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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 this week. During this time, elevated daytime temperatures and limited cooling at night may pose a moderate to major risk for heat-related illnesses, with some areas under…
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Health Advisory: Novel Coronavirus (2019-nCoV) Respiratory Infection in Washington
A traveler who recently returned to Snohomish County from Wuhan, China has lab-confirmed 2019-nCoV. Requested actions Get a detailed travel history when evaluating patients with fever and acute respiratory illness. Suspect 2019-nCoV in patients with: Fever and symptoms of lower respiratory illness (e.g., cough, difficulty breathing) and in the 14 days before symptom onset: Traveled to Wuhan City, China,…
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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
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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
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Health Advisory: Outbreak of Pneumonia of Unknown Etiology in Wuhan, China
Treating patients who traveled in the region and have severe respiratory symptoms Requested actions: Consider pneumonia in patients with severe respiratory symptoms who: Traveled to Wuhan, China since Dec. 1, 2019, and Had onset of illness within 2 weeks of returning, and Do not have another known diagnosis that explains their illness. If a patient…
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12/28/19 WCHD Influenza Report
Whatcom County 2019-20 Influenza Report Weeks 51-52: December 15-28, 2019 Summary During weeks 51-52 there were nineteen positive influenza A tests, and two hundred thirty-six positive influenza B tests, reported by Family Care Network, Quest Diagnostics at PeaceHealth, and Sea Mar combined. There were fourteen hospitalizations related to influenza-like illness during weeks 51-52. No deaths…
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12/7/19 WCHD Influenza Report
Whatcom County 2019-20 Influenza Report Weeks 48-49: November 24-December 7, 2019 Summary During weeks 48-49 there were thirteen positive influenza A tests, and thirty-four positive influenza B tests reported by Quest Diagnostics at PeaceHealth, Family Care Network, and Sea Mar combined. There were less than ten hospitalizations related to influenza-like-illness during weeks 48-49. No…
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Health Advisory: Evaluating and Reporting Suspected E-cigarette or Vaping Associated Lung Injury (EVALI)
Requested actions Ask all patients if they recently used e-cigarette or vaping products and which substances they used. Ask patients who report using e-cigarette or vaping products about respiratory, gastrointestinal and constitutional symptoms (e.g., cough, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea and fever). Perform chest X-ray. Consider chest CT to evaluate…
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2019-2020 Influenza Season Preparedness
Surveillance updates Seasonal influenza surveillance begins in October and ends in April. It is important to stay up to date on local influenza activity. Vaccine Both influenza A components of this season’s vaccine are different from last season. Both B components are unchanged. CDC recommends influenza vaccine for everyone over age 6 months for whom…
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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 Illinois. Requested actions Ask patients who present with respiratory or pulmonary illness if they vape THC or e-juice. Determine what kind of THC or e-juice they’ve vaped,…
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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 like a prescription and allows any Washington person or organization to get naloxone from a pharmacy. We want to remind our local pharmacies and healthcare…
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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…