but because of politics.
To put it simply, we’ve been through a health gauntlet.
But, despite the chaos, there’s a lot to still celebrate.
Across New York, health workers, policymakers, and supporters kept showing up, day in and day out, working toward a healthier New York, regardless of what was said on the news. That is worth celebrating.
So I’ve put together a few milestones from the past year. It’s not exhaustive (there’s always important work happening behind the scenes that doesn’t make headlines), but here’s a roundup of some of the key wins that made New York a healthier place in 2025. I’ve also got your regular infectious disease weather report at the end.
New York City’s average life expectancy hit 83.2 years, surpassing the city’s HealthyNYC goal years ahead of schedule. This milestone reflects progress across several issues, including things like chronic disease management, overdose prevention, and Covid-19 treatment and vaccination, among others.
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NYC life expectancy. Figure from the HealthyNYC Dashboard. Annotations by YLE.
NYC had a 28 % drop in overdose deaths in 2024—the largest decline in nearly a decade. Staten Island experienced the most dramatic drop, tied to localized interventions and broader access to naloxone and treatment.
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Figure from the NYC DOH Epi Data Brief on Overdose Deaths. Annotations by YLE.
Tobacco use among high school students across the state continued to fall to record lows, showing the effectiveness of prevention efforts.
In 2025, NYC and the state continued to expand vaccine access through:
NYC launched a new Vaccination Data Explorer to help identify immunization gaps and inform outreach, and updated their respiratory illness dashboard. At the state level, New York also updated their respiratory virus reports and rolled out a new Heat Illness Risk tool to monitor extreme heat threats across the state.
Financial wins in 2025 included:
These changes will improve access to live-saving medications and help reduce long-term health disparities tied to chronic illnesses like asthma and diabetes.
The Venture House clubhouse opened in Brooklyn to support people living with serious mental illness. Its goals are to provide community and social connections, supported employment and education, and recovery services through a supportive community of peers.
81.9% of New York women were up to date on screenings, higher than the national goal of ~80.3%.
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Estimated weekly effects on PM2.5 over time in the congestion relief zone compared to all of the NYC metro area and the 5 boroughs. Figure from Fraser et al.
Over $200 million was distributed through the NY SWIMS program to expand access to safe public swimming facilities across the state—supporting physical activity and reducing drowning risk.
The Wadsworth Center, New York’s public health laboratory, was named a National Influenza Reference Center. Its director, Dr. Kirsten St. George, received a national award for her contributions to public health innovation, including expanding New York public health surveillance to incorporate wastewater monitoring and sequencing data to track new variants and outbreaks.
The state is funding a $129 million project to replace lead service lines in Albany, addressing a critical environmental health risk.
These victories are a testament to what’s possible when data, policy, and communities come together to improve health. Here’s to building on this progress in 2026 and beyond.
Flu: The flu has been intense this year! My partner and I got it this past weekend. But there’s some good news—data from New York show that we may be turning a corner.
In NYC, the latest data through December 27th show that influenza is actually declining, i.e. we may have passed the peak.
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Percent of emergency department visits due to the flu. Figure from the NYC Department of Health Respiratory Illness Dashboard. Annotations by YLE.
New York state shows the same—positive tests for influenza are declining. But we still see very high and increasing hospitalizations for flu, meaning we are still in the thick of the season.
RSV: Potentially at the peak. In NYC and New York state, emergency department visits and hospitalizations for RSV are still increasing, but the number of cases in New York state is starting to decline.
Covid: The same is true for Covid—the number of emergency department visits in NYC and New York state are still going up, but the number of cases is going down.
To sum it all up, declining case numbers for respiratory illnesses doesn’t mean we’re out of the clear. Influenza transmission is still really high, and many people are still being hospitalized. Don’t let your guard down yet. It’s still a good idea to keep masking in crowded, indoor spaces, especially if you are at higher risk for severe illness (immunocompromised, pregnant, older, etc.).
Even amid major federal disruptions to health guidance and policy, New Yorkers did what New Yorkers do best—we kept moving forward. And we have a lot to show for it. So here’s to building on that progress and improving health even further in 2026. Happy New Year!
Love,
Your NY Epi
Dr. Marisa Donnelly, PhD, is an epidemiologist, science communicator, and public health expert. This newsletter exists to translate complex public health data into actionable insights, empowering New Yorkers to make informed and evidence-based health decisions.
Thanks for your financial support of Your Local Epidemiologist in New York! I couldn’t do this without you. — Marisa
Welcome to the Northeast edition of Outbreak Outlook! It is only available to paid subscribers. If you wish to become a paid subscriber and access region-specific information, please click the Subscribe now button below. Thanks for reading! -Caitlin Respiratory DiseasesInfluenzaThis flu season is brutal. Flu and influenza-like illness (or ILI, which looks only at symptoms) are very high nationwide, and outpatient ILI is higher in the Northeast at 10.6% than in any other region. More than 1 in 10 visits to the doctor in the Northeast this past week were for fever, cough, or sore throat. Every state in the region reported high or very high and increasing emergency department (ED) visits this past week. Outpatient influenza-like illness (%)
% of visits to the doctor that are for fever and cough or sore throat
Extra precautions to reduce infection are warranted right now, including masking, washing hands regularly, running an air filtration device at home if someone is sick, and avoiding large crowds. New York is likely at or just past peak, but it’s not entirely clear. Outpatient ILI increased again this week, to a super high 14.4%, but the increases were smaller this week, which suggests we’re nearing peak. Same for ED visits, which increased slightly to 9%. Hospitalizations are very high at 21.7 hospitalizations per 100,000 people. In addition, the Center for Forecasting and Outbreak Analytics estimates that New York state is past peak (see the map below). In New York City, ED visits for flu actually decreased slightly, to 7.9%, suggesting we may be just past peak there. Hospitalizations have declined slightly as well. Queens and the Bronx have highest levels of activity as measured by ED visits. Northeast: ED visits for influenza (%)
% of visits to the emergency department that are for influenza
There are sharp increases in flu elsewhere across the region. More than 1 in 10 ED visits in New Jersey are for flu (10.9%), as are nearly 1 in 10 in Massachusetts (9.7%) and New Hampshire (9.5%). In Connecticut, ED visits increased again to 11.8% — above last year’s peak of 9.1%. Hospitalizations, however, decreased substantially this past week, from over 20 to 6.2; it is unusual to see a swing this large in hospitalizations, so I am wondering if there was a delay in data due to the holiday. The Center for Forecasting and Outbreak Analytics estimates that all these states (except NH, no estimate there) are past peak (see the map below). Increases, increases, and more increases. In Rhode Island, ED visits increased to 8.5%, while in Maine, outpatient ILI more than doubled to 8.1%, and ED visits increased to 6.5%. In Pennsylvania, outpatient ILI increased to 4.7%, and ED visits for flu jumped to 6.8%. In Vermont, flu remains at more moderate levels, but is increasingly rapidly, with ED visits more than doubling in the past week to 5.1%. The Center for Forecasting and Outbreak Analytics estimates that all these states are still seeing increases in activity. CFA’s Influenza Trends
Influenza trend estimates from the CDC’s Center for Forecasting and Outbreak Analytics, as of December 30, 2025.
One other thing: I don’t love wastewater as a surveillance approach to influenza, but for what its worth, wastewater concentration of influenza is still rising across the region. I wanted to include this data this week despite my misgivings because I think it weighs against “calling” the peak. COVID-19In case the flu respiratory activity was not enough, Covid-19 activity is also moderately high. Wastewater activity is right on the border between moderate and high activity, having dipped very slightly this past week. ED visits increased in nearly all states in the region this week (except Rhode Island), with all states reporting rates between 0.6 and 1.3%. Wastewater activity is very high and rising in Massachusetts and Connecticut. Both states also reported increases in ED visits this past week to ~1.1%. However, hospitalizations decreased a bit in Connecticut (to 1.5 hospitalizations per 100,000 people). In New Hampshire, wastewater activity is high and increasing (incomplete data), and ED visits increased to 1.22%. In Maine, activity is high — about where it was during the late summer wave — but it didn’t increase much this past week. ED visits, however, did and are now the highest in the region at 1.26%. In Rhode Island, wastewater activity held steady at moderate levels, alongside ED visits. In Pennsylvania, wastewater activity was moderate and stable, and ED visits increased to 1.24%. In New York, ED visits are the lowest in the region, at 0.64%, but are increasing, along with wastewater activity (though data are incomplete), and hospitalizations (3.6). Wastewater activity is low in New Jersey and Vermont, and while ED visits remain relatively low in these states, they increased nonetheless. RSVRSV is moderate and rising in the Northeast, with ED visits at a little under 0.4%. Most states in the region reported increases in ED visits this past week, with the exception of Massachusetts (which decreased to 0.35%) and Maine (where it held stead at 0.04%). Rates are highest in New Jersey, where ED visits have risen to a moderate 0.65%. In comparison, last year’s RSV season peaked at about double that rate. ED visits more than doubled in the past week in Rhode Island, to 0.45%. New Hampshire, Pennsylvania, New York, Connecticut, and Vermont all reported increases to between 0.26 and 0.41%. Despite the increase in ED visits, hospitalizations in New York, dipped slightly this week, to 1.3 hospitalizations per 100,000, and more substantively in Connecticut, to 0.5. Other Bugs
Stomach BugsData did not update yet, so I am repeating what I said in the national edition a few days ago: Norovirus continues its upward climb. In the Midwest, Northeast, and South, norovirus wastewater activity is high and rising. In the West, wastewater activity remains more moderate, but is also rising. Noro is extremely contagious — this is where hand washing regularly (with soap and water, hand sanitizer is not particularly effective), avoiding touching your face, avoiding communal bowls of food/drink, and wiping down surfaces with soap and water or a diluted bleach solution can really help with prevention. Food recallsThe following foods are being recalled because they are contaminated. Please check your cupboards and throw out any of these items: New:
Previously Reported:
In other news NEWN YORK REJECTS ALL RECENT AND UNILATERAL CHANGES IN CDC IMMUNIZATION SCHEDULE!
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