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Health Alerts

Action: The Snohomish Health District Health Officer Dr. Gary Goldbaum sends alerts via email to local health care providers. Alerts cover current local, regional or national health threats and important updates on medical care and protocols. Alerts are written as needed to cover urgent or emergent health issues.

Friday, June 3, 2016

Loperamide as opioid substitute, Fentanyl, Chronic pain training, Testing for Zika virus, Ticks

Action requested:  Be aware that persons addicted to opioids may abuse loperamide to get high.

Action requested:  Be aware that persons addicted to opioids may be using street drugs containing fentanyl, for which much higher doses of naloxone are needed to reverse overdoses.

Action requested:  Take advantage of free training about current recommendations for opioid management of chronic pain.

Actions requested:  Include urine samples when testing for acute symptomatic Zika virus infection and be aware of guidance to properly interpret any Zika test results.

Action requested:  Be aware of updated guidelines for the diagnosis and management of tickborne rickettsial diseases.

Friday, May 6, 2016

Listeria, testing for Zika virus infection, testing for blood led levels, antiretroviral post-exposure prophylaxis after non-occupational exposure to HIV

Action requested:  Listeria - Be aware of potential exposure to listeria in foods sold in Washington State.

Action requested: Testing for Zika virus infection - Be aware that a commercial test for Zika virus in blood is now available.

Action requested: Testing for blood led - Be aware of targeted screening recommendations for children in Washington State.

Friday, April 1, 2016

Zika virus infection, pregnancy, and sex; Ebola; Sexually transmitted infections

Action requested: Be aware of current recommendations for to prevent sexual transmission of Zika virus and to protect against Zika virus infection during pregnancy.

Action requested: Be aware that Ebola is no longer considered a public health emergency.

Action requested:  Use the Health District’s new fillable form to report sexually transmitted infections (STIs).

Friday, March 18, 2016


Action requested:  Be aware of guidance about appropriate prescribing of opioids for chronic pain and tools to help reduce diversion of drugs and to prevent overdose deaths.  Consider certification to prescribe buprenorphine. Read More >>
Tuesday, February 23, 2016

Meningococcal vaccine

Action requested:  Be aware of guidance to support provider recommendations to patients about meningococcal B vaccine. Read More >>
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Communicable Disease


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Health alerts include information about diseases or other health risks or issues that affect Snohomish County.