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Health Advisory: Avian Influenza in poultry in Pierce County
Summary Washington State Department of Agriculture (WSDA) reports that highly pathogenic avian influenza (HPAI), commonly known as bird flu, was detected in a commercial poultry facility in Pierce County. This is the first detection in commercial poultry in Washington this year. While the risk to the public is low, transmission of H5N1 from infected animals…
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Provider Alert: Updated Guidance for Influenza Testing and Subtyping
Situation Summary Emergency Department visits for influenza are currently rising in Washington, indicating an early start to the 2026-2027 influenza season. Be alert for patients with seasonal as well as novel influenza viruses such as highly pathogenic avian influenza (HPAI). The Centers for Disease Control and Prevention (CDC) and the Association of Public Health Laboratories…
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09/11/26 Health Advisory: 2026–2027 Respiratory Illness Season Immunization Recommendations
Summary of 2026-27 guidance from AAP, AAFP, ACOG, and IDSA: We recommend you rely on evidence-based immunization guidance from trusted national medical specialty societies, including: Find a summary of their recommendations below, as well as at SpreadTheFacts.org. For more detail, see the childhood and adult vaccine schedules and guidelines for immunocompromised patients (the brief summary below does not include guidance…
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06/15/26 Health Advisory: Infant Botulism Associated with Nara Organics 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 breathing, and…
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04/20/26 Provider Alert: Measles continues to spread in Washington; Prepare now
Current Situation As of April 15, 2026, a total of 37 cases of measles have been identified in Washington state this year. WA DOH is aware of at least 9 separate introductions of measles into the state since January 1, 2026, all associated with domestic or international travel. Many of these cases have led to…
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03/16/26 Provider Alert: respiratory syncytial virus (RSV) season has been extended through April 30, 2026
The respiratory syncytial virus (RSV) season has been extended through April 30, 2026. Please continue to administer nirsevimab or clesrovimab to all eligible patients through April 30th. Current Situation RSV activity in Washington began later than usual this season, with emergency department visits in the state reaching the activity threshold in December 2025, compared to…
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Washington confirms measles outbreak
Washington State Department of Health (DOH) confirmed a measles outbreak in Snohomish County—the first in the state since 2023. Three unvaccinated children ages 23 months to 9 years tested positive for the highly contagious disease. Additionally, one person in Kittitas county tested positive. The outbreak comes as measles cases are rising across the United States,…
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Washington state expands same-day support for opioid use disorder
Telebupe Hotline brings rapid, low-barrier care to people statewide Summary Background People across Washington now have an easier way to get help for opioid use disorder. The Washington State Department of Health (DOH) is partnering with the University of Washington (UW) to expand the Washington Telebuprenorphine (Telebupe) Hotline statewide. Washington residents can now access same-day medical treatment via phone or video no matter where they live in the state by…
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The West Coast Health Alliance continues to recommend vaccination in alignment with the American Academy of Pediatrics Recommended Child and Adolescent Immunization Schedule
Summary Lincoln County Public Health Officer, Dr. Raaj Ruparel, MD endorses the West Coast Health Alliance (WCHA) recommendation following the American Academy Pediatrics (AAP) Recommended Child and Adolescent Immunization Schedule. Background On January 5, 2026, the Acting Director of the Centers for Disease Control and Prevention signed a decision memorandum to revise the Child and Adolescent Immunization…
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West Coast Health Alliance, WA DOH, and Leading National Medical Organizations Continue to Recommend Hepatitis B Vaccination for Newborns
WCHA disagrees with CDC’s Advisory Committee’s change to decades-long vaccine recommendation that has reduced pediatric hepatitis B infections by 99 percent. The West Coast Health Alliance (WCHA) strongly supports that hepatitis B vaccination continue to be routinely offered to all newborns, with the first dose of the vaccine given within 24 hours of birth for…
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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…