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03/19/26 Provider Alert: Legionella cases increasing in Chelan County
Chelan-Douglas Health District continues to see higher-than-usual reports of Legionella disease in our community. Legionella is a waterborne bacterium that can cause a severe form of pneumonia and a milder flu-like illness. Early recognition and prompt reporting are critical to prevent additional cases and to aid in identifying environmental sources. Legionella must be reported to…
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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: Test children for HCV RNA at 2–6 months old, up to 17 months old. Give untested children older than 18 months an HCV antibody test with reflex to HCV RNA. Report hepatitis C cases in pregnant people and the…
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11/21/23 Health Advisory: Nirsevimab supplies are short.
Advisory or Update, Communicable Disease and Immunization Update, Health Advisory, Provider Resources, VaccineNirsevimab (Beyfortus) RSV preventive antibodies for infants is in short supply. Encourage Abrysvo vaccine for pregnant people to protect babies from RSV. Washington will receive 7,700 50 mg and 600 100 mg nirsevimab doses for the remainder of respiratory syncytial virus (RSV) season. Centers for Disease Control and Prevention (CDC) released a Health Alert that…
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10/16/23 Health Advisory: FDA Authorized New Novavax COVID-19 Vaccine Formulation
Advisory or Update, COVID-19, Health Advisory, Immunizations, News and Alerts, Notifiable Conditions, Provider ResourcesThe new adjuvanted (2023–2204) formulation of Novavax COVID-19 vaccine is authorized for people 12 years or older as follows: Updated 2023–2024 COVID-19 vaccine availability may be limited and vary by location. Help patients understand this situation and thank them for their patience. Resources Questions?
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09/28/23 Health Advisory: 2023–2024 Respiratory Illness Season
Communicable Disease and Immunization Update, COVID-19, Influenza, News and Alerts, Provider ResourcesThis 2023–2024 respiratory illness season, we’re monitoring 3 common causes of respiratory illness that circulate in Pierce County: influenza, respiratory syncytial virus (RSV), and COVID-19. Influenza Centers for Disease Control and Prevention (CDC) estimates that in the United States last flu season (2022–2023) caused: Those at highest risk for severe illness include: Guidelines RSV RSV…
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09/20/23 Health Advisory: New COVID-19 Vaccines Authorized, Previous Bivalent COVID-19 Vaccines Deauthorized
Advisory or Update, Communicable Disease and Immunization Update, COVID-19, Health Advisory, News and Alerts, Provider ResourcesOn 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 Control and Prevention (CDC) recommended everyone 6 months or older get new, updated (2023–2024) COVID-19 vaccine. The federal government will no longer provide COVID-19 vaccine.…
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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 with or exposed to syphilis, or babies with congenital syphilis. Read on for syphilis: Treatment. Testing with reverse algorithm. Reserve Bicillin L-A for pregnant people. Reserve…
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04/20/23 Health Advisory: Tuberculosis Testing and Treatment for People Newly Arrived from Ukraine
Advisory or Update, Health Advisory, Infection Control, News and Alerts, Notifiable Conditions, Provider ResourcesRequested actions Test for tuberculosis (TB) people newly arrived from Ukraine, within 90 days of arriving in the United States. Test result Action Positive IGRA or TST Order chest X-ray. Positive IGRA or TST and normal chest x-ray Offer and encourage latent TB infection (LTBI) treatment. Positive IGRA or TST and abnormal chest x-ray Contact…
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12/19/22 Health Advisory: Antiviral Flu Treatment Interim Guidance
Advisory or Update, Health Advisory, Influenza, Influenza Update, News and Alerts, Provider ResourcesBe advised: Background Seasonal flu activity is high across the United States. Vaccination and antiviral treatment help prevent and control flu. U.S. Food and Drug Administration (FDA) approved 4 antivirals for early treatment of outpatients with flu: oseltamivir, baloxavir, zanamivir and peramivir. While FDA does not report shortages of oseltamivir in any of its forms, providers…
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12/19/22 Health Advisory: Newly Arrived Ukrainian Citizens’ Medical and Mental Health Needs
On April 21, 2022, President Biden announced a new Uniting for Ukraine (U4U) process to help Ukrainian citizens fleeing war come to the United States temporarily. As of Nov. 18, 2022: Newly arrived Ukrainian citizens have various medical and mental health needs. Resources
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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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Hepatitis A Fact Sheet
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 increases with age. Infectious Period: 14 days prior to onset of jaundice to seven days after onset of jaundice. Infants can excrete virus in the stool for longer periods of time. Epidemiology:…