Posted on: May 26, 2023
May 26, 2023
Action Requested
- Be aware that a hepatitis A case occurred in a food worker who worked at two Taco Bell locations: 2727 Broadway in Everett and 303 91st Ave NE in Lake Stevens.
- There may be public exposures of customers who ate food fr...
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Health Alerts
Posted on: April 12, 2023
Health Advisory: Marburg Virus Disease Outbreaks in Equatorial Guinea and Tanzania
April 12, 2023
Action Requested
- Be aware of the potential risk of imported cases to the U.S. from two confirmed outbreaks of Marburg virus disease (MVD), one each in Equatori...
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Health Alerts
Posted on: April 11, 2023
Health Advisory: Continued increase in syphilis cases including congenital syphilis cases; routine testing of sexually active women recommended
April 11, 2023
Action Requested
- Be aware of a continued increase in primary and secondary syphilis cases...
Read on...
Health Alerts
Posted on: March 20, 2023
Health Advisory: Frozen strawberries recalled due to Hepatitis A risk to consumers
March 20, 2023
Action Requested
- Consider administering postexposure prophylaxis to susceptible (unvaccinated) persons who have consumed recalled strawberri...
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Health Alerts
Posted on: March 15, 2023
Health Advisory: Waiver and patient limits removed to increase buprenorphine access
March 15, 2023
Action Requested
- Be aware that the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Drug Enforcement Agency (DEA) have eli...
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Health Alerts
Posted on: March 14, 2023
Health Advisory: Increase in Extensively Drug-Resistant (XDR) Shigellosis in the U.S.
March 14, 2023
Action Requested
Read on...
Health Alerts
Posted on: March 6, 2023
Health Advisory: Measles Exposure at Large Gathering in Kentucky
March 6, 2023
Action Requested
- Be aware of a confirmed case of measles in an unvaccinated adult who, while infectious, attended a large religious gathering at Asbury University in Wil...
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Health Alerts
Posted on: March 3, 2023
Health Advisory: Chikungunya Virus in Paraguay and Risk to Travelers
March 3, 2023
Action Requested
- Consider chikungunya virus infection in travelers returning from Paraguay and surrounding countries with acute onset of fever and polyarthralgia.
- Con...
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Health Alerts
Posted on: February 16, 2023
Health Advisory: Tools and resources for increasing access, prescribing, and uptake of COVID-19 treatment
February 16, 2023
Action Requested
- Talk with symptomatic or COVID-positive patients about COVID-19 treatment options.
- Encourage early ...
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Health Alerts
Posted on: January 13, 2023
Health Advisory: Updates on COVID-19 Prevention and Therapeutics for Treatment
January 13, 2023
Action Requested
- Given the increasing prevalence of Omicron sublineages (particularly XBB.1.5), it is a great time to reinforce and redouble p...
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Health Alerts
Posted on: December 21, 2022
Health Advisory: Increased Candida Auris Transmission in Healthcare Facilities
December 21, 2022
Action Requested
- Be aware that an emerging fungal pathogen, Candida auris, is spreading and causing outbreaks in healthcare facilities. Per r...
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Health Alerts
Posted on: December 20, 2022
Health Advisory: Growing Measles Outbreak in Ohio – Measles Reminders and Readiness
December 20, 2022
Action Requested
Read on...
Health Alerts
Posted on: December 14, 2022
Health Advisory: Management of Oseltamivir (Tamiflu) Shortage
December 14, 2022
Action Requested
- Be aware of a shortage in commonly used medications such as oseltamivir (Tamiflu ®) due to increased respiratory virus activity.
- Thoroughly revi...
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Health Alerts
Posted on: November 22, 2022
Health Advisory: Respiratory Virus Activity Increasing; Shortage of Medications Compounding Strain on Healthcare
November 22, 2022
Action Requested
- Be aware of continued increase in respiratory virus activity, including a rapid increase i...
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Health Alerts
Posted on: November 8, 2022
Health Advisory: Increased Respiratory Virus Activity Impacting Children and Healthcare System
November 8, 2022
Action Requested
- Be aware of increased respiratory virus activity, particularly among pediatric patients.
- This includes increased influen...
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Health Alerts
Posted on: October 13, 2022
HEALTH ALERT: EBOLA DISEASE OUTBREAK
October 13, 2022
REQUESTED ACTION:
- Be aware of an ongoing outbreak of Ebola Virus Disease (EVD, Sudan ebolavirus) in Uganda since September 2022
- Counsel patients planning travel to Uganda about EVD and ...
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Health Alerts
Posted on: October 11, 2022
Health Advisory: ACCUTE FLACCID MYELITIS
October 6, 2022
Since the end of August 2022, CDC sentinel surveillance sites for respiratory pathogens have been reporting increases in enterovirus D-68 (EV-D68) respiratory disease. EV-D68 is also the main enterovi...
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Health Alerts
Posted on: September 23, 2022
Health Advisory: COVID-19 treatment options for moderately or severely immunocompromised patients
September 23, 2022
Action requested:
- Be aware of treatment options including monoclonal antibodies or MAbs, as well as oral antivirals. Make a plan wit...
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Health Alerts
Posted on: September 16, 2022
Health Advisory: Updated Monkeypox Guidance for Testing, Reporting, Treatment and Vaccination in Snohomish County
September 16, 2022
Action Requested
• Be aware of the ongoing global outbreak of monkeypox with local tr...
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Health Alerts
Posted on: August 5, 2022
Health Advisory: Updated Monkeypox Guidance for Testing, Reporting, Treatment and Vaccination Snohomish County
August 5, 2022
Action Requested
• Be aware of the global outbreak of monkeypox with local transmission in S...
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Health Alerts
Posted on: June 15, 2022
Clinician Alert: CDC Update Highlights Monkeypox Case Finding and Awareness of Non-Classical Presentations
June 15, 2022
Requested actions
- Be aware that monkeypox can mimic other rash illnesses with a similar appearance (e.g., varicella, he...
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Health Alerts
Posted on: June 2, 2022
Clinician Alert
Monkeypox Specimen Collection Revisited
June 2, 2022
This alert provides a brief update on specimen collection and submission. Please refer to the Health District’s prior monkeypox alert issued May 23, 2022, for ...
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Health Alerts
Posted on: May 27, 2022
May 27, 2022
Clinician Alert
Syphilis Transmission Increasing: Updated Screening Guidelines & Prevention of Congenital Syphilis
Actions Requested
- Recognize that syphilis transmission is increasing locally and that, although me...
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Health Alerts
Posted on: May 24, 2022
Clinician Advisory: Paxlovid Rebound
May 24, 2022
Requested actions
- Be aware that cases of rebound in COVID-19 symptoms and/or viral test positivity have been reported, generally occurring 2-8 days after recovery. For further information, see the full text o...
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Health Alerts
Posted on: May 23, 2022
Clinician Alert: Monkeypox in Europe and North America
May 23, 2022
Requested actions
Read on...
Health Alerts
Posted on: May 12, 2022
May 12, 2022
Clinician Advisory: Falling Immunization Coverage Among Children
Call to Action for Reminding and Recalling Under-Immunized Patients
Requested action:
- Please use reminders and recall messaging directed toward parents and guardians in ord...
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Health Alerts
Posted on: April 28, 2022
April 28, 2022
Clinician Advisory: Treatments for Outpatients with Mild to Moderate COVID-19 Who are at Increased Risk for Severe Outcomes of COVID-19
Requested Actions:
- Encourage patients to be fully vaccinated and up-to-date with respect...
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Health Alerts
Posted on: April 21, 2022
Please see the advisory linked below regarding association of adenovirus 41 with severe hepatitis in pediatric patients and recommending testing for adenovirus by PCR on blood, stool, rectal swab and/or respiratory specimens. We ask that clinicians who di...
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Health Alerts
Posted on: January 28, 2022
January 28, 2021 Clinician Advisory – COVID-19
Reminder: Moderately-to-severely immunosuppressed people are eligible for third primary dose and booster
Requested action: Reinforce COVID-19 vaccination recommendations f...
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Health Alerts
Posted on: November 3, 2021
November 3, 2021
Clinician Update--COVID-19:
Pfizer’s Pediatric mRNA Vaccine Green Lighted for Implementation
in Children 5-11 Years of Age
Requested Action
- Implement the Centers for Disease Control and Prevention&rs...
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Health Alerts
Posted on: November 3, 2021
November 3, 2021
Clinician Advisory--COVID-19:
WA DOH Updates Guidance on Use of Monoclonal Anti-SARS-CoV-2 Antibodies
Note: This advisory modifies and supersedes previous guidance issued on this topic September 17, 2021.
Request...
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Health Alerts
Posted on: September 17, 2021
September 17, 2021
Clinician Alert--COVID-19:Interim Triage of Limited Supply of Monoclonal Anti-SARS-CoV-2 Antibodies
Note: This alert modifies implementation of previous guidance issued on this topic earlier in the week.
Requested Action...
Read on...
Health Alerts
Posted on: September 14, 2021
September 14, 2021
Clinician Update--COVID-19:
Use of Monoclonal Anti-SARS-CoV2 Antibodies for Prevention of Severe Disease
Requested Actions
- Consider using monoclonal antibodies to treat eligible, high-risk patients with mild-to-moderate ...
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Health Alerts
Posted on: September 13, 2021
Clinician Advisory
Vigilance for Measles & Polio in Afghan Arrivals
Requested Actions
- Maintain awareness of immunization recommendations for people arriving from Afghanistan.
- Maintain vigilance for measles or&a...
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Health Alerts
Posted on: August 12, 2021
Clinician Advisory--COVID-19:
Governor Requires Vaccination for Healthcare Personnel
Local Health Officer Issues Directive for Masking in Public Indoor Spaces
Requested Action
Read on...
Health Alerts
Posted on: July 28, 2021
July 28, 2021
Clinician Advisory
Fifth COVID-19 Wave Fueled by Delta Variant:
Increase COVID-19 Vaccination
Mask-up in Public Indoor Places
Requested Actions
- If you are a health care worker and are not fully vaccinated, get vaccinated as soo...
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Health Alerts
Posted on: July 14, 2021
Clinician Advisory
Updated EUA Fact Sheets Note Risk of Guillain-Barré
after J&J COVID-19 Vaccination
Requested Actions
Read on...
Health Alerts
Posted on: June 25, 2021
Clinician Update—COVID-19
Myocarditis-Pericarditis following Vaccination
Additional or Booster Doses of Vaccine
June 25, 2021
Actions Requested
- Be aware of the association of rare cases of myocarditis and/or pericarditis with mRNA COVID-19 ...
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Health Alerts
Posted on: June 24, 2021
Clinician Advisory:
Human Immunodeficiency Virus & Other Sexually Transmitted Infections
june 24, 2021
Actions Requested:
- Provide empiric treatment for bacterial sexually transmitted infections (STI) among patients presenting with comp...
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Health Alerts
Posted on: June 22, 2021
Clinician Advisory
June 22, 2021
Continuing Education Opportunity Addressing
Evaluation & Management of Post-COVID Conditions
Actions Requested
- Become familiar with the clinical presentation and current recommended framework f...
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Health Alerts
Posted on: May 28, 2021
Clinician Advisory
Myocarditis and Pericarditis Association in COVID-19 Vaccine Recipients
May 28, 2021
Actions requested
- For suspected cases of myocarditis or pericarditis occurring following COVID-19 vaccination:
- get complete COVID-19 vaccination h...
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Health Alerts
Posted on: April 26, 2021
Clinician AlertFax System Failure April 21-26, New Health District Voice Line for Clinicians
April 26, 2021
Actions requested:
- Please resubmit any COVID/SARS-CoV-2 test results, other notifiable condition case reports or laboratory results, or any other mate...
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Health Alerts
Posted on: April 16, 2021
Clinician Advisory: Students and Isolation-&-Quarantine Directives for COVID-19
Requested Actions
- Follow prevailing guidelines from the Centers for Disease Control & Prevention and the Washington State Department of Health when counseling families a...
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Health Alerts
Posted on: April 14, 2021
Clinician Alert: Pause on Johnson & Johnson (J&J) COVID-19 Vaccine Use
Requested Actions
- Hold off on administering any J&J vaccine pending the outcome of a safety review by the Centers for Disease Control & Prevention (CDC) and the Food &...
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Health Alerts
Posted on: March 31, 2021
Clinician Advisory
Travelers from Ebola-affected Countries
Requested actions
- Be aware that the Health District is currently monitoring travelers to Snohomish County from Guinea and the Democratic Republic of the Congo (DRC), where recent Ebola case...
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Health Alerts
Posted on: February 18, 2021
Clinician AdvisoryUpdated Guidelines for Gonorrhea & SyphilisFebruary 18, 2021
Gonorrhea Treatment Update
Requested action:
Please note and implement these updated recommendations for the treatment of uncomplicated gonococcal infections of the urogenital...
Read on...
Health Alerts
Posted on: February 12, 2021
Clinician UpdateCOVID-19 GuidanceFebruary 12, 2021
COVID-19 Situation Report
Requested Actions
- Maintain awareness of the level and trajectory of COVID-19 transmission in the community.
- Be able to direct patients and colleagues to guidance on Washington State&...
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Health Alerts
Posted on: December 2, 2020
Update for Clinicians
December 2, 2020
SUMMARY
See this update for:
- Correcting Misinformation about Isolation and Quarantine
- Re-infection and Re-testing for COVID-19
- Washington [COVID-19] Exposure Notifications (WA Notify)
 ...
Read on...
Health Alerts
Posted on: November 18, 2020
Public Health Advisory: Increased Suicide Risk
November 18, 2020
Background
Since August of 2020, there have been four student suicides in Snohomish County reported to public health. These tragedies appear to be unrelated to one...
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Health Alerts
Posted on: November 4, 2020
SUMMARY
See this health alert for:
- Approach to Influenza Season in the COVID-19 Era
- COVID-19 Quarantine and Negative SARS-CoV-2 Test Results
Approach to Influenza Season in the COVID-19 Era
Requested Actions
Read on...
Health Alerts
Posted on: October 27, 2020
SUMMARY: See this health alert for:
- COVID-19 Vaccination Program Information
- Interim State COVID-19 Vaccine Distribution Plan Update
- Increased Risk of COVID-19 from Smoking
COVID-19 Vaccination Program Information
The Washington St...
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Health Alerts
Posted on: September 11, 2020
Ongoing wildfires in the Pacific Northwest region have caused a substantial decline in air quality that is expected to last through the coming weekend, with a forecast for improvement by the beginning of next week. As you are aware, this may lea...
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Health Alerts
Posted on: August 3, 2020
COVID-19 Update
COVID-19 incidence continued to increase for the sixth consecutive week through July 25, with the most recent 2-week period being 97 confirmed cases per 100K*14days (see Figure 1 below). When this metric approaches or exceeds 100,...
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Health Alerts
Posted on: July 13, 2020
Update on COVID-19 Testing for Healthcare Providersc/o Kathy Lofy, MD (State Health Officer, Washington State Department of Health [DOH])
Dear Provider,
We recently became aware of significant delays in obtaining COVID-19 test results from some of the large...
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Health Alerts
Posted on: July 9, 2020
Update for CliniciansCOVID-19 Cases Increasing in Snohomish CountyJuly 7, 2020
Contents
- Requested Actions
- COVID-19 Data Summary
- Updated COVID-19 Testing Guidance for Healthcare Providers
- Employer Roles and Responsibilities
Requested Actions
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Health Alerts
Posted on: May 26, 2020
Snohomish County health care providers:If you identify someone who has tested positive for COVID-19 or has test results pending, does not need hospitalization, and cannot isolate themselves in a safe/secure environment, you can refer the person to Snohomi...
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Health Alerts
Posted on: May 19, 2020
SUMMARY: See this health alert for
- Augmented Case & Contact Investigations for COVID-19
- COVID-19 Clinical Trials
- Multi-System Inflammatory Syndrome in Children Associated with COVID-19
- COVID-19 Data
Augmented Case & Contact Investigations for ...
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Health Alerts
Posted on: May 14, 2020
In this advisory:
- Dentistry and COVID-19 transmission
- Patient care, staff screening, and cleaning
- Current PPE availability and requesting resources
- Infection control and PPE recommendations
*Guidance is compiled from CDC and ADA sources. See Resources section ...
Read on...
Health Alerts
Posted on: May 5, 2020
COVID-19 Update for VeterinariansMay 5, 2020
SUMMARY: See this health alert for
- COVID-19 Guidance for Veterinarians
- Caring for a pet from a household where a person has suspected or confirmed COVID-19
- Testing for SARS-CoV-2
- Managing a pet th...
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Health Alerts
Posted on: May 1, 2020
SUMMARY: See this health alert for
- Updated Guidelines for SARS-CoV2 Testing
- SARS-CoV2 Testing Survey
- Health District Not a Venue for SARS-CoV2 Serology
- HRSA Launches COVID-19 Uninsured Program
- COVID-19 in 2020 ...
Read on...
Health Alerts
Posted on: April 27, 2020
Please note that the referral process for the isolation-and-quarantine (I&Q) facility at Angel of the Winds Arena has been simplified. To launch a referral, please just contact the I&Q facility directly at 425-238-3439. Criteria for eligibility ar...
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Health Alerts
Posted on: April 24, 2020
SUMMARY: See this health alert for
- Health District After-Hours Calls
- How to Sign Up for Health Advisories
- Serologic Testing
Health District After-Hours Calls
Our after-hours communicable disease (CD) reporting line (425-339-5278) prompts clinicians to...
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Health Alerts
Posted on: April 13, 2020
COVID-19 Update for CliniciansApril 13, 2020
Contents
- Isolation & Quarantine Site Update
- Syndromic Management of STD during COVID-19
- COVID-19 Data
- Isolation and Quarantine Supplemental Materials
Isolation & Quarantine Site Update
Requested Actions:
Read on...
Health Alerts
Posted on: April 7, 2020
In this update:
- COVID-19 Data Update
- Snohomish County Isolation & Quarantine Facility
- HIPAA & Telehealth during COVID-19 Emergency
- Cloth Face Coverings
Summary
Taken together, these data provisionally suggest that COVID-19 transmission is decreasing in ...
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Health Alerts
Posted on: March 27, 2020
COVID-19 Data Update
Summary
Taken together, these data suggest that COVID-19 transmission is increasing in the community and that an increasing proportion of emergency department visits and hospital admissions for febrile respiratory disease over the past ...
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Health Alerts
Posted on: March 22, 2020
SUMMARY: See this health alert for
- Brief Epidemiologic Update
- Updated Guidance from the Washington State Department of Health
- Requested Action
- Background
- Isolation – Healthcare Workers and First Responders
- Quarantine – Healthcare Wo...
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Health Alerts
Posted on: March 19, 2020
COVID-19 Updated Guidance for CliniciansMarch 19, 2020
Summary: Please review this health alert for:
- Situation update
- Future projections and care standards planning
- Testing guidelines update
- Personal protective equipment (PPE)
- Long term care facilities
- Kidney ce...
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Health Alerts
Posted on: March 10, 2020
COVID-19 Updated Guidance for Clinicians March 9, 2020
SUMMARY: Please review this health alert for:
- Situation update
- Laboratory testing guidance
- Infection Prevention for Outpatient Settings
- Directions for Pati...
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Health Alerts
Posted on: March 1, 2020
Requested Actions:
- Please review SHD’s recent updates for clinicians from February 28 and March 1 and follow those guidelines for determining eligibility for COVID-19 testing. Visit http://www.snohd.org/304/HealthAlerts
- Put sys...
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Health Alerts
Posted on: March 1, 2020
- The February 28 update contained an error of omission in the definition of a person under investigation (PUI) eligible for testing. The phrase “…requiring hospitalization” was missing from the second row addressing...
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Health Alerts
Posted on: February 28, 2020
Corrected March 1, 2020
Clinical Guidance & Requested Actions
- Sustained person-to-person transmission of COVID-19 in large numbers has been established in nations near to and far from China, including South Korea (1766), Italy (528), Iran (245), and Jap...
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Health Alerts
Posted on: February 6, 2020
Health Alert: Novel Coronavirus (2019-nCoV) Respiratory Infection Updated Guidance for Health Care Providers February 6, 2020
Update:
- 18 days have passed since 2019-nCoV was confirmed in a Snohomish Country traveler returning from Wuhan,...
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Health Alerts
Posted on: January 24, 2020
Requested Actions
- Be aware that
- 2019-nCoV has been confirmed in a traveler who returned to Snohomish County from Wuhan, China, on January 15; and
- approximately 50 contacts from health care and occupational settings are being mon...
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Health Alerts
Posted on: January 21, 2020
Action requested:
- Be aware that 2019-nCoV has been confirmed in a traveler who recently returned to Snohomish County from Wuhan, China.
- Obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness.
- 2019-nCoV should b...
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Health Alerts
Posted on: December 18, 2019
Actions requested:
- Health care providers, particularly hospital emergency departments and urgent care centers, should offer hepatitis A vaccines to all patients who are homeless, users of injection or non-injection illicit drugs, infected with h...
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Health Alerts
Posted on: December 10, 2019
Action requested:
- Be aware that influenza is now circulating in the community (see Figure 1 below).
- Encourage unvaccinated patients to get vaccinated as soon as possible, particularly those predisposed to severe illness or complications ...
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Health Alerts
Posted on: October 22, 2019
Action requested:
- Immediately notify the Snohomish Health District Communicable Disease Surveillance and Response Program (SHD CD) at 425.339.5278 to report suspected human rabies exposures due to a bite from or other exposure to an an...
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Health Alerts
Posted on: October 14, 2019
Background:
The Centers for Disease Control and Prevention, U.S. Food and Drug Administration, state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of vaping-related lung injury...
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Health Alerts
Posted on: September 17, 2019
Health Alert: Outbreak of Severe Lung Disease Associated with E-cigarette Use or Vaping
Three Cases Identified in Washington State
Key Actions Requested:
- Be aware of reports of severe pulmonary disease associated with vaping from multiple U.S. stat...
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Health Alerts
Posted on: August 19, 2019
Hepatitis A Case in Snohomish County
Actions requested:
- Be aware of a confirmed case of hepatitis A in a foodworker at Ashiya Teriyaki located at 1233 164th St SW in Lynnwood. People who ate at this restaurant between August 2 and August 15 may be...
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Health Alerts
Posted on: August 6, 2019
August 6, 2019
Situation:
Washington State Department of Health (DOH) has announced the outbreak of Hepatitis A within Washington State. Multiple states across the country have reported outbreaks of Hepatitis A, primarily among...
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Health Alerts
Posted on: January 28, 2019
Key Messages:
- According to Washington Department of Health, 34 people in Clark County and 1 adult in King County, and 1 person in Multnomah County, Oregon have been confirmed as measles.
- Report all patients with suspected measles immediately to the Snohomis...
Read on...
Health Alerts
Posted on: January 24, 2019
Key Messages:
- According to Washington Department of Health, 23 people in Clark County and 1 adult in King County have been confirmed as measles, with 3 suspect cases also children, and over 1,000 contacts.
- Consider the diagnosis of measles among persons pre...
Read on...
Health Alerts