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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; Human papillomavirus vaccine; Long acting reversible contraception

Today’s topics:

  • Influenza vaccine
  • Human papillomavirus vaccine
  • Long acting reversible contraception


Influenza vaccine

Actions requested:  Be aware of resources to support provider decisions about vaccinating for influenza, given that intranasal live attenuated influenza vaccine (LAIV) is not recommended this next influenza season.

Background & Recommendations

As noted in my July 1 alert, the Centers for Disease Control & Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) has recommended against using intranasal LAIV (FluMist Quadrivalent) during the 2016-2017 influenza season.  The Washington State Department of Health has posted information to assist providers who offer influenza vaccine.  See

Human papillomavirus vaccine

Actions requested:  Consider participating in a free webinar about how to increase vaccination to protect against cancers caused by human papillomavirus.

Background & Recommendations

Human papillomavirus is the most common sexually transmitted infection and is a major cause of cervical, vulvar, vaginal, penile, anal, and oropharyngeal cancers.  Vaccination can reduce significantly the risk of infection and subsequent cancer.  However, only 30% of Snohomish County’s 11-12 year olds have initiated the HPV series and only 9% have completed the series.  By age 13-17, the rates are only 44% initiated and 24% completed.  The CDC, Washington State Department of Health, and Snohomish Health District are committed to increasing vaccination rates.  To that end, I urge providers to take advantage of educational webinars sponsored by the American Cancer Society, the University of Washington School of Medicine, and the Washington-Wyoming-Alaska-Montana-Idaho Area Health Education Centers.

The webinar will provide information on the burden of HPV cancers, the importance of HPV vaccination, and how to help parents overcome hesitancy about HPV vaccine.  The webinar is acceptable for up to 1 Prescribed Credit by the American Academy of Family Physicians.

Upcoming webinar dates and times (PDT), and links to register for each date follow:

Fri, July 15, 2016 at 1-2 PM (

Wed, Aug 3, 2016 at noon-1PM (

Thur, Aug 4, 2016 at 1-2 PM (

Thur, Sep 8, 2016 at 11 AM-noon (

Long acting reversible contraception

Actions requested:  Consider a free training on long acting reversible contraception.

Background & Recommendations

Long acting reversible contraception is an extremely effective strategy for preventing unwanted pregnancies.  The North Sound Accountable Community of Health has partnered with the Bixby Center at the University of California – San Francisco to offer a free all-day training on long acting reversible contraception methods, notably insertion of intrauterine devices and subdermal etonogestrel (Nexplanon).  The training will be in Mt. Vernon on Thursday, September 15, and includes up to 7.5 hours of CME.  To register, contact Tiffany Edlin at  Details about the exact location and time will be sent after registering.

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 |


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Communicable Disease


Did you know?

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