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CDC Health Information for International Travel (commonly called the Yellow Book) for healthcare professionals is available online to help determine which vaccines are necessary prior to travel. It is helpful to remind patients to start planning for their travel vaccines at least two months prior to their planned departure date to avoid difficulty in securing required vaccine and appointments to administer vaccine.

For the first time in nearly 20 years, a Washington resident has been infected with confirmed locally acquired Rocky Mountain Spotted Fever (RMSF). While rare (zero to three cases in Washington per year), this case serves as a good reminder of the possibility of locally acquired tickborne diseases and the need to take appropriate precautions when in tick habitats.

Separate outbreaks of hepatitis A (hep A) and hepatitis B (hep B) occurring in the Spokane community prompted rapid response from Spokane Regional Health District (SRHD) to administer Twinrix (hepatitis A and B combination vaccine) to the communities at highest risk for disease acquisition, namely people living homeless, people using injection drugs, and men who have sex with men.

Public agencies helping communities prepare for poor air quality due to wildfires, smoke, wildfires, wildfire smoke, Spokane Regional Clean Air

hep a, hepatitis

Black flies, also known as buffalo gnats (some species are also referred to as “punkies” or “no- see-um’s”), are small, biting flies that irritate people and animals near running rivers and streams. They are sensitive to weather conditions and are most active on cloudy, humid days with low wind. Take these simple steps to avoid their bites: Stay away from areas where black flies are active during the day, especially at dusk and dawn. Wear light-colored, long pants and long sleeves, especially whites and tans. Also wear a light-colored hat. Consider using insect repellent.

Campaign offers illustrations, tips for confronting disease-carrying insects in Spokane.