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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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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…
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Health Advisory: Increase in Gonorrhea
Actions Requested Be aware that gonorrhea is increasing, especially among people age 20 to 29. Take a sexual history and screen for gonorrhea and other STDs in all sexually active people, especially those at increased risk. Perform routine gonorrhea and chlamydia screening for all sexually active women under age 25, including screening multiple sites (cervix,…
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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:…
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Health Advisory: Zika Testing
Action Requested Know how to order appropriate Zika virus testing through commercial laboratories. Background Because testing for Zika virus is now widely available through commercial laboratories, testing for Zika virus at Washington State Public Health Laboratories is now limited to: Patients for whom cost is a barrier to testing. Infants with possible congenital exposure to…
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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 evaluating febrile rash illness, ask about out-of-state and out-of-country travel within the last 21 days. Background A measles outbreak is occurring in the Minneapolis, Minnesota metropolitan area.…