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Health Alerts

The Snohomish Health District Health Officer Dr. Gary Goldbaum sends alerts via email to local health care providers. Alerts cover current local, regional or national health threats and important updates on medical care and protocols. Alerts are written as needed to cover urgent or emergent health issues.

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Influenza Vaccine and Mumps

Today’s topics:

  • Influenza vaccine
  • Mumps

Influenza vaccine

Actions requested:  Be aware that intranasal live attenuated influenza vaccine (LAIV) is not likely to be recommended this next influenza season.

Background & Recommendations

The Centers for Disease Control & Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) voted on June 22 that intranasal LAIV (FluMist Quadrivalent) should not be used during the 2016-2017 influenza season.  The decision was based on data showing poor or relatively lower effectiveness of LAIV from 2013 through 2016. ACIP continues to recommend annual flu vaccination, with either the inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV), for everyone six months and older. ACIP's recommendation must be reviewed and approved by CDC's director before it becomes CDC policy. CDC will publish the final annual recommendations on the prevention and control of influenza with vaccines in late summer or early fall.  I will forward those recommendations as soon I get them.  Meanwhile, I advise that for now providers not order intranasal LAIV for the upcoming influenza season.


Actions requested:  Be aware that college-bound students from Washington State have been exposed to mumps.

Background & Recommendations

A student at Creighton University in Omaha, Nebraska, has laboratory-confirmed (PCR+) mumps. Symptoms began June 12, 2016, but on June 9-10, this student worked on Creighton’s “Summer Preview” orientation program.  The program was attended by 167 incoming freshmen students and their families, all considered to have been exposed to mumps. Students came from 16 states, including Washington State.  No county information is available.  Consider mumps if you see symptomatic Creighton-bound students who participated in the “Summer Preview” program.  Please notify the Health District (425-339-5278) within 24 hours if you have a suspect case.

You can find my recent health alerts posted on the Provider pages of our website, at

Gary Goldbaum, MD, MPH | Health Officer & Director | Administration

3020 Rucker Avenue, Ste 306 | Everett, WA 98201 | 425.339.5210 |

               Public Health: Always working for a safer & healthier Snohomish County


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Health alerts include information about diseases or other health risks or issues that affect Snohomish County.