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Provider Alert: Infant Botulism Associated with ByHeart Infant Formula
11/13/2025 This is a Provider Alert from the Washington State Department of Health (WA DOH) regarding multiple cases of infant botulism after consuming ByHeart Whole Nutrition Infant Formula. Current SituationOn November 8th, 2025, the Centers for Disease Control and Prevention (CDC) announced an outbreak of infant botulism linked to infant formula. Since August 2025, at…
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MERS-CoV
In September 2012, the Saudi Arabia Ministry of Health announced a new form of coronavirus, since named Middle East Respiratory Syndrome Coronavirus (MERS-CoV). So far all cases have been linked (by residence or travel) to countries in or near the Arabian Peninsula: Bahrain; Iraq; Iran; Israel, the West Bank and Gaza; Jordan; Kuwait; Lebanon; Oman;…
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Hepatitis A Fact Sheet
Overview Transmission: Fecal-oral. Incubation Period: Average 28-30 days (range 15-50 days). Symptoms: Anorexia, vomiting, abdominal pain, fatigue, followed by jaundice. Severity of illness increases with age. Infectious Period: 14 days prior to onset of jaundice to seven days after onset of jaundice. Infants can excrete virus in the stool for longer periods of time. Epidemiology:…
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Hepatitis A Fact Sheet
Overview Transmission: Fecal-oral. Incubation Period: Average 28-30 days (range 15-50 days). Symptoms: Anorexia, vomiting, abdominal pain, fatigue, followed by jaundice. Severity of illness increases with age. Infectious Period: 14 days prior to onset of jaundice to seven days after onset of jaundice. Infants can excrete virus in the stool for longer periods of time. Epidemiology:…
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Lice in Schools
What procedures should our school follow if a student has head lice? Head lice are tiny parasites that can live on the human head. They survive by sucking blood from the scalp. Lice eggs (called “nits”) can attach to strands of head hair. Lice can cause the head to itch, but have not been proven…
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Health Advisory: Measles Outbreak in Minneapolis
Actions Requested Be aware of an expanding outbreak of measles in Minneapolis, MN. Advise patients planning travel of increased measles activity and ensure they are adequately immunized. When evaluating febrile rash illness, ask about out-of-state and out-of-country travel within the last 21 days. Background A measles outbreak is occurring in the Minneapolis, Minnesota metropolitan area.…
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Meningococcal Disease Fact Sheet
Meningococcal disease is a sudden, severe illness caused by the bacterium Neisseria meningitidis. The disease manifests most commonly as meningitis and/or meningococcemia, but may also cause pneumonia, arthritis or pericarditis. The symptoms include sudden high fever, chills, severe headache, stiff neck and back, nausea, vomiting, purpural rash, decreased level of consciousness, difficulty breathing and seizures.…
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“What is Public Health?” from American Public Health Association
Learn why public health is essential in American Public Health Association’s “What Is Public Health?” article. Read article
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Measles Diagnosis Information
Most people in the United States are protected against measles through vaccination, so local measles cases are uncommon. However, every year measles is brought into the United States by unvaccinated travelers (Americans or foreign visitors) who get measles while they are in other countries. They can spread measles to other people who are not protected…
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Adult Syphilis Treatment Guidelines
This article is excerpted from CDC’s 2015 STD Treatment Guidelines. The preferred drug for all stages of syphilis treatment is Penicillin G administered parenterally. Preparation, dosage, and length of treatment depend on the stage and clinical manifestations of the disease. Selection of the appropriate penicillin preparation is important. T. pallidum can reside in sequestered sites…
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Flu Patient Information
Worried about the flu? Influenza is widespread and at epidemic levels. The best way to protect yourself and your family is still getting a flu vaccine. Frequent hand washing and avoiding others who are sick also helps. Flu vaccines can take up to two weeks to take effect. What if, despite your best efforts, you…
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Tuberculosis Screening
Consider testing Person traveling in TB endemic areas. Migrant workers. Person experiencing homelessness. Contact to a tuberculosis case. Foreign-born person from tuberculosis-endemic area. Person who injects drugs. Immunosupressed person (e.g., HIV positive or organ transplant). Resident/employee of healthcare, correctional or long-term care facility. Person with chronic medical problem (e.g., diabetes, end stage renal disease). Test…
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Health Advisory: Syphilis Increase and Prevention of Congenital Syphilis
Requested Actions Test all pregnant women for syphilis at the first prenatal encounter. Repeat syphilis testing during the third trimester among women at risk for STD (e.g., recent history of bacterial STD, multiple partners, homelessness; methamphetamine, opioid, or cocaine use; exchanging sex for money, drugs, etc.; having a sex partner who is a man who…