CHELAN-DOUGLAS PUBLIC HEALTH

Current Conditions of Interest “ A l w a y s W o r k i n g f o r a S a f e r a n d H e a l t h i e r C o m m u n i t y ”

TO REPORT A

NOTIFIABLE

CONDITION:

Phone (509) 886-6400

Fax (509) 886-6478

After hours call:

(509) 886-6499

August 2019 Contents:

E. coli from Fairs and Petting Zoos

Free MMR for Child Care Workers

2018 Reportable Conditions

Risk of E. coli when visiting Fairs or Petting Zoos

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In San Diego County California a number of children were infected with E. coli after visiting a county fair. One of the children, a 2 year old boy, died from the disease. The children ranged in ages between 2 and 13.

In 2015, an E. coli O157:H7 outbreak occurred in Whatcom County at a Milk Makers Fest which sickened 60 (25 confirmed and 35 probable). The outbreak strain of E. coli was found in the environment on bleach-ers and bales of hay that made up a hay maze. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6442a5.htm https://www.foodsafetynews.com/2015/10/final-milk-makers-fest-e-coli-o157h7-outbreak-final-report-released/

Physicians and other healthcare providers should be aware of the risk for zoonotic diseases in pets, farm animals, and wildlife, as well as the risk of diseases spreading between animals and their owners or care-takers. Healthcare providers should counsel patients on prevention practices, including how to stay safe and healthy around animals. Healthcare providers should consider asking about contact with animals at home or away from home. This might include asking about pets, possible workplace exposures, and lei-sure activities. Healthcare providers should also always consider the potential for a zoonotic infection when seeing sick patients. Patients at higher risk for serious illness with zoonotic infections include chil-dren under 5 years old, people with weakened immune systems, older adults over 65 years old, and, in many cases, pregnant women. https://www.cdc.gov/healthypets/specific-groups/healthcare-providers.html

DOH receives 150-250 reports of STEC each year. E. coli O157:H7 was first identified in Washington during 1986 outbreaks in Seattle, Spokane, and Walla Walla. Sources implicat-ed in E. coli O157:H7 outbreaks in Washing-ton have included animal exhibits, beef, pro-duce, raw milk, and recreational water. Six to 18 cases of HUS have been reported annually in Washington in recent years. https://www.doh.wa.gov/Portals/1/Documents/5100/420-078-Guideline-STEC.pdf

CHELAN-DOUGLAS PUBLIC HEALTH Current Conditions of Interest August 2019

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Free MMR Vaccine for Child Care Workers

For immediate release: July 25, 2019 (19-082)

Español Contacts: Kristen Maki, Department of Health, 360-545-2944 Debra Johnson, Department of Children, Youth & Families, 360-789-7926

Free MMR Vaccine Now Available for Child Care Workers

OLYMPIA - The Department of Health is collaborating with Safeway Inc. and Albertsons Companies LLC and with the Department of Children, Youth, and Families to offer free measles, mumps, and rubella (MMR) vaccination for unin-sured child care workers and volunteers. As of July 28, 2019, Washington state law will require staff and volunteers of licensed child care centers to be immunized against measles.

Fifteen Albertsons and Safeway pharmacies across the state will offer MMR vaccine free of charge through June 2020 to uninsured child care staff and volunteers who need it. The pharmacies will also waive the administration fee. The cost and fees will also be waived for those who are underinsured and cannot afford the vaccine.

Find the list of participating locations on the Department of Health’s website.

Child care staff and volunteers who have insurance also have options to get vaccinated. MMR vaccine for those age 19 and older is covered by most insurance companies and by Medicare and Apple Health (Medicaid). Learn more about the cost and coverage of adult vaccines. Washington also provides recommended vaccines at no cost to eve-ryone under the age of 19.

The effort is a collaboration between Safeway and Albertsons; the Department of Health; the Department of Chil-dren, Youth, and Families; and the Washington State Pharmacy Association.

The DOH website is your source for a healthy dose of information. Find us on Facebook and follow us on Twitter. Sign up for the DOH blog, Public Health Connection.

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Free MMRs in Wenatchee

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CHELAN-DOUGLAS PUBLIC HEALTH August 2019

2019 Reportable Conditions, Chelan-Douglas Counties

Washington State Reportable Conditions Posters by Reporter

Washington State Reportable Conditions Forms and Guidelines

Not reported: Cases investigated but did not meet case definition for reporting.

Out of Jurisdiction: Cases investigated but found to belong to another jurisdiction (county).