News Flash

Posted on: September 6, 2023

Health Advisory: Increased Respiratory Syncytial Virus Activity in Parts of U.S., & New Prevention

September 6, 2023

Action Requested 

  • Be aware that respiratory syncytial virus (RSV) activity has increased across some parts of the Southeastern United States in recent weeks. This suggests a continued shift toward seasonal RSV trends observed prio...
Read on...

Health Alerts
Posted on: August 23, 2023

Health Advisory: Listeria monocytogenes contamination of milkshakes at Pierce County restaurant

August 23, 2023

Action Requested 

  • Be aware that the Washington State Department of Health has an ongoing listeriosis outbreak investigation. At least six individuals from two counties (Pierce and Thurston) have been ill, and multiple deaths have oc...
Read on...

Health Alerts
Posted on: July 26, 2023

Health Advisory: Candida auris reported in Washington

July 26, 2023

Action Requested 

  • Be aware that Candida auris (C. auris) has been identified in a patient in Washington. 
    • C. auris is an emerging often multidrug-resistant fungal pathogen and has caused outbreaks that are di...
Read on...

Health Alerts
Posted on: June 27, 2023

Health Advisory: Guidance on Measles during the Summer Travel Season

June 27, 2023

Action Requested 

  • Be alert for potential measles cases related to travel – particularly international travel – during the summer season and provide guidance for measles prevention to international travelers.
    • The Cen...
Read on...

Health Alerts
Posted on: June 8, 2023

Health Advisory: Benzathine penicillin shortage and syphilis

June 8, 2023

Action Requested 

  • Be aware that Pfizer pharmaceuticals, the sole supplier of benzathine penicillin in the U.S., has reported a shortage of benzathine penicillin (Bicillin LA) due to increased demand for the drug related to the growing ...
Read on...

Health Alerts
Posted on: June 2, 2023

Health Advisory: Potential Risk for New Mpox Cases

June 2, 2023

Action Requested 

  • Be aware that spring and summer could lead to a resurgence of mpox (formerly monkeypox) as people gather for festivals and other events. 
    • U.S. cases of mpox have declined since peaking in August 2022, but the ...
Read on...

Health Alerts
Posted on: June 1, 2023

UPDATE Advisory: Suspected Fungal Meningitis in Patients who Underwent Procedures in Mexico

June 23, 2023

This health advisory is an update to the June 1 advisory on the same topic to reflect the latest guidance from the CDC. Updated portions of the advisory have been bolded in the Action Requested section below.

Action Requested ...

Read on...

Health Alerts
Posted on: May 31, 2023

Health Advisory: Cases of Salmonella likely linked to consuming Papa Murphy’s raw dough products

May 31, 2023

Action Requested 

  • Be aware that the Washington State Department of Health is working with local and federal public health partners to investigate cases of Salmonella.
    • The cases are likely linked to consuming raw chocolate chip cookie do...
Read on...

Health Alerts
Posted on: May 30, 2023

Health Advisory: Measles case in King County resident, potential exposure locations in Seattle area

May 30, 2023

Action Requested 

  • Be aware of a recent confirmed measles case in a King County child with unknown exposure (no international travel) and unknown vaccination history. See public exposure locations below. 
    • The infectious period f...
Read on...

Health Alerts
Posted on: May 26, 2023

Health Advisory: Hepatitis A case in food worker at Everett and Lake Stevens food businesses

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...
Read on...

Health Alerts
Posted on: April 12, 2023

Health Advisory: Marburg Virus Disease Outbreaks in Equatorial Guinea and Tanzania

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...
Read on...

Health Alerts
Posted on: April 11, 2023

Health Advisory: Continued increase in syphilis cases including congenital syphilis cases

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

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...
Read on...

Health Alerts
Posted on: March 15, 2023

Health Advisory: Waiver and patient limits removed to increase buprenorphine access

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...
Read on...

Health Alerts
Posted on: March 14, 2023

Health Advisory: Increase in Extensively Drug-Resistant (XDR) Shigellosis in the U.S.

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

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...
Read on...

Health Alerts
Posted on: March 3, 2023

Health Advisory: Chikungunya Virus in Paraguay and Risk to Travelers

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...
Read on...

Health Alerts
Posted on: February 16, 2023

Health Advisory: Tools and resources for increasing access, prescribing, & uptake of COVID treatment

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 ...
Read on...

Health Alerts
Posted on: January 13, 2023

Health Advisory: Updates on COVID-19 Prevention and Therapeutics for Treatment

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...
Read on...

Health Alerts
Posted on: December 21, 2022

Health Advisory: Increased Candida Auris Transmission in Healthcare Facilities

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...
Read on...

Health Alerts
Posted on: December 20, 2022

Health Advisory: Growing Measles Outbreak in Ohio – Measles Reminders and Readiness

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

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...
Read on...

Health Alerts
Posted on: November 22, 2022

Respiratory Virus Activity Increasing; Shortage of Medications Compounding Strain on Healthcare

 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...
Read on...

Health Alerts
Posted on: November 8, 2022

Health Advisory: Increased Respiratory Virus Activity Impacting Children and Healthcare System

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...
Read on...

Health Alerts
Posted on: October 25, 2022

Health Advisory: Updated Monkeypox Guidance for Use of JYNNEOS Vaccine

 Health Advisory: Updated Monkeypox Guidance for Use of JYNNEOS Vaccine

October 25, 2022 

Action Requested 

• Be aware of updated Guidelines for JYNNEOS Vaccine Use from the Washington State Department of Health.

•...

Read on...

Health Alerts
Posted on: October 13, 2022

Health Alert: Ebola Disease Outbreak

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 ...
Read on...

Health Alerts
Posted on: October 11, 2022

Health Advisory: Acute Flaccid Myelitis

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...

Read on...

Health Alerts
Posted on: September 23, 2022

Health Advisory: COVID-19 treatment options for moderately or severely immunocompromised patients

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...
Read on...

Health Alerts
Posted on: September 16, 2022

Health Advisory: Updated Monkeypox Guidance for Testing, Reporting, Treatment and Vaccination

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...

Read on...

Health Alerts
Posted on: August 5, 2022

Updated Monkeypox Guidance for Testing, Reporting, Treatment and Vaccination Snohomish County

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...

Read on...

Health Alerts
Posted on: June 15, 2022

Clinician Alert: CDC Highlights Monkeypox Case Finding and Awareness of Non-Classical Presentations

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...
Read on...

Health Alerts
Posted on: June 2, 2022

Clinician Alert: Monkeypox Specimen Collection Revisited

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 ...

Read on...

Health Alerts
Posted on: May 27, 2022

Syphilis Transmission Increasing: Updated Screening Guidelines & Prevention of Congenital Syphilis

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...
Read on...

Health Alerts
Posted on: May 24, 2022

Clinician Advisory: Paxlovid Rebound & Correction: Monkeypox Alert

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...
Read on...

Health Alerts
Posted on: May 23, 2022

Clinician Alert: Monkeypox in Europe and North America

Clinician Alert: Monkeypox in Europe and North America

May 23, 2022

Requested actions

Read on...

Health Alerts
Posted on: May 12, 2022

Clinician Advisory: Falling Immunization Coverage Among Children

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...
Read on...

Health Alerts
Posted on: April 28, 2022

Treatments for Outpatients with Mild to Moderate COVID Who are at Increased Risk for Severe Outcomes

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...
Read on...

Health Alerts
Posted on: April 21, 2022

Recommendations: Adenovirus Testing & Reporting of Children with Acute Hepatitis of Unknown Etiology

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...

Read on...

Health Alerts
Posted on: January 28, 2022

Reminder: Moderately-to-severely immunosuppressed people eligible for 3rd primary dose and booster

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...

Read on...

Health Alerts
Posted on: November 18, 2021

Clinician Advisory: Updated CDC STD Treatment Guidelines

Clinician AdvisoryCDC STD Treatment Guidelines

Updated November 18, 2021

The Centers for Disease Control and Prevention (CDC) recently released its Sexually Transmitted Infections Treatment Guidelines, 2021, providing current evidence-based diagnostic, mana...

Read on...

Health Alerts
Posted on: November 3, 2021

Clinician Update-COVID-19: Pfizer’s Pediatric mRNA Vaccine Green Lighted for Implementation

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...
Read on...

Health Alerts
Posted on: November 3, 2021

Clinician Advisory-COVID-19: WA DOH Updates Guidance on Use of Monoclonal Anti-SARS-CoV-2 Antibodies

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...

Read on...

Health Alerts
Posted on: September 17, 2021

Clinician Alert--COVID-19: Interim Triage of Limited Supply of Monoclonal Anti-SARS-CoV-2 Antibodies

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

Clinician Update--COVID-19: Use of Monoclonal Anti-SARS-CoV2 Antibodies

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 ...
Read on...

Health Alerts
Posted on: September 13, 2021

Clinician Advisory: Vigilance for Measles & Polio in Afghan Arrivals

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...
Read on...

Health Alerts
Posted on: August 12, 2021

Clinician Advisory: Vaccination and Masking Requirements

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

Advisory: Fifth COVID Wave Fueled by Delta Variant: Increase Vaccination; Mask in Public Indoors

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...
Read on...

Health Alerts
Posted on: July 14, 2021

Advisory: Updated EUA Fact Sheets Note Risk of Guillain-Barré after J&J COVID-19 Vaccination

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: Myocarditis-Pericarditis following Vaccination; Additional or Booster Doses

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 ...
Read on...

Health Alerts
Posted on: June 24, 2021

Clinician Advisory: Human Immunodeficiency Virus & Other Sexually Transmitted Infections

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...
Read on...

Health Alerts
Posted on: June 22, 2021

Clinician Advisory: Continuing Education Addressing Evaluation & Management of Post-COVID Conditions

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...
Read on...

Health Alerts
Posted on: May 28, 2021

Clinician Advisory: Myocarditis and pericarditis association in COVID-19 vaccine recipients

Clinician Advisory

Myocarditis and Pericarditis Association in COVID-19 Vaccine Recipients

May 28, 2021

 

Actions requested

  1. For suspected cases of myocarditis or pericarditis occurring following COVID-19 vaccination:
  1. get complete COVID-19 vaccination h...
Read on...

Health Alerts
Posted on: April 26, 2021

Clinician Alert: Fax System Failure April 21-26, New Health District Voice Line for Clinicians

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...
Read on...

Health Alerts
Posted on: April 16, 2021

Clinician Advisory: Students and Isolation-&-Quarantine Directives for COVID-19

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...
Read on...

Health Alerts
Posted on: April 14, 2021

Clinician Alert: Pause on Johnson & Johnson (J&J) COVID-19 Vaccine Use

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 &...
Read on...

Health Alerts
Posted on: March 31, 2021

Clinician Advisory: Travelers from Ebola-affected Countries

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...
Read on...

Health Alerts
Posted on: March 24, 2021

Clinician Advisory: Identifying Cases for SARS-CoV-2 Sequencing to Detect Variants

Requested Actions:

Background

  • The Washington S...
Read on...

Health Alerts
Posted on: February 18, 2021

Clinician Advisory: Updated Guidelines for Gonorrhea & Syphilis 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 Update: COVID-19 Guidance 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&...
Read on...

Health Alerts
Posted on: December 2, 2020

COVID-19 Update for Clinicians: 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

 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...

Read on...

Health Alerts
Posted on: November 4, 2020

Update for Clinicians: 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

 

  • Alw...
Read on...

Health Alerts
Posted on: October 27, 2020

COVID-19 Update for Clinicians 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...

Read on...

Health Alerts
Posted on: September 11, 2020

Health Care Provider Alert: Wildfire Smoke & Unhealthy Air Quality

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...

Read on...

Health Alerts
Posted on: August 3, 2020

COVID-19 Updates for Clinicians: 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,...

Read on...

Health Alerts
Posted on: July 13, 2020

Update on COVID-19 Testing for Healthcare Providers

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...

Read on...

Health Alerts
Posted on: July 9, 2020

Update for Clinicians: COVID-19 Cases Increasing in Snohomish County

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

  • Be aware that COVID-1...
Read on...

Health Alerts
Posted on: May 26, 2020

Isolation & Quarantine Referral Information for Health Care Providers

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...

Read on...

Health Alerts
Posted on: May 19, 2020

COVID-19 Update for Clinicians: 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 ...

Read on...

Health Alerts
Posted on: May 14, 2020

Infection Prevention and PPE Guidance for Dental Healthcare Professionals: 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 Veterinarians: 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...
Read on...

Health Alerts
Posted on: May 1, 2020

COVID-19 Update for Clinicians, 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

Isolation & Quarantine Referral Process Update: 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...

Read on...

Health Alerts
Posted on: April 24, 2020

COVID-19 Update for Clinicians: 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...

Read on...

Health Alerts
Posted on: April 13, 2020

COVID-19 Update for Clinicians: 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:

  • Please...
Read on...

Health Alerts
Posted on: April 7, 2020

COVID-19 Update for Clinicians 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 ...

Read on...

Health Alerts
Posted on: March 27, 2020

COVID-19 Update for Clinicians 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 ...

Read on...

Health Alerts
Posted on: March 22, 2020

COVID-19 Update for Clinicians 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...
Read on...

Health Alerts
Posted on: March 19, 2020

March 19 Updated COVID-19 Guidance for Clinicians

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...
Read on...

Health Alerts
Posted on: March 10, 2020

March 9 COVID-19 Updated Guidance for Clinicians

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...
Read on...

Health Alerts
Posted on: March 5, 2020

Outpatient Guidance for COVID-19: March 5, 2020

The attached outpatient guidance for the COVID-19 response is being shared from Washington Department of Health and Snohomish Health District. 

Please see the DOH document here: https://alertsenseadmin.blob.core.windows.net/snohomish-county-wa/Out...

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Health Alerts
Posted on: March 3, 2020

March 3 COVID-19 Updated Guidance for Clinicians

•    Surveillance data through March 2, 2020

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Health Alerts
Posted on: March 1, 2020

COVID-19 Update for Health Care Systems Mitigating COVID-19 Impacts

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

March 1, 2020 COVID-19 Updated Guidance for Clinicians

  • 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

February 28, 2020 COVID-19 Updated Guidance for Clinicians

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

Novel Coronavirus (2019-nCoV) Respiratory Infection Updated Guidance for Health Care Providers 2/6

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

Novel Coronavirus (2019-nCoV) Respiratory Infection Updated Guidance for Health Care Providers

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

Novel Coronavirus (2019-nCoV) Respiratory Infection Wuhan City, China & Snohomish County

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

Health Advisory: Hepatitis A Outbreak in Snohomish County

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

Influenza Circulating in Snohomish County

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

Rabies Post Exposure Prophylaxis Reporting, Assessment & Vaccine Availability

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

Vaping-Associated Lung Injury: Clinician Guidelines, State Board of Health Emergency Rule

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

Outbreak of Severe Lung Disease Associated with E-cigarette Use or Vaping

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

Health Advisories: Hepatitis A Case, Vaping-associated Illness, and Upcoming Training

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

Health Advisory: Hepatitis A Outbreak in Washington State

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

Health Advisory: Measles Outbreak in Clark County, Washington — Jan. 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...
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Health Alerts
Posted on: January 24, 2019

Health Advisory: Measles Outbreak in Clark County, Washington — Jan. 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...
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Health Alerts