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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) strongly supports that hepatitis B vaccination continue to be routinely offered to all newborns, with the first dose of the vaccine given within 24 hours of birth for…
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Outbreak of Hepatitis A in Washington
Washington state is experiencing a hepatitis A outbreak in multiple counties in people who are living homeless or who use drugs. Requested actions Give hepatitis A vaccine to unvaccinated patients living homeless or using drugs. Suspect hepatitis A in patients with acute onset of jaundice, vomiting, anorexia and elevated liver function test results—especially those living…
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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 and philosophical option to exempt children from the MMR (measles, mumps, and rubella) vaccine required for school and child care entry. The law: Takes effect…
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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 giving out EPT packs. Give the patient a prescription for their partner to fill at their pharmacy of choice. Advise that the partner will need…
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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 is this work important? Marijuana use puts teens at higher risk for addiction. Youth who use marijuana are more likely to fail in school. Most…
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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 percutaneous, mucosal, or non-intact skin contact with the blood or other potentially infectious bodily fluids of another person. In some instances, the Health Department may consider gross exposure of intact skin to…
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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 Azithromycin 1 gm p.o. in a single dose. Doxycycline is no longer recommended for use in conjunction with Ceftriaxone to treat gonorrhea. If Ceftriaxone is not available,…
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Health Advisory: Change in Consent Requirement for HIV Testing
Overview In the past, providers were required to get exceptional consent before testing patients for HIV. On June 7, 2018, Washington State Legislature Bill SB 6580 passed, repealing the law requiring exceptional consent for HIV testing. Now HIV testing has the same notification and consent requirement as any other medical test. Impacts of this Change…
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Health Advisory: 2018-2019 Influenza Reporting, Testing and Treatment
Reporting Seasonal influenza surveillance begins in October. Influenza surveillance relies on high-quality data received from healthcare providers, hospitals, clinics, long-term care facilities, laboratories and other partners in the community. It is early in the season, but laboratory-confirmed influenza and influenza-associated hospitalizations have already occurred in Washington. Washington law requires healthcare providers to report the following…
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Health Advisory: Increase in Suspected Cases of Acute Flaccid Myelitis (AFM)
Increase in Suspected Cases of Acute Flaccid Myelitis (AFM) As of Oct. 9, 2018, 5 cases of acute flaccid myelitis (AFM) in Washington are being evaluated by Centers for Disease Control and Prevention (CDC) neurologists and other AFM experts. All cases are among children between 7 months and 5 years of age who presented with…
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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 fever, dengue fever and St. Louis encephalitis. In rare situations, blood transfusion, organ transplant, transplacental, breastfeeding and percutaneous injury of laboratory workers can transmit the…
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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 affect the skin, but MRSA can also infect other organs. Without treatment, infections can be life threatening, causing severe complications like sepsis or endocarditis.…
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Health Advisory: Unhealthy Air Quality
Unhealthy Air Quality Guidance for Healthcare Providers On Aug. 19, 2018, the Puget Sound Clean Air Agency determined air quality in Pierce County will be unhealthy for everyone for the next several days. This means everyone should stay indoors and refrain from outdoor activities until the clean air agency lifts or revises the air quality…