The Epi-Log Newsletter contains articles about current health issues in King County, such as recent outbreaks, vaccination programs, cases of unusual infectious diseases, and background articles on new and emerging infectious diseases. Also included in each issue is a table of disease reports received the previous month, and historical data on disease reports from the previous year.

Click on a year below to expand list of issues:

January 2008, Vol. 48, No. 1: You Know It’s Pertussis—Now What Do You Do? Chlamydophila psittaci in Birds Sold in the U.S. Influenza Monthly Update February 2008, Vol. 48, No. 2: Conditions Notifiable by Health Care Providers and Health Care Facilities Frequently Asked Questions About Notifiable Conditions Monthly Influenza Update Erratum March 2008, Vol. 48, No. 3: World TB Day March 24, 2008: Tuberculosis (TB) in King County Monthly Influenza Update April 2008, Vol. 48, No. 4: Animal Bites and Rabies Post-Exposure Prophylaxis (PEP) in King County Evaluation of Rabies Post-Exposure Prophylaxis (PEP) Reporting in King County May 2008, Vol. 48, No. 5: Measles Outbreaks Continue Throughout the US, Including Washington State Temporary Unavailability of Rabies Vaccine for Pre-exposure Vaccination Travel Health Information for the 2008 Beijing Olympic Games, August 8-24, 2008 June 2008, Vol. 48, No. 6: Human West Nile Virus: Will 2008 Be Our Year?

January 2007, Vol. 47, No. 1: Recent Imported Measles and Mumps: It’s a Small World After All Increased Norovirus Activity in King County King County Influenza Update February 2007, Vol. 47, No. 2: King County Pediatric Influenza Deaths Cluster of Four Highly Similar Multidrug Resistant HIV Cases Multistate Outbreak of Salmonellosis Associated with Consumption of Peanut Butter March 2007, Vol. 47, No. 3: Pet Associated Salmonellosis: Snakes and Chicks and Hamsters Zebra of the Month: Fever and Arthralgias After Travel to Sri Lanka April 2007, Vol. 47, No. 4: Select Travel-Associated Infections Reported in King County Reasons to Report Suspected or Confirmed Travel-Related Conditions to Public Health May 2007, Vol. 47, No. 5: Reminder! Dangers of Eating Raw Shellfish Zebra of the Month!—An unusual case of otitis New Vaccine Protects Against Cervical Cancer, Genital Warts June 2007, Vol. 47, No. 6: King County Prepares for West Nile Virus CDC’s Immunization Update 2007 July 2007, Vol. 47, No. 7: Rabies Risk Associated with Contact with Bats, Raccoons, and Other Critters New Tests for Pertussis and Shiga Toxin Offered by PHSKC Laboratory West Nile Virus Monthly Update Attention We Moved August 2007, Vol. 47, No. 8: Partners in Disease Control and Prevention A Missed Opportunity to Prevent Perinatal Hepatitis B Infection West Nile Virus Monthly Update September 2007, Vol. 47, No. 9: Enterohemorrhagic (Shiga toxin-producing) E. coli West Nile Virus Monthly Update October 2007, Vol. 47, No. 10: Influenza: Surveillance, Recommendations, Vaccination, Treatment, and Prophylaxis November 2007, Vol. 47, No. 11: Methicillin-Resistant Staph aureus (MRSA) in the News New Hepatitis A Vaccine Guidelines for Post-Exposure Prophylaxis and Pre-Travel West Nile Virus (WNV) Monthly Update December 2007, Vol. 47, No. 12: Wound Botulism Case in King County Puzzler of the Month CDC Training: Epidemiology and Prevention of Vaccine Preventable Diseases Influenza Monthly Update

January 2006, Vol. 46, No. 1: Leptospirosis Update Health Advisories & Resources in King County CDC Issues Recommendation Against the Use of Amantadine and Rimantidine for Prophylaxis or Treatment of Influenza for the Remainder of the 2005-2006 Season King County Influenza Update February 2006, Vol. 46, No. 2: Conditions Notifiable by Health Care Providers Frequently Asked Questions About Disease Reporting Erratum March 2006, Vol. 46, No. 3: Gypsy Moth Spraying in Seattle’s Madison Valley In Memoriam: E. Russell “Russ” Alexander, MD April 2006, Vol. 46, No. 4: Update: Multi-State Mumps Outbreak: United States Seattle TB Intensive in June 2006 May 2006, Vol. 46, No. 5: West Nile Virus: Will 2006 be Our Year? New Interim Mumps Vaccination Recommendations Avian Influenza Update June 2006, Vol. 46, No. 6: Animal Bites and Rabies Post-Exposure Prophylaxis Disseminated Gonorrhea in King County Hantavirus Pulmonary Syndrome Alert July 2006, Vol. 46, No. 7: Outbreak of Vibrio parahæmolyticus Infections Associated with Consumption of Raw Local Oysters New Recommendations From the Advisory Committee on Immunization Practices HIV-AIDS Reported Cases for July, 2006 August 2006, Vol. 46, No. 8: Alert on Imported Measles Update on Outbreak of Vibrio parahæmolyticus Infections Primary Multi-drug Resistant Human Immunodeficiency Virus (HIV) in King County September 2006, Vol. 46, No. 9: Update on Multi-State Outbreak of E. coli O157:H7 Infections Associated with Consumption of Fresh Spinach First Human West Nile Virus Infection in Washington: Two Cases Reported From Pierce County Pandemic Flu Factsheets for Patients Medical and Support Volunteers Wanted for Public Health Reserve Corps October 2006, Vol. 46, No. 10: Influenza Surveillance, Vaccine Recommendations, Treament and Prophylaxis, Vaccine Supply, and Frequently Asked Questions (FAQs) Alert: Interim Guidance on Planning for the Use of Surgical Masks and Respirators in Health Care Settings during an Influenza Pandemic West Nile Virus Found in King County Birds November 2006, Vol. 46, No. 11: Tuberculosis in King County: Part 1 Important Notice for King County Health Care Providers: Public Health Information and Alert Network Leptospirosis Update December 2006, Vol. 46, No. 12: Tuberculosis in King County: Part 2 Disseminated Gonorrhea in King County

January 2005, Vol. 45, No. 1: Avian Influenza Update King County Influenza Update Beware of Bats in the Wood Pile! February 2005, Vol. 45, No. 2: Change to Washington State Notifiable Conditions Law Vaccinating High Risk Persons for Hepatitis A and B: Optimizing Insurance Reimbursement There’s a New Kid in Town: Influenza A/California/7/2004 (H3N2) March 2005, Vol. 45, No. 3: Recent Travel-Associated Infections Reported in King County Recognizing and Preventing Travel-Associated Infections Reasons to Report Travel-Associated Notifiable Conditions to Public Health April 2005, Vol. 45, No. 4: Planning the Local Healthcare System Response to an Influenza Pandemic New Meningococcal Vaccine May 2005, Vol. 45, No. 5: West Nile Virus Update: Laboratory Testing and Case Reporting Guidelines New Mosquito Repellent Options — Just in Time for West Nile Virus Season June 2005, Vol. 45, No. 6: Survey of Hepatitis C Patient Needs Pertussis Vaccine Approved for Adolescents and Adults CDC Immunization Update July 28th Erratum July 2005, Vol. 45, No. 7: The Medical Monitoring Project (MMP) 2003 Nationwide Hepatitis A Incidence at a 40-Year Low Campylobacteriosis Outbreak Associated with a Camping Trip to a Farm Spokane Woman Tests Negative for West Nile Virus August 2005, Vol. 45, No. 8: Imported Measles in King County Rabies Post-Exposure Prophylaxis: FAQS about Rabies PEP September 2005, Vol. 45, No. 9: Update on Imported Measles in King County A Case of Tetanus October 2005, Vol. 45, No. 10: Influenza Vaccination Recommendations 2005-2006, Including Information About Live Attenuated Influenza Vaccine (LAIV) Influenza Vaccine Supply Update Communicable Disease Summary for 2003 and 2004 now Available Td: A clarification November 2005, Vol. 45, No. 11: Avian Influenza A (H5N1): Recommendations for Screening & Initial Management of Suspect Human Cases Seasonal Influenza Vaccine Update Frequently Asked Questions about Live Attenuated Influenza Vaccine December 2005, Vol. 45, No. 12: Update on Pertussis Post-Exposure Prophylaxis (PEP) Recommendations Save the Date: Epidemiology & Prevention of Vaccine-Preventable Diseases Course

January 2004, Vol. 44, No. 1: SARS Update Influenza Update Pertussis Up in 2003, Especially Among Infants <6 Months of Age Epidemiology of Vaccine Preventable Diseases Course February 2004, Vol. 44, No. 2: Avian Influenza and the Specter of Pandemic Influenza Discharging a Patient with Suspect SARS-CoV from the Inpatient or Outpatient Setting March 2004, Vol. 44, No. 3: Recognizing Septic Shock in Infants: From the King County Child Death Review Team Breaking Out All Over: Norovirus Update on H5N1 Avian Influenza and SARS April 2004, Vol. 44, No. 4: Measles Among Adoptees From China, April 2004 STD Update and Intensive Course Foodborne Illness Primer for Physicians and Other Health Care Professionals May 2004, Vol. 44, No. 5: Nationwide Salmonella Enteriditis Outbreak Linked to Raw Almonds No Community Transmission of Measles After Imported April 2004 Outbreak in King County Zebra of the Month: Tick Paralysis Treatment of Pertussis with Azithromycin June 2004, Vol. 44, No. 6: West Nile Virus 2004: Update Health Advisories & Resources Rabies Information and Resources Health Advisories & Resources Now on the Web! July 2004, Vol. 44, No. 7: Tuberculosis Outbreak in King County Among East African Young Men Zebra of the Month: Japanese Encephalitis August 2004, Vol. 44, No. 8: Notifiable Condition Reporting and the Health Care Provider Erratum September 2004, Vol. 44, No. 9: The Health Care Provider and Post-Exposure Prophylaxis for Communicable Diseases APIC Chapter Will Hold Infection Control Education Day on October 22nd October 2004, Vol. 44, No. 10: Prioritization of Influenza Vaccine: Recommendations of the Washington State Vaccine Advisory Committee Use of Antivirals for Treatment and Chemoprophylaxis of Influenza Current Status of Influenza Vaccine Supplies in King County November 2004, Vol. 44, No. 11: Influenza Activity and Vaccine Supply Update Syphilis Increase in King County Wound Botulism in Injecting Drug Users Zoonotic Disease Alert: Leptospirosis in Dogs December 2004, Vol. 44, No. 12: Flu Shot Eligibility Expanded for King County Residents Influenza Surveillance in King County Reporting Influenza-Associated Pediatric Mortality West Nile Virus 2004 Season Review Epidemiology and Prevention of Vaccine-Preventable Diseases Course

January 2003, Vol. 43, No. 1: Smallpox Vaccine (Vaccinia) Adverse Event Recognition and Management Update on TB outbreak among homeless Increase in Salmonella enteritidis in Washington State Sporadic Influenza A is being reported in Washington State Guillain-Barré Syndrome investigation Register for CDC's Epidemiology & Vaccine-Preventable Diseases Course 2003 February 2003, Vol. 43, No. 2: Introducing Norovirus Smallpox Vaccination Plan: Update and information on reporting adverse events An increase in community-acquired methicillin-resistant Staphlococcus aureus (MRSA) infections in California HIV numbers now included in disease table March 2003, Vol. 43, No. 3: Severe Acute Respiratory Syndrome in travelers to Asia New recommendations for interpreting and reporting results of antibody to Hepatitis C virus Update-Salmonella enteritidis outbreak associated with egg consumption Influenza update April 2003, Vol. 43, No. 4: Severe Acute Respiratory Syndrome: An update New cardiac screening guidelines for potential smallpox vaccinees New HIV data tables on HIV/AIDS website! May 2003, Vol. 43, No. 5: HIPAA and Public Health Reporting: Yes You Can! SARS in King County Clinician advisory on negative pertussis DFA test: Not a reason to stop treatment Avian influenza in the Netherlands PHSKC-INFO-X listserv for King County health care providers CDC clinician registry for terrorism and updates and training opportunities HIV/AIDS cases are incomplete for April 2003 June 2003, Vol. 43, No. 6: West Nile Virus, Summer 2003 Monkey Pox Outbreak in the Midwest US Infant Pertussis on the Rise in King County July 2003, Vol. 43, No. 7: Tuberculosis in King County, 2002 CDC 2003 Immunization Update August 2003, Vol. 43, No. 8: Tick-Borne Relapsing Fever in Washington State 'Tis the Season for Vibriosis West Nile Virus Update Measles Alert September 2003, Vol. 43, No. 9: Community-acquired Methicillin Resistant Staphylococcus aureus (CA-MRSA) Infection Update: Laboratory Testing and Reporting for West Nile Virus October 2003, Vol. 43, No. 10: Preparing for SARS: Steps to Take Now in the Absence of SARS Activity Worldwide Risk of Transmission of Hepatitis B and C in the Outpatient Setting November 2003, Vol. 43, No. 11: Influenza Arrives Early in King County Probable Wound Botulism Due to Injection of Black Tar Heroin Brochure for Pregnant Women on Preventing Listeriosis During Pregnancy New Death Certificate Form in January 2004 December 2003, Vol. 43, No. 12: Influenza Update: What's the Deal with Vaccine Supplies? Important Provider Alert: Antibiotic Resistant Gonorrhea in King County Kudos to Dr. Frank Reido Reminder: New Death Certificate Form in January 2004 Respiratory Etiquette Poster and Brochure for Health Care Facilities Available for Download

January 2002, Vol. 42, No. 1: First year of mandatory reporting of Hepatitis C and Chronic Hepatitis B Listeriosis in pregnant women linked to consumption of queso fresco February 2002, Vol. 42, No. 2: The smallpox threat Antibiotic resistant shigellosis in King County March 2002, Vol. 42, No. 3: FDA alert on potentially dangerous OB/GYN surgical devices Reptile-associated salmonellosis in King County Re-emergence of Influenza B/Victoria strain