Health Advisories

04/30/24 Health Advisory: Invasive Serogroup Y Meningococcal Disease Increasing in the United States

Summary Invasive serogroup Y meningococcal disease cases are on the rise in the United States. Cases are disproportionately occurring in people who are: 30–60 years old. Black or African American. Living with HIV. Washington has not seen an increase in cases. Patients with invasive meningococcal disease may have bloodstream infection or septic arthritis, without typical meningitis symptoms…
03/27/2024 Health Advisory: Measles Increasing in Washington, the Nation, and the World

Summary Background Measles is a highly contagious viral illness that can lead to severe health complications, like pneumonia, encephalitis, and death, especially in unvaccinated people. Measles outbreaks have occurred in Washington, the United States, and around the world in 2024. Outbreaks often start when an unvaccinated or under-vaccinated person is exposed during international travel and…
02/08/24 Health Advisory: RSV Prevention Updates

Summary Background On Oct. 23, 2023, Centers for Disease Control and Prevention (CDC) issued a health alert about the limited supply of nirsevimab. CDC recommended healthcare providers prioritize nirsevimab for infants born later in RSV (respiratory syncytial virus) season or for those at increased risk for severe illness. On Jan. 5, 2024, CDC issued updated guidance about the increased…
01/22/24 Health Advisory: Measles Outbreak in Southwest Washington

An active measles outbreak investigation is underway in Clark and Wahkiakum Counties. As of Jan. 10, 2024, investigators have identified 3 lab-confirmed and 3 epidemiologically linked measles cases in unvaccinated adults. Symptoms began in mid-to-late December. All report isolating at home during their contagious period. Investigators have not identified any public exposure locations. Healthcare providers…
12/13/23 Health Advisory: Test for tuberculosis people who were incarcerated

A large outbreak of tuberculosis (TB) in the state prison system may affect more than 800 people who were incarcerated. Requested actions Ask patients about risk factors for TB exposure: Test people with risk factors unless they have a known history of TB infection or TB disease. Evaluate people who test positive to rule out…
12/07/23 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…
11/22/23 Health Advisory: Nirsevimab supplies are short.

Nirsevimab (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…
Health Officer recommends masking in patient and visitor contact areas of healthcare settings

Monitoring of ED visits due to RSV disease indicates that our region has exceeded the threshold for seasonal rapid increase in cases. We also expect to see a rapid increase in influenza visits in the coming weeks, and COVID-19 is still spreading in the community. To reduce the risk of viral pathogen transmission in healthcare…
10/02/23 Health Advisory: 2023–2024 Respiratory Illness Season

This 2023–2024 respiratory illness season, we’re monitoring 3 common causes of respiratory illness that circulate in Island County: influenza, respiratory syncytial virus (RSV), and COVID-19. Please review the information below and resources posted on the Island County Public Health Seasonal Respiratory Illnesses webpage. Influenza Centers for Disease Control and Prevention (CDC) estimates that in the…
09/20/23 Health Advisory: New COVID-19 Vaccines Authorized, Previous Bivalent COVID-19 Vaccines Deauthorized

On 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. FDA deauthorized previous bivalent COVID-19 vaccines. On Sept. 11, 2023, FDA deauthorized previous bivalent COVID-19 vaccines from Moderna and Pfizer. CDC recommends new, updated (2023–2024) COVID-19 vaccines. CDC’s new, updated (2023–2014) COVID-19…
08/21/23 Health Advisory: DOH links listeria outbreak to Frugals restaurant in Pierce County

Washington State Department of Health found Listeria bacteria in milkshake machines at Frugals restaurant in Parkland (10727 Pacific Ave S, Tacoma, WA 98444). Investigators used genome sequencing and interviews to link it to a recent outbreak that has killed three people and sent three more to the hospital. Read DOH’s release to learn more. Most…
07/19/23: The first case of Candida auris diagnosed in Washington

A Pierce County man was diagnosed July 13 with colonization due to Candida auris (C. auris), a multidrug-resistant fungus that can cause serious infections. This is believed to be the first locally acquired case in Washington. C. auris is a type of yeast that can cause severe illness, especially in those suffering from serious medical conditions who have…
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…
04/24/23 Health Advisory: Bivalent COVID-19 Vaccine Use Expanded, Monovalent No Longer Authorized

Requested actions Monovalent Moderna and Pfizer COVID-19 vaccines are no longer authorized for use in the United States. Read below for how to discard and report as waste. Use the new simplified schedule to administer COVID-19 vaccine. People who are 65 years or older or have immune compromise can now get a second bivalent booster…
04/19/23 Health Advisory: Tuberculosis Testing and Treatment for People Newly Arrived from Ukraine

Requested 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…
Telehealth sexual and reproductive health care services now available in Washington

The Washington State Department of Health (DOH) has launched a new webpage and tool to find telehealth sexual and reproductive health care services in Washington. The new DOH webpage and tool offers information about 37 clinics in the Washington State Sexual and Reproductive Health Network that provide telehealth appointments. Available telehealth services include birth control refills, pregnancy options counseling,…
03/14/23 Health Advisory: Extensively Drug-Resistant Shigellosis

Requested actions Background Shigellosis is an acute enteric infection. It is an important cause of domestically acquired and travel-associated bacterial diarrhea in the United States. A low infectious dose makes Shigella bacteria easily transmitted from person to person. Consider shigellosis in the differential diagnosis of acute diarrhea, especially in people who: Shigellosis can be a mild,…
02/22/23 Health Advisory: Increase COVID-19 Treatment Access, Prescribing and Uptake

COVID-19 treatment is shown to reduce hospitalization. Yet it is under-used for high-risk patients with acute COVID-19. High-risk patients are: COVID-19 continues to cause 2,000 to 3,000 deaths each week in the United States. On Feb. 6, Washington State Department of Health (DOH) relaunched its free telehealth program. The program, in partnership with Color Health,…
02/13/23 Health Advisory: Shop Me Ca “Diep Bao Cream” Recalled

Actions requested Providers, facilities, parents and children should stop using Diep Bao Baby Skin Cream. Background On Feb. 1, 2023, Shop Me Ca recalled Diep Bao Skin Cream because of possible health risk. Shop Me Ca of Herndon, Virginia recalled its 10-gram tubes of “Diep Bao Cream” because they have the potential to be contaminated…
02/03/23 Health Advisory: Multistate Cluster of Antibiotic Resistant Bacteria Associated with Artificial Tears

Actions requested Background Washington State Department of Health (DOH) and Centers for Disease Control and Prevention (CDC) are investigating a cluster of antibiotic-resistant infections that may be linked to artificial tears. The most frequently reported brand was EzriCare Artificial Tears, a preservative-free product dispensed in muti-dose bottles. These over-the-counter eye drops are sold widely in…
Health Advisory: Updated bivalent COVID-19 boosters authorized for children 6 months to 5 years old

Earlier this month, U.S. Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) expanded emergency use authorization (EUA) of Moderna and Pfizer-BioNTech bivalent vaccines for children 6 months and older. Updated (bivalent) COVID-19 booster vaccines are formulated to boost immunity against the original coronavirus strain and protect against the newer omicron…
12/19/22 Health Advisory: Antiviral Flu Treatment Interim Guidance

Be 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…
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
12/12/22 Health Advisory: COVID-19 Therapeutics Updates

Bebtelovimab no longer authorized in the United States. On Nov. 30, 2022, U.S. Food and Drug Administration (FDA) revoked its Emergency Use Authorization (EUA) for bebtelovimab. Bebtelovimab is a monoclonal antibody used to treat COVID-19. FDA revoked the EUA because the drug lost efficacy against most SARS-CoV-2 variants currently circulating in the United States. Currently,…