The Post-EO-14155 US operational posture for international health coordination - the United States substitutes the World Health Organization-mediated multilateral information flow with direct bilateral diplomatic channels with destination states. During the MV Hondius outbreak (April-May 2026), CDC monitored residents in five states (GA/CA/AZ/TX/VA) through direct intelligence sharing with European and African counterparts, and the State Department coordinated with destination authorities directly, conspicuously omitting the World Health Organization. Confirms H2 of Report #84: while the broader IHR system did not degrade, the US operational architecture has shifted toward a fragmented matrix where the United States operates as an independent node rather than a keystone. Engine cross-references: `wh_eo_14155_who_exit`, `ihr_post_eo_14155_operational_test_node`.