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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 with acute respiratory illness, isolated conjunctivitis, or influenza-like illness (ILI). Assess patients for exposure to animals––especially poultry, cattle, and wildlife, or to people suspected or known to be infected. Current…
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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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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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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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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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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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Pertussis Fact Sheet
To report a confirmed or suspect case of pertussis, complete the or call . Overview Pertussis is common and very contagious. It is caused by Bordetella pertussis. The bacteria infect cilia in the upper respiratory tract. Early symptoms are mild, like the common cold. Patients often experience violent coughing fits (paroxysms). These can be followed by…
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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…
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Health Advisory: Hepatitis A Outbreaks Among Homeless in California
Actions Requested Have increased suspicion for acute hepatitis A among people with acute onset of jaundice, markedly elevated liver function tests and other symptoms of acute viral hepatitis. Especially in those who are homeless and/or using drugs. Perform serologic testing on suspect cases: hepatitis A IgM or acute hepatitis panel. Provide hepatitis A vaccine to…