# Whatcom

> Disease Information for Schools, Childcare, Providers and Long Term Care

Whatcom is the public-health information and alerts portal for Whatcom County Health and Community Services in Whatcom County, serving healthcare providers, long-term care facilities, schools, and childcare programs. The site publishes time-sensitive health advisories, disease screening guidance, vaccine recommendations, and reporting resources, reflecting current Washington State Department of Health (DOH) guidance.

This site is part of the [providerresourceswa.org](https://providerresourceswa.org/) multi-jurisdiction network operated by Tacoma-Pierce County Health Department.

Contact: Whatcom County Health and Community Services · 509 Girard Street, Bellingham, Washington · 360-778-6100 Main Call Line – available M-F 8:30am to 4:30pm · health@co.whatcom.wa.us

Site: https://providers.whatcomcounty.org/

## Sitemaps

- [XML Sitemap](https://providers.whatcomcounty.org/sitemap.xml) - All published content for crawlers

## Posts

- [8/3/26 Measles Readiness in Healthcare Facilities](https://providers.whatcomcounty.org/2026/08/8-3-26-measles-readiness-in-healthcare-facilities/) - As of July 27th, the U.S. has reported 2,318 confirmed measles cases – the highest number in 35 years. In light of ongoing measles activity and the risk of healthcare-associated
- [7/16/2026 Health Advisory: Domestically Acquired Cyclosporiasis Cases in Multiple U.S. States](https://providers.whatcomcounty.org/2026/07/7-16-2026-health-advisory-domestically-acquired-cyclosporiasis-cases-in-multiple-u-s-states/) - The CDC recently released a Health Advisory on Domestically Acquired Cyclosporiasis Cases in Multiple U.S. States. Click the link to read the full advisory. Background Cyclosporiasis is a gastroint...
- [06/15/26 Health Advisory: Infant Botulism Associated with Nara Organics Infant Formula](https://providers.whatcomcounty.org/2026/06/06-15-26-health-advisory-infant-botulism-associated-with-nara-organics-infant-formula/) - Summary On June 13, 2026, the Centers for Disease Control and Prevention (CDC), the Food & Drug Administration (FDA), in collaboration with the California Department of Public Health (CDPH), Infant
- [05/21/26 Health Advisory: Ebola Outbreak in the Democratic Republic of the Congo and Uganda](https://providers.whatcomcounty.org/2026/05/05-21-26-health-advisory-ebola-outbreak-in-the-democratic-republic-of-the-congo-and-uganda/) - Situation summary The Ministry of Health of the Democratic Republic of the Congo (DRC) confirmed an outbreak of Ebola disease in Ituri Province in northeastern DRC, caused by the Bundibugyo strain
- [05/13/26 Hantavirus exposure in King County residents](https://providers.whatcomcounty.org/2026/05/05-13-26-hantavirus-exposure-in-king-county-residents/) - Situation There is an outbreak of Andes virus, a type of hantavirus, linked to the MV Hondius cruise ship. Three King County residents were potentially exposed. None of the exposed
- [04/17/26 Health Advisory: Be alert for medetomidine overdose and withdrawal in people who use fentanyl](https://providers.whatcomcounty.org/2026/04/04-17-26-health-advisory-be-alert-for-medetomidine-overdose-and-withdrawal-in-people-who-use-fentanyl/) - Centers for Disease Control and Prevention (CDC) recently notified public health professionals, clinicians, laboratorians, and people at risk for overdose about the presence of medetomidine in the ...
- [4/3/26 Health Advisory: Two measles cases identified in King County connected to international travel](https://providers.whatcomcounty.org/2026/04/4-3-26-health-advisory-two-measles-cases-identified-in-king-county-connected-to-international-travel/) - King County Public Health has issued the following alert on two measles cases connected to international travel Exposure Locations An updated list of exposure locations in King County can be found
- [03/16/2026 Health Advisory: Increase in Pertussis](https://providers.whatcomcounty.org/2026/03/03-16-2026-health-advisory-increase-in-pertussis/) - Current Situation Whatcom County Health and Community Services (WCHCS) staff are investigating multiple pertussis cases in Whatcom County associated with higher education settings. WCHCS asks that ...
- [03/16/26 Provider Alert: respiratory syncytial virus (RSV) season has been extended through April 30, 2026](https://providers.whatcomcounty.org/2026/03/03-16-26-provider-alert-respiratory-syncytial-virus-rsv-season-has-been-extended-through-april-30-2026/) - The respiratory syncytial virus (RSV) season has been extended through April 30, 2026. Please continue to administer nirsevimab or clesrovimab to all eligible patients through April 30th. Current S...
- [1/16/26 Health Update: Measles Outbreak Declared in Snohomish County](https://providers.whatcomcounty.org/2026/01/1-16-26-health-update-measles-outbreak-declared-in-snohomish-county/) - Additional measles cases confirmed in Snohomish County. See Snohomish County Health Department's latest announcement here. All known public exposure locations are listed on the measles map tracker....
- [Washington state expands same-day support for opioid use disorder](https://providers.whatcomcounty.org/2026/01/washington-state-expands-same-day-support-for-opioid-use-disorder/) - Telebupe Hotline brings rapid, low-barrier care to people statewide Summary Anyone in the state age 13 or older can call 206-289-0287 for same-day help. Washington’s Telebupe Hotline is available f...
- [1/9/26 Health Advisory: Measles Exposures in Snohomish County and SeaTac Airport](https://providers.whatcomcounty.org/2026/01/1-9-26-health-advisory-measles-exposures-in-snohomish-county-and-seatac-airport/) - Snohomish County Health Department has issued the following health alert and a press release with more details. Exposure Locations DateTimeLocation12/27/251:00 PM – 3:00 PMMcDonald’s – 530 128th St...
- [The West Coast Health Alliance continues to recommend vaccination in alignment with the American Academy of Pediatrics Recommended Child and Adolescent Immunization Schedule](https://providers.whatcomcounty.org/2026/01/the-west-coast-health-alliance-continues-to-recommend-vaccination-in-alignment-with-the-american-academy-of-pediatrics-recommended-child-and-adolescent-immunization-schedule/) - Summary The West Coast Health Alliance (WCHA) continues to recommend the American Academy Pediatrics (AAP) Recommended Child and Adolescent Immunization Schedule. Background On January 5, 2026, the...
- [12/29/25 Health News: DOH endorses Hepatitis B Birth Dose Vaccine](https://providers.whatcomcounty.org/2025/12/12-29-25-health-news-doh-endorses-hepatitis-b-birth-dose-vaccine/) - Dear Health Care Providers, We are writing to ask for your continued support of the hepatitis B vaccine birth dose for newborns. You are a trusted source of information for
- [12/18/25 Health Update: Guidance for Clinical Consideration of Avian Influenza](https://providers.whatcomcounty.org/2025/12/12-18-25-health-update-guidance-for-clinical-consideration-of-avian-influenza/) - This is a Provider Update from the Washington State Department of Health (WA DOH) withupdated guidance about clinical consideration of, and testing for, avian influenza. Current Situation In Novemb...
- [West Coast Health Alliance, WA DOH, and Leading National Medical Organizations Continue to Recommend Hepatitis B Vaccination for Newborns](https://providers.whatcomcounty.org/2025/12/west-coast-health-alliance-wa-doh-and-leading-national-medical-organizations-continue-to-recommend-hepatitis-b-vaccination-for-newborns/) - WCHA disagrees with CDC’s Advisory Committee’s change to decades-long vaccine recommendation that has reduced pediatric hepatitis B infections by 99 percent. The West Coast Health Alliance (WCHA) s...
- [11/24/25 Health News: Statement Regarding Vaccines and Autism](https://providers.whatcomcounty.org/2025/11/11-24-25-health-news-statement-regarding-vaccines-and-autism/) - On November 21 the Department of Health and the West Coast Health Alliance issued statements regarding vaccines and autism. In short, vaccines are thoroughly tested and remain one of the
- [11/20/25 Provider Alert: Case of H5N5 Influenza Confirmed in Washington](https://providers.whatcomcounty.org/2025/11/11-19-25-provider-alert-case-of-h5n5-influenza-confirmed-in-washington/) - Current Situation On November 13, 2025, a Washington resident who has been hospitalized with respiratory illness symptoms since early November tested positive for influenza A H5, a type of avian
- [11/12/25 Health Advisory: Infant Botulism Associated with ByHeart Infant Formula](https://providers.whatcomcounty.org/2025/11/11-12-25-health-advisory-infant-botulism-associated-with-byheart-infant-formula/) - Date: November 12, 2025 This is a Provider Alert from the Washington State Department of Health (WA DOH) regarding multiple cases of infant botulism after consuming ByHeart Whole Nutrition Infant
- [9/29/25 Health Advisory: Clade I Mpox Virus Detected in Wastewater; Rise in Cases of Clade II Mpox](https://providers.whatcomcounty.org/2025/09/9-29-25-health-advisory-clade-i-mpox-virus-detected-in-wastewater-rise-in-cases-of-clade-ii-mpox/) - This is a Provider Alert from the Washington State Department of Health (WA DOH) Office of Infectious Disease. WA DOH is requesting that providers remain alert for cases of mpox
- [09/23/25 News Alert: DOH and Health Partners Emphasize the Need for Equitable Access and Evidence-Based Vaccine Policy](https://providers.whatcomcounty.org/2025/09/09-23-25-news-alert-doh-and-health-partners-emphasize-the-need-for-equitable-access-and-evidence-based-vaccine-policy/) - Statewide Standing Order for COVID-19 Vaccines To support Washingtonians in their efforts to protect themselves from COVID-19 infection using the best available science, DOH issued a statewide stan...
- [09/15/25 Health Advisory: 2025–2026 respiratory-illness season vaccine recommendations](https://providers.whatcomcounty.org/2025/09/09-15-25-health-advisory-2025-2026-respiratory-illness-season-vaccine-recommendations/) - Summary Influenza Everyone 6 months or older should get seasonal flu vaccine. COVID-19 Discontinue giving last year’s (2024-2025) COVID-19 vaccine formulation. Everyone 6–23 months, 2–18 years at h...
- [8/25/25 Health Advisory: Potentially Dangerous Heat Wave in Washington this Week](https://providers.whatcomcounty.org/2025/08/8-25-25-health-advisory-potentially-dangerous-heat-wave-in-washington-this-week/) - Current Situation The National Weather Service has forecasted a potentially dangerous long-duration heat event for Washington State and the Western US, beginning August 22 and extending to midweek ...
- [07/25/25 Health Advisory: Pfizer recall of Benzathine Penicillin G injectable suspension (Bicillin LA)](https://providers.whatcomcounty.org/2025/07/07-25-25-health-advisory-pfizer-recall-of-benzathine-penicillin-g-injectable-suspension-bicillin-la/) - Summary: Check your Bicillin LA and save remaining supply to treat pregnant people and infants with syphilis. Pfizer voluntarily recalled 12 lots of Benzathine Penicillin G Injectable Suspension (B...
- [07/03/25 Health Advisory: Screening guidance for Candida auris in light of new local cases](https://providers.whatcomcounty.org/2025/07/07-03-25-health-advisory-screening-guidance-for-candida-auris-in-light-of-new-local-cases/) - Summary: Upgrade screening and preparation for Candida auris. Two facilities in Seattle have known transmission of Candida auris (C. auris). We have limited information about how much transmission ...
- [6/27/25 Health Update – Measles](https://providers.whatcomcounty.org/2025/06/6-27-25-health-update-measles/) - Background Whatcom County Health and Community Services has confirmed two cases of measles in residents of Whatcom County. Cases are part of the same household. Risk to the general community
- [Confirmed Measles Case in Whatcom County](https://providers.whatcomcounty.org/2025/06/confirmed-measles-case-in-whatcom-county/) - Background Whatcom County Health and Community Services has confirmed a case of measles in a resident of Whatcom County. The individual was evaluated at Family Care Network Urgent Care in
- [5/14/25 Health Advisory: Measles Case in King County](https://providers.whatcomcounty.org/2025/05/5-14-25-health-advisory-measles-case-in-king-county/) - Background Public Health – Seattle & King County was notified of a confirmed measles case in a Canadian resident. The person spent time in King and Snohomish counties between April
- [2/28/25 Health Advisory: Measles Case in King County](https://providers.whatcomcounty.org/2025/02/2-28-25-health-advisory-measles-case-in-king-county/) - Background Public Health – Seattle & King County was notified on February 26, 2025 of a confirmed measles case in a King County infant. The infant may have been exposed
- [01/23/2025 Health Advisory: Subtyping of Influenza A Recommended for Hospitalized Patients](https://providers.whatcomcounty.org/2025/01/01-23-2025-health-advisory-subtyping-of-influenza-a-recommended-for-hospitalized-patients/) - Last week, the Centers for Disease Control and Prevention (CDC) issued a Health Advisory recommending influenza A testing for all hospitalized patients with suspected influenza, and also recommendi...
- [1/17/2025 Health Advisory: Measles case in King County](https://providers.whatcomcounty.org/2025/01/1-17-2025-health-advisory-measles-case-in-king-county/) - Background Local public health officials in King County are investigating a confirmed measles case in an adult who traveled through Seattle-Tacoma International Airport (SEA) on January 10, 2025, w...
- [10/24/24 Health Advisory: Increase in Pertussis Infections in Whatcom County](https://providers.whatcomcounty.org/2024/10/10-24-24-health-advisory-increase-in-pertussis-infections-in-whatcom-county/) - Whatcom County Health and Community Services (WCHCS) staff continue to respond to a rise in pertussis infections at the local levels. Pertussis reports have also been rising in Washington state
- [11/21/24 Health Advisory: Pertussis Update](https://providers.whatcomcounty.org/2024/11/11-21-24-health-advisory-pertussis-update/) - Whatcom County Health and Community Services (WCHCS) staff continue to respond to a rise in pertussis infections at the local levels. Pertussis reports have also been rising in Washington state
- [10/23/24 Health Advisory: Presumed positive human cases of avian influenza in Washington.](https://providers.whatcomcounty.org/2024/10/10-23-24-health-advisory-presumed-positive-human-cases-of-avian-influenza-in-washington/) - Washington State Department of Health is investigating presumed positive human cases of avian influenza in Washington. Healthcare providers should consider avian influenza in patients who present w...
- [10/17/24 Health Advisory: Disruptions in Availability of Peritoneal Dialysis and Intravenous Solutions from Baxter International Facility in North Carolina](https://providers.whatcomcounty.org/2024/10/10-17-24-health-advisory-disruptions-in-availability-of-peritoneal-dialysis-and-intravenous-solutions-from-baxter-international-facility-in-north-carolina/) - BackgroundOver several days in late September 2024, Hurricane Helene caused extensive damage to the southeastern United States. The storm affected the Baxter International’s North Cove facility in ...
- [09/23/24 Health Advisory: 2024–2025 Respiratory Illness Season Vaccine Recommendations](https://providers.whatcomcounty.org/2024/09/09-23-24-health-advisory-2024-2025-respiratory-illness-season-vaccine-recommendations/) - Summary Everyone 6 months or older should get 2024–2025 COVID-19 and flu vaccine. 2024–2025 COVID-19 vaccine formulations are updated to a monovalent vaccine based on the Omicron JN.1 lineage of
- [08/01/24 Provider Alert: Ongoing transmission of Candida auris identified in Washington.](https://providers.whatcomcounty.org/2024/08/08-01-24-provider-alert-ongoing-transmission-of-candida-auris-identified-in-washington/) - Background C. auris is an emerging, often multi-drug resistant yeast, that was first identified in the US in 2009. The first locally acquired case of C. auris in Washington was
- [03/27/2024 Health Advisory: Measles Increasing in Washington, the Nation, and the World](https://providers.whatcomcounty.org/2024/03/03-27-2024-health-advisory-measles-increasing-in-washington-the-nation-and-the-world/) - Summary Measles cases and outbreaks are increasing in Washington, the United States, and across the globe. Over 90% of United States cases are linked to international travel. All United States
- [06/13/24 Health Alert: Avian Flu Update](https://providers.whatcomcounty.org/2024/06/06-13-24-health-alert-avian-flu-update/) - Although recently detected in dairy cattle in some states, the risk of H5N1 avian influenza A to the general public is still considered low. It is primarily an occupational risk
- [06/04/24 Health Advisory: Pertussis Increasing in Washington](https://providers.whatcomcounty.org/2024/06/06-04-24-health-advisory-pertussis-increasing-in-washington/) - Summary From May 2023 to May 2024, pertussis cases in Washington increased 6-fold. Pertussis symptoms: Early symptoms can be cold-like. Cough that lasts longer than 2 weeks, up to 10
- [04/11/2024 Health Update: Low Respiratory Virus Transmission in the North Sound Region](https://providers.whatcomcounty.org/2024/04/04-11-2024-health-update-low-respiratory-virus-transmission-in-the-north-sound-region/) - The North Sound Region has stayed below respiratory virus transmission thresholds for at least 2 consecutive weeks indicating low transmission for COVID-19, Influenza, and RSV. You can check out the
- [3/26/24 Health Update: Washington State updates COVID-19 isolation guidance](https://providers.whatcomcounty.org/2024/03/3-26-24-health-update-washington-state-updates-covid-19-isolation-guidance/) - Washington State Department of Health (DOH) has released updated COVID-19 isolation guidance describing what people should do if they have respiratory virus symptoms or if they test positive for CO...
- [02/09/24 Health Advisory: RSV Prevention Updates](https://providers.whatcomcounty.org/2024/02/02-08-24-health-advisory-rsv-prevention-updates/) - Summary Offer nirsevimab (Beyfortus) for eligible infants through March 31, 2024. You can order nirsevimab in WAIIS (Washington State Immunization Information System) until supply runs out. Recomme...
- [01/19/24 Health Advisory: Measles Outbreak in Southwest Washington](https://providers.whatcomcounty.org/2024/01/01-19-24-health-advisory-measles-outbreak-in-southwest-washington/) - An active measles outbreak investigation is underway in Clark and Wahkiakum Counties. As of Jan. 10, 2024, investigators have identified 3 lab-confirmed and 3 epidemiologically linked measles cases...
- [12/15/2: Blood Lead Reference Values](https://providers.whatcomcounty.org/2023/12/12-15-2-blood-lead-reference-values/) - On October 28, 2021, the Centers for Disease Control and Prevention (CDC) updated its blood lead reference value (BLRV) from 5µg/dL to 3.5µg/dL in response to the Lead Exposure Prevention
- [12/13/23 Health Advisory: Test for tuberculosis people who were incarcerated](https://providers.whatcomcounty.org/2023/12/12-13-23-health-advisory-test-for-tuberculosis-people-who-were-incarcerated/) - A large outbreak of tuberculosis (TB) in the state prison system may affect more than 800 people who were incarcerated. Requested actions Ask patients about risk factors for TB exposure:
- [New Respiratory Virus Dashboard is Live](https://providers.whatcomcounty.org/2023/12/new-respiratory-virus-dashboard-is-live/) - The information contained in the Northwest Regional Respiratory Virus Surveillance Report can now be accessed on our new Respiratory Virus Dashboard. The dashboards will update weekly on Wednesdays...
- [12/06/23 Health Advisory: Test perinatally exposed children for hepatitis C.](https://providers.whatcomcounty.org/2023/12/12-06-23-health-advisory-test-perinatally-exposed-children-for-hepatitis-c/) - Action requested Centers for Disease Control and Prevention (CDC) recommends you test children born to people with: Detectable hepatitis C virus (HCV) RNA. Positive HCV antibody results and unknown...
- [Northwest Regional Respiratory Virus Surveillance Report for week ending 12/2/23](https://providers.whatcomcounty.org/2023/12/northwest-regional-respiratory-virus-surveillance-report-for-week-ending-12-2-23/) - The Northwest Regional Respiratory Virus Surveillance Report for week ending 12/2/23 is now available. PDF of report available here. One or more of the respiratory virus Percent of ED Visits contin...
- [Hand Hygiene In Healthcare Settings](https://providers.whatcomcounty.org/2014/12/hand-hygiene-in-healthcare-settings-2/) - What is hand hygiene? Hand hygiene refers to the use of hand washing with soap and water or alcohol hand sanitizer (60% alcohol or greater) in order to reduce infection
- [Northwest Regional Respiratory Virus Surveillance Report for week ending 11/25/23](https://providers.whatcomcounty.org/2023/11/northwest-regional-respiratory-virus-surveillance-report-for-week-ending-11-25-23/) - The Northwest Regional Respiratory Virus Surveillance Report for week ending 11/25/23 is now available. PDF of report available here. One of the respiratory virus Percent of ED Visits continues abo...
- [Hepatitis A Fact Sheet](https://providers.whatcomcounty.org/2017/06/hepatitis-a-fact-sheet-2/) - Overview Transmission: Fecal-oral. Incubation Period: Average 28-30 days (range 15-50 days). Symptoms: Anorexia, vomiting, abdominal pain, fatigue, followed by jaundice. Severity of illness increas...
- [Northwest Regional Respiratory Virus Surveillance Report for week ending 11/18/23](https://providers.whatcomcounty.org/2023/11/northwest-regional-respiratory-virus-surveillance-report-for-week-ending-11-18-23/) - The Northwest Regional Respiratory Virus Surveillance Report for week ending 11/18/23 is now available. PDF of report available here. One of the respiratory thresholds has been exceeded. This is a ...
- [Northwest Regional Respiratory Virus Surveillance Report for week ending 11/11/23](https://providers.whatcomcounty.org/2023/11/northwest-regional-respiratory-virus-surveillance-report-for-week-ending-11-11-23/) - The Northwest Regional Respiratory Virus Surveillance Report for week ending 11/11/23 is now available. PDF of report available here. One of the respiratory thresholds has been exceeded. This is a ...
- [Northwest Regional Respiratory Virus Surveillance Report for week ending 11/4/23](https://providers.whatcomcounty.org/2023/11/northwest-regional-respiratory-virus-surveillance-report-for-week-ending-11-4-23/) - The Northwest Regional Respiratory Virus Surveillance Report for week ending 11/4/23 is now available. PDF of report available here.
- [Northwest Regional Respiratory Virus Surveillance Report for week ending 10/28/23](https://providers.whatcomcounty.org/2023/11/northwest-regional-respiratory-virus-surveillance-report-for-week-ending-10-28-23/) - The Regional Respiratory Virus Surveillance Report for week ending 10/28/23 is now available. PDF of report available here.
- [Northwest Regional Respiratory Virus Surveillance Report for week ending 10/21/23](https://providers.whatcomcounty.org/2023/10/northwest-regional-respiratory-virus-surveillance-report-for-week-ending-10-21-23/) - The Regional Respiratory Virus Surveillance Report for week ending 10/21/23 is now available. PDF of report available here.
- [Regional Respiratory Virus Surveillance Report for week ending 10/14/23](https://providers.whatcomcounty.org/2023/10/regional-respiratory-virus-surveillance-report-for-week-ending-10-14-23/) - The Regional Respiratory Virus Surveillance Report for week ending 10/14/23 is now available. PDF of report available here.
- [10/17/23 Health Advisory: FDA Authorized New Novavax COVID-19 Vaccine Formulation](https://providers.whatcomcounty.org/2023/10/10-16-23-health-advisory-fda-authorized-new-novavax-covid-19-vaccine-formulation/) - On Oct. 3, 2023, U.S. Food and Drug Administration (FDA) authorized for emergency use a new adjuvanted (2023–2024) formulation of Novavax COVID-19 vaccine for people 12 years or older. The
- [Northwest Regional Respiratory Virus Surveillance Report](https://providers.whatcomcounty.org/2023/10/northwest-regional-respiratory-virus-surveillance-report/) - Whatcom County Health and Community Services is providing a report on respiratory virus activity in our multi-county North Sound region to support the consensus statement on universal masking in he...
- [09/28/23 Health Advisory: 2023–2024 Respiratory Illness Season](https://providers.whatcomcounty.org/2023/09/09-28-23-health-advisory-2023-2024-respiratory-illness-season/) - This 2023–2024 respiratory illness season, we’re monitoring 3 common causes of respiratory illness that circulate in Whatcom County: influenza, respiratory syncytial virus (RSV), and COVID-19. Infl...
- [09/21/23 Health Advisory: New COVID-19 Vaccines Authorized, Previous Bivalent COVID-19 Vaccines Deauthorized](https://providers.whatcomcounty.org/2023/09/09-21-23-health-advisory-new-covid-19-vaccines-authorized-previous-bivalent-covid-19-vaccines-deauthorized/) - On Sept. 11, 2023, U.S. Food and Drug Administration (FDA) authorized for emergency use new, updated (2023–2024) COVID-19 vaccines from Moderna and Pfizer. On Sept. 12, 2023, Centers for Disease
- [9/11/23 Health Advisory: reports of fatal Vibrio vulnificus (V. vulnificus) infections](https://providers.whatcomcounty.org/2023/09/9-11-23-health-advisory-reports-of-fatal-vibrio-vulnificus-v-vulnificus-infections/) - The Centers for Disease Control and Prevention (CDC) recently issued a Health Alert Network (HAN) Health Advisory to: Notify healthcare providers, laboratories, and public health departments about ...
- [07/06/23 Health Advisory: Syphilis Treatment Impacted by Bicillin L-A Shortage](https://providers.whatcomcounty.org/2023/07/07-06-23-health-advisory-syphilis-treatment-impacted-by-bicillin-l-a-shortage/) - Penicillin G benzathine (Bicillin L-A) is in short supply due to increased demand. Syphilis is increasing in all groups, especially in heterosexual people. Reserve Bicillin L-A for pregnant people ...
- [Adult Syphilis Treatment Guidelines](https://providers.whatcomcounty.org/2017/01/adult-syphilis-treatment-guidelines/) - This article is excerpted from CDC's 2015 STD Treatment Guidelines. The preferred drug for all stages of syphilis treatment is Penicillin G administered parenterally. Preparation, dosage, and lengt...
- [“What is Public Health?” from American Public Health Association](https://providers.whatcomcounty.org/2017/04/what-is-public-health-from-american-public-health-association/) - Learn why public health is essential in American Public Health Association’s “What Is Public Health?” article. Read article
- [Infection Control Guidelines](https://providers.whatcomcounty.org/2016/01/infection-control-guidelines/) - Standard Precaution When to Use Standard Precautions During all patient encounters—prevents the spread of bloodborne pathogens such as HIV, Hepatitis B and Hepatitis C. Reason to Use Standard Preca...
- [Travel-Associated Illness](https://providers.whatcomcounty.org/2017/09/travel-associated-illness/) - Ask About Travel Outbreaks of Ebola virus disease and Middle East Respiratory Virus in 2014 and 2015 have increased awareness of the importance of asking patients about travel. Asking about
- [Fentanyl Safety Recommendations for First Responders](https://providers.whatcomcounty.org/2017/11/fentanyl-safety-recommendations-for-first-responders-2/) - You can protect yourself from fentanyl exposure. The abuse of drugs containing fentanyl is killing Americans.First responders are likely to encounter fentanyl when responding to overdose calls, con...
- [School Opiate Overdose Resources](https://providers.whatcomcounty.org/2018/03/school-opiate-overdose-resources/) - Schools can prepare for opiate overdose. About 2,500 Washington State 12th graders had tried heroin at least once and even more (about 3,500 ) use pain killers to get high
- [Opiate Overdose Resources](https://providers.whatcomcounty.org/2018/03/opiate-overdose-resources/) - Schools can prepare for opiate overdose. "In 2016, about 3,621 Washington State 12th graders had tried heroin at least once and even more (about 4,526) use pain killers to get
- [New Website Tutorial](https://providers.whatcomcounty.org/2018/08/new-website-tutorial/) - Learn how to use your new site.
- [MRSA Resources for Schools](https://providers.whatcomcounty.org/2018/09/mrsa-resources-for-schools/) - What is MRSA? Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria resistant to many forms of antibiotics. Many people carry it in their nose or on their skin. Most
- [West Nile Virus](https://providers.whatcomcounty.org/2018/10/west-nile-virus/) - Background and Epidemiology WNV infection first became a public health problem in the United States in the late 1990s. WNV is a mosquito-borne flavivirus in the same family as yellow
- [Sexually Transmitted Diseases (STD) Treatment Guidelines: Key Updates](https://providers.whatcomcounty.org/2019/04/sexually-transmitted-diseases-std-treatment-guidelines-key-updates/) - Treatment of Uncomplicated Gonococcal Infections of the Cervix, Urethra, Pharynx, and Rectum Recommended treatment regimen is dual therapy with Ceftriaxone 250 mg IM in a single dose plus Azithromy...
- [MMR Vaccine Exemption Law Change](https://providers.whatcomcounty.org/2019/07/mmr-vaccine-exemption-law-change/) - In 2019, the Washington State Legislature passed a bill that removes the personal/philosophical exemption to the MMR vaccine requirement for schools and child cares. The new law removes the personal
- [TB Screening For Healthcare Personnel – Updated CDC Guidelines](https://providers.whatcomcounty.org/2020/07/tb-screening-for-healthcare-personnel-updated-cdc-guidelines/) - CDC updated its guidelines for TB screening among healthcare personnel in 2019. Here’s what you need to know: *A companion document to these recommendations was put out in July 2020 by
- [Tdap and Pregnancy Information for Providers](https://providers.whatcomcounty.org/2021/01/tdap-and-pregnancy-information-for-providers/) - Pertussis is a serious disease for young infants. Pertussis epidemics occur in the United States every 3–5 years. Even though we have a vaccine, pertussis is a common infectious disease.
- [TB Screening for Healthcare Personnel – Updated CDC Guidelines](https://providers.whatcomcounty.org/2020/07/tb-screening-for-healthcare-personnel-updated-cdc-guidelines-2/) - CDC updated its guidelines for TB screening among healthcare personnel in 2019. Here's what you need to know: *A companion document to these recommendations was put out in July 2020
- [Infection Control: Resources and links](https://providers.whatcomcounty.org/2020/03/infection-control-resources-and-links/) - Infection Control: Resources and Links - Guide to infection prevention for outpatient settings—Centers for Disease Control and Prevention (CDC) Guideline for disinfection and sterilization in healt...
- [WCHD Epi Watch July 2019](https://providers.whatcomcounty.org/2020/01/wchd-epi-watch-july-2019/) - EPI WATCH: July 2019 Click here for the full July 2019 Epi Watch report. In This Issue: Lyme Disease Bat Exposures Infection Control Hepatitis Notifiable Conditions
- [WCHD Epi Watch April 2019](https://providers.whatcomcounty.org/2020/01/wchd-epi-watch-april-2019/) - EPI WATCH: April 2019 Click here for the full April 2019 Epi Watch report. Inside This Issue: Measles Vaccines Influenza Notifiable Conditions
- [WCHD Epi Watch January 2019](https://providers.whatcomcounty.org/2020/01/wchd-epi-watch-january-2019/) - EPI WATCH: January 2019 Click here for the full January 2019 Epi Watch report. Inside This Issue: Vaccines Mumps Outbreaks Harm Reduction TB Referrals Notifiable Conditions
- [Vaping-associated Pulmonary Illness](https://providers.whatcomcounty.org/2019/09/vaping-associated-pulmonary-illness/) - CDC Urges Clinicians to Report Cases of Unexplained Vaping-associated Pulmonary Illness Multiple cases of severe pulmonary disease in patients who use vape products have occurred in Wisconsin and I...
- [Statewide Standing Order for Naloxone](https://providers.whatcomcounty.org/2019/08/statewide-standing-order-for-naloxone/) - On Aug. 28, 2019, Washington State Health Officer Dr. Kathy Lofy signed a statewide standing order for naloxone, a medication that can reverse an opioid overdose. The standing order works
- [Marijuana Prevention](https://providers.whatcomcounty.org/2019/05/marijuana-prevention/) - We work to protect the health of youth. We work with community partners to prevent youth marijuana use. Marijuana use is illegal for people under the age of 21. Why
- [Needlestick Injury or Other Blood Exposure Procedures – Training Document](https://providers.whatcomcounty.org/2019/05/needlestick-injury-or-other-blood-exposure-procedures-training-document/) - Needlestick Injury or Other Blood Exposure Procedure Purpose: Prevent transmission of bloodborne pathogens. Definition of substantial exposure to potentially infectious body fluids: Any percutaneou...
- [Flu Symptoms Checklist](https://providers.whatcomcounty.org/2018/04/flu-symptoms-checklist/) - Should my child stay home from school? ☐ Yes ☐ No Does your child have a sore throat, bad cough or runny nose? ☐ Yes ☐ No Does your child
- [Provider Training Opportunities](https://providers.whatcomcounty.org/2017/12/provider-training-opportunities/) - These webinars include information for healthcare providers on HPV vaccination. Details and registration are available below. Getting Parents to "Yes!" One-hour recorded webinar by #PreteenVaxScene...
- [Cryptococcus gattii](https://providers.whatcomcounty.org/2017/09/cryptococcus-gattii/) - What is it? C. gattii is a fungus closely related to C. neoformans that can infect the pulmonary and central nervous systems of both animals and humans. Until recently, C.
- [Free Immunization E-Course](https://providers.whatcomcounty.org/2017/08/free-immunization-e-course/) - There Never Was an Age of Reason: Vaccines, Vaccine Hesitancy and Vaccine Decision Making This e-course offers continuing education credits, is hosted by WithinReach and funded by Kaiser WA. Click
- [MERS-CoV](https://providers.whatcomcounty.org/2017/08/mers-cov/) - In September 2012, the Saudi Arabia Ministry of Health announced a new form of coronavirus, since named Middle East Respiratory Syndrome Coronavirus (MERS-CoV). So far all cases have been linked
- [Lice in Schools](https://providers.whatcomcounty.org/2017/05/lice-in-schools/) - What procedures should our school follow if a student has head lice? Head lice are tiny parasites that can live on the human head. They survive by sucking blood from
- [Lice in Schools](https://providers.whatcomcounty.org/2017/05/lice-in-schools-2/) - What procedures should our school follow if a student has head lice? Head lice are tiny parasites that can live on the human head. They survive by sucking blood from
- [Health Advisory: Measles Outbreak in Minneapolis](https://providers.whatcomcounty.org/2017/04/health-advisory-measles-outbreak-in-minneapolis/) - Actions Requested Be aware of an expanding outbreak of measles in Minneapolis, MN. Advise patients planning travel of increased measles activity and ensure they are adequately immunized. When evalu...
- [Meningococcal Disease Fact Sheet](https://providers.whatcomcounty.org/2017/04/meningococcal-disease-fact-sheet/) - Meningococcal disease is a sudden, severe illness caused by the bacterium Neisseria meningitidis. The disease manifests most commonly as meningitis and/or meningococcemia, but may also cause pneumo...
- [Flu Patient Information](https://providers.whatcomcounty.org/2017/01/flu-patient-information/) - Worried about the flu? Influenza is widespread and at epidemic levels. The best way to protect yourself and your family is still getting a flu vaccine. Frequent hand washing and
- [Tuberculosis Testing](https://providers.whatcomcounty.org/2016/12/tuberculosis-screening/) - Always ask the 3 Questions, and consider testing: Were you born or have spent time in a high-endemic country for TB? Immunosuppression? (Current or planned) Previous close contact to a
- [Health Advisory: Syphilis Increase and Prevention of Congenital Syphilis](https://providers.whatcomcounty.org/2016/12/health-advisory-syphilis-increase-and-prevention-of-congenital-syphilis/) - Requested Actions Test all pregnant women for syphilis at the first prenatal encounter. Repeat syphilis testing during the third trimester among women at risk for STD (e.g., recent history of
- [Hepatitis B Immunization and Healthcare Workers](https://providers.whatcomcounty.org/2016/03/hepatitis-b-immunization-and-healthcare-workers/) - Healthcare Worker Immunization Pre-exposure evaluation for healthcare personnel previously vaccinated with complete, ≥ three dose hepatitis B vaccine series who have not had post-vaccination serolo...
- [Latent Tuberculosis Infection Treatment Guidelines](https://providers.whatcomcounty.org/2016/02/latent-tuberculosis-infection-treatment-guidelines/) - High-Priority Candidates for Latent Treatment Infection (LTBI) Treatment Positive QuantiFERON-TB Gold (QFT) (>0.35 IU) Tuberculosis Skin Test (TST) ≥5 mm HIV-positive people. Recent contacts of per...
- [Controlling Norovirus](https://providers.whatcomcounty.org/2016/01/controlling-norovirus/) - You may hear norovirus called “the stomach flu.” Some viral illnesses that cause vomiting and diarrhea are caused by norovirus. You can become infected with norovirus many times in your
- [Tdap and Pregnancy](https://providers.whatcomcounty.org/2015/11/tdap-and-pregnancy/) - Pertussis is a serious disease for young infants. Pertussis epidemics occur in the United States every three to five years. Even though we have a vaccine, pertussis is a common
- [Chlamydia Diagnosis Follow-up](https://providers.whatcomcounty.org/2015/01/chlamydia-diagnosis-follow-up/) - Provider Checklist Patient treatment for chlamydia is not complete without partner treatment. After receiving a positive chlamydia result, check the following steps to help stop the spread of chlam...
- [Environmental Cleaning](https://providers.whatcomcounty.org/2014/12/environmental-cleaning/) - Quick Reference: Environmental Cleaning How to clean equipment and surfaces, when to clean, what to use Visibly Soiled surfaces: Scrub the surface with a cleaner/detergent or a disinfectant that co...
- [Bloodborne Pathogens](https://providers.whatcomcounty.org/2014/12/bloodborne-pathogens/) - Post Exposure Prophylaxis and Training Resources National Clinicians' Post-Exposure Prophylaxis (PEPline) Hotline (888) HIV-4911 Exposure to bloodborne pathogens can present serious risks to health...
- [Tuberculosis FAQ](https://providers.whatcomcounty.org/2014/09/tuberculosis-faq/) - Tuberculosis Screening Tests Tuberculosis skin test (TST) (formerly known as PPD) Tubersol or Aplisol can be purchased through your medical supply chain. Ten or 50 dose vials, once opened must
- [Tuberculosis Sputum Specimens](https://providers.whatcomcounty.org/2014/04/tuberculosis-sputum-specimens/) - Suspicion of Active Tuberculosis Notify the Health Department of suspected active tuberculosis or positive AFB (acid-fast bacilli) smears or cultures. Patients Without Insurance Contact the Health ...

## Pages

- [Hepatitis Information for Providers](https://providers.whatcomcounty.org/hepatitis/) - Overview Hepatitis is inflammation of the liver. Viruses usually cause it—but toxins, parasites or drug or alcohol abuse can also lead to hepatitis. In Washington, hepatitis A, B and C
- [Hepatitis Testing and Vaccination](https://providers.whatcomcounty.org/hepatitis/hepatitis-testing-and-vaccination/) - Resources to help healthcare providers screen for and prevent viral hepatitis You can use these resources to learn more about viral hepatitis, screening and prevention. Hepatitis A Information for ...
- [Perinatal Hepatitis](https://providers.whatcomcounty.org/hepatitis/perinatal-hepatitis/) - Testing and treatment resources for healthcare providers Learn more about screening and treating pregnant women at risk for hepatitis. To report a positive test result for a pregnant woman or
- [Parent Letters](https://providers.whatcomcounty.org/parent-letters/) - Send letters to parents to: Notify caregivers of possible exposure to a non-reportable communicable disease or parasite. Keep channels of communication open. Alert guardians to potential health iss...
- [Immunizations](https://providers.whatcomcounty.org/immunizations/) - Washington State Department of Health and the West Coast Health Alliance continue to support the vaccine schedules endorsed by medical professional organizations. The immunization schedules are bas...
- [Schools & Childcare](https://providers.whatcomcounty.org/school/) - Schools & Childcare Resources for the Health Team Parent Letters Influenza Immunizations Resources Immunizations Childcare and Preschool Requirements English. Español (Spanish). ኣማርኛ (Amharic). الع...
- [Provider](https://providers.whatcomcounty.org/provider/) - Providers Immunizations Influenza Measles Diseases Welcome Providers To control communicable diseases and be prepared to face the threat of major disasters, public health and the healthcare communi...
- [COVID-19: Novel Coronavirus](https://providers.whatcomcounty.org/covid-19-novel-coronavirus/) - Overview This page contains resources to prevent, diagnose, and treat SARS-CoV-2, the virus that causes COVID-19. Vaccine Vaccine is the most effective tool to prevent COVID-19. COVID vaccine is av...
- [Pertussis (Whooping Cough)](https://providers.whatcomcounty.org/pertussis-whooping-cough/) - To report a confirmed or suspect case of pertussis, complete the or call . Pertussis is common and very contagious. It is caused by Bordetella pertussis. The bacteria infect cilia in
- [Syphilis Information for Providers](https://providers.whatcomcounty.org/syphilis-information-for-providers/) - Report suspected or confirmed cases within 3 days. Fax a to . Test people 45 or younger that have sex. Syphilis is increasing in all groups, especially in heterosexual people.
- [Public Health and Provider Resources WA](https://providers.whatcomcounty.org/public-health-and-provider-resourceswa/) - Similar to public safety (fire, police), public utilities (power, water), and other public infrastructure (roads, sewers), public health is the responsibility of local and state government. Foundat...
- [Zika Virus](https://providers.whatcomcounty.org/zika-virus/) - There are no know Zika outbreaks at this time. For more information please visit please visit the CDC. Travel Patients who will travel to Zika-affected areas should take precautions to avoid
- [Chickenpox](https://providers.whatcomcounty.org/chickenpox/) - Overview Chickenpox (varicella) is very contagious. It is caused by the varicella-zoster virus (VZV). It causes a blister-like rash, itching, fatigue and fever. Rash can spread over the entire body...
- [Tuberculosis Screening](https://providers.whatcomcounty.org/tuberculosis-screening/) - Consider testing Person traveling in TB endemic areas. Migrant workers. Person experiencing homelessness. Contact to a tuberculosis case. Foreign-born person from tuberculosis-endemic area. Person ...
- [Fentanyl Safety Recommendations for First Responders](https://providers.whatcomcounty.org/fentanyl-safety-recommendations-for-first-responders/) - You can protect yourself from fentanyl exposure. The abuse of drugs containing fentanyl is killing Americans. First responders are likely to encounter fentanyl when responding to overdose calls, co...
- [Meningococcal Disease](https://providers.whatcomcounty.org/meningococcal-disease/) - What is meningococcal disease? It is a sudden and severe illness caused by Neisseria meningitidis bacteria. It most commonly presents as meningitis and/or meningococcemia. The bacteria can also cau...
- [Reporting Notifiable Conditions](https://providers.whatcomcounty.org/reporting-notifiable-conditions/) - To report a notifiable condition, use the online form or download a form and fax it to our confidential communicable disease fax 360-778-6103. Non-urgent conditions can be reported by calling
- [Cryptococcus gattii Information for Providers](https://providers.whatcomcounty.org/cryptococcus-gattii/) - Overview C. gattii is a fungus. It can infect human and animal lungs and nervous systems. Until 1999, it was found only in tropical and subtropical regions. The fungus has since
- [West Nile Virus](https://providers.whatcomcounty.org/west-nile-virus/) - What is West Nile virus? West Nile virus (WNV) is a viral infection spread by mosquitoes. Most people who get the virus (80%) will not develop any symptoms. Some people
- [Disease Directory](https://providers.whatcomcounty.org/disease-directory/) - A-C Carbapenem-Resistant Enterobacteriaceae (CRE) Clostridium difficile (C. Diff) Chickenpox Chikungunya Conjunctivitis (Pink Eye) COVID-19 Cryptococcus gattii D-H E-Cigarette or Vaping Associated ...
- [Staying safe in extreme temperatures](https://providers.whatcomcounty.org/staying-safe-in-extreme-temperatures/) - Extreme cold or heat can be dangerous. Know how to spot the signs and symptoms of extreme temperatures. Know the signs of heat exhaustion and heat stroke: English Vietnamese Ukrainian
- [Home](https://providers.whatcomcounty.org/) - Emerging disease information at your fingertips. Provider Resources Go to diseases Email Notifications Click Here Reporting Forms Click Here Health Advisories Click Here Whatcom County Health and C...
- [Antibiotic Resistance](https://providers.whatcomcounty.org/antibiotic-resistance/) - Antibiotics aren’t always the answer. Antibiotics are a powerful tool. Used properly, they can cure life-threatening infections. But overusing antibiotics has caused some bacteria to develop resist...
- [Norovirus](https://providers.whatcomcounty.org/norovirus/) - Overview You may hear it called the “stomach flu.” Norovirus is a very contagious viral illness. It often spreads from person to person in crowded places. It also spreads through
- [Measles](https://providers.whatcomcounty.org/measles/) - Providers must report suspected cases of measles immediately. Call reporting line. Measles, also called rubeola, is a viral illness characterized by a prodrome of cough, coryza and conjunctivitis (...
- [MRSA Resources for Schools](https://providers.whatcomcounty.org/mrsa-resources-for-schools/) - What is MRSA? Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria resistant to many forms of antibiotics. Many people carry it in their nose or on their skin. Most infections a...
- [MRSA](https://providers.whatcomcounty.org/mrsa/) - Methicillin-resistant Staphylococcus aureus (MRSA) is a bacteria that is resistant to many antibiotics. Many people carry it in their nose or on their skin. Most infections affect the skin. It can ...
- [Mpox Information for Providers](https://providers.whatcomcounty.org/monkeypox-information-for-providers/) - Mpox (formerly monkeypox) is a rare viral disease not often seen in the United States. Anyone can get mpox. Most people recover in 2–4 weeks, but the disease can be serious,
- [Mpox](https://providers.whatcomcounty.org/mpox/) - What you should know. Mpox can cause a rash that looks like bumps, blisters or ulcers. Some people have flu-like illness before the rash develops. Anyone can get mpox. The virus
- [MERS (Middle East Respiratory Syndrome) Information for Providers](https://providers.whatcomcounty.org/mers-cov/) - What is MERS? MERS is a respiratory illness caused by MERS coronavirus, or MERS-CoV. Symptoms can be severe. One third of people with reported infections died from the disease. Most
- [Lice](https://providers.whatcomcounty.org/lice/) - What are lice? Lice are tiny parasites. They infect the human head and neck, and survive by sucking blood from the scalp. Lice spread by close person-to-person contact. They can
- [Influenza](https://providers.whatcomcounty.org/influenza/) - Overview Get vaccinated to protect yourself, your family and your patients. Annual vaccination is the most important tool to prevent flu-related deaths. Testing and treatment Testing guidance for c...
- [Infection Control Guidelines](https://providers.whatcomcounty.org/infection-control-guidelines/) - Standard Precaution When to Use Standard Precautions During all patient encounters—prevents the spread of bloodborne pathogens such as HIV, Hepatitis B and Hepatitis C. Reason to Use Standard Preca...
- [Infection Control](https://providers.whatcomcounty.org/infection-control/) - Infection control benefits everyone. Infection control prevents the spread of disease in healthcare settings. Following simple, evidence-based practices protects you, your patients and your communi...
- [HIV/AIDS Information for Providers](https://providers.whatcomcounty.org/hiv-aids-information-for-providers/) - Overview HIV/AIDS continue to pose significant social, economic and health barriers for people. The fight to end HIV/AIDS involves healthcare providers promptly and effectively screening, reporting...
- [Hepatitis B Immunization and Healthcare Workers](https://providers.whatcomcounty.org/hepatitis-b-immunization-and-healthcare-workers/) - Healthcare Worker Immunization Pre-exposure evaluation for healthcare personnel previously vaccinated with complete, ≥ three dose hepatitis B vaccine series who have not had post-vaccination serolo...
- [Flu Patient Information](https://providers.whatcomcounty.org/flu-patient-information/) - Worried about the flu? Influenza is widespread and at epidemic levels. The best way to protect yourself and your family is still getting a flu vaccine. Frequent hand washing and
- [Flu Symptoms Checklist](https://providers.whatcomcounty.org/flu-symptoms-checklist/) - Should my child stay home from school? ☐ Yes ☐ No Does your child have a sore throat, bad cough or runny nose? ☐ Yes ☐ No Does your child
- [E-Cigarette Or Vaping Associated Lung Injury (EVALI)](https://providers.whatcomcounty.org/e-cigarette-or-vaping-associated-lung-injury-evali/) - National, state and local public health agencies are investigating a multi-state outbreak of e-cigarette or vaping associated lung injury (EVALI). CDC identified vitamin E acetate as a chemical of ...
- [COVID-19 Guidance for Long-Term Care Facilities](https://providers.whatcomcounty.org/covid-19-guidance-for-long-term-care-facilities/) - 1. Infection Prevention in Long-Term Care Staff, Resident and Visitor ScreeningAll facilities are required to develop an internal policy for how to screen and manage staff, residents, and visitors....
- [Controlling Norovirus](https://providers.whatcomcounty.org/controlling-norovirus/) - You may hear norovirus called “the stomach flu.” Some viral illnesses that cause vomiting and diarrhea are caused by norovirus. You can become infected with norovirus many times in your
- [Conjunctivitis (Pink Eye)](https://providers.whatcomcounty.org/conjunctivitis/) - Conjunctivitis is also called pink eye. It is caused by bacteria, viruses, allergies or irritants. Viral and bacterial conjunctivitis are most common. They can be very contagious. Symptoms include ...
- [Clostridioides Difficile (C. Diff)](https://providers.whatcomcounty.org/c-diff/) - Clostridioides difficile was previously named Clostridium difficile. It is often called C. diff. It is a toxin-producing bacterium. It forms spores that can live a long time outside the body.
- [Chlamydia Diagnosis Follow-up](https://providers.whatcomcounty.org/chlamydia-diagnosis-follow-up/) - Provider Checklist Patient treatment for chlamydia is not complete without partner treatment. After receiving a positive chlamydia result, check the following steps to help stop the spread of chlam...
- [Caring for Infants Born to Hepatitis B-Infected Mothers](https://providers.whatcomcounty.org/caring-for-infants-born-to-hepatitis-b-infected-mothers/) - Adapted from the Georgia Department of Public Health Immunize and Test On Time AgeSingle-antigen hepatitis B vaccine (Engerix-B® or Recombivax HB®)Combination hepatitis B vaccine (Pediarix®)Birth1(...
- [Carbapenem-Resistant Enterobacteriaceae (CRE)](https://providers.whatcomcounty.org/carbapenem-resistant-enterobacteriaceae-cre/) - Overview Enterobacteriaceae is a group of bacteria often found in human and animal intestines. E. coli, Klebsiella spp. and Enterobacter spp. are in this group. Enterobacteriaceae that develop resi...
- [Bloodborne Pathogens](https://providers.whatcomcounty.org/bloodborne-pathogens/) - Post Exposure Prophylaxis and Training Resources National Clinicians' Post-Exposure Prophylaxis (PEPline) Hotline (888) HIV-4911 Exposure to bloodborne pathogens can present serious risks to health...
- [Oral Health Resources](https://providers.whatcomcounty.org/oral-health-resources/) - The root of it all Good oral health is critical to good health. Bad oral health can reduce our quality of life. Connect your patients with dental care in your area.
- [Tobacco and E-Cigarette Resources](https://providers.whatcomcounty.org/tobacco-and-e-cigarette-resources/) - It’s never too late to quit! Help your patients get the services they need. Check out the cessation resources below. Visit our EVALI page for guidance on E-Cigarette or Vaping Associated Lung
- [Opioid Resources For Providers](https://providers.whatcomcounty.org/opioid-resources/) - A Public Health Crisis Opioid misuse and overdoses are on the rise. 2004-2014 in Washington, heroin overdose deaths increased most among people 15-34 years old. A statewide survey of needle exchang...
- [Tuberculosis](https://providers.whatcomcounty.org/tuberculosis/) - Mycobacterium tuberculosis bacteria cause the treatable infection tuberculosis (TB). TB typically occurs in the lungs but can affect any part of the body. Not everyone with TB becomes sick. Symptom...
- [STD/STI Information for Providers](https://providers.whatcomcounty.org/hiv-stds/) - Confidential HIV/AIDS Adult Case Report Many people aren’t aware they have an STD. Sexually transmitted diseases (STDs), also called sexually transmitted infections (STIs), are illnesses spread by ...
- [Health Advisories](https://providers.whatcomcounty.org/news/)
- [Travel-Associated Illness](https://providers.whatcomcounty.org/travel-associated-illness/) - Patients can bring home more than souvenirs. Illnesses from travel are common. Many are mild, but some can be very serious. Asking about travel is an important part of evaluating
- [Tdap and Pregnancy Information for Providers](https://providers.whatcomcounty.org/tdap-and-pregnancy-information-for-providers/) - Pertussis is a serious disease for young infants. Pertussis epidemics occur in the United States every 3–5 years. Even though we have a vaccine, pertussis is a common infectious disease.
- [Statewide Standing Order for Naloxone](https://providers.whatcomcounty.org/statewide-standing-order-for-naloxone/) - On Aug. 28, 2019, Washington State Health Officer Dr. Kathy Lofy signed a statewide standing order for naloxone, a medication that can reverse an opioid overdose. The standing order works
- [Sexually Transmitted Diseases (STD) Treatment Guidelines: Key Updates](https://providers.whatcomcounty.org/sexually-transmitted-diseases-std-treatment-guidelines-key-updates/) - Treatment of Uncomplicated Gonococcal Infections of the Cervix, Urethra, Pharynx, and Rectum Recommended treatment regimen is dual therapy with Ceftriaxone 250 mg IM in a single dose plus Azithromy...
- [Rabies Information for Providers](https://providers.whatcomcounty.org/rabies/) - What is rabies? Rabies is a viral disease of the nervous system that is nearly 100% fatal. It is spread through bites of infected animals. Rabies in humans is extremely
- [Provider Training Opportunities](https://providers.whatcomcounty.org/provider-training-opportunities/) - These webinars include information for healthcare providers on HPV vaccination. Details and registration are available below. Getting Parents to "Yes!" One-hour recorded webinar by #PreteenVaxScene...
- [MMR Vaccine Exemption Law Change](https://providers.whatcomcounty.org/mmr-vaccine-exemption-law-change/) - In 2019, the Washington State Legislature passed a bill that removes the personal/philosophical exemption to the MMR vaccine requirement for schools and child cares. The law removed the personal and
- [Expedited Partner Therapy](https://providers.whatcomcounty.org/expedited-partner-therapy/) - There are temporary changes to Expedited Partner Therapy (EPT) packs distribution. This is a result of the Washington State Department of Health undergoing an audit of its program. Please: Stop
- [Environmental Cleaning](https://providers.whatcomcounty.org/environmental-cleaning/) - Quick Reference: Environmental Cleaning How to clean equipment and surfaces, when to clean, what to use Visibly Soiled surfaces: Scrub the surface with a cleaner/detergent or a disinfectant that co...
- [Contact Us](https://providers.whatcomcounty.org/contact-us/) - Questions about notifiable conditions, emerging diseases, treatment guidelines or infection control? We’re here for you.
- [Search](https://providers.whatcomcounty.org/search/)
- [Youth Cannabis Prevention](https://providers.whatcomcounty.org/marijuana-prevention/) - We work to protect the health of youth. We work with community partners to prevent youth marijuana use. Marijuana use is illegal for people under the age of 21. Why
- [Tuberculosis Sputum Specimens](https://providers.whatcomcounty.org/tuberculosis-sputum-specimens/) - Suspicion of Active Tuberculosis Notify the Health Department of suspected active tuberculosis or positive AFB (acid-fast bacilli) smears or cultures. Patients Without Insurance Contact the Health ...
- [Email Notifications](https://providers.whatcomcounty.org/email-notifications/) - Keep Up-To-Date Subscribe * indicates required Email Address *Organization *First Name Last Name
- [LGBTQIA+ Information for Providers](https://providers.whatcomcounty.org/lgbtqia-information-for-providers/) - We use the term LGBTQIA+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual and more) and acknowledge a range of terminology preferences exists. Improve access to care. Small changes to...
- [School Opiate Overdose Resources](https://providers.whatcomcounty.org/school-opiate-overdose-resources/) - Schools can prepare for opiate overdose. About 2,500 Washington State 12th graders had tried heroin at least once and even more (about 3,500 ) use pain killers to get high
- [Join Us](https://providers.whatcomcounty.org/join-us/) - Emerging Disease Information at your Fingertips The world of medicine is constantly changing, and getting new guidance to your partners and providers is administratively burdensome. That's why we'v...
- [Needlestick Injury or Other Blood Exposure Procedures – Training Document](https://providers.whatcomcounty.org/needlestick-injury-or-other-blood-exposure-procedures-training-document/) - Needlestick Injury or Other Blood Exposure Procedure Purpose: Prevent transmission of bloodborne pathogens. Definition of substantial exposure to potentially infectious body fluids: Any percutaneou...
- [Tuberculosis FAQ](https://providers.whatcomcounty.org/tuberculosis-faq/) - Tuberculosis Screening Tests Tuberculosis skin test (TST) (formerly known as PPD) Tubersol or Aplisol can be purchased through your medical supply chain. Ten or 50 dose vials, once opened must