Provider Resources WA

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 07/19/23: The first case of Candida auris diagnosed in Washington

07/06/23 Health Advisory: Syphilis Treatment Impacted by Bicillin L-A Shortage

Mother holds her child.

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 07/06/23 Health Advisory: Syphilis Treatment Impacted by Bicillin L-A Shortage

04/24/23 Health Advisory: Bivalent COVID-19 Vaccine Use Expanded, Monovalent No Longer Authorized

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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 04/24/23 Health Advisory: Bivalent COVID-19 Vaccine Use Expanded, Monovalent No Longer Authorized

04/20/23 Health Advisory: Tuberculosis Testing and Treatment for People Newly Arrived from Ukraine

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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 04/20/23 Health Advisory: Tuberculosis Testing and Treatment for People Newly Arrived from Ukraine

03/14/23 Health Advisory: Extensively Drug-Resistant Shigellosis

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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, 03/14/23 Health Advisory: Extensively Drug-Resistant Shigellosis

02/22/23 Health Advisory: Increase COVID-19 Treatment Access, Prescribing and Uptake

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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, 02/22/23 Health Advisory: Increase COVID-19 Treatment Access, Prescribing and Uptake

12/19/22 Health Advisory: Antiviral Flu Treatment Interim Guidance

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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: Antiviral Flu Treatment Interim Guidance

12/19/22 Health Advisory: Newly Arrived Ukrainian Citizens’ Medical and Mental Health Needs

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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

11/08/22 Health Advisory: Increased Respiratory Virus Activity

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Multiple viruses are causing increased respiratory illness, especially among children, straining healthcare systems. Transmission of respiratory illnesses is increased in our communities. Schools report much higher absenteeism than normal for this time of year. Our hospital emergency departments are seeing many patients. This increase in illness early in respiratory illness season highlights the importance of 11/08/22 Health Advisory: Increased Respiratory Virus Activity

10/27/22 Health Advisory: 2022–2023 Influenza Season Surveillance, Testing & Treatment

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Requested actions Vaccine This season’s updates in Centers for Disease Control and Prevention’s (CDC’s) Prevention and Control of Influenza (MMWR Vol. 71/No. 1): Surveillance Seasonal influenza surveillance starts in October and continues through April. We expect SARS-CoV-2 and influenza viruses will circulate simultaneously. To aid testing and treatment decisions, stay aware of local influenza and 10/27/22 Health Advisory: 2022–2023 Influenza Season Surveillance, Testing & Treatment