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Health Advisory: Measles Remains a Growing Concern in Washington

03/10/2026 Action Requested Background Measles illness starts with a prodrome of fever, cough, coryza, and conjunctivitis (typically lasting 2-4 days) and then a generalized maculopapular rash that typically begins on the face/head then spreads to the neck, trunk and extremities. Increases in measles cases and outbreaks are occurring in every region of the world. CDC…

Revisions to DOH Blood Lead Testing Recommendations

01/26/2026 The Washington State Department of Health (DOH) has revised the state’s blood lead action level to 3.5 µg/dL, to be more protective of children’s health and prevent further exposure. DOH recommends that health care providers begin blood lead confirmatory and follow-up testing at 3.5 µg/dL. The Notifiable Conditions rule, which requires all blood…
The West Coast Health Alliance continues to recommend vaccination in alignment with the American Academy of Pediatrics Recommended Child and Adolescent Immunization Schedule

Summary The West Coast Health Alliance (WCHA) continues to recommend 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 Schedule and significantly reduce the number of vaccinations routinely…