Active STEC/EHEC reports are currently documented in three U.S. states: Georgia, Alabama, and Minnesota. Minnesota reports 41 cases with an increasing trend, while Alabama reports 12 cases with trend unspecified; Georgia has an active report but no quantified case count provided. No deaths are reported in the available updates. Overall public health impact is assessed as medium across all affected locations, with the primary concern being the rising case burden in Minnesota indicating ongoing transmission and potential for clinically significant illness typical of STEC/EHEC infections.