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11/24/25 Health News: Statement Regarding Vaccines and Autism
On November 21 the Department of Health and the West Coast Health Alliance issued statements regarding vaccines and autism. In short, vaccines are thoroughly tested and remain one of the most important tools we have for preventing infectious diseases. They represent one of the greatest public health achievements in history, having saved millions of lives…
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11/20/25 Provider Alert: Case of H5N5 Influenza Confirmed in Washington
Current Situation On November 13, 2025, a Washington resident who has been hospitalized with respiratory illness symptoms since early November tested positive for influenza A H5, a type of avian influenza. Subsequent sequencing confirmed the patient was infected with H5N5 influenza virus. To our knowledge, this is the first known human case of H5N5. The…
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11/13/25: Health Alert: Infant Botulism Associated with ByHeart Infant Formula
Summary Actions Requested Background Infant botulism is a rare illness where spores of Clostridium botulinum bacteria colonize and grow in an infant’s large intestine. These bacteria release a neurotoxin that causes symptoms like constipation, weakness (especially in sucking, crying, and swallowing), and loss of muscle tone. If untreated, the condition can lead to paralysis, trouble…
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09/15/25 Health Advisory: 2025–2026 respiratory-illness season vaccine recommendations
Summary Influenza COVID-19 RSV Co-administration of COVID-19, flu, and RSV vaccines is safe. Vaccination is one of the best ways to prevent severe disease and hospitalization. COVID-19 vaccine recommendations and Washington State Department of Health (DOH) support evidence-based recommendations from trusted national medical specialty societies, including the American Academy of Pediatrics (AAP), the American Academy…
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09/04/25 Update from Office of Immunization
Summary: The Washington State Department of Health (DOH) has issued COVID-19 Vaccine Standing Order for individuals aged 6 months and older, including pregnant persons, who do not have contraindications to the vaccine. Please see below for a letter from DOH regarding the COVID-19 vaccines. We will continue to share information and resources as they are…
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7/30/25 Provider Alert: Chagas Disease Screening Recommendations in Washington
Summary: Screen patients for Chagas disease if they have a history of residence in or prolonged travel to Mexico, Central, or South America. Chagas disease is a vector-borne parasitic disease which, if left untreated, can lead to chronic cardiac and gastrointestinal symptoms, adverse pregnancy outcomes, and/or congenital Chagas disease in infants. Current Situation The Washington State…
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07/24/25 Health Advisory: Pfizer recall of Benzathine Penicillin G injectable suspension (Bicillin LA)
Summary: Check your Bicillin LA and save remaining supply to treat pregnant people and infants with syphilis. Pfizer voluntarily recalled 12 lots of Benzathine Penicillin G Injectable Suspension (Bicillin LA) after particulates were found during a visual inspection. The recall comes amid high syphilis diagnoses across the U.S. Penicillin is the only recommended treatment for pregnant people…
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07/01/25 Health Advisory: Screening guidance for Candida auris in light of new local cases
Summary: Upgrade screening and preparation for Candida auris. Two facilities in Seattle have known transmission of Candida auris (C. auris). We have limited information about how much transmission is occurring in Washington. We recommend that you: Early screening is critical for rapid identification so you can quickly implement infection control measures and prevent spread at your facility. Background As of…
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04/18/25 Health Advisory: Stay alert for measles cases
Summary: Recognize measles and notify the Health Department. Consider measles as a diagnosis in anyone who: If you suspect measles, call the Health Department before the patient leaves the clinic using . Background There is a large, ongoing measles outbreak in Texas. Several other states have reported smaller outbreaks of measles. Here in Washington, 4 cases have…
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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…
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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…
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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…
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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…