FOR IMMEDIATE RELEASEFeb. 4, 2026

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, FEbruary 10

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. Tuesday, Feb. 10, at 3020 Rucker Avenue, in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of minutes of the regular meeting of December 9, 2025
5. Special Business
   1. Welcome new members
   2. Election of chair and vice chair
6. Public Comment  
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
7. Action

   1. Resolution 26-01 regarding Foundational Public Health Services (SR 26-01) Suggested Action: Move to approve Resolution 26-01

8. Director's Report
   1. Director's report (SR 26-02)
9. Briefings
   1. Ordinance 26-01 related to sewer connections (SR 26-03)
   2. Board of Health code of conduct (SR 26-04)
   3. Washington state legislative update (SR 26-05)
   4. Board of Health 2026 work plan (SR 26-06)
10. Old Business
11. New Business
12. Information Items
    1. Upcoming Meetings
13. Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

For immediate releaseJan. 28, 2026

SNOHOMISH COUNTY, Wash. – The Snohomish County Health Department has confirmed the first local death of a child from influenza during the 2025-2026 flu season. This is also the first pediatric influenza death in the state this season, according to the Washington State Department of Health.

A school-age teenager became ill and died from influenza last week. A total of 10 deaths have been reported in Snohomish County this season from complications related to influenza, while 222 people have been hospitalized. Across the state, as of Jan. 17, there have been 59 confirmed flu-related deaths.

“Our hearts go out to the family and friends of this youth,” said Health Officer Dr. James Lewis. “It’s a sad reminder of the danger that influenza and other vaccine-preventable diseases pose to our community.”

Other respiratory viruses such as flu, COVID-19 and RSV (Respiratory Syncytial Virus) can result in severe illness, especially for young children, older adults and others at higher risk. 

The flu season typically runs from October through April, but peaks about now. “It’s never too late to get vaccinated for the flu,” Dr. Lewis said. “Even if you still catch it, the vaccine generally reduces the number of sick days you’ll take from work or school and reduces the severity of symptoms, keeping you out of the hospital.”

During last year’s influenza season, Snohomish County reported 53 flu-related deaths, the most in more than a decade, while 859 flu-related hospitalizations were reported. 

People who are at higher risk for severe disease from influenza include young children, older adults, people who are immunocompromised or have chronic health conditions, pregnant individuals and those residing in long-term care facilities or nursing homes. Even healthy people can have severe disease.

The annual flu vaccine is recommended for everyone ages six months and older.

Snohomish County residents can visit local pharmacies and clinics to get vaccinated. In Washington state, children under age 19 can be vaccinated for free and most insurance plans, including Medicare part B, cover the cost for adults. If a person still needs a COVID-19 vaccine, both vaccines can be given during the same visit. 

If you get the flu: 

• Stay home if you are ill  
• Wear a mask over your nose and mouth in indoor public spaces when flu or other respiratory viruses are circulating at high rates 
• Cover coughs and sneezes 
• Wash your hands thoroughly with soap and water, and use hand sanitizer when soap and water aren’t available. 

For more information, visit the Health Department’s flu web page and see our dashboards for respiratory viruses.

Contact: shd.pio@co.snohomish.wa.us 

For immediate releaseJan. 28, 2026

EVERETT, Wash. – The Snohomish County Health Department has confirmed three additional measles cases since declaring an outbreak two weeks ago, bringing the total number of cases in the county to six.

The latest case was confirmed on Tuesday, Jan. 27, 2026, in a child who was unvaccinated. The child would have been infectious while attending an afternoon service at Slavic Christian Church Awakening in Mukilteo on Sunday, Jan. 18.

Anyone attending the church that day between 2 p.m. and 6 p.m. may have been exposed to the virus. People born before 1957 or who have had two shots of the MMR (measles, mumps and rubella) vaccine are considered immune.

Earlier this month, the Health Department confirmed three other measles cases in local children who were exposed to a contagious family visiting from South Carolina. Having three new connected cases amounts to an outbreak – a sign the disease is spreading locally.

Two additional measles cases in Snohomish County were diagnosed after the outbreak was announced. Those cases – also in unvaccinated children – were in a family already isolating due to a positive measles case in a sibling. No new exposure sites were linked to the two cases, and the general public was not at risk.

“Most people in our county have immunity to measles through vaccination, so the risk to the general public is low,” said Health Officer Dr. James Lewis. “The next two to three weeks could be telling on where this outbreak is going to go. Now is the time the find out your immunization status and get up to date on vaccinations.”

The MMR vaccine offers protection that lasts a lifetime.  Two doses are 97% effective against the measles virus. The WA Dept of Health is now recommending people who live or spend time in Snohomish County to get the second dose of MMR 28 days or more after the first dose. For MMRV, the second dose can be given three months after the first dose to improve immunity during this outbreak.

Dr. Lewis said more cases were expected during the outbreak and that some members of the community may have measles now and be isolating at home and not seeking medical attention. The latest case of measles could be related to the exposures from South Carolina, but it’s also possible it’s linked to a previously undiagnosed case. “The timing makes either a possibility,” he said.

Said Carrie Parker, the Health Department’s assistant director of prevention services: “Our community and the families impacted by this outbreak have been extremely cooperative in taking measures to stop additional spread of measles. Stay home if you are feeling ill, know your immune status and get vaccinated if you can to protect yourself and others.”

Moving forward, the Health Department does not necessarily plan to issue a news release after every new case of measles. Instead, we have created a new measles dashboard to share updates and exposure sites. You can follow us on social media for updates as well.

The largest active measles outbreak in the U.S. is in South Carolina, where nearly 800 cases of measles have been reported since October, according to the South Carolina Department of Public Health Department.

For answers to frequent questions about measles, including how to protect your family if you’re traveling, visit the measles page on the Snohomish County Health Department website.

Locations of potential exposure to the public

Spread of measles can occur before people know they have the disease and before any rash appears.  

The infected child was at the following public location before being diagnosed with measles. These times include the estimated period when they were at the location and two hours after. The measles virus can remain in the air for up to two hours after someone infectious with measles leaves the area. Anyone who was at the following location during the times listed could have been exposed to measles:

• Jan. 18, 2026, 2 p.m to 6 p.m. – Slavic Christian Church Awakening, 4223 78^th St. SW, Mukilteo, WA, 98275

What to do if you were in a potential location with measles exposure  

• Find out if you have been vaccinated for measles or have had measles previously. If you’re unsure about your immunity to measles, start by checking your vaccination records to see if you received the MMR vaccine. You can visit https://myirmobile.com/. If you were tested for measles in the past, try to locate the lab results. If you don’t have records of either vaccination or a blood test confirming immunity, it’s recommended that you get vaccinated with the MMR vaccine. There is no harm in receiving another dose, even if you were previously vaccinated but don’t have documentation.
• Snohomish County residents can check with local pharmacies and clinics about vaccination availability. In Washington state, children under age 19 can be vaccinated for free and most insurance plans, including Medicare part B, cover the cost for adults.
• If you were born before 1957, you are considered immune to measles. This is because you lived through many years of epidemic measles before the first vaccines were developed and are very likely to have had the disease.
• If you were born after 1956, are unimmunized and have never had measles, you should quarantine for 21 days after exposure.
• Call a healthcare provider promptly if you develop an illness with fever or with an unexplained rash. To avoid possibly spreading measles to others, do not go to a clinic or hospital without calling first to tell them you want to be checked for measles after an exposure. It is also important to limit contact with others, especially those without known immunity.

About measles  

Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, runny nose and red, watery eyes. If one person has it, up to 9 out of 10 people nearby will become infected if they are not protected. It mainly spreads through the air after a person with measles coughs or sneezes.  

The average incubation period for measles is 10 to 14 days from exposure to onset of symptoms, with a range of 7 to 21 days. Measles is contagious from about 4 to 5 days before the rash appears through 4 days after the rash appears. People can spread measles before they have the characteristic measles rash.  

Measles can lead to ear infections, diarrhea, pneumonia, and rarely, encephalitis (brain inflammation) or death.  

Complications from measles can happen even in healthy people, but those at highest risk include infants and children under 5 years, adults over 20 years, pregnant people, and people with weakened immune systems from medications or underlying disease.  

If you are in one of these high-risk groups and were exposed to measles at one of these locations, be sure to contact your health care provider to discuss any steps you need to take to protect yourself or loved ones against complications from measles. 

For more information about measles and measles vaccination: snohd.org/measles

Translated Media Release:

• Три новых случая заболевания корью подтверждены в округе Снохомиш (Russian)
• El Condado de Snohomish confirma tres nuevos casos de sarampión. (Spanish)
• Округ Сногоміш підтверджує три нові випадки кору (Ukrainian)

Contact: Jeff Hodson shd.pio@co.snohomish.wa.us 

For immediate releaseJan. 15, 2026

NOTE: This release was updated Jan. 16, 2026, to include a fourth exposure site.

Infections connected to ongoing South Carolina outbreak

EVERETT – The Snohomish County Health Department has confirmed three new measles cases this week in local children who were exposed to a contagious family visiting from South Carolina. These three new cases amount to an outbreak – a sign the disease is now spreading locally.

The children tested positive for the virus that causes measles on Wednesday, Jan. 14. They had experienced fever, cough and rashes consistent with measles. The children were unvaccinated for protection against the disease.

“We’re expecting more measles cases as a result of the previous exposures as well as these new outbreak cases,” said Snohomish County Health Officer Dr. James Lewis. “We are hoping to contain it, but unfortunately there have been a number of exposure sites already and there are likely more cases in the community that we do not know about yet.”

Dr. Lewis conferred with the Washington State Department of Health before declaring the outbreak. An outbreak is when three or more people in the same community get measles that has spread from one person to another.

Most people in our area have immunity to measles through vaccination, so the risk to the general public is low. Check your status for the MMR (measles, mumps and rubella) vaccine. It is a safe and highly effective vaccine that lasts a lifetime and offers 97% protection.

If you are not immune to measles, or don’t know your vaccination status, please get vaccinated when you can and see the list below for locations and times of potential exposure.

Last week, the Snohomish County Health Department and Public Health – Seattle & King County were notified that three members of a South Carolina family – one adult and two children – were infectious while visiting King and Snohomish counties from Dec. 27, 2025, through Jan. 1, 2026. The family visited multiple locations in Everett, Marysville and Mukilteo while contagious – but before being diagnosed – with measles. They also traveled through Seattle-Tacoma International Airport and visited a car rental facility near the airport.

The largest active measles outbreak in the U.S. is in South Carolina, where 434 cases of measles have been reported since October, according to the South Carolina Department of Public Health Department.

“We’re concerned about the health and safety of our Snohomish County children,” Health Department Director Kim Van Pelt said. “Measles is a serious disease that often brings unpleasant symptoms, and in rare cases swelling of the brain and even death.”

For answers to frequent questions about measles, including how to protect your family if you’re traveling, visit the measles page on the Snohomish County Health Department website.

Locations of potential exposure to the public

Spread of measles can occur before people know they have the disease and before any rash appears.  

The infected children were at the following public locations before being diagnosed with measles. These times include the estimated period when family members were at the location and two hours after. The measles virus can remain in the air for up to two hours after someone infectious with measles leaves the area. Anyone who was at the following locations during the times listed could have been exposed to measles:

• Jan. 8, 2026, 9:30 AM to 12:30 PM – Stellar Kids Dentistry Everett, 111 SE Everett Mall Way, Everett, WA, 98208
• Jan. 9, 2026, 8:30 AM to 5:15 PM – Pathfinder Kindergarten Center (Mukilteo School District), 11401 Beverly Park Rd, Everett, WA, 98204
• Jan. 9, 2026, 8:30 AM to 5:15 PM – Serene Lake Elementary School (Mukilteo School District), 4709 Picnic Point Rd, Edmonds, WA 98026
• Jan. 13, 2026, 1:10 PM to 3:10 PM – Swedish Mill Creek Campus medical facility, 13020 Meridian Ave. S., Everett, WA, 98208

For potential exposure sites from when an infected family was traveling in King and Snohomish counties, see this Jan. 8 media release. To see all measles exposure sites in Washington, see the state Department of Health's exposure map.

What to do if you were in a potential location with measles exposure  

• Find out if you have been vaccinated for measles or have had measles previously. Make sure you are up to date with the recommended number of MMR vaccinations.  
• Call a healthcare provider promptly if you develop an illness with fever or with an unexplained rash. To avoid possibly spreading measles to others, do not go to a clinic or hospital without calling first to tell them you want to be checked for measles after an exposure. It is also important to limit contact with others, especially those without known immunity.  

About measles  

Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, runny nose and red, watery eyes. If one person has it, up to 9 out of 10 people nearby will become infected if they are not protected. It mainly spreads through the air after a person with measles coughs or sneezes.  

The incubation period for measles is 10 to 14 days from exposure to onset of symptoms, with a range of 7 to 21 days. For people exposed at the schools, that would be through Jan. 30. For those who were at Swedish Mill Creek, that would be through Feb. 3. Measles is contagious from about 4 to 5 days before the rash appears through 4 days after the rash appears. People can spread measles before they have the characteristic measles rash.  

Measles can lead to ear infections, diarrhea, pneumonia, and rarely, encephalitis (brain inflammation) or death.  

Complications from measles can happen even in healthy people, but those at highest risk include infants and children under 5 years, adults over 20 years, pregnant people, and people with weakened immune systems from medications or underlying disease.  

If you are in one of these high-risk groups and were exposed to measles at one of these locations, be sure to contact your health care provider to discuss any steps you need to take to protect yourself or loved ones against complications from measles.  

For more information about measles and measles vaccination: https://www.snohd.org/460/Measles

Translated Media Release:

• ОБЪЯВЛЕНА ВСПЫШКА КОРИ В ОКРУГЕ СНОХОМИШ ПОСЛЕ 3 НОВЫХ СЛУЧАЕВ (Russian)
• ОГОЛОШЕНО СПАЛАХ КОРУ У КАУНТІ СНОХОМИШ ПІСЛЯ 3 НОВИХ ВИПАДКІВ (Ukrainian)
• إعلان تفشّي مرض الحصبة في مقاطعة سنوهوميش بعد تسجيل ثلاث حالات جديدة (Arabic)
• ENAAN IN BOK AIDIK RAÑÑŌḶỌK ILO SNOHOMISH COUNTY ELIKIN 3 KEEJ KĀĀL (Marshallese)
• SE DECLARA BROTE DE SARAMPIÓN EN EL CONDADO DE SNOHOMISH TRAS 3 NUEVOS CASOS (Spanish)
• TUYÊN BỐ BÙNG PHÁT BỆNH SỞI TẠI QUẬN SNOHOMISH SAU 3 CA MỚI (Vietnamese)

Contact:Jeff Hodson, shd.pio@co.snohomish.wa.us

For immediate releaseJan. 8, 2026 

The Snohomish County Health Department and Public Health – Seattle & King County were notified of three confirmed measles cases over the recent holiday period, all within the same family. One adult and two children were infectious from Dec. 27, 2025, through Jan. 1, 2026, while visiting King and Snohomish counties on a trip from South Carolina. The parent reported having received at least one vaccine to protect against measles; the children were unvaccinated.

The family visited multiple locations in Marysville, Mukilteo and Everett while contagious – but before being diagnosed – with measles. They also traveled through Seattle-Tacoma International Airport and visited a car rental facility near the airport.

If you are not immune to measles, or don’t know your vaccination status, please see the list below for locations and times of potential exposure.

Measles is on the rise in the U.S., where 2,144 cases were reported in 2025, the highest level since 1992. The South Carolina Department of Public Health has reported 26 new cases of measles in the state since Friday.

Health officials urge residents to check their status for the MMR (measles, mumps and rubella) vaccine, which offers the best protection against the disease.

“Measles is one of the most contagious diseases we know, and often brings serious illness,” said Dr. James Lewis, Snohomish County Health Officer. “The MMR vaccine is the best way to prevent outbreaks and protect our community, especially for infants and those who cannot be vaccinated.”

The measles vaccine is extremely safe and incredibly effective. Two doses provide about 97% protection against getting infected by measles. The protection lasts a lifetime.  

For answers to frequent questions about measles, including how to protect your family if you’re traveling, visit the measles page on the Snohomish County Health Department website.

Locations of potential exposure to the public

Spread of measles can occur before people know they have the disease and before any rash appears.  

The infected family was at the following public locations before being diagnosed with measles. These times include the estimated period when family members were at the location and two hours after. Measles virus can remain in the air for up to two hours after someone infectious with measles leaves the area. Anyone who was at the following locations during the times listed could have been exposed to measles:

What to do if you were in a location of potential measles exposure  

Most people in our area have immunity to measles through vaccination, so the risk to the general public is low. However, anyone who was in the locations of potential exposure to measles around the times listed should:  

• Find out if you have been vaccinated for measles or have had measles previously. Make sure you are up to date with the recommended number of MMR vaccinations.  
• Call a healthcare provider promptly if you develop an illness with fever or with an unexplained rash. To avoid possibly spreading measles to others, do not go to a clinic or hospital without calling first to tell them you want to be checked for measles after an exposure. It is also important to limit contact with others, especially those without known immunity.  

If you were at the locations at the times listed above and are not immune to measles, the most likely time you would become sick would be between Jan. 4 and Jan. 22. People who are immuno-compromised may take longer to experience symptoms.  

About measles  

Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, runny nose and red, watery eyes. If one person has it, up to 9 out of 10 people nearby will become infected if they are not protected. It mainly spreads through the air after a person with measles coughs or sneezes.  

The incubation period for measles is 10 to 14 days from exposure to onset of symptoms, with a range of 7 to 21 days. Measles is contagious from about 4 to 5 days before the rash appears through 4 days after the rash appears. People can spread measles before they have the characteristic measles rash.  

Measles can lead to ear infections, diarrhea, pneumonia, and rarely, encephalitis (brain inflammation) or death.  

Complications from measles can happen even in healthy people, but those at highest risk include infants and children under 5 years, adults over 20 years, pregnant people, and people with weakened immune systems from medications or underlying disease.  

If you are in one of these high-risk groups and were exposed to measles at one of these locations, be sure to contact your health care provider to discuss any steps you need to take to protect yourself or loved ones against complications from measles.  

For more information about measles and measles vaccination: https://www.snohd.org/460/Measles

Contact:Jeff Hodson, shd.pio@co.snohomish.wa.us

For immediate releaseDec. 22, 2025

Snohomish County Health Department Unveils Strategic Plan 

Aims include boosting vaccination rates, improving water quality, and helping everyone achieve optimal health

EVERETT – Improved vaccination rates to protect Snohomish County communities from infectious disease. Water so clean that shellfish can safely be eaten again. Diversified sources of funding.

These are a few of the Health Department’s priorities under a new five-year strategic plan, available on the department’s website.

Other key aims include improved operations and being better prepared for public health emergencies. The plan’s ultimate goal? Helping everyone in the county achieve their highest state of health and well-being.

“As County Executive, the health and safety of all who live, work and play here is of the highest importance to me,” Snohomish County Executive Dave Somers said in the plan’s opening message. “This document lays out a path to focus on key areas, from improving day-to-day healthy living to being ready for health-related needs in an emergency, and from strengthening our public health workforce to improving equitable health services for diverse communities.”

Strategic planning began in early 2024 under former Department Director Dennis Worsham, now Washington State Secretary of Health, and was driven by input over dozens of meetings with staff and community partners.

“Shaped by the voices of our community and our staff, this strategic plan sets a clear direction by defining long-term goals and priorities,” said new Department Director Kim Van Pelt. “It will help leaders, staff and community partners focus on what matters most while helping us align people and resources to ensure we are working toward the same objectives.”

The strategic plan is not static. It will evolve as the department learns from its work and adjusts to changing community needs and opportunities. “It is a dynamic plan designed to grow along with Snohomish County,” said Nicole Thomsen, public affairs and policy manager, who oversaw development of the plan with consultant Mark Del Beccaro, M.D.

Increased vaccination rates

One of the department’s key goals is to “protect Snohomish County from infectious disease and environmental threats.” A strategy for achieving that is to increase childhood and adult vaccination rates, which have been on the decline for several years. The strategic plan sets two targets:

• By Sept. 15, 2029, 90% of all children entering kindergarten will have received recommended vaccines. (The current rate is under 89%.)
• By Feb. 28, 2029, 65% of adults over 65 will have received one dose of the annual flu vaccines. (The current rate is about 56%.)

Said Health Officer Dr. James Lewis: “It’s the first time we’ve had a comprehensive strategic plan with measurable goals attached to it that will provide accountability and allow us to show the impact of our work. The community will be able to see if we’re meeting our goals and, if not, why.”

Protecting water quality from untreated sewage to support shellfish harvesting

Another key priority is to protect water quality from chemical and bacterial pollutants. The department’s aim in this area is to work with the Washington State Department of Health (DOH) and the Tulalip Tribes to get more information about the status of onsite septic systems to support Tulalip Tribes’ treaty-reserved right to harvest shellfish on the Reservation’s shoreline. 

“As filter feeders, shellfish draw in seawater and strain out tiny food particles that may have absorbed contaminants in the water,” said Hailey Fagerness, a Healthy Communities Specialist in the Health Department’s Environmental Health Division. “If contamination levels are high enough, eating shellfish can make people sick.”

Currently, three shellfish growing areas off the coast of Tulalip’s Reservation are “unclassified” by DOH. This means that health standards have not been evaluated and commercial harvesting is not allowed.

A primary reason for this lack of classification is incomplete installation and maintenance records of septic systems near the shoreline, Fagerness said. Because septic systems can be a source of pollution, missing information regarding the effectiveness of their treatment makes it harder to confirm that shellfish beds are safe from septic-related pollutants.

Snohomish County is working with the Tulalip Tribes to address this data gap and achieve ongoing septic monitoring and maintenance to make sure that systems are functioning properly, according to Fagerness. Once health officials have a clearer understanding of these systems and confirm there are no public health hazards, DOH would be able to move forward with classifying at least one of these shellfish areas as “approved” by 2030, enabling safe commercial and Tribal subsistence harvest.

Contact:Jeff Hodson, shd.pio@co.snohomish.wa.us

For immediate releaseDec. 16, 2025 

Snohomish County Issues Safety Guidance for Residents Returning Home after Floods

EVERETT – The Snohomish County Health Department urges the public to follow health and safety guidelines as residents begin to clean up damaged homes and properties from last week’s record floods. Floodwater can contain sewage, chemicals, mold and other hazards that pose physical safety and long-term health risks. 

“We urge residents to take precautions and protect their health as they repair their properties,” said Kim Van Pelt, director of the Snohomish County Health Department. “Safe cleanup today prevents serious health problems in the future.” 

First, look for structural damage, gas leaks and downed power lines before entering your property. Turn off gas and electricity or propane. If you smell gas or suspect a leak, notify the gas company, police or fire department.  

Other key precautions: 

• Avoid contact with floodwater and assume all standing water is contaminated. Exposure can lead to skin rashes, wound infections, gastrointestinal illnesses and other diseases. Floodwater can also hide debris such as lumber and sharp objects.
• Protect yourself with waterproof boots, heavy gloves and N95 masks. Mold begins forming within one to two days and can trigger asthma and allergies.
• Drinking water supplies could be contaminated. If you have a well or are on a water system that was impacted by flooding, make sure to use bottled, treated or boiled water to avoid illness, and have the well disinfected after flood waters recede.  If you are on public water supply, it’s a good idea to check with your local water district for current conditions. If water seems to be contaminated – it smells funny or is discolored – you should boil for a full minute before drinking or using. (If you suspect your water has been contaminated by fuel or chemicals, it will not be made safe by boiling or disinfection. Until you know the water is safe, use bottled water.)
• When in doubt, throw it out. Get rid of foods, medicine or cosmetics if they were in a flooded area and were not in a watertight container or packaging. If your refrigeration has gone out for more than four hours, get rid of perishable items.

Restaurants and other food businesses that were flooded should work with the Health Department on reopening. To contact us for reopening a food business, you can call 425-359-8730 or email food.safety@snoco.org. 

Cleaning tips 

• Open all doors and windows to air out your building.
• You can use soap and water to scrub items and surfaces made of wood, metal, glass or other hard substances.
• Wash all clothes and linens in hot water.
• Throw out soiled mattresses and couches. They can't be cleaned properly.
• Wash dirt and mud from walls, counters and hard floors with soap and water. Disinfect by wiping surfaces with a solution of one cup of bleach per gallon of water.
• Discard all food that has come into contact with floodwater. Canned food is alright, but thoroughly wash the can before opening.

“Don’t forget yourself – wash your hands thoroughly and often while cleaning or handling items that have been in flood waters, and wear protective equipment when possible, like N95 masks, gloves and goggles to prevent injury and illness,” said Health Officer Dr. James Lewis. 

More information on what to do with your home after a flood: 

• Flood cleanup tips from the Washington State Department of Health
• Safety Guidelines: Reentering Your Flooded Home from the U.S. Centers for Disease Control and Prevention.

Septic systems 

Flooding can impact your septic system. Follow these tips to minimize damage:  

• Eliminate non-essential water use and flush toilets as little as possible.
• If the drain field becomes covered with water, do not use the system and avoid contact with any standing water as it may contain sewage. 
• Try to find other toilets if your septic system is damaged. If there are no functioning toilets available, temporary toilets are an option.
• Do not have the septic tank pumped under flooded or saturated conditions. This could cause the tank to float out of the ground. 

After the flood has receded and conditions return to normal:

• Continue limiting water use until you know your system is functioning properly.
• Have your system inspected. Flood waters carrying sediment and debris may have entered your system or caused damage.
• If necessary, have tanks pumped.

For more information, including on how to clean a well, see the Snohomish County Health Department’s guidance on cleaning up after a flood. The guidelines are also available in Spanish, Ukrainian and Vietnamese on our weather webpage. One-page checklists on home cleanup are also available in English and Spanish. 

Contact: shd.pio@co.snohomish.wa.us 

FOR IMMEDIATE RELEASEDec. 5, 2025

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, December 9

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. Tuesday, Dec. 9, at 3020 Rucker Avenue, in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of Oct. 14, 2025

   2. Approval of Minutes of the Special Meeting of Nov. 4, 2025

5. Public Comment  
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
6. Action

   1. Proclamation 25-09 Recognizing Heather Logan for her Service on the Board of Health (SR 25-034) Suggested Action: Approve Proclamation 25-09

7. Director's Report
   1. Director's Report
8. Briefings

   1.  Financial Update (SR 25-035)

   2. Year in Review (SR 25-036)

   3. Intersection of Public Health and Equity (SR 25-037)

9. Old Business
10. New Business
11. Information Items
    1. Upcoming Meetings
12. Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASENov. 25, 2025

Snohomish County to Host Worlds AIDS Day Event Dec. 1

Honoring Lives Lost and Supporting Those Living with HIV

A special World AIDS Day event is planned for Monday, Dec. 1, to raise awareness, honor those lost to AIDS-related illnesses, and show solidarity with people living with HIV.

The event will kick off at 4:30 pm with an open house at the Snohomish County Health Department, followed by a walk at 5:30 pm to the county’s recently restored AIDS Memorial on the main county campus. The event is co-sponsored by Everett Pride, Lifelong, AIDS Project Snohomish County and the county’s Executive Office and Health Department. The general public is invited.

“This World AIDS Day, I hope residents of Snohomish County will join us in remembering the many loved ones whose lives have been touched by HIV and AIDS,” Snohomish County Executive Dave Somers said. “December 1 marks 20 years since the Snohomish County AIDS Memorial was first dedicated, and the beautiful artwork on the memorial was recently restored. Two decades after it was unveiled, this shared space is as important as ever, and the work being done on education, prevention and treatment for HIV and AIDS remains vital.”

World AIDS Day began in 1988 and is a global day of remembrance and action. It serves to educate communities about HIV/AIDS, reduce stigma and highlight progress in prevention and treatment. This year’s theme – Rethink, Rebuild, Rise – stresses the importance of unity and continued commitment to ending the HIV epidemic, especially at a time of significant change in the HIV funding landscape.

“This event is not only about remembering those we’ve lost, but also about reaffirming our commitment to supporting those living with HIV and ensuring equitable access to prevention and care,” Snohomish County Health Officer Dr. James Lewis said. “The restored AIDS Memorial stands as a powerful symbol of resilience and hope for our community.”

Earlier this month, the Snohomish County Board of Health adopted a proclamation recognizing Dec. 1 as World AIDS Day. More than 40 million people worldwide have died from AIDS-related causes, while an estimated 39 million people currently live with HIV.

The first two cases of HIV in Snohomish County were reported on April 14, 1984, and May 20, 1985. The former Snohomish Health District – now the Snohomish County Health Department – began offering free testing to anyone who requested it.

Today, medical and public health advances have transformed HIV from a fatal diagnosis into a manageable chronic condition. The Health Department, local healthcare providers, and community organizations continue to play a vital role in providing testing, treatment, support services and education to residents of all backgrounds.

“We’re really excited to be recognizing World AIDS Day with our community partners again this year,” said Carrie Parker, assistant director of prevention services for the Health Department. “By walking to and gathering at the memorial, the community honors the past while looking toward a future free of HIV-related stigma and discrimination.”

Event Details

World AIDS Day begins at 4:30 pm at the Snohomish County Health Department, 3020 Rucker Ave, Everett, with refreshments, displays and activities. Health Officer Dr. James Lewis and Health Department Director Kim Van Pelt are slated to speak at about 5:15 pm. At 5:30 p.m., participants will depart from the Health Department toward the AIDS Memorial. The walk is uphill and takes about 10 minutes. The memorial is just behind the Snohomish County Courthouse in the plaza west of the Mission Building at Pacific and Wetmore avenues. Once there, Executive Somers and community partners will give brief remarks.

Contacts: 

Jeff Hodson, Health Departmentshd.pio@co.snohomish.wa.us(425) 330-4476

Kari Bray, Snohomish CountyKari.Bray@snoco.org425-382-3184

FOR IMMEDIATE RELEASE 11/13/2025 

CONTACT: shd.pio@co.snohomish.wa.us  

Snohomish County Confirms E. coli Infection Linked to Consumption of Aged, Raw Milk Cheese

Residents advised to throw out recalled Twin Sister Creamery cheese as part of ongoing outbreak

SNOHOMISH COUNTY, Wash. – The Snohomish County Health Department has identified a case of E. coli connected to Twin Sisters Creamery cheese. This case appears to be connected to a cluster of at least 10 E. coli cases linked to Twin Sisters Creamery cheese in Washington and Oregon states. The company is based in Ferndale, Wash. All cases report illness onsets before the cheese was recalled on Oct. 24, 2025. 

Washington State Department of Health is working with local, state, Oregon Health Authority and federal public health partners to investigate Shiga Toxin-Producing E. coli (STEC) infections linked to consumption of aged, raw milk cheese. 

Local, state, and federal partners continue to investigate the source of illness for outbreak-related cases and additional products may be recalled or identified as a possible source of infection in the future. 

Washington State Department of Health Outbreak Update:2025 Outbreak of Shiga toxin-Producing E. coli (STEC) Infections Linked to Twin Sisters Creamery Aged Raw Milk Cheese | Washington State Department of Health

Company Recall Notice: Twin Sisters Creamery Recalls Whatcom Blue, Farmhouse, Peppercorn, and Mustard Seed Cheese Products Because of Possible Health Risk | FDA

• Do not eat any recalled Whatcom Blue, Farmhouse, Peppercorn, and Mustard Seed varieties of Twin Sisters Creamery cheese. Check your refrigerators or freezers for this brand and variety of cheese and throw them away. 
  • If there is no “Made On” date or Batch Code on the cheese packaging, please throw them away. 
  • People should discard any remaining Twin Sisters cheeses due to difficulty identifying batch information on remaining packages.  
• Wash items and surfaces that may have touched the cheese using hot soapy water or a dishwasher. 
• Contact your healthcare provider right away if you have any of these severe STEC E. coli symptoms: 
  • Diarrhea and a fever higher than 102°F 
  • Diarrhea for more than 3 days that is not improving. 
  • Bloody diarrhea 
  • So much vomiting that you cannot keep liquids down. 
• The following people should avoid consuming any type of cheese made with unpasteurized (raw) milk unless heated to 165° F or until steaming hot: 
  • People who are pregnant 
  • Newborns 
  • People aged 65 years and older 
  • People who have weakened immune systems because they: 
    • were notified by a health care provider that you have a weakened immune system 
    • have a health condition that weakens the immune system such as cancer, diabetes, liver or kidney disease, alcoholism, HIV infection or AIDS, etc. 
    • are on a treatment that makes it more difficult for the body to fight off illness, such as steroids or chemotherapy 

About E. coli 

E. coli are bacteria (germs) that normally live in the intestines of humans and animals. There are many types of E. coli and most are harmless. However, certain types known as STEC may cause serious illness in people.  

It is spread by consuming food or water that is contaminated with STEC bacteria or by direct person-to-person transmission. It can spread from animals to people through raw or undercooked meat, unpasteurized milk, or foods that were contaminated by raw meat products or by animal feces. Contaminated fresh produce such as leafy greens and unpasteurized fruit juices have caused outbreaks of STEC. 

Infected people, especially young children, may spread the illness to others by failure to wash their hands well after having a bowel movement (stool). People are usually contagious for between 1-3 weeks.  

It is important that infected food handlers, health care workers, child care workers, or children attending a child care be excluded from their work or child care until released by the Snohomish County Health Department to return to work.  

More information on E. coli: E. Coli | Washington State Department of Health

Outbreak-Specific Resources  

• Washington State Department of Health outbreak page: 2025 Outbreak of Shiga toxin-Producing E. coli (STEC) Infections Linked to Twin Sisters Creamery Aged Raw Milk Cheese | Washington State Department of Health
• FDA Recall Notice (Twin Sisters Creamery): Twin Sisters Creamery Recalls Whatcom Blue, Farmhouse, Peppercorn, and Mustard Seed Cheese Products Because of Possible Health Risk | FDA
• FDA Recall Notice (Peterson Company, Distributor): Peterson Company Recalls Twin Sisters Creamery Brand Whatcom Blue and Farmhouse Cheese Products Because of Possible Health Risk | FDA
• Washington State Department of Health Food Recall: Food Recalls and Safety Alerts | Washington State Department of Health

##END##  

For immediate release

Nov. 12, 2025

Snohomish County Reports First Flu Death of 2025-2026 Season

Residents are advised to stay up to date on vaccinations, take precautions

SNOHOMISH COUNTY, Wash. ­– The Snohomish County Health Department has confirmed the first local death from influenza during the 2025-2026 flu season. A Snohomish woman in her 60s with underlying health conditions died Nov. 8. She tested positive for influenza A, the most common and severe type of flu that causes seasonal epidemics.

While flu deaths occur every year, this serves as a stark reminder that respiratory viruses such as flu, COVID-19 and RSV (Respiratory Syncytial Virus) can result in severe illness, especially for young children, older adults, and others at higher risk.

“With the Thanksgiving holiday just around the corner, it’s a perfect time to get your annual flu shot,” said Dr. James Lewis, Health Officer for the Snohomish County Health Department. “It’s a good idea to get vaccinated at least one to two weeks before a family gathering. This gives your body enough time to build up immunity and offer protection.”

During last year’s influenza season, Snohomish County reported 53 reported flu-related deaths, the most in more than a decade, while 859 flu-related hospitalizations were reported. Last season’s first flu death did not occur until early January. Flu activity typically rises in late fall and peaks between December and February.

Fourteen influenza-related hospitalizations have been reported so far this season. Based on the limited data so far, it’s too early to predict how severe this season will be.

“We are at the very beginning of the flu season, so now is a great time to get your flu shot,” Dr. Lewis said. “It is a bit concerning to have our first death so early in the season. Things will only get worse.”

People who are at higher risk for severe disease from influenza include young children, older adults, people who are immunocompromised or have chronic health conditions, pregnant individuals, and those residing in long-term care facilities or nursing homes. The annual flu vaccine is recommended for everyone ages six months and older.

The vaccine has been shown to reduce the number of sick days taken from work and school, reduce the severity of symptoms, and reduce the number of flu-related hospitalizations in the community.

Snohomish County residents can visit local pharmacies and clinics to get vaccinated. In Washington state, children under age 19 can be vaccinated for free and most insurance plans, including Medicare part B, cover the cost for adults. If a person still needs a COVID-19 vaccine, both vaccines can be given during the same visit.

If you get the flu:

• Stay home if you are ill 
• Wear a mask over your nose and mouth in indoor public spaces when flu or other respiratory viruses are circulating at high rates
• Cover coughs and sneezes
• Wash your hands thoroughly with soap and water, and use hand sanitizer when soap and water isn't available.

For more information, visit the Health Department’s flu web page.

Updated: Nov. 13, 2025

Contact: Jeff Hodson shd.pio@co.snohomish.wa.us

Federal Shutdown Impact on SNAP and WIC Recipients in Snohomish County

Oct. 31, 2025 - The ongoing federal shutdown is impacting thousands of Snohomish County residents who rely on federally funded food assistance. Several federal programs will be paused starting tomorrow, Nov. 1, until action is taken by the U.S. government to resume funding and operations. 

Food security is the most immediate concern for local families and our broader community. Benefits from the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) require action from the federal government. These programs are not administered or funded by Snohomish County, and local resources cannot replace them if the federal shutdown continues.

According to American Community Survey data, the Census Bureau estimates that about 9.1% of households in Snohomish County participate in SNAP. That represents 28,348 households or approximately 77,589 people.

The Washington State Department of Social and Health Services (DSHS) has posted notices online for Washington residents regarding SNAP, and the site is a good place to check for updates: https://www.dshs.wa.gov/esa/community-services-offices/basic-food. As of Oct. 30, DSHS stated that they will not be able to issue food benefits after Oct. 31 if the shutdown continues. 

“More than 77,000 people in Snohomish County depend on SNAP benefits for survival,” Snohomish County Executive Dave Somers said. “Due to the federal government’s stalemate, individuals in Snohomish County may go hungry beginning this Saturday. Fortunately, we have an outstanding Food Bank Coalition in Snohomish County that is working hard to ensure as many people as possible remain fed. We are deeply grateful for our local food banks and nonprofits, since in both good times and bad, they continue to show up for families in need. We urge the public to join us in supporting food banks, if they are able.”

For WIC, the Washington State Department of Health reports benefits are currently available through mid- to late November, depending on federal action. In 2024, more than 15,000 Snohomish County residents used WIC services, including over 11,000 infants and children. Updates are posted at: https://doh.wa.gov/you-and-your-family/wic

Gov. Bob Ferguson on Tuesday, Oct. 29, announced the state of Washington would be directing nearly $2.2 million per week to state food banks through the state Department of Agriculture. The aid will continue until federal SNAP benefits are restored. While the news from Gov. Ferguson’s Office is positive, local food banks and nonprofits are dealing with prior USDA cuts to food programs. Additionally, there has been an increase in new households visiting food banks and a decrease in overall pounds of food, in-kind, and cash donations.   

The Snohomish County Food Coalition has a map and list of food bank locations throughout the county: https://snocofood.org/locations/. Additional food assistance may be available through other nonprofit, educational, or faith-based organizations and can be found in pages 24-29 of the CRC-Community Resource Guide. This is a good time to learn more about what is available in your community and share information from those organizations about their resources and needs.  

For neighbors who can contribute to The Food Bank Coalition, here’s how you can help:  

• Donate Funds – Every dollar helps The Coalition buy food in bulk and fill the gaps left by federal cuts. 
• Volunteer Your Time – Food Banks need help sorting, packing and distributing food. Find a location here.  
• Spread the Word – Share this message with your networks. Awareness saves lives. 

Today, two federal judges have ordered the U.S. Department of Agriculture to release contingency funds to ensure Supplemental Nutrition Assistance Program (SNAP) benefits continue during the ongoing federal government shutdown. While the ruling will allow millions of households to receive food assistance, federal partners have not yet confirmed whether the contingency funds will cover full monthly benefits or only partial disbursement.

Snohomish County is actively monitoring federal guidance and will share updates as additional information becomes available. We stand with our impacted residents and with the community organizations working hard to provide local support.

Contact: mohamed.bughrara@co.snohomish.wa.us or shd.pio@co.snohomish.wa.us

For immediate release

Oct. 31, 2025

Snohomish County Woman Hospitalized Amid Listeria Outbreak

EVERETT – Snohomish County Health Department officials have confirmed that a Snohomish County resident is among those affected in a multistate outbreak of Listeria monocytogenes, a serious bacterial infection linked to contaminated food products.

The woman, whose identity is being withheld for privacy, was hospitalized earlier this month and is now recovering. She is the first person in Washington state connected to this outbreak, which is linked to prepared pasta meals.

Listeriosis, the disease caused by the bacteria, can feature a range of symptoms, including fever, muscle aches, nausea, abdominal pain and diarrhea. Listeriosis is especially harmful to people 65 years or older, people with a weakened immune system, and women who are pregnant. In severe cases, it can cause debilitating headaches, confusion, seizures or loss of balance.

Call a healthcare provider right away if you have any these symptoms after eating any of the recalled prepared meals (frozen and ready-to-eat). Consumers are advised not to eat any of the products and to throw them away or return them to the store where they were purchased.

Below are the recalled items distributed in Washington. More details can be found at the Washington State Department of Health’s Food Recalls and Safety Alerts page.

• Sold at Sprouts Farmers Market: 
  1. Sprouts Farmers Market Smoked Mozzarella Pasta Salad - product use by dates Oct. 10 to Oct. 29.
• Sold at Walmart, Fred Meyer, or QFC: 
  1. Home Chef Chicken Fettuccine Alfredo 12.5-oz – best-by date of June 19, 2025, or prior
  2. Kroger stores recalled deli bowtie and penne pasta salads – sold on Aug. 29, 2025, thru Oct. 2, 2025
  3. Marketside Linguine with Beef Meatballs & Marinara Sauce 12-oz. – best if used by dates of SEP 22, 2025; SEP 24, 2025; SEP 25, 2025; SEP 29, 2025; SEP 30, 2025; and OCT 01, 2025
  4. Marketside Grilled Chicken Alfredo with Fettuccine 12.3-oz – best-by date of June 26, 2025, or before; and 32.8-oz – best-by date of June 27, 2025, or before

Consumers are also advised to clean their refrigerator, containers and surfaces that may have touched the recalled products.

Federal health agencies and public health officials have been investigating Listeria monocytogenes infections since August 2024 linked to the prepared meals. So far, the Centers for Disease Control and Prevention (CDC) reports 27 cases across 18 states, with six deaths. The U.S. Food and Drug Administration (FDA), the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are also investigating.

Listeria bacteria are found in the environment and can spread from contaminated food to surfaces. Listeria can grow on foods kept in the refrigerator for several days.

To prevent Listeriosis infection:

• Avoid unpasteurized (raw) milk or foods made from unpasteurized milk.
• Thoroughly cook raw meat, such as beef, pork, or poultry.
• Wash raw vegetables thoroughly before eating.
• Keep uncooked meats separate from vegetables and from cooked foods and ready-to-eat foods.
• Wash hands, knives, and cutting boards after handling uncooked foods.

Contact: shd.pio@co.snohomish.wa.us 

FOR IMMEDIATE RELEASEOctober 29, 2025

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, November 4

BOARD of health TO CONVENE FOR SPECIAL meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold a special meeting at 3 p.m. Tuesday, Nov. 4, at 3020 Rucker Avenue in the Auditorium. A remote option also is available. Please note the updated Zoom link for this special meeting:

Zoom: https://us02web.zoom.us/j/81521553177 

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Public Comment  
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
5. Action
   1. Reappointment of Janet Anderberg to the Board of Health (SR 25-030; Nicole Thomsen) Recommended Action: Motion to approve recommendation of the reappointment of Janet Anderberg to the Board of Health for a term of four years
   2. Proclamation 25-08 Recognizing World AIDS Day (SR 25-031; Carrie Parker) Recommended Action: Motion to approve proclamation 25-08
6. Director's Report
   1. Director's Report
7. Health Officer's Report
   1. Health Officer's Report
8. Briefings
   1. Code of Conduct (SR 25-025B; Nicole Thomsen)
   2. Snohomish County Legislative Priorities (SR 25-032; Nicole Thomsen)
   3. Environmental Health Septic Inventory Project (SR 25-033; Ragina Gray)
9. Old Business
10. New Business
11. Information Items
    1. Draft Minutes of the Regular Meeting of October 14, 2025
    2. Upcoming Meetings
12. Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

For immediate release

Oct. 24, 2026

New DIRECTOR Aims to Improve Health Outcomes through Collaboration

Kim Van Pelt has had a long career of improving the health and wellbeing of individuals, families and communities. Now she brings her leadership skills to Snohomish County.

“I’m thrilled to be a in place where there are so many great, talented people,” said Van Pelt, who started this week as director of the Snohomish County Health Department. “I’m really hopeful that we can make great change in this county in terms of improving health outcomes.”

Van Pelt was appointed by County Executive Dave Somers last month and confirmed by the County Council. She most recently served as deputy director of the Pima County Health Department in Arizona. Pima County has a population of about 1 million people. Her first day was Monday.

“I’ve always wanted to make a difference in the world,” Van Pelt said in a short video to introduce herself to staff and the community. “When I was a young kid, my mom dragged me around volunteering everywhere. I always felt like I was on a mission to make things better.”

Public health fascinates her because it’s so broad, she said, and involves working on systems, policies and environmental issues. The opioid crisis and rise of vaccine-preventable diseases are two of the most pressing public health issues, she noted, while securing and maintaining funding for the health department is a key institutional priority.

“Washington State as well as the Snohomish County health department have great reputations,” Van Pelt said. “I’m looking forward to learning a lot about the work that’s being done here and also really looking forward to sharing some of the work I did in Pima County.”

During her first week, she’s already traveled to Yakima to meet State Secretary of Health Dennis Worsham (former Snohomish County Health Department Director) and other health leaders attending the annual meeting of the Washington State Public Health Association.

Over the next three months, Van Pelt plans to meet with staff, external partners, and community collaborators to establish priorities and understand the opportunities that exist “to do better work.” She plans to share those findings with the community.

For more information, contact shd.pio@co.snohomish.wa.us

FOR IMMEDIATE RELEASEOctober 14, 2025

Snohomish County Concludes 2024–2025 Flu Season Surveillance

Season Marked by Elevated Illness and Hospitalizations, Lower Vaccination Rates

Flu-related deaths and hospitalizations were higher than usual during the recently concluded influenza-reporting season in Snohomish County. Health officials say it’s a reminder to stay vigilant and get annual vaccinations as the new flu season kicks off. Fewer than one-third of Snohomish County residents get vaccinated against the flu.

Flu viruses typically circulate during fall and winter, with this year’s season running through April. But viruses are detected year-round, and the Snohomish County Health Department’s surveillance period for the 2024-2025 season officially ended Sept. 27. Here are key findings from this year’s report:

• Hospitalizations: 859 flu-related hospitalizations were reported, with the highest rates among adults aged 65 and older. The overall hospitalization rate reached 99.1 per 100,000 residents, nearly six times higher than the previous season.
• Deaths: 53 influenza-related deaths occurred, the highest total in more than a decade. The median age of those who died was 71.
• Emergency Visits: Emergency department visits for flu-like illness peaked at 8.3% in early February but dropped to 0.2% by season’s end, well below the 1.1% masking threshold for health care facilities. Masking guidelines for this year’s respiratory virus season are expected to be released later this month.
• Schools and Long-Term Care: School absenteeism remained low throughout the season, and 24 outbreaks were reported in long-term care facilities.
• Vaccination Coverage: Only 30.4% of residents received a flu vaccine, a slight decline from previous years. Coverage was highest among seniors and children under five.

The increase in hospitalizations is partly due to expanded reporting through the US Center for Disease Control and Prevention’s Respiratory Virus Hospitalization Surveillance Network, noted Holli Bruce, lead epidemiologist for the Snohomish County Health Department.

Flu activity typically rises in late fall and peaks between December and February. Australia, often considered a bellwether for the Northern Hemisphere, experienced one of its worst flu seasons in a decade, with a ninefold increase in Influenza B cases. Cases surged as early as April and peaked in June–July, much earlier than usual.

“So don’t delay getting your flu shot for the upcoming season!” said Snohomish County Health Officer Dr. James Lewis. “Seniors, children under 2, those who are pregnant, and those with chronic conditions should prioritize vaccination.”

Flu shots reduce the likelihood of severe complications and also reduce the spread of disease to those who are at highest risk for severe disease.

For more details, read the full report on www.snohd.org

Contact:

Jeff Hodsonshd.pio@co.snohomish.wa.us

FOR IMMEDIATE RELEASEOctober 10, 2025

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, OCTOber 14

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. Tuesday, Oct. 14, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of Sept. 9, 2025
5. Public Comment  
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
6.  Public Hearing

   1. Ordinance BOH25-08 Relating to Health Department Fees; Amending Chapter 1.40 of the Snohomish County Board of Health Code (SR 25-024B; Hailey Fagerness)Suggested Action: Motion to Approve Ordinance BOH25-08.

7. Action

   1. Proclamation 25-07 Recognizing National Blood Lead Poisoning Prevention Week (SR 25-028; Katie Curtis)Suggested Action: Motion to Approve Proclamation 25-07.

8. Director's Report
   1. Director's Report
9. Briefings

   1. Code of Conduct (SR 25-025; Nicole Thomsen) (SR 25-025)

   2. Unpermitted Food Vendors Update (SR 25-029)

10. New Business
11. Information Items
    1. Upcoming Meetings
12. Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

For Immediate Release

Snohomish County Health Department Hosts School Vaccine Clinics

More than 800 total shots given so far this year

The Snohomish County Health Department is holding vaccine clinics every day this week for students to catch up on missed immunizations.

Families whose children are not up to date on their required shots and are at risk of missing out on school are encouraged to visit the Public Health Clinic on the first floor of the department’s building at 3020 Rucker Ave., Suite 108, Everett.

No-cost vaccines are available to children under 19, regardless of insurance status, during the following times:

• 7:30 am to 4 pm, Tuesday, Sept. 23
• 7:30 am to 4 pm, Wednesday, Sept. 24
• 10 am to 6 pm, Thursday, Sept. 25
• 10 am to 6 pm, Friday, Sept. 26

“We are here and we’re excited to work with all of you. Everybody is welcome,” said Kathryn Tomas-Bugayong, clinic manager. A clinic was also held Monday.

Photo caption: Rena Hone, age 4, gets vaccinated at the Public Health Clinic on Monday, Sept. 22, by Heather Rodriguez, medical assistant.

The clinic offers a wide range of childhood vaccines, from the MMR (measles, mumps and rubella) to the DTaP (diphtheria, tetanus and pertussis) vaccines. All public school-district required vaccines are available.

Adult vaccines are also available to those who are uninsured and 19 years or older. To inquire about vaccines available, please call 425-339-5234. The clinic does not currently offer travel vaccines or travel consultation.

We highly encourage you to schedule a vaccine appointment at the Snohomish County Health Department. Walk-ins are welcome and may experience a wait.

The recently remodeled Public Health Clinic includes vaccinations and STD testing and treatment.

More outreach, new staff

Through August, the clinic’s Immunization and Vaccine Preventable Disease team had administered 812 vaccines, including 317 in August alone. That compares with a total of 504 vaccines for all of 2024.

The team has held 23 vaccine clinics so far this year. Last year, only eight outreach clinics were held.

The big jump is due to stepped-up outreach and the hiring of three new staff last year, bringing the total number of health department employees working out of the clinic to nine.

“We aim to raise awareness on the importance of vaccines through health promotion and education within our community,” Tomas-Bugayong said. “Though building relationships with our community partners, we hold vaccine clinics targeting underserved populations that will enable us to expand access. Through increased collaboration and partnership with school nurses, pharmacies and clinics, we can provide necessary resources and technical assistance to improve quality of care.”

Snohomish County, like many other counties across the state and region, have seen declines in immunization rates over the last several years. This increases the risk that vaccine-preventable diseases such as measles – once considered eliminated in the U.S. – will become common once again.

The department recently launched a campaign to raise awareness of the MMR vaccine, with featured ads expected on billboards, buses and in print and digital media. Health Department staff set a longer-term goal to have 9 out of every 10 children fully up to date on their vaccines by the time they enter kindergarten.

Contact:

Jeff Hodson, shd.pio@co.snohomish.wa.us

FOR IMMEDIATE RELEASESeptember 4, 2025

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, September 9

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, September 9, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of August 12, 2025
5. Public Comment  
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
6.  Public Hearing
   1. Ordinance BOH25-07 Reorganizing Title 5 of the Board of Health Code (SR 25-020B; Hailey Fagerness)
7. Action
   1. Proclamation 25-06 Regarding National Preparedness Month (SR 25-023; Gabby Hadly)
8. Health Officer's Report
   1. Health Officer's Report
9. Briefings
   1. Ordinance BOH25-08: Relating to Health Department Fees; Amending Chapter 1.40 of the Snohomish County Board of Health Code (SR 25-024; Ragina Gray)
   2. Code of Conduct (SR 25-025; Nicole Thomsen)
   3. Epidemiology and Informatics program (SR 25-026; Vivian Hawkins)
   4. Strategic Plan Report (SR 25-027; Pamela Aguilar)
10. Old Business
11. New Business
12. Information Items
    1. Upcoming Meetings
13. Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

MEDIA ADVISORY – REMINDER AND UPDATE

Contact: Jeff Hodson, SHD-PIO@co.snohomish.wa.us

Health Leaders to Host Panel Discussion on Snohomish County’s Immunization Gap

EVERETT – As part of National Immunization Awareness Month, the Snohomish County Board of Health will host a timely expert panel discussion on immunization strategies and challenges. The event coincides with back-to-school vaccine drives and aims to address declining coverage and public concerns surrounding immunizations.

Date: Tuesday, August 12Time: Approximately 3:45 pm (The Board of Health meeting begins at 3 pm, with the panel discussion expected to kick off about 45 minutes later, after routine business.)Location: Snohomish County Health Department Auditorium, 3020 Rucker Ave., Everett, or online at https://us02web.zoom.us/j/87098263636

Distinguished Panelists and Topics:

• Dr. John Dunn, Medical Director of Preventive Care, Kaiser Permanente Washington; Member, WA Vaccine Advisory Committee: Navigating federal changes to vaccine guidance.
• Dr. Cornelius Van Niel, Clinical Director of Pediatrics, SeaMar Community Health Centers: Effective strategies for promoting vaccines in clinical settings.
• Dr. Catherine Yee, Medical Director, Western Washington Medical Group: Falling immunization coverage and the public health impact.
• Dr. Jay Cook, Former Chief Medical Officer, Providence Regional Medical Center – Everett: How low vaccination rates could strain the healthcare system.
• Moderator: Dr. James Lewis, Health Officer, Snohomish County

This panel will offer evidence-based insights from experts, aiming to demystify vaccine science and tackle common myths. It will also facilitate direct engagement between Board of Health members and subject-matter authorities. The Board of Health recently proclaimed August as National Immunization Awareness Month in Snohomish County.

Reporters are welcome to attend in person or virtually. Media questions can be submitted ahead of time.

In other business, the Board of Health is expected to recommend filling a Consumer of Public Health seat on the board and will be briefed on the recently concluded Community Navigator Pilot Program.

###

MEDIA ADVISORY

Contact: Jeff Hodson, SHD-PIO@co.snohomish.wa.us

Health Leaders to Host Panel Discussion on Snohomish County’s Immunization Gap

EVERETT – As part of National Immunization Awareness Month, the Snohomish County Board of Health will host a timely expert panel discussion on immunization strategies and challenges. The event coincides with back-to-school vaccine drives and aims to address declining coverage and public concerns surrounding immunizations.

Date: Tuesday, August 12, 2025Time: Approximately 3:45 pm (The Board of Health meeting begins at 3 pm, with the panel discussion expected to kick off about 45 minutes later, after routine business.)Location: Snohomish County Health Department Auditorium, 3020 Rucker Ave., Everett, or online at https://us02web.zoom.us/j/87098263636

Distinguished Panelists and Topics:

• Dr. John Dunn, Medical Director of Preventive Care, Kaiser Permanente Washington; Member, WA Vaccine Advisory Committee: Navigating federal changes to vaccine guidance.
• Dr. Cornelius Van Niel, Clinical Director of Pediatrics, SeaMar Community Health Centers: Effective strategies for promoting vaccines in clinical settings.
• Dr. Catherine Yee, Medical Director, Western Washington Medical Group: Falling immunization coverage and the public health impact.
• Dr. Jay Cook, Former Chief Medical Officer, Providence Regional Medical Center – Everett: How low vaccination rates could strain the healthcare system.
• Ms. Chelsey Charles, Granite Falls resident: Sharing her personal experience with vaccine-preventable illness as a parent.
• Moderator: Dr. James Lewis, Health Officer, Snohomish County

This panel will offer evidence-based insights from experts and individuals with lived experience, aiming to demystify vaccine science and tackle common myths. It will also facilitate direct engagement between Board of Health members and subject-matter authorities. The Board of Health recently proclaimed August as National Immunization Awareness Month in Snohomish County.

Reporters are welcome to attend in person or virtually. Media questions can be submitted ahead of time.

In other business, the Board of Health is expected to recommend filling a Consumer of Public Health seat on the board and will be briefed on the recently concluded Community Navigator Pilot Program.

###

Evergreen State Fair to Host Healthy Communities Day Aug. 26 

Building Stronger, Healthier Communities — One Fair at a Time 

MONROE, Wash. – The Evergreen State Fair is continuing a healthy focus at the 116th fair by celebrating healthy living through community connection. On Tuesday, August 26, in partnership with the Snohomish County Health Department, the Fair will host its second annual Healthy Communities Day, inviting fairgoers to explore resources, activities, and organizations that support health and wellness across Snohomish County. 

The event will showcase booths, interactive displays, and wellness-related activities throughout the fairgrounds. There will be information about health and wellness, healthy activities for kids, and health resources for people of all ages and backgrounds. 

“We're thrilled to partner with the Evergreen State Fair for 'Healthy Communities Day,'” said Dr. James Lewis, Health Officer for Snohomish County Health Department. “This event highlights local organizations providing valuable health and wellness services in our community. Together, we’re creating a stronger, healthier Snohomish County — and having a lot of fun doing it.” 

“What makes the Fair so special is how it brings people together,” said Fair Manager Mike Ohlsen. “Healthy Communities Day is a perfect example of that — it’s about building strong, lasting connections between people, organizations, and the resources that help us all thrive.” 

That same morning, the Fair will also host Evergreen Morning of Dreams from 9 a.m. to 11 a.m. Nationally recognized as an award winner for removing barriers in parks, Evergreen Morning of Dreams is a morning event structured to experience the fun of the fair in a calmer setting without lights or sounds. The fair can create sensory overload for some people and fair staff hope to provide a more accessible fair experience for those who need it by providing a time that is quieter, calmer and has less sensory stimulation. The Kiddieland Carnival will be open starting at 9 a.m. Visit the event webpage to learn more.  

August 26 is also Kids’ Day — children 6–12 get fair admission for just $7 (5 and under are always free)! Healthy Communities Day activities are included with regular fair admission. Fair gates open to the public at 10:30 a.m. and close at 10 p.m. 

More information about the event can be found here: https://www.evergreenfair.org/297/Healthy-Communities-Day 

Contact:Media: SHD-Communications@snoco.orgrose.intveld@snoco.org  

Sponsors: Amy.Craven@snoco.org  

FOR IMMEDIATE RELEASE 

June 12, 2025 

Contact: SHD.PIO@co.snohomish.wa.us 

Snohomish County Seeks Applicants for Board of Health 

Priority Application Deadline: June 30, 2025

SNOHOMISH COUNTY, Wash. – Snohomish County is now accepting applications for a vacant seat on the Board of Health. Community members with lived experience in public health programs or health-related inequities are strongly encouraged to apply. 

The Board of Health plays a vital role in shaping public health policy across Snohomish County. From addressing opioid misuse and promoting immunizations to responding to the impacts of climate change, the Board provides oversight and guidance on critical issues that affect the well-being of local residents. Members review and approve the Health Department’s annual budget, recommend programs, and provide strategic direction to ensure that services meet the needs of all communities. 

“A strong Board of Health reflects the voices, values, and needs of the people it serves,” said Dennis Worsham, Director of the Snohomish County Health Department. “Community-driven leadership ensures that decisions about public health aren’t made in a vacuum—they’re made with real insight into the challenges and strengths of local families, neighborhoods, and cultures. When community members have a seat at the table, we’re better equipped to design policies and programs that truly improve health outcomes and advance equity.” 

The nine-member Board is structured to meet Washington State public health board requirements. It includes elected officials, tribal and healthcare representatives, and community members. The current vacancy is for a “consumer of public health”—a county resident who has experienced significant health inequities or used services such as WIC, home visiting, treatment programs, or other public health-related supports. 

Eligible applicants for this position must not be elected officials or have any financial or fiduciary ties to health facilities or service providers. Preference will be given to candidates from historically underrepresented communities. 

If community members would like to share fliers to help increase recruitment, a downloadable version of a flyer is available here. 

The Board meets monthly, with some members also participating in subcommittees and working groups. 

Applications are being accepted on a rolling basis until the position is filled. However, priority consideration will be given to applications submitted by Friday, June 30, 2025.  

For immediate release

June 9, 2025

Snohomish County Health Department Director Dennis Worsham Appointed State’s New Secretary of Health

EVERETT – Snohomish County Health Department Director Dennis Worsham has been appointed Washington’s new Secretary of Health by Governor Bob Ferguson. He will begin his new role July 7, 2025, bringing more than 30 years of public health leadership and experience to the state’s top health position.

“As Washington’s Secretary of Health, I am honored to serve and deeply committed to upholding and strengthening a public health system that is not only resilient, but also more just,” Worsham said. “It is critical that we continue to build a system that earns the trust of communities and strives for every person to have equitable access to the care and resources they need to thrive. Public health is not just about addressing illness and injury—it’s about preventing them. It’s about preparing for the unexpected, addressing root causes of health inequities, and investing in systems that protect people before a crisis begins. We must ensure health and wellbeing is not a privilege but a shared foundation for all.”

Worsham began his public health career in Snohomish County in the 1990s, working as a health educator and disease intervention specialist at the height of the HIV/AIDS epidemic. He later served as manager of the HIV/STD/Hepatitis Program. In January 2023, he became the first director of the newly formed Snohomish County Health Department, following the integration of the former Snohomish Health District into the county government.

Throughout his career, Worsham has championed policies and programs that protect public health and address the systemic inequities that contribute to preventable illness and early death. His leadership experience spans both local and state levels, including roles as Deputy Secretary for Health at the Washington State Department of Health and Interim Director of Public Health – Seattle & King County during the COVID-19 pandemic. At Public Health – Seattle & King County, he also served in various leadership positions, including Deputy Director, Chief of Policy, Community Partnerships and Communications, Regional Health Officer, and TB Control Program Manager.

On Monday, Worsham expressed gratitude to Snohomish County Health Department staff in an internal message: 

“Together, we've navigated challenges, built solutions, and strengthened the foundation of health justice in Snohomish County,” he wrote. “Your passion and resilience have shaped my leadership, and I carry forward these lessons with profound respect and appreciation.”

The Snohomish County Health Department protects and promotes community health by tracking infectious diseases, offering immunizations, ensuring food and water safety, and providing public education on a wide range of health issues. Under Worsham’s leadership, the department has strengthened its programs and capacity in key areas:

• Launching the Health on Wheels van to provide services directly to underserved communities.
• Reopening a clinic for testing and treating sexually transmitted infections.
• Beginning renovations to the department’s Everett headquarters, including new clinical space.
• Modernizing the county’s health code.
• Making data more accessible for disease tracking and public communication.
• Increasing funding sources to better serve Snohomish County communities.
• Developing a community-informed strategic plan to guide public health work for years to come.

Worsham, who was raised in Eastern Washington, brings a unique perspective shaped by his experience in both rural and urban public health systems. The state Department of Health says his appointment reflects a strong commitment to bridging regional divides, strengthening Washington’s public health infrastructure, and ensuring equitable access to services across all communities.

Worsham’s last day as Snohomish County Health Director will be July 3. Over the coming weeks, the County will begin the recruitment process for a new director.

A media availability with Secretary Worsham will be announced closer to his start date. Additional details will be shared in the coming weeks.

Contact: shd.pio@co.snohomish.wa.us

Photo courtesy Cris Matochi (DOH)

For Immediate Release 

June 4, 2025 

Snohomish County Launches Mobile “Health on Wheels” Van to Bring Care Directly to the Community

 Snohomish County, WA – This week as a part of Pride month, the public will get its first look at the new Snohomish County Health Department Health on Wheels Van—a state-of-the-art mobile unit designed to deliver vital preventive health services directly to the people who need them most. With this new van, care is no longer limited by location, transportation, or circumstance. Whether it’s a vaccine, a health screening, or a conversation that leads to healing, this van represents a powerful commitment: everyone in Snohomish County deserves access to quality care, regardless of where they live. 

“This is a great opportunity for SHD and our staff to be out in the community, for us to be more visible,” said Pia Sampaga-Khim, Assistant Director for Preventive Services at the Snohomish County Health Department. “It’s really important for us to be serving folks who don’t have access.” 

Equipped with modern medical tools and staffed by compassionate professionals, the Health on Wheels Van can vaccinate up to 25 people per hour and screen up to four individuals per hour for sexually transmitted infections (STIs) in a private, respectful setting. The van also serves as a platform for education on injury and violence prevention and other health topics that empower people to take control of their well-being. 

The van itself is a reflection of thoughtful design and adaptability. Outfitted with a vaccine refrigeration system, privacy partitions, monitors for patient care, and a backup generator, it is ready to meet the needs of communities across the county—from urban neighborhoods to remote rural areas, schools to shelters, festivals to farms. 

“During COVID, we learned important lessons about what happens when people can’t easily access care, especially in more remote or underserved parts of our community,” said Dennis Worsham, Director of the Snohomish County Health Department. “We care deeply about the health and well-being of our residents, and we’re committed to meeting people where they are with the services they need to stay protected from preventable disease. We’re incredibly grateful to have received grant funding that made our new Health on Wheels van possible. The risk of permanently losing the State Department of Health’s Care-A-Van due to federal cuts highlights the importance of filling gaps in mobile services across Washington. While our van doesn’t replace the statewide program, it allows us to continue reaching Snohomish County residents who face barriers to care. We hope to see broader investments in mobile health infrastructure restored so that all communities in Washington can benefit.”

“Growing up, my mom worked for our local health department,” said Snohomish County Executive Dave Somers. “I remember going in to get immunizations, and it’s very much appreciated by the community when we go out to them and serve them where they live and where they work. We’re proud to launch this mobile van and continue our efforts to promote healthy, thriving communities.”

The Health on Wheels Van will join the Snohomish Pride Parade on June 7, please note there will be no services offered that day. On June 21, the van will be at the Everett Pride Block Party, offering mpox and HPV vaccinations as well as rapid HIV testing. The van will ultimately offer more than just vaccines and health screenings; it will provide health education, and other responsive services tailored to each community’s unique needs. Because health isn’t just about hospitals and clinics— it’s about delivering care in the ways and places people need it most. 

MEASLES CASE IN VISITOR TO KING AND SNOHOMISH COUNTIES: MULTIPLE LOCATIONS OF POSSIBLE EXPOSURE 

This information is a redistribution of a release originally posted by Public Health – Settle & King County

Public Health – Seattle & King County was notified of a confirmed measles case in a Canadian resident. The person spent time in King and Snohomish counties between April 30 and May 3, 2025, while infectious. The individual’s vaccine status is unknown.  

In addition to traveling through Seattle-Tacoma International Airport, the person visited multiple public locations in Renton, Bellevue, Seattle, Everett and Woodinville while contagious with measles, but before being diagnosed with measles. If you are not immune to measles, or don’t know your vaccination status, please see the list below for locations of potential exposure. 

This case is not connected to any previous local measles cases. Public Health – Seattle & King County has responded to two other measles cases this year among people who traveled through King County but are not Washington state residents. There have been five cases of measles in Washington state residents this year.  

“Globally and in the U.S., we are experiencing a significant measles resurgence. With over 1,000 cases reported so far this year nationally, 2025 is on track to have the highest number of measles cases in the U.S. since the early 1990s,” said Meagan Kay, Medical Epidemiologist for Public Health – Seattle & King County. “It’s an important time to check your vaccination status and get vaccinated if you aren’t protected.”  

Fortunately, the measles vaccine is very effective. Two doses of measles, mumps and rubella (MMR) vaccine provides about 97% protection against getting infected by measles and that protection lasts a lifetime.  

For answers to frequent questions about measles, including how to protect your family if you’re traveling, visit our recent blog post.  

Locations of potential exposure to the public  

Spread of measles can occur before people know they have the disease, before any rash appears.  

The infected person was at the following public locations before being diagnosed with measles. These times include the estimated period when the individual was at the location and two hours after. Measles virus can remain in the air for up to two hours after someone infectious with measles leaves the area. Anyone who was at the following locations during the times listed could have been exposed to measles:  

What to do if you were in a location of potential measles exposure  

Most people in our area have immunity to measles through vaccination, so the risk to the general public is low. However, anyone who was in the locations of potential exposure to measles around the times listed should:  

• Find out if you have been vaccinated for measles or have had measles previously. Make sure you are up-to-date with the recommended number of measles (MMR) vaccinations.  
• Call a healthcare provider promptly if you develop an illness with fever or with an unexplained rash. To avoid possibly spreading measles to others, do not go to a clinic or hospital without calling first to tell them you want to be checked for measles after an exposure. It is also important to limit contact with others, especially those without known immunity.  

If you were at the locations at the times listed above and are not immune to measles, the most likely time you would become sick would be between May 7– 24, 2025. People who are immuno-compromised may take longer to experience symptoms.  

About measles  

Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, runny nose, and red, watery eyes. If one person has it, up to 9 out of 10 people nearby will become infected if they are not protected. It mainly spreads through the air after a person with measles coughs or sneezes.  

Measles symptoms begin 7 to 21 days after exposure. Measles is contagious from about 4 days before the rash appears through 4 days after the rash appears. People can spread measles before they have the characteristic measles rash.  

Measles can lead to ear infections, diarrhea, pneumonia, and rarely, encephalitis (brain inflammation) or death.  

Complications from measles can happen even in healthy people, but those at highest risk include infants and children under 5 years, adults over 20 years, pregnant people, and people with weakened immune systems from medications or underlying disease.  

If you are in one of these high-risk groups and were exposed to measles at one of these locations, be sure to contact your health care provider to discuss any steps you need to take to protect yourself or loved ones against complications from measles.  

Measles is preventable with the safe and highly effective measles, mumps and rubella (MMR) vaccine. Two doses of the MMR vaccine are about 97% effective at preventing measles and that protection is long lasting.  

For more information about measles and measles vaccination, including where to get measles vaccinations: https://www.snohd.org/460/Measles

The United States is experiencing a significant measles resurgence. With over 1,000 cases reported so far this year, 2025 is on track to have the highest number of measles cases since the early 1990s. Given an ongoing outbreak in Texas and multiple smaller outbreaks across the country, now’s the time to make sure that you and the people you love are fully protected. 

Most people didn’t grow up in a time when measles was common, so it’s understandable that there are a lot of questions. We sat down with Dr. James Lewis, Health Officer for the Snohomish County Health Department and Dr. Alice Tin, Interim Health Officer for Public Health – Seattle & King County, to ask them about the disease.

Q: What is measles, and how serious is it?

Dr. James Lewis Measles is one of the most contagious infectious diseases known. It's so contagious that if one person has it, 9 out of 10 people nearby will also become infected if they are not protected through vaccination or previous measles infection. Measles spreads easily through the air by coughing and sneezing. It can live on surfaces and stay in the air for up to two hours after an infected person leaves an area.

Dr. Alice Tin: Measles may not seem serious at first. It typically starts with a fever, cough, runny nose, and red, watery eyes. A few days later, a rash appears. While many people recover fully, measles can lead to serious complications like pneumoni­a, immune system problems, brain swelling (encephalitis), or even death. Measles is especially dangerous for young children, pregnant people, and people with weakened immune systems. There is no specific treatment for measles, only supportive care. 

Q: We've reached more than 1,000 measles cases in the U.S.—why are we seeing this increase?

Dr. Tin: In recent decades, we've been able to rely on high vaccination rates across the population to stave off measles outbreaks. When most people are vaccinated, we may see a few measles cases when people return from traveling internationally, but measles has nowhere to go because most people are immune. It hits a wall. 

Dr. Lewis: During the pandemic, a lot of kids around the world and here in the U.S. couldn’t get vaccinated, leading to more outbreaks in nearly every continent. Now, when people travel abroad, they're more likely to be exposed to measles and bring an infection home. Lower vaccination rates mean measles has more paths it can take to spread through a community. We're seeing this in full force in places like Texas and New Mexico.

According to the Washington Department of Health, in 2024, only 62 percent of Washington children ages 4 to 6 were fully vaccinated against measles. In Snohomish County, the number was only slightly higher, at 64 percent, and the rate was 67% in King County.

Q: How can measles be prevented?

Dr. Lewis: The MMR vaccine, which protects against measles, mumps, and rubella, offers excellent protection. Two doses are 97% effective at preventing measles. One dose is about 93% effective.

Children need two doses of MMR vaccine: the first dose at 12 months and the second dose sometime between the ages of 4 -6. The second dose can be given earlier, as long as it’s been at least 28 days after the first dose. 

Q: What about vitamin A and cod liver oil? There’s been talk that they can be used to fight measles.

Dr. Lewis: There is no evidence that vitamin A, cod liver oil or other supplements can prevent measles. Sometimes doctors will recommend that people with a measles infection take vitamin A, but only if there is concern for vitamin A deficiency. Taking high doses without the supervision of a healthcare professional is dangerous and can lead to liver failure and death. Taking too much vitamin A during pregnancy can cause serious birth defects. The only proven effective method to prevent measles infection is vaccination. 

Q: I’ve got some trips coming up. What should I do before I travel? How about when I get back?

Dr. Tin: Wherever you plan to go, it’s always a good idea to make sure you’re up-to-date on all your vaccinations. But if you’re traveling abroad or to an area of the U.S. with a measles outbreak, it’s especially important that you’re well protected from measles.

• Babies ages 6-11 months old should get an early dose of MMR. They'll still need to get the two recommended doses starting at age 12 months. 
• People older than 12 months should be sure that at some point in their lives they’ve had two doses of MMR, spaced at least 28 days apart. This means that if you have a child age one or older, they should get both doses before travel to high-risk places. Some people don’t need to get vaccinated because they already are considered immune. This includes people born before 1957 and people with documented proof of measles infection in the past.

Make sure to get vaccinated at least two weeks before your trip. This gives your body a chance to build immunity. Talk to your doctor about your family’s specific health needs and travel plans.

Once you return from traveling to a high-risk area, look out for symptoms for 3 weeks. People who are infected may spread measles to others 4 days before and 4 days after a rash appears. If you develop symptoms, call or write to your healthcare provider immediately and tell them about your travel history. Please avoid in person visits to the clinic until you speak to a member of your healthcare team.

Q: I’m traveling to an area with a measles outbreak. I have a baby who is too young to be vaccinated. What can I do to protect them?

Dr. Lewis:  Babies ages 6-11 months should get an early dose if traveling internationally or to areas of the U.S. with active outbreaks. They will still need the two recommended doses starting at 12 months. If you have a baby under age 6 months, consider postponing your trip. If that’s not possible, you can take steps to limit your baby’s exposure. Make sure that everyone you’re traveling with, and visiting is vaccinated, wash hands often, and avoid crowded spaces when you can. When you must be in crowded places, like the airport, ask everyone ages 2 and up in your travel group to wear a well-fitting mask. If you’re breast/chestfeeding, keep that up. Though not a substitute for vaccination, breastfeeding provides protective antibodies.

Q: How do I know the MMR vaccine is safe? 

Dr. Lewis: For over 50 years, the MMR vaccine has been safely given to millions of people. Vaccines go through careful testing and continuous monitoring for safety. Like any medicine, vaccines can have side effects. These are almost always mild and temporary. Common side effects include soreness and redness at the spot you got vaccinated, a low-grade fever, or a mild rash. Serious reactions are extremely rare; it’s much more common for unvaccinated people who catch measles to get severely ill.

Dr. Tin: Some people avoid getting vaccinated due to a misconception that the MMR vaccine is connected with autism. This concern started with one poorly designed study in 1998. The study was withdrawn from the journal that published it, and the doctor who led the study lost his license to practice medicine. Since then, dozens of studies involving hundreds of thousands of children across the world have looked into this. They’ve all reached the same conclusion: there is no link between vaccines and autism. 

Q: Can vaccinated people still get measles?

Dr. Lewis: Rarely. About 3% of fully vaccinated individuals can still get measles if exposed. But people who are vaccinated are much less likely to get seriously ill or spread measles to others. 

Q: What if I don’t know if I’m immune to measles?

Dr. Lewis: If you were vaccinated in Washington state, you may have records in the Washington state immunization registry. Visit MyIR Mobile to view records for yourself and your family members.

If you can't find vaccination records or documentation that you had measles, you may be able to get a blood test to show whether you have immunity to measles. But it's often less expensive and simpler to just get vaccinated. Getting another dose of MMR vaccine is safe and effective even if you were vaccinated in the past.

Q: What's your advice to parents who are hesitant about vaccines?

Dr. Tin: I think parents just want to do the best they can for the health of their children. It’s important to remember that there are a variety of reasons for someone to be uncertain about vaccines. Talk to your healthcare provider about your concerns. As a parent myself, I know how important it is to have conversations with your provider, especially with so much misinformation circulating. The American Academy of Pediatrics has more information about the measles vaccine. You can also visit Measles | Snohomish County Health Department for more information about vaccine safety.

Dr. Lewis: What I can share is that the MMR vaccine has been very carefully studied and is extremely effective at protecting children from serious illness. Measles doesn’t always feel real, it is a disease we have not heard a lot about for a while. However, it can quickly become very real, especially for families who have lost children and loved ones. Please ask questions and to help you stay informed, you can visit Washington State Department of Health: Measles | Washington State Department of Health

FOR IMMEDIATE RELEASEMay 8, 2025

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, May 13

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, May 13, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of minutes of the regular meeting of April 8, 2025
5. Public Comment  
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
6.  Public Hearing
   1. Ordinance BOH25-04 regarding administrative appeals and SEPA appeals (SR 25-014B; Hailey Fagerness)
7. Director's Report
8. Briefings
   1. Fee schedule reorganization (SR 25-015; Hailey Fagerness)
   2. General codified variance & waiver process (SR 25-017; Hailey Fagerness)
   3. 2025 Washington state legislative wrap-up (SR 25-016; Nicole Thomsen)
9. Old Business
10. New Business
11. Information Items
    1. Upcoming Meetings
12. Tour of Public Health Clinic and Health On Wheels Mobile Clinic (In Person Only)
13. Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE 

April 10, 2025 

Snohomish County STI Clinic Marks First Full Year with Major Milestones and Lives Changed

Snohomish County, WA — In its first full year of operation, the Snohomish County Health Department’s STI (sexually transmitted infection) Clinic has delivered essential, life-changing care to over a thousand residents, playing a crucial role in early disease detection, treatment, and prevention while advancing health equity and reducing barriers to care. 

"The outstanding first-year success of our STI clinic highlights the essential role our health department plays in safeguarding community wellness,” said Dennis Worsham, Director of the Snohomish County Health Department. “By providing accessible, direct services, we’re reaching a wide range of community members, underscoring the vital truth that public health initiatives are designed for everyone. Our commitment at the Health Department remains firm—fostering healthier communities through proactive care, education, and compassionate services for all people." 

Since opening in late 2023, the clinic has recorded 1,689 visits among 1,199 individuals, with over 3,000 STI tests performed in 2024 alone. Of those tested, 327 clients were found positive for at least one STI, including chlamydia, gonorrhea, syphilis, or HIV, many of whom may not have received timely treatment without the clinic’s services. 

“This clinic is more than a medical service, it’s a lifeline,” said Katie Curtis, Snohomish County Health Department Prevention Services Division Director, adding, “We’ve been able to reach people experiencing homelessness, individuals with limited prenatal care, and young adults unaware of their status. These aren’t just numbers, they’re lives improved, and futures changed.”

The STI Clinic ranked among the top five clinic systems in the county for diagnosing new cases of chlamydia, gonorrhea, and syphilis, responsible for identifying nearly eight percent of new Snohomish County cases in 2024.  

Remarkably, syphilis cases identified at the clinic were treated, on average, three days sooner than cases diagnosed elsewhere. This expedited treatment is especially critical for pregnant patients, as syphilis can be transmitted in utero, leading to congenital syphilis. Congenital syphilis is associated with devastating outcomes, including miscarriage, stillbirth, preterm birth, and severe neonatal complications. Despite being almost entirely preventable with timely diagnosis and treatment, the U.S. reported over 3,700 cases of congenital syphilis in 2022—a more than threefold increase since 2017. In Washington State, cases have surged from just 1 in 2014 to 57 in 2023, with the most dramatic rise occurring between 2020 and 2021, when cases jumped from 10 to 53. Early identification and prompt treatment during pregnancy can reduce the risk of fetal transmission by nearly 90 percent, underscoring the public health importance of rapid clinical response. 

While 88 percent of clients were Snohomish County residents, others traveled from across the region, a sign of the clinic’s growing reputation as a trusted source of care. Much of the clinic’s success stems from its integration with the STI Disease Intervention Specialist (DIS) team, who conducted over two-thirds of all clinic visits, ensuring rapid follow-up and treatment for clients and their partners. 

The clinic serves a racially and ethnically diverse client base, with a notable focus on populations historically underserved in healthcare. The clinic also saw a higher percentage of men who have sex with men (MSM) than is represented in the general county population, underscoring the clinic’s importance as an accessible, affirming space in the community, including for LGBTQ+ clients. 

“Sexually transmitted infections don’t just affect individuals, they ripple through families, relationships, and the broader health of our community,” said Dr. James Lewis, Health Officer for the Snohomish County Health Department. “For too long, those most vulnerable have gone without the care and resources they need. This clinic is changing that. I’m incredibly proud of our team, who show up every day with empathy and expertise to provide judgment free, life-saving services. We’re not only treating infections, we are also breaking down stigma and filling a void that’s long been overlooked.”

While the numbers clearly demonstrate the clinic’s impact, thousands of visits, tests, and diagnoses, the true measure of success lies in the lives changed. Behind every data point is a person: someone who may not have otherwise had access to care, who received a timely diagnosis, or who found a trusted space to take charge of their health. The clinic’s greatest value is in its ability to reach people where they are in their life and connect them to care that is often lifesaving. 

We have been able to care for the most vulnerable populations: those experiencing homelessness, those with limited prenatal care, and young patients unaware of their HIV status. 

A homeless client, unreachable by phone after testing, was personally located by a staff member, who walked him to the clinic for treatment. “His symptoms resolved,” they shared. “Now, he returns every three months for screenings.” 

Pregnant clients with limited or no prenatal care received treatment for syphilis, helping prevent congenital infections. “Some didn’t even know where to go for obstetric care, now they’re connected to full services,” said a provider. 

Two young patients were identified with early-stage HIV during routine STI testing and linked to care within four weeks. “They’re now on antiretrovirals and supported by case management. That’s life-changing,” said staff. 

60+ Mpox vaccines were administered, some delivered to patients’ homes, a move that improved access for high-risk individuals. 

The Snohomish County STI Clinic, located in Everett, WA, provides confidential, low barrier testing and treatment for sexually transmitted infections to individuals aged 14 and older. Open Monday through Friday, the clinic offers comprehensive services including testing for chlamydia, gonorrhea, HIV, and syphilis, along with treatment options for patients and their partners. No insurance is required, and services are designed to be accessible, inclusive, and supportive. Appointments are recommended but are not required. Walk-ins will be seen if time allows. To make an appointment, call the clinic at 425-339-5261 or visit the website for more information. 

About the Snohomish County Health Department 

The Snohomish County Health Department works to promote and protect the health of all county residents through innovative programs, direct services, and collaborative public health efforts. For more information, visit www.snohd.org. 

MEDIA ADVISORY 

FOR IMMEDIATE RELEASE 

April 4, 2025 

Snohomish County to Unveil New “Health on Wheels” Van 

The County Executive and Director of the Snohomish County Health Department will make remarks as the van is officially launched as a part of the Snohomish County Health Department’s community outreach work. This will be happening during National Public Health Week, which takes place April 7-13, 2025.

WHAT: 

Snohomish County is proud to announce the launch of its new Health on Wheels Van, a mobile public health unit designed to bring essential services directly to residents across the county. This new resource will expand the reach of preventive care and health education—meeting people where they are, especially in underserved communities. 

WHO: 

• Dave Somers, Snohomish County Executive• Dennis Worsham, Director, Snohomish County Health Department• Media availability: Dr James Lewis, Health Officer, Snohomish County Health Department 

WHEN: 

Wednesday, April 9, 20251:00 p.m. Remarks 

WHERE: 

Floral Hall802 E Mukilteo Blvd #205; Everett, WA 98203*Free parking available on-site.* 

WHY: 

At a time when public health funding is under pressure nationwide, Snohomish County is focused on tools that expand access, equity, and community wellness. The Health on Wheels Van will serve as a mobile clinic and outreach hub—delivering services such as immunizations, health screenings, harm reduction, and health education across the county. 

VISUALS & INTERVIEWS: 

• Ribbon-cutting and van unveiling with Q&A• Van tours available for press• One-on-one interviews available upon request 

MEDIA CONTACT: 

Christina BradicInterim Communications ManagerSnohomish County Health DepartmentSHD.PIO@co.snohomish.wa.us 

FOR IMMEDIATE RELEASEApril 3, 2025

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, April 8

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, April 8, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of Minutes of the Regular Meeting of March 11, 2025
5. Public Comment
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
6. Public Hearing
   1. Ordinance BOH25-02 Clarifying Unplumbed Espresso Stand Operation in Snohomish County (SR 25-010B; Ragina Gray)
   2. Ordinance BOH25-03 Addressing Unplumbed Espresso Stand Variance Application Fees (SR 25-011B; Ragina Gray)
7. Action

   1. Proclamation 25-04 Recognizing National Public Health Week (SR 25-013; Nicole Thomsen)

8. Director's Report
9. Briefings

   1. Ordinance BOH25-04 Regarding Administrative Appeals and SEPA Appeals (SR 25-014; Hailey Fagerness)

   2. 2025 Washington Legislative Update (SR 25-005D; Nicole Thomsen)

10. Old Business
11. New Business
12. Information Items
    1. Upcoming Meetings
13. Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

For Immediate Release

Contact: SHD.PIO@co.snohomish.wa.us

New Measles Case Identified in Snohomish County Infant

Snohomish County, WA —The Snohomish County Health Department was notified April 1, 2025, of a new positive measles case in a Snohomish County infant. The infant was likely exposed to measles during recent travel abroad. People who were at certain locations in Snohomish and King counties may have been exposed to measles. People who are vaccinated are well protected. Exposed individuals should check to make sure they have immunity against measles.

This is the second case of measles in an infant, and third case overall, in Washington State since January 1, 2025.   

Fortunately, the measles vaccine is highly effective. Two doses of the measles, mumps and rubella (MMR) vaccine provides about 97% protection against getting infected by measles. That protection lasts a lifetime.

“Our thoughts are with the child and their family, and we sincerely hope for a full and speedy recovery," said Dr. James Lewis, Health Officer for the Snohomish County Health Department. "Measles is a serious and highly contagious disease, and young children—especially those who are too young to be vaccinated—are particularly vulnerable to its complications. Vaccination remains our best protection against measles. We urge everyone, especially those who spend time around young kids, to ensure they are immune, both to protect themselves and to shield those who are most at risk. If you’re planning international travel, it’s also important to speak with your healthcare provider about what vaccines may be needed for you and your family to stay healthy and protected while abroad.”

Children need two doses of MMR vaccine: the first dose at age 12-15 months, and the second dose at age 4-6 years. Babies ages 6-11 months should get an early dose if traveling internationally. They will still need two additional doses later. 

“Measles is spreading around the U.S. and world. Vaccination is the most effective way to protect our children, not only from serious diseases like measles, but also to ensure they can attend school safely,” said Elysia Gonzales, Medical Epidemiologist for Public Health – Seattle & King County. “If you haven’t gotten around to taking your child in for vaccination, make an appointment with your child’s provider. In Washington State, all children under age 19 can get vaccines for free.” 

Locations of potential exposure to the public

Spread of measles can occur before people know they have the disease, before any rash appears.

The infant was at the following public locations before being diagnosed with measles. These times include the period when the individual was at the location and two hours after.  

Measles virus can remain in the air for up to two hours after someone contagious with measles leaves the area. Anyone who was at the following locations during the times listed could have been exposed to measles:

What to do if you were in a location of potential measles exposure

Most people in our area have immunity to measles through vaccination, so the risk to the general public is low. However, anyone who was in the locations of potential exposure to measles around the times listed should:

• Find out if you have been vaccinated for measles or have had measles previously. Make sure you are up to date with the recommended number of measles (MMR) vaccinations.
• Call a healthcare provider promptly if you develop an illness with fever or with an unexplained rash. To avoid possibly spreading measles to others, do not go to a clinic or hospital without calling first to tell them you want to be checked for measles after an exposure. It is also important to limit contact with others, especially those without known immunity, and to wear a well-fitting mask if you do need to go to a healthcare facility.

If you were at the locations at the times listed above and are not immune to measles, the most likely time you would become sick would be between April 3 and April 21, 2025. People with weakened immune systems may take longer to experience symptoms.

About measles

Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, runny nose, and red, watery eyes. If one person has it, up to 9 out of 10 people nearby will become infected if they are not protected. It mainly spreads through the air after a person with measles coughs or sneezes.

Measles symptoms begin 7 to 21 days after exposure. Measles is contagious from about 4 days before the rash appears through 4 days after the rash appears. People can spread measles before they have the characteristic measles rash.

Measles can lead to ear infections, diarrhea, pneumonia, and rarely, encephalitis (brain inflammation) or death.

Complications from measles can happen even in healthy people, but those at highest risk include infants and children under 5 years, adults over 20 years, pregnant people, and people with weakened immune systems from medications or underlying disease.

If you are in one of these high-risk groups and were exposed to measles at one of these locations, be sure to contact your health care provider to discuss any steps you need to take to protect yourself or loved ones against complications from measles. 

Measles is preventable with the safe and highly effective measles, mumps and rubella (MMR) vaccine. According to the Centers for Disease Control and Prevention (CDC), two doses of the MMR vaccine are about 97% effective at preventing measles and that protection is long lasting.

For more information about measles and measles vaccination, including where to get measles vaccinations: Measles | Snohomish County Health Department, WA

This is a joint release sent with Public Health - Seattle and King County

FOR IMMEDIATE RELEASE

March 14, 2025

CONTACT: shd.pio@co.snohomish.wa.us

Snohomish County Board of Health Signs World Tuberculosis Day Proclamation

March 24, 2025, is World Tuberculosis Day in Snohomish County and all county residents are encouraged to become aware of this infectious disease, symptoms and prevention.

SNOHOMISH COUNTY, Wash. ­– The Snohomish County Board of Health this week adopted a proclamation to commemorate World Tuberculosis Day on March 24. 

March 24 marks the day in 1882 when Dr. Robert Koch announced he had discovered the bacterium that causes the disease, which opened doors to diagnose and cure. Despite the historical nature of the disease, tuberculosis is still a major threat, killing 1.25 million people worldwide in 2023, surpassing COVID-19 as the leading cause of death from a single infection.

The Snohomish County Health Department has an active tuberculosis (TB) program that provides diagnosis, treatment and testing. The goal is to provide trauma informed and culturally competent care to persons infected with TB, with little or no barriers, and to prevent the spread of TB within Snohomish County. 

In 2024, the county TB program, along with community partners, cared for 50 people with TB diagnoses; 30 were newly confirmed cases. The county identified 254 people as close contacts. Symptoms of tuberculosis include an on-going cough lasting longer than 3 weeks, fever, fatigue, weight loss, and coughing up blood. Those at highest risk for the disease include people who live with someone who has TB, people who travel to, or were born in, places with high rates of TB, and people who have underlying health problems. 

“We are proud to be able to prevent and treat TB here in Snohomish County,” said Teresa Rugg, tuberculosis program supervisor for the Health Department. “We also recognize the stigma that this disease presents locally and globally. We believe it is important to know the facts about TB and create understanding that we support one another, striving to become a healthier community.”

The World Health Organization fears that federal funding cuts to global TB prevention and treatment efforts could reverse decades of progress and endanger millions of lives.

TB is spread through the air by coughing, sneezing, yelling, or singing. There are two stages of TB – the inactive stage where a person has been infected by the bacteria but is not sick and cannot spread TB, and an active stage where the person feels sick and may spread the disease to others if the bacteria is in the lungs.     

When someone in Snohomish County is diagnosed with active pulmonary TB that is contagious, the Health Department provides testing for anyone considered exposed. If a person believes they have had a significant exposure to someone with active pulmonary TB who is contagious and have not been contacted already by the Health Department, they may consider discussing concerns with their medical care provider.

The county will feature a display on TB during the last week of March in the Admin West building, of the county complex, 3000 Rockefeller Avenue, Everett.

##END##

FOR IMMEDIATE RELEASEMarch 7, 2025

CONTACT:  shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, march 11

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, March 11, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of Minutes of the Regular Meeting of February 11, 2024
5. Public Comment
   1. It's customary for each board meeting to include an assigned period for public comment from individuals present at the meeting. Generally, the public comment occurs near the beginning of the meeting and comments are limited to no more than three minutes per person. The Chair of the board may, as circumstances require at each meeting, reduce the time allotted to individuals or reduce the overall time assigned for public comments.
6. Public Hearing
   1. Ordinance BOH 25-01 Updating the Snohomish County Board of Health Code to Reflect On-Site Sewage Systems WAC Changes (SR 25-006B; Hailey Fagerness)
7. Action

   1. Proclamation 25-03 Recognizing World Tuberculosis Day Proclamation (SR 25-008; Dennis Worsham)

   2. Proclamation 25-02 Recognizing Julie Smith for her Service on the Board of Health (SR 25-009; Dennis Worsham)

8. Health Officer's Report
9. Briefings

   1. Ordinance BOH25-02 Clarifying Unplumbed Espresso Stand Operation in Snohomish County (SR 25-010; Tony Colinas)

   2. Ordinance BOH25-03 Addressing Unplumbed Espresso Stand Variance Application Fees (SR 25-011; Tony Colinas)

   3. Sexually Transmitted Infections Clinic 2025 Summary (SR 25-012; James Lewis)

   4. 2025 Washington Legislative Update (SR 25-005C; Dennis Worsham)

10. Old Business
11. New Business
12. Information Items
    1. Upcoming Meetings
13.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE

February 19, 2025

CONTACT: shd.pio@co.snohomish.wa.us

Snohomish County Reports 15 Flu Deaths, Marking the Highest Toll Across Three Seasons

Emergency department visits and flu related hospitalizations remain elevated compared to the past two seasons.

SNOHOMISH COUNTY, Wash. ­–  The Snohomish County Health Department is reporting 15 influenza-related deaths this respiratory virus season, significant activity since the first deaths were reported in early January. This is higher than the past two seasons, with ten reported flu-related deaths last year and 12 flu-related deaths in the 2022-2023 season. This year’s high flu activity is concerning, especially considering the disproportionate impact on people who are older or who have underlying health conditions. Of residents who have passed away in Snohomish County this year, thirteen of the people were age 50 or older, one was between 35 and 49, and one was between ages 20 and 34. Health Department Officials recommend vaccination, staying home when sick, and masking when symptomatic or around vulnerable people, to help slow the spread of disease. 

For the most recent week, nearly seven percent of emergency department visits have been for symptoms related to flu. This is down slightly from the previous two weeks, which were around eight percent, yet significantly elevated from the same week last year when influenza-related illness accounted for only 1 percent of emergency department visits. Current emergency department visits are 60 percent higher than last year’s flu peak in late December. As of the week ending February 15, 44 people in Snohomish County are hospitalized for flu-related illness compared to 13 people at last year’s peak and 24 people at the highest point of the 2022-23 respiratory virus season. 

"After the peak of the COVID-19 pandemic, we saw alarmingly high levels of flu activity in 2022-2023. Now, we are witnessing similar, if not greater, levels of viral transmission. This serves as a clear reminder that everyone in our community should take proactive steps to prevent the spread of illness,” says Dr. James Lewis, Health Officer for the Snohomish County Health Department. “One of the most effective measures is vaccination. A flu shot remains crucial in reducing the risk of severe illness this season. Across the country, we are seeing a concerning rise in vaccine-preventable diseases, and all viruses pose risks. While we hope for mild symptoms, we must recognize that some cases can be severe – such as pneumonia from the flu, encephalitis from measles, or life-threatening pauses in breathing or pneumonia from pertussis (whooping cough). Vaccines are safe, effective, and essential, offering protection not just to individuals but to the community as a whole.”

Everyone age six months and older is eligible for the flu vaccine, available throughout Snohomish County. Side effects of the flu vaccine are generally mild and may include soreness from the injection, fever, or muscle aches. In most cases, any side effects felt are significantly less than symptoms of a flu infection, which can result in coughing, sore throat, fever, fatigue, chills, and nausea, among other symptoms. If someone has the flu, they should not return to work or school, until symptoms are improving and it has been more than 24 hours since the person had a fever, without the use of fever reducing medications. 

Along with vaccination, masking continues to be a highly effective measure for preventing the spread of respiratory illness. It is important for individuals showing symptoms to wear a mask, as well as for healthy individuals who want to protect themselves from getting sick. Even mild respiratory symptoms can spread the flu and other respiratory illnesses, so the Health Department urges everyone with symptoms to mask up, even if they only have a slight cough, sore throat, or occasional sneeze. Masking is particularly crucial in healthcare settings, crowded indoor spaces, and around individuals who are more vulnerable to severe illness. Staying home when sick, and washing hands often, are also important steps to stay healthy.

FOR IMMEDIATE RELEASEFebruary 6, 2025

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, February 11

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, February 11, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of Minutes of the Regular Meeting of December 10, 2024
   2. Approval of Minutes of the Special Meeting of January 21, 2025
5. Public Comment
6. Action
   1. Board of Health Work Plan (SR 25-004; Nicole Thomsen)    
7. Director's Report
8. Briefings
   1. Land Use WAC Updates (SR 25-006; Ragina Gray)
   2. 2025 Washington Legislative Update (SR 25-005B; Nicole Thomsen)
9. Old Business
   1. 2025-2026 Biennial Budget Update (SR 25-007; Theresa Bengtson)
10. New Business
11. Information Items
    1. Upcoming Meetings
12.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE

January 21, 2025

CONTACT: shd.pio@co.snohomish.wa.us

Two Counts of Measles Exposures Confirmed in Snohomish County

The Snohomish County Health Department is closely monitoring residents who may be at risk for developing illness.

SNOHOMISH COUNTY, Wash. ­–  The Snohomish County Health Department has confirmed at least two incidents of local residents being exposed to measles. This is following a confirmed measles case in an adult who traveled through Seattle-Tacoma International Airport on January 10, 2025, while infectious. 

The health department is working with the exposed individuals and monitoring their symptoms closely. They have been advised to quarantine as much as possible and to wear a mask when in public places. 

If a person was at Seattle-Tacoma International airport on January 10 between 2:30 pm and 8:00 pm, it is possible that they were exposed to measles. The infected person was in the S-Gate concourse, the D-Gate concourse, customs arrivals, and baggage claim. The most likely time frame a person would become sick if they were infected by this exposure is between January 17, 2025 and January 31, 2025.

If a person has received the recommended two doses of the measles, mumps, and rubella vaccine (MMR), the CDC reports the vaccine is 97 percent effective against infection. 

Measles spreads through the air and is highly contagious. If an unvaccinated person shares airspace with someone who has been infected, there is a 9 out of 10 chance that they can also become infected. Measles has a characteristic rash, it is red and flat, first appearing on the face. An infected person can spread the disease beginning four days before the rash appears. Measles symptoms can begin between 7 and 21 days after exposure and often a fever and cough are the first signs someone has been infected.

“We are most concerned about people who do not have immunity from vaccination, especially young children. Measles is highly contagious and in severe cases, can cause very high fevers, pneumonia, and, although more rare, brain swelling, and even death” says Dr. James Lewis, Health Officer for Snohomish County. “As of this past December, measles was reported in 30 states, including Washington, and 80 percent of those cases were in people who did not have confirmed vaccination.”

Groups who are most likely to experience severe symptoms include children under age 5, pregnant people, and people with weakened immune systems or underlying chronic conditions. If you are concerned you have been exposed and you have symptoms, reach out to your provider. For more information on symptoms and vaccination, and resources, visit SNOHD.org/measles.

FOR IMMEDIATE RELEASEJanuary 16, 2025

CONTACT:  

shd.pio@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, January 21

BOARD of health TO CONVENE FOR a special meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold a special meeting at 3 p.m. on Tuesday, January 21, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Public Comment
5. Special Business
   1. Election of Chair and Vice Chair (no staff report; N. Thomsen)
6. Special Recognition
   1. Proclamation 25-01 Recognizing Joseph Hund for his Service on the Board of Health (SR 25-001; Nicole Thomsen)
7. Health Officer's Report
8. Briefings
   1. Onsite Septic System Monitoring & Maintenance Section (SR 25-002; Andrea Pellham)
   2. Unplumbed Coffee Stands (SR 25-003; Tony Colinas)
   3. Board of Health Work Plan (SR 25-004; Nicole Thomsen)
   4. 2025 Washington Legislative Update (SR 25-005; Nicole Thomsen)
9. New Business
10. Information Items
    1. Upcoming Meetings
11.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.

##END##

FOR IMMEDIATE RELEASE

January 13, 2025

CONTACT: shd.pio@co.snohomish.wa.us

Snohomish County Reports First Flu Deaths of the 2024-2025 Season

Residents are advised to stay up to date on vaccinations and to take precautions to protect individuals who are at higher risk.

SNOHOMISH COUNTY, Wash. ­– Local Public Health officials have confirmed two local deaths from influenza, marking the first fatalities during the 2024-2025 flu season. While deaths from flu are not unexpected, this serves as a stark reminder that respiratory viruses such as flu, COVID-19, and RSV can result in severe illness, especially for young children, older adults, and others who are at higher risk.

During last year’s Respiratory Virus Season, Snohomish County reported seven deaths. Currently, Influenza-related hospitalizations are twice as high as they were during the same period in 2024 and the highest rate of hospitalization is among people 65 and older. Local Emergency Departments are also seeing a higher number of visits due to flu, nearly 5 times higher than the threshold that would alert officials to increased transmission; twice as high as what was reported during the same week in 2024.

People who are at higher risk for severe disease from influenza include young children, older adults, people who are immunocompromised or have chronic health conditions, pregnant individuals, and those residing in long-term care facilities or nursing homes. The annual flu vaccine is recommended for everyone ages six months and older. The flu vaccine has been shown to reduce the number of sick days taken from work and school, reduce the severity of symptoms, and reduce the number of flu-related hospitalizations in the community.

Snohomish County residents can visit local pharmacies and clinics to get vaccinated this winter. To find specific locations for a flu vaccine, visit www.vaccines.gov or call the Help Me Grow Washington hotline at 1-800-322-2588 (language assistance available). In Washington State, children under age 19 can be vaccinated for free and most insurance plans, including Medicare part B, cover the cost for adults. If a person still needs a COVID-19 vaccine, both vaccines can be given during the same visit.

During the winter season, flu, COVID-19, RSV, and pertussis (whooping cough), are all circulating at higher levels than normal. Vaccination is the easiest way to protect yourself and your loved ones. Adults 65 and older, and parents of young children, should talk to their providers about eligibility for the RSV vaccine. As a part of routine vaccinations, children and adolescents should receive a DTaP or Tdap vaccine, dependent on age, to help slow the spread of whooping cough.  In addition to vaccination, residents are all encouraged to help stop the spread of disease by staying home when sick and washing hands frequently, for at least 20 seconds, with soap and water. Masking can help provide additional protection, especially when in indoor crowded areas.

FOR IMMEDIATE RELEASEDecember 9, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, December 10

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, December 10, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of Minutes of the Regular Meeting of November 12, 2024
5. Public Comment    
6. Briefings
   1. Strategic Planning (SR 24-028; Dennis Worsham)
   2. 2025 Board of Health Work Plan (SR 24-029; Nicole Thomsen)
   3. Board of Health Member Update (SR 24-030; Nicole Thomsen)
7. Information Items
   1. Upcoming Meetings
8.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASENovember 6, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, November 12

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, November 12, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of Minutes of the Regular Meeting of October 8, 2024
5. Public Comment    
6. Public Hearing
   1. Ordinance BOH24-05 Relating to Health Department Fees; Amending Chapter 1.40.040 of the Snohomish County Board of Health Code; Adding Chapter 1.40.045 of the Snohomish County Board of Health Code (SR 24-022B; Ragina Gray)
7. Action
   1. Recommend reappointment of Julie Smith to the Board of Health (SR24-024; Nicole Thomsen)
8. Health Officer's Report
9. Briefings
   1. Prevention Services - STI and HIV Services (SR 24-025; Carrie Parker)
   2. Medical Reserve Corp (MRC) Program (SR 24-026; Amanda Hass)
   3. Snohomish County 2025 Legislative Agenda (SR 24-027; Nicole Thomsen)
10. Information Items
    1. Upcoming Meetings
11.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEOctober 3, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, October 8

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, October 8, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636

Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of September 10, 2024
5. Public Comment    
6. Director's Report
7. Public Hearing
   1. Ordinance BOH24-04 Regarding Administrative Appeals; Amending Chapter 1.20 of the Snohomish County Board of Health Code (SR 24-018B; Ragina Gray)
8. Briefings
   1. Ordinance Relating to Health Department Fees; Amending Chapter 1.40.040 of the Snohomish County Board of Health Code; Adding Chapter 1.40.045 of the Snohomish County Board of Health Code (SR 24-022; Ragina Gray)
   2. Prevention Services - Children and Family Health (SR 24-023; Michaela Horn, Melinda Lozovoy)    
9. Information Items
   1. Local Board of Health Training Report Out
   2. Upcoming Meetings
10.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE                                  

September 16th, 2024

CONTACT:   

SHD-Communications@co.snohomish.wa.us   

Increase of Pertussis Cases in Snohomish County Residents

Public health officials advise staying up to date with vaccinations to prevent pertussis, also known as “whooping cough.”

SNOHOMISH COUNTY, Wash. – Local public health officials have confirmed an uptick of pertussis, also known as whooping cough. There have been 41 cases reported to the Snohomish County Health Department so far this year, with 11 reports in the last 2 weeks.  There have been 3 schools and a childcare associated with these cases. At this time, there is no confirmed evidence of transmission in these locations.  

The Snohomish County Health Department’s Communicable Disease Surveillance & Response team is monitoring this situation. Health officials have contacted all cases and impacted locations to alert them of the potential exposures. All cases and contacts have been provided education and treatment recommendations.

Pertussis is a potentially serious illness which can affect anyone at any age. Pertussis can lead to severe health problems including apnea (stopping breathing), pneumonia, syncope (passing out), seizures, and even death, particularly in very young children. Early symptoms of whooping cough may include runny nose, sneezing, and cough. After about a week, the cough typically worsens and people often experience coughing fits. Coughing fits can be severe and cause gagging or vomiting as a result.

DTaP or Tdap vaccines protect against whooping cough. Babies and young children should receive multiple doses of DTaP between ages 2 months and 6 years. Preteens (ages 11-12), or any teen or adult who has not yet been vaccinated, should receive the Tdap vaccine. People who are pregnant should talk to their healthcare provider and make sure they receive a Tdap vaccine between weeks 27 and 36 of pregnancy to help protect their newborn. Additionally, regular boosters are recommended in adulthood.

It is important to know that vaccinated individuals can become infected and transmit pertussis as the protection from the vaccine wanes over time. Previously vaccinated individuals will almost always have milder illness than those who are unvaccinated. Individuals currently experiencing a prolonged cough or who have been in contact with someone with pertussis should contact their doctor for testing and/or treatment. 

The treatment for pertussis is with antibiotics. Antibiotics are also recommended for people with significant exposures to a person with pertussis including all household contacts, close contacts, and contacts who have a high risk of developing severe pertussis. This is to prevent them from getting sick with pertussis.

As kids go back to school and respiratory virus season approaches, it’s especially important to stay up to date with immunizations, including for flu and COVID. People can check their own or their child’s immunization status or print their Certificate of Immunization Status at https://myirmobile.com, or by contacting their medical provider. 

Ask your healthcare provider more about where to find the Tdap or DTaP vaccine and all other recommended vaccines. Washington provides all recommended vaccines at no cost for kids through age 18, available from providers across the state. Providers may charge an office visit fee and an administration fee to give the vaccine. People who can’t afford the administration fee can ask to have it waived. 

Call the Family Health Hotline at 1-800-322-2588 or go to ParentHelp123 to find a healthcare provider or immunization clinic.

To prevent spread of pertussis and other infections, such as flu and COVID, it’s important to keep up with basic illness prevention steps. Wash your hands thoroughly and often. Cover coughs and sneezes. Stay home and away from others if you have symptoms of illness. If you have to leave your home while not feeling well, wear a mask to prevent spreading germs to others. Get all recommended vaccines, including flu and COVID. 

More information about pertussis is available in a recent health alert to Snohomish County healthcare providers, as well as from the Washington State Department of Health and the weekly update on pertussis activity statewide.  

##END## 

FOR IMMEDIATE RELEASESeptember 9, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, September 10

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, September 10, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of minutes of the regular meeting of July 9, 2024
   2. Approval of minutes of the special meeting of August 25, 2024
   3. Approval of minutes of the special meeting of August 26, 2024
5. Public Comment
6. Briefings
   1. Ordinance BOH24-04 Regarding Administrative Appeals; Amending Chapter 1.20 of the Snohomish County Board of Health Code (SR 24-018; Ragina Gray)
   2. Public Health Emergency Preparedness and Response (PHEPR) and the Role of the Board of Health (SR 24-019; Gabby Hadly, PHEPR Manager)
   3. Prevention Services - Communicable Disease (SR 24-020; Sam Matthew)
   4. 2025-2026 Biennial Budget Update (SR 24-021; Theresa Bengtson)
7. Health Officer's Report
8. Information Items
   1. Upcoming meetings
9.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEJuly 5, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, july 9

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, July 9, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of June 11, 2024
5. Public Comment 
6. Special Business
   1. Welcome Summer Hammons
7. Briefings
   1. Food Permitting Process and Timelines (SR 24-016; Ragina Gray, Robert Evjue)
   2. Code Revision - Enforcement (SR 24-014B; Robert Evjue)
   3. Prevention Services - Refugee Health (SR 24-017; Keri Moore)
8. Director's Report
9. Information Items
   1. Upcoming meetings
10.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE June 12, 2024 

CONTACT:  SHD-communications@co.snohomish.wa.us  

Join the conversation about substance use and stigma in rural communities 

The Snohomish County Rural Opioid Response Project Consortium is hosting community conversations June 26 and 27 in Darrington and Monroe. 

SNOHOMISH COUNTY, Wash. – Residents of rural communities are invited to be part of a community conversation about substance use disorder and stigma. 

Free community events in Darrington and Monroe the last week of June will bring people together to talk. Topics include stigma in our communities, how we support people with substance use disorder and their families, and how to work together on reducing stigma. These interactive discussions will be facilitated by Tedra Cobb, a consultant with the University of Rochester Medicine Recovery Center of Excellence. 

“We all have a part to play in addressing stigma, building community, and treating each other with kindness and compassion,” said Snohomish County Executive Dave Somers. “I encourage rural communities to attend these upcoming conversations to help us create a future where people experiencing opioid use disorder can access recovery, rebuild their life, and thrive.” 

There will be two community conversations that are free and open to the public. Anyone who attends at least one of the community conversations may also attend a “train the trainer” workshop in Everett on June 27. During that workshop, participants will learn how to lead ongoing discussions about stigma in their communities.  

“This is important to help build empathy and normalize this as a medical condition for which individuals need treatment and care,” said Dr. James Lewis, Health Officer for the Snohomish County Health Department. “When we center the medical aspect of the disorder and build empathy, it will make it easier for people suffering from addiction to seek help when they are ready rather than hiding out of shame due to stigma.” 

Community Conversations 

• Wednesday, June 26, from 3 to 5:30 p.m. at the Darrington Library, 1005 Cascade St., Darrington 
• Thursday, June 27, from 10 a.m. to 1 p.m. at the Monroe Community Center, 17150 W Main St. Suite B  

Train the Trainer* 

• Thursday, June 27, from 2:30 to 5:30 p.m. at the Snohomish County Department of Emergency Management Training Facility, 720 80th Street SW, Bldg A, Everett 

*This session aims to train a group of facilitators focused on continuing these conversations. Participants must attend one community conversation before attending train the trainer.

Registration is encouraged by not required. People can register online at https://bit.ly/StigmaConvo.

"Our rural communities have long faced a lack of services and widespread misinformation, especially around substance use, homelessness, and mental health issues,” said April Provost, Community Outreach Coordinator with Ideal Option. “This environment fosters stigma, which I've experienced firsthand. The resulting shame, guilt, and social ostracization deepen the crisis by fueling addiction. To combat this, we need to foster open conversations and education, creating community supports that blend compassion with accountability to ensure a safe space for everyone." 

These events are hosted by the Snohomish County Rural Opioid Response Project Consortium. The consortium is a group of partners from organizations serving populations in Darrington and Sky Valley. The group came together in 2019 as part of a grant-funded effort by the Snohomish County Health Department focused on reducing the impact of substance use disorder in rural communities. Their work is supported by funding from the Rural Communities Opioid Response Program Planning grant from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services.  

The consortium has identified priorities for Darrington and Sky Valley, including: 

• early intervention and prevention 
• reducing community impacts of substance use disorder 
• increasing availability of treatment options 
• eliminating barriers to treatment and support 
• increasing education and awareness about substance use disorder 

“Having these conversations gives people the knowledge that is needed to move forward, to make changes that will benefit our communities,” said Randy Hayden, Chair of the county’s Chemical Dependency and Mental Health Advisory Board and a Darrington School Board member. 

Education can help reduce barriers for those seeking help for themselves or a loved one. 

Last year in Snohomish County, 270 people died of opioid-related overdoses, according to preliminary 2023 data. The majority of those deaths involved fentanyl. The number of fatal overdoses has increased alarmingly in recent years. This is a crisis that can impact anyone, regardless of age, gender, race, education, economic status, or where they live.   

“I hope that people are honest and share whatever thoughts they have on the topic and that, more importantly, they are willing to listen to others who may have differing points of view. This way, it is not an us vs. them mentality,” said Lt. James Chelin with the Snohomish County Sheriff’s Office. “I also hope that they ask whatever questions they have so we can help clear up any misunderstandings or preconceived notions. The meeting will be successful if everyone walks away learning at least one positive thing about the topic.” 

If you or someone you know is struggling with substance use disorder, help is available. It often takes more than one attempt to quit using, so don’t give up. The Washington Recovery Help Line is staffed 24 hours a day, seven days a week. Call or text: 1-866-789-1511. 

##END## 

FOR IMMEDIATE RELEASEJune 6, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, June 11

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, June 11, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of May 14, 2024
5. Public Comment 
6. Public Hearings
   1. Ordinance BOH24-02 Regarding Reorganizing the Board of Health Code (SR 24-008D; Ragina Gray)
   2. Ordinance BOH24-03 Regarding Board of Health Administrative Rules (SR 24-011C; Nicole Thomsen)
7. Briefings
   1. Code Revision - Enforcement (SR 24-014; Robert Evjue) 
   2. Prevention Services - Substance Use Disorder (SR 24-015; Abi Sauer, Brenna Smith)
8. Health Officer's Report
9. Information Items
   1. Upcoming meetings
10.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEMay 30, 2024

CONTACT: SHD-communications@co.snohomish.wa.us  

Pertussis activity on the rise in Snohomish County 

Public health officials advise taking steps to reduce the spread of pertussis, also known as “whooping cough.”

SNOHOMISH COUNTY, Wash. – Pertussis is spreading more than usual this year, locally and statewide.

Ten confirmed or probable cases of pertussis have been identified in county residents so far this year. In the three previous years, there have been no more than three cases per year reported in Snohomish County. 

Statewide, more than 200 cases had been reported as of mid-May, according to the Washington State Department of Health, compared to 24 cases reported in the same time period last year.

“We are likely entering an epidemic year for pertussis,” said Dr. James Lewis, Health Officer for the Snohomish County Health Department. “This would occasionally occur pre-pandemic, and this year’s resurgence of pertussis could be larger than a typical epidemic year prior to the COVID-19 pandemic. Many folks have fallen behind on immunizations and that, combined with the lack of pertussis circulating in recent years, has likely decreased overall immunity within the broader community.” 

Also known as “whooping cough,” pertussis is a potentially serious illness caused by bacterial infection. Anyone at any age can become sick. For adults and older children, it is typically a mild illness. However, it is particularly dangerous for anyone younger than 1 year of age. Infants can end up hospitalized and the disease can be fatal for them. No pertussis-related deaths have been reported this year in Snohomish County.

Vaccination (DTaP or Tdap vaccines) protect against pertussis. While people who are immunized can sometimes become infected and spread infection to others, they generally have mild disease themselves. Even people who are mildly ill can transmit illness to others who are at higher risk, so be sure to talk to your healthcare provider if you have been exposed to pertussis and develop any symptoms, even mild ones.

Most of the cases reported so far (6 of 10) have been among children younger than 5 years old. However, it’s important for people of all ages to take steps to keep themselves and others healthy. Recent local cases range in age up to the 65-and-older demographic. 

Health Department staff also are working to respond to multiple reported cases at a high school in the Edmonds School District. A letter has been provided to help notify staff, students, and families.

What you can do:

• Check that you and your family are current on pertussis vaccination (DTaP or Tdap vaccine, depending on age). You can talk to your healthcare provider or access your immunization record by going to https://app.myirmobile.com/WA. Babies and young children should receive multiple doses of DTaP between ages 2 months and 6 years. Preteens (ages 11-12) or any teen or adult who has not yet been vaccinated should receive the Tdap vaccine. Though fully vaccinated individuals still may become sick, they are much less likely to catch and spread pertussis. And if they do get sick, they usually have a milder illness.
• If you are pregnant: Talk to your healthcare provider and make sure you receive a Tdap vaccine between weeks 27 and 36 of pregnancy to help protect your newborn. Avoid close contact with anyone who has a severe or prolonged cough, or who has been diagnosed with pertussis and has not yet completed treatment.
• Watch for symptoms of pertussis. Symptoms may include runny nose, sneezing, and cough. If you know you have been exposed to pertussis (for example, if you receive notification from a school or child care), contact your healthcare provider if any symptoms develop. If you do not have any known exposures, contact your healthcare provider if symptoms worsen rather than improve over the course of one to two weeks. As it worsens, coughing may occur in fits or spasms and be followed by vomiting or a “whooping” sound. Some infants do not develop a cough but do have significant difficulty breathing. If your doctor suspects pertussis, it is important to get tested and follow all instructions for treatment, which may include antibiotics for you and your household contacts. For children with pertussis, be sure to keep them out of school until five (5) days of treatment have been completed. 
• Keep up with basic illness prevention steps. Wash your hands thoroughly and often. Stay home and away from others if you have symptoms of illness. Cover coughs and sneezes or consider wearing a mask when in crowded indoor spaces while illness is circulating.

More information about pertussis is available in a recent health alert to Snohomish County healthcare providers, as well as from the Washington State Department of Health and the weekly update on pertussis activity statewide. 

##END##

FOR IMMEDIATE RELEASEMay 9, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, May 14

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, May 14, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of April 9, 2024
5. Public Comment 
6. Special Briefing
   1.     School-Based Health Centers - Special Presentation by Joe Vessey, CEO of Community Health Centers of Snohomish County (no staff report)
7. Briefings
   1. Prevention Services - Child Fatality Review (SR 24-012; Wendy Burchill)     
   2. Ordinance BOH24-02 Reorganizing the Board of Health Code (SR 24-008C; Ragina Gray)    
   3. Board of Health Code: Administrative Rules (SR 24-011B; Nicole Thomsen) 
   4. Snohomish County Ordinance 24-011: Testing of County-Owned Housing Facilities
8. Information Items    
   1. Upcoming meetings
9.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEApril 4, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, April 9

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, April 9, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Regular Meeting of March 12, 2024
5. Public Comment 
6. Public Hearing
   1. Ordinance BOH24-01 relating to health department fees; amending chapter 1.40 of the Snohomish County Board of Health code (SR 24-007B; Ragina Gray)
7. Briefings
   1. Environmental health 2024 code plan updates (SR 24-008B; Robert Evjue)
   2.  Prevention services - vaccine preventable disease (SR 24-009; Kaija Corry)    
   3. Public health communications (SR 24-010; Kari Bray) 
   4. Board of Health administrative rules (SR 24-011; Nicole Thomsen)
8. Department Director's Report
9. Information Items    
   1. Upcoming meetings
10.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE MARCH 13, 2024

CONTACT: SHD-communications@co.snohomish.wa.us 

Healthy Youth Survey results show progress in social support and mental health among adolescents in Snohomish County

Nearly 13,500 Snohomish County students participated in the 2023 Healthy Youth Survey

SNOHOMISH COUNTY, Wash. – Youth substance use remains well below pre-pandemic levels, students are reporting more social support at school and home. Newly added questions showed that many young people reported at least one worrisome eating or weight-related behavior. These are some of the results from the most recent Healthy Youth Survey released March 13.

The survey was given to students in the fall. Nearly 13,500 students around Snohomish County participated, which is about 6 out of every 10 enrolled students in grades 9, 10, 11, and 12. Their responses show existing good habits to build upon and help illustrate the importance of trusted social supports for youth. There also continue to be areas of concern where more work is needed to support young people.

The survey is optional and anonymous. It gathers information on topics such as physical activity and nutrition, alcohol and drug use, physical and sexual abuse, school safety, and mental health. The 2023 survey was the eighteenth such health survey administered in Washington and the eleventh under the Healthy Youth Survey effort specifically. 

The Snohomish County Health Department joins the Washington State Department of Health in thanking the schools and students who participated in the 2023 survey. The survey results are a valuable data snapshot that helps outline strengths to expand upon as well as challenges to address. It is one of a number of information sources used by public health and partners to better understand the health of our community. 

Fact sheets and more detailed data are available at www.askhys.net. The biennial Healthy Youth Survey is a collaborative effort of the Health Care Authority - Division of Behavioral Health and Recovery, the Department of Health, the Office of Superintendent of Public Instruction, the Liquor and Cannabis Board, and the contractor, Looking Glass Analytics.

##END##

FOR IMMEDIATE RELEASEMarch 8, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, March 12

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, March 12, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the Special Meeting of January 30, 2024
5. Public Comment  
6. Action
   1.  Resolution 24-01 Approving the 2024 Board of Health Work Plan (SR 24-002B; N. Thomsen)
7. Special Business
   1.  Tuberculosis Control Program Update (SR 24-003; T. Rugg)
   2. Proclamation 24-01 Recognizing World Tuberculosis Day, March 24, 2024 (SR 24-004; N. Thomsen)
   3. Proclamation 24-02 Recognizing National Public Health Week (SR 24-005; N.Thomsen)
8. Briefings
   1. Environmental Health Fee Schedule (SR 24-007; R. Gray)
   2. Environmental Health 2024 Code Update Plans (SR 24-008; R. Evjue)
   3. 2024 Washington Legislative Session Review (SR 24-006; N. Thomsen)
9. Health Officer's Report
10. Information Items    
    1. Upcoming meetings
11.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEDecember 7, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, December 12

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, December 12, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the regular meeting of November 14, 2023
5. Public Comment  
6. Information Items    
   1. Upcoming meetings
7.  Adjournment

Directly following the brief meeting, there will be an in-person recognition and gratitude event honoring current and past members of the Board of Health, Public Health Advisory Council, and the Community Equity Advisory Board. A quorum of members may be present, but no Board of Health business will be conducted during the recognition event.

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE December 1, 2023 

CONTACT: SHD-communications@co.snohomish.wa.us  

Snohomish County Health Department celebrates opening of new STI Clinic 

The clinic expands testing, treatment, and other supports to reduce the spread of sexually transmitted infections. 

SNOHOMISH COUNTY, Wash. – A new clinic dedicated to low-barrier testing, treatment, and prevention services for sexually transmitted infections (STIs) officially opened Friday, December 1, at the Snohomish County Health Department.  

The clinic, at 3020 Rucker Avenue in Everett, adds crucial services: 

• Testing for chlamydia, gonorrhea, and syphilis, as well as both rapid testing and blood draws for HIV.  
• Treatment options available for chlamydia, gonorrhea, and syphilis for individuals and their partners.  

This expands on the Health Department’s existing STI program, which has been providing HIV testing, sexual health education, partner counseling, and referrals for HIV pre-exposure prophylaxis (PrEP).  

“I’m particularly grateful, thankful, and understanding of the importance of the services that you provide to the public and to communities that otherwise would not have access,” Snohomish County Executive Dave Somers told Health Department staff and guests on Friday. “The opening today of these direct services is really a day to celebrate here in Snohomish County, and I’m very, very excited.” 

The Health Department (then Health District) previously had a clinic, but it closed in 2009 due to funding. The return of an STI clinic has been 14 years in the making and is possible thanks to $975,000 in State funding received earlier this year to launch a two-year pilot project focused on reducing sexually transmitted infections.  

“It’s important to have a place with low barriers where people can come, be safe, be who they are, and talk about what services they need to get diagnosed, treated, and work with getting their partners treated to interrupt that transmission in the community,” said Snohomish County Health Department Director Dennis Worsham. “It’s really an important public health role. We’re committed to go forward and do that here as part of our work.” 

There have been increases in STIs, in Snohomish County and statewide.  

• Between 2009 and 2022, the case rate for gonorrhea more than quadrupled in Snohomish County.  
• Syphilis rates increased from less than 1 case per 100,000 county residents in 2009 to 11.1 cases per 100,000 residents in 2022.  
• The county also has seen multiple reported cases of congenital syphilis since 2021, after years with zero such cases. This is when a pregnant individual who is untreated passes syphilis to the baby.  
• While new HIV cases have not been on the rise, they still are regularly reported. There were more than 40 newly diagnosed cases countywide last year.  

This clinic does not replace other healthcare resources in the community. Testing and treatment continue to be available from other healthcare providers including primary care and urgent care. The new clinic expands upon those resources and helps reduce barriers to care. People without a regular healthcare provider, without insurance, or who are unable or uncomfortable seeking testing or treatment through their regular provider or clinic can come to the Health Department for no-cost services.

“I came here in 2009 when the clinic closed, and I will tell you that it is a challenge being a physician in the community, seeing a patient, and then sending them into the void with the hope of follow-up and care,” said Dr. Ryan Keay, a physician with Providence Regional Medical Center Everett and Snohomish County EMS. “I think that the opportunity of having a clinic like this that is open, collaborative, non-judgmental, that really provides wraparound services is vital, is unique, and has been a gap in our community for a long time.” 

To reduce the spread of STIs, it is essential to treat active cases, notify people who have been exposed so they can get tested and treated, and provide information and resources for prevention. This clinic will make that easier for clients by bringing testing, treatment, and case management into the same space.  

“It’s been a real honor to work with all of our staff here, especially the STI staff who have been working hard for years on this,” said Snohomish County Health Officer Dr. James Lewis. “And I just want to say that when you hear from those staff, they are supposed to be in your business. They are there to help you and they want you to get better, so please work with them. I know it can be alarming sometimes when you hear from some person you weren’t necessarily expecting to hear from about something that’s pretty private, so thank you for taking the time to work with them.” 

Appointments are strongly encouraged but not required for the new clinic. Walk-ins will be seen as time allows. For more information, please visit www.snohd.org/STIClinic.

Some images and video clips of the new clinic are available for download and use by media at this link. 

Reminders for reducing the spread of sexually transmitted infections: 

• Get tested if you are sexually active, particularly if you are pregnant or may become pregnant.  
• Talk to your partner or partners about their sexual health history.
• Use protection. Even if you use other methods for birth control, a condom helps protect against multiple STIs while a pill or implant will not.  
• If you do have a positive STI screening, follow through with treatment.  

##END## 

FOR IMMEDIATE RELEASENovember 21, 2023

CONTACT: SHD-communications@co.snohomish.wa.us 

First flu death of the season reported in Snohomish County

As holiday gatherings approach, people should take steps to reduce the spread of flu and other respiratory illnesses. 

SNOHOMISH COUNTY, Wash. – The county’s first flu-related death of the 2023-24 flu season was reported last week. An Everett woman in her 60s with underlying medical conditions died November 13.

While most people recover from flu with care and rest, flu can be a serious illness and cause deadly complications. Last flu season, 12 Snohomish County residents died, ranging in age from their 20s to over 80 years old. Flu deaths had dropped off during the preceding two flu seasons while enhanced COVID prevention measures were in place. However, the county saw 11 flu-related deaths during the 2019-20 season, 26 in 2018-19, and 40 in 2017-18. The worst flu season for the county in recent memory was 2016-17, with 45 flu-related deaths.  

Statewide, the most recent flu season (2022-23) was the deadliest in the last five years. The Washington State Department of Health reports that 269 people died from flu in Washington last season, including 264 adults and five children.

People at higher risk of severe illness include young children, older adults, people with chronic conditions or who are immunocompromised, pregnant individuals, and residents of nursing homes or long-term care facilities. 

So far, indicators of flu transmission overall remain low in Snohomish County and statewide. COVID activity also remains low, but there has been a recent uptick in respiratory syncytial virus (RSV) activity. It is likely that transmission of these viruses will increase in the coming weeks as we approach more holiday gatherings.

Everyone can play a role in reducing the spread of illness this season. You can help by:

• Getting your annual flu vaccine if you have not done so already. It is available at clinics and pharmacies throughout the county. This is also a good time to make sure you are up-to-date on other vaccinations, particularly COVID vaccinations for ages 6 months or older and RSV immunizations for those who are eligible.   
• Staying home and away from others if you have symptoms of illness. These include cough, fever, body or headaches, fatigue, runny or stuffy nose, or a sore throat.
• Choosing to wear a mask over your nose and mouth in indoor public spaces when flu or other respiratory viruses are circulating at high rates. You can monitor the current status of flu, COVID and RSV on the Health Department’s Respiratory Illness Dashboard. 
• Covering coughs and sneezes 
• Washing hands thoroughly and often with soap and water, and using hand sanitizer when soap and water are not available.

Find more information and updated flu reports throughout the flu season at www.snohd.org/flu. For statewide data and more flu information from the Washington State Department of Health, visit www.flufreewa.org or the DOH Respiratory Illness Data Dashboard. 

##END##

FOR IMMEDIATE RELEASENovember 9, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, November 14

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, November 14, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the regular meeting of October 10, 2023
5. Public Comment  
6. Public Hearing    
   1. Amendment to Board of Health Fee Schedules (SR 23-026; R. Gray)
7. Action
   1. Recommend reappointment of Lisa George to the Board of Health (SR 23-024; N. Thomsen)
   2. Recommend reappointment of Desmond Skubi to the Board of Health(SR 23-025; N. Thomsen)
8. Briefings    
   1. WA Legislative Session (no staff report; L. Harper)
   2. 2024 Snohomish County Legislative Agenda (SR 23-022; A. Durham)
   3. Sexually Transmitted Infection Prevention and Treatment Activities (SR 23-023; K. Curtis)
9. Health Officer's Report
10. Information Items    
    1. Upcoming meetings
11.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEOctober 24, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Special meeting of SNOHOMISH Health District Board, October 25

District board to reconvene and consider action on final dissolution 

SNOHOMISH COUNTY, Wash. – The Snohomish Health District Board of Health will hold a special meeting to consider actions related to formally dissolving the District. 

The Board will meet at 2 p.m. on Wednesday, October 25, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:Zoom: https://us02web.zoom.us/j/82353042690Dial-in: 206-337-9723, ID: 823 5304 2690

The District Board is separate from the current Snohomish County Board of Health and is reconvening for this special meeting as part of the process of closing out the District.

The former Snohomish Health District’s staff, programs, and services were integrated into Snohomish County government effective January 2023. They now make up the Snohomish County Health Department. With the transfer of the District’s body of work to the County Health Department, the Snohomish Health District effectively became an inactive special purpose district while remaining tasks were completed to prepare for its dissolution.   

If approved by the District Board, next steps include court filings to formally dissolve. The dissolution of the District would not change current staffing or programs in the Health Department.

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Action
   1. Approve Resolution 23-05 repealing the Snohomish Health District Fee Schedule effective November 1, 2023 (SR 23-009; N. Thomsen)
   2. Approve Ordinance 23-01 repealing the Snohomish Health District Code effective November 1, 2023 (SR 23-010; N. Thomsen)
   3. Authorize the Chair to sign the statutory warranty deed transferring ownership of a parking lot to Snohomish County (SR 23-011; P. Aguilar)
   4. Approve Res. 23-06 authorizing the Attorney for the Snohomish Health District to file a petition for dissolution and take any and all legal actions necessary to complete the dissolution of the Snohomish Health District (SR 23-012; P. Aguilar)
5. Adjournment

##END##

FOR IMMEDIATE RELEASEOctober 6, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, October 10

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, October 10, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of minutes of the regular meeting of September 12, 2023
5. Public Comment  
6. Public Hearings    
   1. Ordinance BOH23-01 adopting the Snohomish County Board of Health Code (SR 23-009E; R. Gray)
   2. Ordinance BOH23-02 adopting the Environmental Health Fee Schedules (SR 23-012C; R. Gray)
7. Action
   1. Proclamation recognizing National Lead Poisoning Prevention Week (SR 23-020; N. Thomsen)
8. Briefings    
   1. Community Equity Advisory Board (SR 23-021; N. Thomsen)
   2. Board of Health Administrative Rules (SR 23-017C; N. Thomsen)
9. Department Director's Report
10. Information Items    
    1. Upcoming meetings
11.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEOctober 2, 2023

CONTACT:Snohomish County Health Departmentshd-communications@co.snohomish.wa.us  

Safe Kids Snohomish County/South County Firenews@southsnofire.org

Snohomish County losing infants to unsafe sleep

Caregivers are urged to learn and practice safe sleep

SNOHOMISH COUNTY, Wash. – More infants are being lost to sleep-related deaths in Snohomish County than car crashes, drownings and other causes.

From 2020 to 2022, Snohomish County lost 19 infants (babies younger than 12 months) because of unsafe sleep. During that same two-year period, zero infants died due to car crashes, falls, burns or drownings. Most sleep-related deaths are preventable.

“Losing a child is tragic. That’s why it is so important for parents and caregivers to understand the risk of unsafe sleep,” said Wendy Burchill, Snohomish County Child Death Review (CDR) Coordinator at the Snohomish County Health Department. “After nearly 20 years of reviewing these infant deaths, I’ve seen the same risk factors in nearly all cases.”

Those risk factors include babies not sleeping in a crib or bassinet, not sleeping on their backs, sleeping with an adult or multiple adults, and the presence of soft bedding (pillows, comforters, blankets, toys, soft mattress or topper).  

The American Academy of Pediatrics (AAP) advises caregivers against using car seats, strollers, swings, infant carriers or infant slings for routine sleep. The AAP also recently added a warning against using weighted sleep sacks or blankets for sleep, due to the possible risk of suffocation.

“That first year of an infant’s life can be a wonderful but also stressful time for families. Getting a baby to go to sleep and stay asleep isn’t always easy, and parents or other caregivers are often running on little sleep themselves,” said Dr. James Lewis, Snohomish County Health Officer. “It takes a community to help support babies and families, and we can all play a role in safe sleep. We encourage everyone, from extended family members and friends to healthcare and child care providers, to be familiar with the ABC’s of safe sleep, share the information with their social circles, and offer their support in whatever way they are able for families with babies. Unsafe sleep is a leading contributor to infant deaths, but it doesn’t have to be.”

ABC’s of Safe Sleep:

• Baby should sleep ALONE, not in the same bed as their caregiver.

• Baby should sleep on their BACK.

• Baby should sleep in a CRIB or bassinet that meets current safety standards.

“We are fortunate to have a team diligently working to stop sleep-related deaths in Snohomish County, but keeping children safer will require our entire community educating themselves and each other,” said Shawneri Guzman, Safe Kids Snohomish County Coordinator and member of the Snohomish County Child Death Review (CDR). 

The CDR is a team of injury prevention experts, youth workers, educators, healthcare professionals and individual case consultants who review unexpected but preventable deaths of children ages 0 to 17. Their goal is to make recommendations that help prevent future child deaths. This important work is convened by the Snohomish County Health Department in partnership with the Snohomish County Medical Examiner’s office. 

October is Safe Sleep and SIDS Awareness month. Caregivers can learn more about safe infant sleep during a free Child Safety & CPR class on Wednesday, October 25 at 6 p.m. This one-hour class is offered over Zoom. Participants will be eligible for a free sleep sack. Register by visiting www.southsnofire.org/classes.

FOR IMMEDIATE RELEASESeptember 8, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, September 12

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, September 12, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of minutes of the regular meeting of August 8, 2023
5. Public Comment  
6. Public Hearing - Snohomish County Board of Health Code    
   1. Snohomish County Board of Health Code (SR 23-009D; R. Gray)
7. Public Hearing - Health Department Environmental Health Fees    
   1. Environmental Health Fee Schedules (SR 23-012B; R. Gray)
8. Action
   1. Proclamation #23-02 Recognizing World Environmental Health Day (SR 23-019; R. Gray)
9. Briefings    
   1. Board of Health Administrative Rules (SR 23-017B; N. Thomsen)
   2. Washington State Legislative Priorities (SR 23-016; N. Thomsen)
10. Health Officer's Report
    1. Health Officer's Report
11. Information Items    
    1. Upcoming meetings
12.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEAugust 29, 2023

CONTACT: SHD-communications@co.snohomish.wa.us 

Bat tests positive for rabies in Snohomish County

There was no known human exposure, but pets were exposed. It is important to avoid contact with bats, report bat exposures, and ensure pets are up to date on rabies vaccination.

SNOHOMISH COUNTY, Wash. – The Snohomish County Health Department is urging all county residents to know and follow preventive measures for rabies after a bat in the Snohomish area tested positive Monday.

Multiple domestic pets were exposed, but there are no known human exposures. The owner reported that the pets are vaccinated against rabies. Public health staff are following up to verify vaccination status and provide guidance on any other measures that may be needed, such as temporary confinement of pets for monitoring. 

Bats are important nocturnal pollinators, and most are harmless. However, like all wild animals, contact with bats should be avoided as they may bite, scratch, and carry diseases. Some bats carry rabies, which is a deadly disease that can spread to humans or other animals through bites and scratches. While only a small percentage of bats in the wild carry rabies, exposures should be taken seriously. Rabies is fatal without preventive treatment. 

Rabies prevention reminders:

• Humans and pets should avoid close contact with bats.While most bats are harmless, you can't necessarily tell by looking whether a bat has rabies.
  • Never handle bats with bare hands. Only capture bats that have had direct contact with a person or pet, or were found in your room after sleeping or in a room with a child who may have had contact. Follow instructions for how to safely capture a bat.
  • Do not release or dispose of a bat that may have had contact with humans or pets unless you are instructed to by public health. The bat may be needed for rabies testing.
• Make sure all pets are up to date on rabies vaccines. Vaccination protects against infection and could save your pet's life if there is an exposure.
• If you believe you or a family member has been exposed, contact your healthcare provider immediately.
• If you believe your pet has been exposed, contact your veterinarian immediately.
• Call the Snohomish County Health Department at 425-339-3503 if there has been an exposure in your home.

Concerning exposures to bats can include: 

• a bat bit or scratched a human or pet,
• you found a bat when you woke up, and it was in the room where you were sleeping, or
• you found a bat in the room with a child or someone who has been intoxicated or otherwise incapacitated.

Statewide, seven other bats have tested positive for rabies so far in 2023, according to the Washington State Department of Health.

Bats often prefer spaces such as attics, barns, outbuildings, or cabins – anywhere dark where there are plenty of insects to eat. When entering or clearing out spaces like these that are infrequently accessed, be aware that bats may be present. Consider wearing gloves, long sleeves, and long pants until you’re sure the space is bat-free. 

Never handle wild animals, including bats. Teach children to watch wild animals from a safe distance without approaching or touching. Encourage children to tell an adult if they find a bat (living or dead) at home or with a pet. 

Bat-proofing your home is an important way to keep them out of living and sleeping spaces, as well. Do this by securely installing window screens that are free of holes, capping chimneys, repairing any holes in siding or roofing, and making sure doors to the outside close fully.

About rabies

Rabies is a severe viral disease. It infects the central nervous system and is almost always deadly once the virus attacks your body. Preventive treatment is available if you’ve been bitten or scratched by a bat or other potentially rabid animal. It is important to contact your medical provider right away.

Symptoms normally occur between two and eight weeks after exposure, though the incubation period can vary. Early symptoms include headache, fever, and pain at the bite or scratch site. As the disease progresses, symptoms include agitation, confusion, paralysis, and difficulty swallowing. Without timely preventive care, the disease is typically fatal within days or a few weeks of onset.

More information about bats and rabies is available from the Washington State Department of Health: www.doh.wa.gov/rabies. 

##END##

FOR IMMEDIATE RELEASEAugust 4, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, August 8

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, August 8, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of minutes of the regular meeting of July 11, 2023
5. Public Comment   
6. Action
   1. Proclamation Recognizing the Public Health Advisory Council (SR 23-015; D. Worsham)
7. Briefings  
   1. 2024 WA Legislative Priorities (SR 23-016; N. Thomsen)
   2. Snohomish County Board of Health Code - Part 3 (SR 23-009C; R. Gray)  
   3. Board of Health Administrative Rules (SR 23-017; N. Thomsen)
   4. Environmental Health Fee Schedules (23-018; R. Gray)
8. Department Director's Report
9. Information Items    
   1. Upcoming meetings
10.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEJuly 7, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, july 11

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, July 11, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of minutes of the regular meeting of June 13, 2023
5. Public Comment   
6. Briefings  
   1. Snohomish County Board of Health Code (Part 2) (SR 23-009B; R. Gray) 
   2. Public Health Fee Schedule (SR 23-012; R. Gray) 
   3. Response to the Opioid Crisis (SR 23-013; J. Biermann) 
   4. Strengthening Public Health Policy (SR 23-014; J. Biermann)    
7. Health Officer's Report
   1. Health Officer's Report
8. Information Items    
   1. Upcoming meetings

9.    Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEJune 13, 2023

CONTACT: SHD-communications@co.snohomish.wa.us 

Community Health Assessment identifies top health-related issues in Snohomish County 

Mental health, opioids, and food and housing needs are among the issues identified through data review and community conversations.

SNOHOMISH COUNTY, Wash. – Mental health care access, opioid overdoses, homelessness, adverse childhood experiences, food security, and prenatal care are top health-related priorities for the people of Snohomish County, according to the 2022 Community Health Assessment.

The Snohomish County Health Department published the Community Health Assessment (CHA) today. Staff reviewed data on nearly 200 health-related indicators and worked with a data committee of 15 community partners to identify significant areas of need. They also conducted focus groups and key informant interviews with county residents to gather qualitative data about health issues and barriers to good health.

“We hope that using a mixed methods approach paints a more in-depth picture of the health of our county and better informs any future health initiatives that follow the CHA,” said Miyuki Blatt, the epidemiologist who led the project. “The lived experiences of underrepresented communities, like our BIPOC, youth, or LGBTQIA+ communities, are not always captured in the data that’s available to us and it’s important that they continue to have a place for their voices to be heard throughout this process.”

Community members repeatedly shared that being able to meet basic needs such as food and shelter and having better access to health care, including mental health resources, are high on the list of priorities to improve health outcomes. Snohomish County continues to address these challenges by using federal dollars for local programs and resources around behavioral health, shelter, and child care availability.   

This type of assessment is done every few years. It is one part of a data-driven process focused on improving community health. By first understanding what the top health-related issues are, public health and community partners can then take a deeper dive into learning about those issues and creating a plan to help improve health. For the Health Department, the next step is known as a Community Health Improvement Plan (CHIP). Work on that is expected to begin this year.

“Assessments like the CHA are important to help the county focus efforts on where the data indicate our community’s most pressing health concerns are,” Health Officer Dr. James Lewis said. “It’s imperative to engage community members with lived experience to inform data evaluation and to identify issues where data is unavailable or does not fully capture impacts in the community. A limitation to the data reviewed in this CHA is that it pulls from sources with a release lag, and many indicators do not include the past 1-3 years. The pandemic affected numerous aspects of health during that time, so the qualitative input from community members, focus groups, and the volunteer data committee has been essential to understand what our community sees as priorities today.”

“Keeping our community healthy is a high priority for Snohomish County. The first step to solving a problem is having quality data to fully understand the scale of the problem. The Community Health Assessment gives us the information we need to continue our work to advance positive, systemic solutions to our toughest challenges,” said Snohomish County Executive Dave Somers. “I’m grateful to the Snohomish County Health Department and participating community partners for their work to develop this timely, comprehensive assessment.”

Local public health has conducted a CHA for Snohomish County every 3-5 years since 2009. The last one was done in 2018 and identified several topics that have come up again in the 2022 CHA, including mental health, opioids, and housing. 

Interviewees and focus groups noted strengths to build on, as well. Participants described supportive communities in the county that are hard-working, passionate, dedicated, and built on strong interpersonal connections. 

“This Community Health Assessment was a tremendous effort and I appreciate the hard work of our team as well as the community partners,” Health Department Director Dennis Worsham said. “There is a lot of work ahead of all of us in Snohomish County to improve health outcomes around the top issues identified in this CHA. This data helps us to identify key health needs and issues in our county. With limited resources, the Community Health Assessment allows us to invest our resources where there is the greatest need. We will use this data to work with our community partners, health care system partners, and our elected leaders to invest in a plan that improves the health of Snohomish County residents.”

General topics explored in the CHA include:

• Demographics
• Socioeconomic Environment
• General Health
• Access to Care
• Behavioral and Mental Health
• Substance Use
• Injury Prevention and Safety
• Communicable Disease
• Cancer
• Chronic Disease
• Older Adults and Healthy Aging
• Maternal, Child, and Family Health
• Oral Health
• Food Security, Nutrition, and Physical Activity
• Climate and Environmental Health
• Built Environments

Work on the CHA began last fall by the then-Snohomish Health District, and the data committee reviewed information over the course of about two months between October and December 2022. The report was compiled, reviewed, and finalized in 2023 by the Health Department.

The full Community Health Assessment can be found online at www.snohd.org/cha. More information on the upcoming CHIP will be available in the coming months.

##END##

FOR IMMEDIATE RELEASEJune 9, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, june 13

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, June 13, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of Minutes Dated May 9 2023
5. Public Comment   
6. Action
   1.  2023 Board of Health Workplan (SR 23-004C; N. Thomsen)
7. Briefings  
   1. Snohomish County Code Update (SR 23-011; N. Thomsen)
   2. Snohomish County Board of Health Code - Part 1 (SR 23-009; R. Gray)
   3. Community Health Assessment (SR 23-010; M. Blatt)
8. Department Report 
9. Information Items    
   1. National Association of Local Boards of Health (NALBOH) Annual Conference
   2. Determine regular date of future meetings (no staff report; N. Thomsen)

9.    Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE                                May 25, 2023

CONTACT: shd-communications@co.snohomish.wa.us 

Hepatitis A case confirmed at Everett and Lake Stevens food businesses

People who ate food from the Taco Bell at 2727 Broadway on May 22-23 or the Taco Bell at 303 91st Ave NE in Lake Stevens on May 23 should contact their healthcare provider or public health

SNOHOMISH COUNTY, Wash. – The Snohomish County Health Department has identified a case of hepatitis A that occurred in a food worker who worked at two Taco Bell locations: 2727 Broadway in Everett and 303 91st Ave NE in Lake Stevens

Anyone who ate food from the Everett location on May 22 or 23 or from the Lake Stevens location on May 23 should take the following actions:

• Check if they are vaccinated against or immune to hepatitis A. People who are vaccinated or immune do not need to take any further action as they would be considered protected against this exposure. People can check their vaccination records by contacting their healthcare provider, using the Washington Immunization Information System at https://wa.myir.net or, if available, referring to their copy of their immunization record. People who have previously been infected with hepatitis A also may be immune. If they are not sure, they should check with their healthcare provider. 
• Individuals who are not vaccinated, immune, or are unsure of their status should: 
  • Contact their healthcare provider or contact the Snohomish County Health Department at 425-339-3503 (then press 1) for guidance and potential post-exposure prophylaxis to prevent illness. Post-exposure prophylaxis involves receiving the hep A vaccine or immune globulin (IG), which can provide immediate and lasting protection when given within two weeks of exposure to the hepatitis A virus. Hepatitis A vaccine is available from multiple healthcare providers or pharmacies in the county. Anyone who was exposed and is having trouble finding a vaccine provider, or who is uninsured or underinsured, should contact the Health Department. 
  • Monitor for any symptoms of illness. Stay home and do not prepare or serve food for others if you have symptoms. It takes between 15 and 50 days to become symptomatic after being exposed. Early signs of hepatitis A include:
    • fever
    • fatigue
    • loss of appetite
    • nausea
    • vomiting
    • diarrhea
    • dark urine and jaundice (yellowing of eyes or skin)
  • If you develop any of these symptoms, be especially thorough in handwashing after using the restroom and before preparing or handling food to avoid potentially spreading the illness further. Wash hands with soap and running water. Be sure to lather and scrub all surfaces including backs of the hands, wrists, between fingers, and under fingernails. 

The confirmed case appears to have been infected during international travel. The Snohomish County Health Department is working with the business to identify other workers who were potentially exposed and connect them with prevention information as well as resources for vaccination and post-exposure prophylaxis, as needed.

About hepatitis A

The hepatitis A virus lives in the poop or blood of someone who is infected and typically spreads through fecal contamination. The virus may be spread from person to person through close contact or through food handling. Consistent, thorough handwashing is essential to prevent spread through food handling. 

The illness varies in severity, with mild cases lasting two weeks or less. More severe cases can last six weeks or longer. Some individuals, especially children, may not develop jaundice and may have an illness so mild that it can go unnoticed. However, even mildly ill people can still be highly infectious. Anyone with symptoms of hepatitis A and potential exposure who is not vaccinated or immune should consult a healthcare provider right away even if symptoms are mild. 

For more information, visit www.snohd.org/hepatitis. 

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FOR IMMEDIATE RELEASEMay 2, 2023

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETINGs, May 3 and may 9

BOARD of health TO CONVENE FOR special meeting may 3, regular meeting may 9

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold a special meeting on May 3 at the Semiahmoo Conference Room, 9565 Semiahmoo Parkway in Blaine, Washington. The Board will have its regular meeting the following week on May 9 at 3020 Rucker Ave. in Everett. 

May 3

The Board packet for May 3 is available online, and the agenda is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Public Comment    
5. Briefings  
   1. New Board of Health members meet and greet    
   2. Discussion and reflection of WSALPHO training topic
6. Information Items    
   1. Next Board of Health Meeting: May 9, 3:00 p.m.
7.  Adjournment

May 9

Zoom: https://us02web.zoom.us/j/87098263636Dial-in: 206-337-9723; ID: 870 9826 3636

The Board packet for May 9 is available online, and the agenda is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of minutes of the regular meeting of April 11, 2023
5. Public Comment    
6. Action
   1. Proclamation recognizing nurses week (SR 23-005; K. Curtis)
7. Briefings  
   1. Introduction of Bridget E. Casey, Civil Chief Deputy Prosecuting Attorney, and George Marsh, Deputy Prosecuting Attorney for Snohomish County
   2. 2023 Board of Health Workplan (SR 23-004B; N. Thomsen)    
   3. Board of Health code briefing (SR 23-009; T. Colinas)
8. Health Officer's Report 
9. Information Items    
   1. Next Board of Health Meeting: Tuesday, June 13, 3:00 p.m.
10. Written Reports
    1.  2023 State Legislative Session Review (SR 23-007; N. Thomsen)
11.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEApril 27, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County Health Department Receiving Nearly $1 Million in State Funds to Expand STI Health Services

The two-year pilot project is aimed at reducing an alarming increase in sexually transmitted infections 

SNOHOMISH COUNTY, Wash., April 27, 2023 – The Snohomish County Health Department is set to receive $975,000 in the 2023-25 Washington State budget to develop a two-year pilot project aimed at reducing sexually transmitted infections (STIs). The funding is to expand the Health Department’s STI program and establish an in-house clinic that would focus on equitable care including screening, treatment, and prevention education and services. 

There has been a significant increase in STIs in recent years. Health services are crucial for interrupting transmission. That includes treating active infection, notifying people who have been exposed to get tested and treated, and providing information and resources for prevention. 

“We’ve been seeing an alarming rise in the rates of sexually transmitted infections. Syphilis is particularly concerning, having more than doubled just since 2019,” Health Officer Dr. James Lewis said. “We’ve also received reports of congenital syphilis, where pregnant individuals with untreated syphilis pass the infection on to the baby. This is especially worrying after years with zero reported cases in the county. We know there are ways to prevent transmission and get these rising STI rates back down, and that’s what we hope to do with this state funding.” 

The Health Department aims to provide testing for chlamydia, gonorrhea, syphilis, and HIV at the new clinic. Staff also would provide treatment for chlamydia, gonorrhea, and syphilis, along with connections to local resources for ongoing care for HIV patients. 

Between 2019 and 2022, the number of STI cases reported in the county nearly doubled. Syphilis increased to 94 cases in 2022, compared to 46 in 2019. Multiple cases of congenital syphilis were reported each year in 2021 and 2022, after having zero cases from 2015 to 2020.  

Other STIs also are up. Gonorrhea cases increased from 504 to 797 between 2015 and 2021, and chlamydia cases increased from 2,206 to 2,309 in the same timeframe. While new HIV cases are lower than they were a few years ago, they still are regularly reported, with 41 new HIV cases reported in the county last year. 

This is not unique to Snohomish County. The Department’s goals are informed by statewide recommendations that came out in late 2022 from a legislative advisory group focused on addressing the rise in STIs in Washington. 

“We’re not replacing the healthcare resources already in our community, and our partnerships with healthcare providers remain essential. As public health, we want to build on those and expand in areas where more services can make the difference and disrupt the spread of disease,” Health Department Director Dennis Worsham said. “This is not only about the health of individuals, but also the health of our community. With the rapid increase in STI cases, we need to be able to quickly diagnose, treat, and notify partners who have been exposed so we can better interrupt transmission in Snohomish County. We are grateful for the support from the state legislators representing our communities.” 

Local public health has worked for decades to reduce STIs. After funding cuts in the 2000s, the then-Snohomish Health District began referring case management to outside providers. The current STI program has continued to provide confidential HIV testing, sexual health education, partner counseling, and referrals for HIV pre-exposure prophylaxis, or PrEP.  

Bringing testing, treatment, and case management into the same clinic space can reduce barriers and make crucial follow-up easier for clients. The department also plans to use the state funding to analyze information on current STI infections and related services, and to look at ways to reach populations most at risk. 

It will take time to prepare for seeing clients on-site for testing and treatment. Next steps include hiring additional staff and purchasing supplies. The department plans to start offering expanded STI health services this summer, and to increase hours and services by the end of the year.  

The plan is to provide service at the Health Department building at 3020 Rucker Ave. in Everett and expand to in-field services based on community need. STI health services continue to be available from healthcare providers around the county, and people should not wait to seek testing or treatment. 

There are ways individuals in our community can help reduce transmission of sexually transmitted infections. The Health Department urges people to: 

• Get tested if you are sexually active, particularly if you are or may become pregnant, or if you have multiple sexual partners or don’t know your partners’ sexual health history. 
• Talk to your partner(s) about your and their sexual health history. 
• Use a condom. Even if you use other methods for birth control, a condom can help protect against multiple STIs while a contraceptive pill or implant will not. 
• If you do have a positive STI screening, follow through with treatment. 

The Snohomish County Health Department is always working for a safer, healthier community. To learn more, visit www.snohd.org. 

FOR IMMEDIATE RELEASEApril 10, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, April 11

BOARD of health TO CONVENE FOR regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its regular meeting at 3 p.m. on Tuesday, April 11, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/83068406831Dial-in: 253-215-8782; ID: 830 6840 6831

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1.  Approval of Minutes Dated March 14, 2023
5. Public Comment    
6. Briefings  
   1. Health Department Overview (SR 23-003; D. Worsham)
   2. 2023 Board of Health Work Plan (SR 23-004; N. Thomsen)
7. Department's Report 
8. Information Items    
   1. Next Board of Health Meeting: Tuesday, May 9, 3:00 p.m.

9.    Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEMarch 14, 2023

CONTACT: shd-communications@co.snohomish.wa.us 

Snohomish County Board of Health declares April 3-9 Public Health Week

The new Board of Health passed the proclamation at its first meeting.

SNOHOMISH COUNTY, Wash. – The Snohomish County Health Department Board of Health met for the first time Tuesday afternoon. 

During the meeting, the Board approved a proclamation to recognize the upcoming National Public Health Week in April. 

The Board and Health Department will celebrate April 3-9, 2023, as Public Health Week. The theme at the national level this year is “Centering and Celebrating Cultures in Health.” A person’s health status can vary drastically due to where they live and social determinants that negatively impact health, including racism, poverty, adverse childhood experiences, transportation barriers, and lack of economic opportunity. 

“Efforts to adequately support public health and the prevention of disease and injury can continue to transform a health system focused on treating illness into a health system focused on preventing disease and injury and promoting wellness,” according to the proclamation. 

The proclamation also thanks Department staff, public health partners, and community members who are dedicated to the improvement of health and well-being across Snohomish County. The Board approved the declaration unanimously. 

The new Board was created following the integration of the former Snohomish Health District into Snohomish County. 

The County Board of Health includes nine positions, eight of which are currently filled: 

• Janet Anderberg, Healthcare Provider
• Megan Dunn, Chair, Snohomish County Council Member
• Lisa George, Healthcare Facility Representative
• Joseph Hund, Sultan City Council Member
• Heather Logan, Vice Chair, Arlington City Council Member
• Jared Mead, Snohomish County Council Member
• Desmond Skubi, Community Stakeholder
• Julie Smith-Hopkins, Public Health Consumer

The ninth position is for a Tribal representative to be nominated by the American Indian Health Commission. County code and State law outline the make-up of the Board and the descriptions of Board positions. 

A separate Health District Board of Health will remain in place during the dissolution of the District but is not meeting regularly. 

For meeting agendas, minutes, and more information about the Board, please visit www.snohd.org/boardofhealth. 

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FOR IMMEDIATE RELEASEMarch 10, 2023   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, March 14

new County BOARD of health TO CONVENE FOR first regular meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold its first regular meeting at 3 p.m. on Tuesday, March 14, 2023, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/88272741423 Dial-in: 253-215-8782; ID: 882 7274 1423

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Special Business    
   1. Introductions and welcome to the Board of Health (no staff report; N. Thomsen)    
   2. Election of Chair and Vice Chair (no staff report; N. Thomsen)
5. Public Comment    
6. Action    
   1. Whitsell Appeal (SR 23-001; R. Gray)    
   2. Proclamation recognizing Public Health Week (SR 23-002; N. Thomsen)
7. Department's Report 
8. Information Items    
   1. Next Board of Health Meeting: Tuesday, April 11, 3:00 p.m.    
   2. Determine regular date of future meetings (no staff report; N. Thomsen)  
   3. Local Board of Health Training Opportunity (no staff report; N. Thomsen)    

9.    Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEJanuary 25, 2024   

CONTACT:  shd-communications@co.snohomish.wa.us

Snohomish County BOARD OF HEALTH MEETING, January 30

BOARD of health TO CONVENE FOR special meeting

SNOHOMISH COUNTY, Wash. – The Snohomish County Board of Health will hold a special meeting at 3 p.m. on Tuesday, January 30, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://us02web.zoom.us/j/85834280660Dial-in: 206-337-9723; ID: 858 3428 0660

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order    
2. Roll Call    
3. Approval of Agenda Contents and Order    
4. Approval of Minutes
   1. Approval of Minutes of the regular meeting of December 12, 2023
5. Public Comment  
6. Special Business
   1.  Election of Chair and Vice Chair (no staff report; N. Thomsen)
7. Briefings
   1. Introduction to Prevention Services Division (SR 24-001; C. Parker) 
   2. 2024 Board of Health Work Plan (SR 24-002; N. Thomsen)
8. Director's Report
9. Information Items    
   1. Upcoming meetings
10.  Adjournment

Visit the Board of Health webpage at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE  December 9, 2022

CONTACT: communications@snohd.org 

Local Health Officers and Health Care Leaders Recommend Wearing Masks Indoors

Snohomish Health District Health Officer joins other leaders in urging illness prevention measures during surge of respiratory viruses.

SNOHOMISH COUNTY, Wash. – Snohomish Health District Health Officer Dr. James Lewis joined more than 30 other local health officers and health care leaders to recommend masking and other illness prevention measures this winter. 

Full statement:

“Communities across our state and around the U.S. are experiencing an unprecedented surge in viral respiratory illnesses, including respiratory syncytial virus (RSV), influenza and COVID-19. As health officers and health care leaders working to improve the health of Washington residents, we recommend that everyone wear a high-quality, well-fitting mask when around others in indoor spaces to protect against both acquiring and spreading these infections to others. 

We also urge everyone who is eligible to stay up to date on your vaccinations. Vaccinations are the most important way to protect against severe influenza and COVID-19 infections, including hospitalization and death. Everyone 6 months and older should be vaccinated against these diseases and those who are eligible for an updated COVID-19 booster should get it now.

Other necessary strategies include: 

• Staying home from work and school and testing for COVID-19 if you develop symptoms.
• Having a plan for rapid treatment for COVID-19 and influenza for people who are at increased risk for severe infections.
• Improving indoor air quality through ventilation, filtration, and UV technology where appropriate.

We expect the flu to circulate for months, so now is the time to get your flu shot! 

The flu is most dangerous for: 

• Children under 5 years (especially under 2).
• Adults 65 years or older.
• Those who are pregnant.
• Anyone living with a health condition like asthma, diabetes or heart disease. 

Consult with your physician or healthcare provider about the need for testing or treatment if you are at increased risk for severe influenza or are unsure. 

In addition to RSV and influenza, new COVID-19 variants are taking hold and immunity from past vaccination is waning for many people who have not yet received an updated booster shot. The surge in these viruses is resulting in many illnesses, contributing to rising absenteeism in schools this fall. This impact extends to businesses, workers, and families.

For people who develop symptoms, and for parents of young children, it’s important to know when to contact your physician or healthcare provider for advice or an evaluation. 

Working together and using multiple, layered strategies to limit the spread and impact of these viruses will provide benefits to all of us during this fall and winter respiratory virus season and help relieve serious stress on our healthcare system. 

Thank you to everyone for doing what you can to help.”

Local health officers

Dimyana Abdelmalek, MD, MPH, Health Officer, Thurston County Public HealthAllison Berry, MD, MPH, Health Officer, Clallam and Jefferson CountiesAnthony L-T Chen, MD, MPH, Director of Health, Tacoma-Pierce County Health DepartmentJeff Duchin, MD, Health Officer, Public Health - Seattle and King CountyAmy Harley, MD, MPH, Co-Health Officer, Whatcom County Health DepartmentFrank James, MD, Health Officer, San Juan County Health & Community ServicesSteven Krager, MD, MPH, Deputy Health Officer, Clark, Pacific and Skamania CountiesMark Larson, MD, Health Officer, Kittitas County Public Health DepartmentJames Lewis, MD, MPH, Health Officer, Snohomish Health DistrictAlan Melnick, MD, MPH, Health Officer, Clark, Pacific and Skamania CountiesGib Morrow, MD, MPH, Health Officer, Kitsap Public Health DistrictGreg Thompson, MD, MPH, Co-Health Officer, Whatcom County Health Department

Health care leaders

June M. Altaras, MN, NEA-BC, Executive Vice President, Chief Quality, Safety and Nursing Officer, MultiCare Health SystemMichael H. Anderson, MD, Chief Medical Officer, Virginia Mason Franciscan HealthMike Barsotti, MD, FAAP, President, Washington Chapter of the American Academy of PediatricsTori Bernier, Chief Nursing Officer, Summit Pacific Medical CenterTimothy Dellit, MD, interim Chief Executive Officer, UW Medicine, interim Executive Vice President for Medical Affairs and interim Dean of the UW School of MedicineMike Glenn, MHA, Chief Executive Officer, Jefferson HealthcareJennifer A. Graves, RN, MS, Vice President, Quality and Safety, Kaiser Permanente Northwest and Kaiser Permanente Washington, Regional Chief Nursing Executive, Kaiser Permanente WashingtonSean Gregory, Chief Executive, PeaceHealth Southwest Medical CenterCarlton Heine, MD, PhD, FACEP, FAWM, Chapter President, Washington American College of Emergency PhysiciansMark Johnson, MD, President, Washington Academy of Family PhysiciansScott Kennedy, MD, Chief Medical Officer, Olympic Medical CenterRobb Kimmes, Chief Executive Officer, Skyline HealthDavid Knoepfler, MD, MBA, Chief Medical Officer, FACP, FHM, Overlake Medical CenterOnora Lien, Executive Director, Northwest Healthcare Response NetworkCarma Matti-Jackson, President & Chief Executive Officer, Washington Health Care AssociationRuth McDonald, MD, Chief Medical Officer, Seattle Children’sDeb Murphy, MPA, J.D., President & Chief Executive Officer, LeadingAge WashingtonEttore Palazzo, MD, FACP, Chief Medical & Quality Officer, EvergreenHealthCharles Prosper, Chief Executive Officer, PeaceHealth St Joseph Medical CenterKatina Rue, DO, President, Washington State Medical AssociationCassie Sauer, President & Chief Executive Officer, Washington State Hospital AssociationArooj Simmonds, MD, Regional Chief Medical Officer, Puget Sound Region, Providence SwedishDori Unterseher MN, RN, Chief Nursing Officer, Harbor Regional HealthLynnette Vehrs, RN, MN, President, Washington State Nurses AssociationDarryl Wolfe, Chief Executive Officer, Olympic Medical Center

Link to PDF of full statement

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FOR IMMEDIATE RELEASEDecember 9, 2022   

CONTACT:  communications@snohd.org

BOARD OF HEALTH MEETING, December 13

FULL BOARD TO CONVENE FOR REGULAR BUSINESS 

SNOHOMISH COUNTY, Wash. – The Board of Health will hold its regular meeting at 3:00 p.m. on Tuesday, December 13, 2022, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://zoom.us/j/92258682166Dial-in: 253-215-8782; Meeting ID: 922 5868 2166 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Approval of Agenda Contents and Order
4. Approval of Minutes    
   1. Board of Health regular meeting, November 8, 2022 
   2. Program Policy Committee meeting, November 17, 2022 
   3.  Executive Committee meeting, December 1, 2022    
   4.  Administration Committee special meeting, Wednesday, December 7, 2022 
   5.  Executive Committee meeting, December 8, 2022
5. Public Comment
6. Consent Agenda    
   1.  Vouchers and Res. 22-32 authorizing Health District expenditures from October 16 to November 15, 2022 (SR 22-121; T. Bengtson) 
   2.  Authorize the Administrative Officer to sign the memorandum of understanding with PROTEC17 to adjust the salary and step placement for five term-limited employees (SR 22-116; P. Aguilar)
   3.  Approve a change to the vital records fee schedule (SR 22-117; R. Gray)
   4.   Authorize the Administrative Officer to hire a disease intervention specialist lead position for the Prevention Services division (SR 22-115; C. Parker) 
   5.  Authorize the Administrative Officer to enter into an agreement with Ideal Option for the Medication Anticipated Treatment (MAT) expansion project for under the HRSA grant (SR 22-111; P. Sampaga-Khim) 
   6.  Authorize the Administrative Officer to enter into the revised subrecipient agreement with Darrington School District for work under the HRSA grant (SR 22-103; P. Sampaga-Khim) 
   7. Authorize the Administrative Officer to increase the FTE of the current Maternal Child Health Environmental Health Specialist from .5 to 1.0 in the Prevention Services division (SR 22-112; P. Sampaga-Khim) 
   8.   Authorize the Administrative Officer to sign amendment #9 to the consolidated contract with the Washington State Department of Health (SR 22-109; K. Curtis)
   9.  Authorize the Administrative Officer to sign amendment #10 to the consolidated contract with the Washington State Department of Health (SR 22-118; K. Curtis) 
7. Special Recognition
   1. International Migrants Day Proclamation (no staff report; S. Frederick)
   2.  Proclamation recognizing Shawn Frederick for his service as Administrative Officer of the Snohomish Health District (no staff report; P. Aguilar)
8. Special Business 
   1. Briefing and Public Hearing on the 2023 proposed budget
9.  Action
   1.  Adopt Res. 22-30 authorizing the 2022 Budget Amendment #2 (SR 22-110; T. Bengtson)    
   2. Adopt Res. 22-33 approving the 2023 Health District Budget (SR 22-124; S. Frederick)    
   3. Agreement with the Washington State Department of Health to receive Health Officer coverage in the event the current Health Officer is unavailable (SR 22-123; S. Frederick)
   4. Appointment of Jessica Enick to the Public Health Advisory Council through June 30, 2023, and the appointment of Heather Sellers to the Public Health Advisory Council through June 30, 2025 (SR 22-122; N. Thomsen)
10. Executive Session
    1.  The Snohomish Health District Board of Health will recess and convene into Executive Session for the purposes of collective bargaining matters pursuant to RCW 42.30.140(4)(b). Executive session is expected to last up to 5 minutes. Unless extended to a later time, the Board will reconvene into regular session at ____p.m. and is expected to take action.
11. Administrative Officer's Report 
12. Health Officer's Report    
13. Information Items
    1. Upcoming meeting
14. Written Reports
    1. Finance Manager's Report for September 2022 (SR 22-119; T. Bengtson)    
    2.  Executive Committee approved minutes, November 17, 2022    
    3.  Public Health Advisory Council draft minutes, November 30, 2022
15. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE           December 5, 2022

CONTACT:kbray@snohd.org 

Two more flu deaths in Snohomish County, hospital visits climb rapidly

Three adults in Snohomish County have died from influenza so far in the 2022-23 flu season

SNOHOMISH COUNTY, Wash. – Two more flu-related deaths have been reported in what has quickly become the worst flu season in three years.

An Everett man in his 40s and an Everett woman in her 70s died early last week.

A Lynnwood woman in her 20s also died in November, and a Bothell woman in her 70s died earlier this fall, before the official start of the 2022-23 season.

The Snohomish County Influenza Surveillance Report for the week ending November 26 shows hospitalizations rising sharply. The percentage of hospital visits in the county for influenza-like illnesses is roughly 10 times higher than it was during the same period in 2021 and 2020.

“This year’s flu season is very early even by pre-pandemic standards. The speed with which cases are increasing is on par with other severe flu seasons in the past,” said Dr. James Lewis, Health Officer for the Snohomish Health District. “While it is not possible to predict how the rest of the flu season will go, it is very likely that cases will continue to increase over the coming weeks. This comes at a time when our healthcare system is incredibly strained, particularly the pediatric healthcare system. It is incredibly important for all of us to take appropriate precautions to prevent the spread of viruses at this time, including staying up to date with flu and COVID vaccines, wearing a mask when you are in crowded indoor areas, and staying home when you are sick.”

The last two years were unusually light flu seasons thanks to illness prevention measures such as masking, distancing, and quarantining while sick. Prior to the COVID-19 pandemic, the flu was a deadly disease in Snohomish County each year. In 2018-19, there were 26 flu-related deaths in the county. The two previous years were particularly bad, with 40 deaths in 2017-18 and 45 deaths in 2016-17.

The Snohomish Health District continues to urge precautions to reduce the spread of flu, COVID-19, RSV, and other illnesses that are currently circulating. 

“In particular given the strain on our pediatric healthcare system and the high levels of transmission in our younger population, please consider wearing a mask while at school during this time of high transmission,” Dr. Lewis said. “Also, please avoid emergency or urgent care if you are able to safely care for yourself or your family members at home. There are resources to help you care for sick children at home and help you determine if seeking healthcare support is appropriate for your situation. These measures will not only protect yourselves and your loved ones but also your community and your healthcare system, so it is available for you when you or your loved ones need it.”

Health and safety reminders:

• Get your annual flu shot. People ages 6 months or older can get a flu shot, available at most pharmacies and clinics. Vaccination reduces the likelihood of severe illness, hospitalization, and death.
• Get your COVID-19 vaccinations and bivalent booster. COVID is a severe respiratory illness, as well, and we expect to see increases in COVID activity this winter. 
• Strongly consider wearing a mask in crowded areas and shared public spaces. This includes on planes, trains, or buses if you are traveling this holiday season. Even if not required, masking is a good way to reduce the spread of multiple respiratory illnesses.
• Wash hands well with soap and running water, scrubbing for 20 seconds.
• Stay home from work, school, or other activities if you are feeling sick. For COVID-19, wait at least five days before returning to normal activities, and continue to mask around others for an additional five days. For other illnesses, wait until your fever has been gone at least one full day (24 hours) without use of medicine and any other symptoms are gone or getting better.

Resources

Flu information, including local influenza surveillance reports, is available at www.snohd.org/flu. 

The Washington State Department of Health has additional flu information and resources at www.doh.wa.gov/flu, including information on when to stay home and when to seek emergency care.

Information on COVID-19 vaccination can be found at www.snohd.org/covidvaccine. 

Seattle Children’s also prepared an informational packet on caring for children with bronchiolitis. 

##END##

FOR IMMEDIATE RELEASE                                November 30, 2022

CONTACT: communications@snohd.org 

Second Influenza Death of 2022 Confirmed in Snohomish County

Snohomish Health District urges people to get vaccinated and take precautions as we face worsening flu season. 

SNOHOMISH COUNTY, Wash. – Another death due to influenza has been reported in the county. It’s the second flu death this calendar year and the first to be reported in the official 2022-23 flu season, which is on track to be the worst flu season since before the COVID-19 pandemic.

A Lynnwood woman in her 20s died last week at Providence Regional Medical Center Everett.

A Bothell woman in her 70s also died earlier this fall, the first flu-related death reported in the county since 2020.

For the last two years, COVID precautions such as masking, distancing, and quarantining at home when sick have reduced the spread of diseases like the flu, as well. This fall and winter, though, respiratory illnesses are back in high numbers. 

By early November, flu-related hospitalizations already were quadruple what they’d been during the same time period in the last two years. 

“We know from our data, our conversations with healthcare partners, and what we’re seeing in the community that this is a challenging season,” said Dr. James Lewis, Health Officer for the Snohomish Health District. “The flu can be a very serious illness for people of all ages, as can COVID-19. We have vaccines to help protect us, and I again urge everyone 6 months and older to get their annual flu vaccine as well as their COVID vaccines, and for those who are eligible to also get their bivalent COVID booster. I also encourage people to consider masking in indoor crowded places at this time given the current high circulation of respiratory viruses.”

Appointments for flu vaccines and COVID-19 vaccines and boosters are available at most clinics and pharmacies. It is safe to get a flu shot and COVID booster at the same appointment. People should talk to their healthcare provider about specific vaccination questions. 

More information about flu vaccination, as well as influenza surveillance reports during flu season, can be found at www.snohd.org/flu. For information on COVID vaccination, please visit www.snohd.org/covidvaccine. 

Other reminders to reduce the spread of illness:

• Stay home from work, school, or other activities if you have symptoms such as coughing, sore throat, sneezing, headache, runny nose, body aches, fatigue, difficulty breathing, or fever. 
  • Do not return to normal activities until your fever is gone at least 24 hours without the use of medicine and other symptoms are gone or getting better. 
  • If you test positive for COVID-19, stay home until at least five days after the positive test or start of symptoms and wear a mask for at least 5 more days after coming out of isolation.
• Wash hands often and well. Use soap and running water, and scrub for at least 20 seconds.
• Consider wearing a mask when in shared public spaces. Even if you are choosing not to mask, please respect and support others who choose to do so.

##END##

FOR IMMEDIATE RELEASE November 22, 2022

CONTACT: communications@snohd.org 

Flu season ramping up as other viruses continue spreading 

A surge in illnesses is overloading healthcare providers. People can help by using telehealth options and avoiding unnecessary visits to urgent or emergency care.

SNOHOMISH COUNTY, Wash. – Flu activity is increasing rapidly, and is expected to continue increasing through the end of fall and into the winter. 

The percentage of hospital visits for flu-like illness already is at least four times higher than the same time period in 2020 and 2021, according to the Snohomish County Influenza Surveillance report for the week ending November 12, 2022. 

Of nearly 1,200 influenza tests performed in the county, roughly 1 in 4 came back positive. That’s nearly double the positivity rate from the previous week. While data for the most recent week (ending November 19) is not yet final, initial indicators are that Snohomish County may be nearing 50% positivity for flu testing.

In short, flu season is here, and it has arrived in full force after several seasons when illness prevention measures kept flu activity unusually low. 

Meanwhile, other potentially serious respiratory viruses also are circulating. The Snohomish Health District has heard from healthcare providers, as well as from community partners like schools and child cares, that there has been a large increase in people getting sick compared to the last couple of years. This has been seen around the country, according to the Centers for Disease Control and Prevention (CDC), which issued an advisory earlier this month.

Respiratory syncytial virus – more often called RSV – is circulating at very high rates. This disease particularly impacts children. 

COVID-19 continues to spread at lower levels than in the last few years, but is expected to increase this winter.

These illnesses can cause serious problems and hospitalization. Very few beds are available in local hospitals at this time, especially for children. 

Pharmacies, clinics and stores also are experiencing shortages in some medications for children. Healthcare providers as well as parents seeking medicine for a sick child are likely to have a hard time getting certain high-demand options, including Tamiflu, over-the-counter cough medicine such as Robitussin and Delsym, and children’s Tylenol or ibuprofen. There also is a nationwide shortage of liquid amoxicillin, a common antibiotic used to treat bacterial infections such as ear infections.

“It is essential that we as a community put our best efforts into keeping our children, our elders, our families, and ourselves healthy,” said Dr. James Lewis, Health Officer for the Snohomish Health District. “We know what works – get vaccinated, stay home if you are sick, keep up with handwashing, and wear a mask in crowded indoor settings. Masking not only protects against COVID, it also protects against other respiratory viruses including flu and RSV.”

It is not too late to get your annual flu shot, and to make sure you are up-to-date on COVID vaccination, including your bivalent booster. 

“People 6 months or older should get vaccinated,” Lewis said. “Though vaccines don’t offer 100% protection against getting sick, they greatly reduce the likelihood of getting sick enough to need a hospital. These immunizations can also reduce your risk of transmitting flu or COVID to others if you do get infected, which helps protect your family, loved ones and the wider community.”

Other ways to help:

• Avoid unnecessary in-person visits to clinics, urgent cares, or emergency rooms. Use telehealth options when possible. If you have insurance, you can call the nurse lines available through your insurance provider and/or your healthcare provider. Check your insurance card, online account, or paperwork; multiple providers list a number that you can use for questions about symptoms and next steps.
  • If you are experiencing a medical emergency, such as chest pain, struggling to breathe, broken bones or uncontrolled bleeding, you should seek emergency care right away. The goal is to avoid non-emergency visits and free up capacity to address these types of urgent medical needs.
• If you, your child, or anyone in your household has symptoms such as coughing, sore throat, sneezing, headache, runny nose, body aches, fatigue, wheezing, difficulty breathing, or fever, they should stay home from work, school, and other activities. This includes sports, child care, events or parties. 
• Wait until fever is gone without the help of medicine for more than one full day, and other symptoms are gone or getting better, before returning to work or other activities. If you test positive for COVID-19, stay home until at least five days after the positive test or start of symptoms and wear a mask for at least an additional 5 days after coming out of isolation.
• Wash hands often and well, and cover coughs or sneezes with a tissue or elbow. You also may choose to wear a mask in shared public spaces. Please respect and support others who choose to mask, as well, even if you are choosing not to.
• If you or a household member has underlying health conditions that increase risk of severe illness, talk to your doctor early about additional preventive measures or what to do if symptoms like a bad cough or high fever begin. High-risk individuals may need antiviral treatment to help reduce the severity of illness.

Flu information, including influenza surveillance reports, is available at www.snohd.org/flu. 

Information on COVID-19 vaccination can be found at www.snohd.org/covidvaccine. 

##END##

FOR IMMEDIATE RELEASENovember 4, 2022   

CONTACT:  communications@snohd.org

BOARD OF HEALTH MEETING, November 8

FULL BOARD TO CONVENE FOR REGULAR BUSINESS 

SNOHOMISH COUNTY, Wash. – The Board of Health will hold its regular meeting at 3:00 p.m. on Tuesday, November 8, 2022, at 3020 Rucker Avenue in the Auditorium. A remote option also is available:

Zoom: https://zoom.us/j/92258682166Dial-in: 253-215-8782; Meeting ID: 922 5868 2166 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Approval of Agenda Contents and Order
4. Approval of Minutes    
   1. Approval of minutes of the regular meeting of October 11, 2022
5. Public Comment
6. Consent Agenda    
   1. Vouchers and Resolution 22-29 authorizing Health District expenditures from September 16, 2022, to October 15, 2022 (no staff report; T. Bengtson)    
   2. 2023 Legislative Priorities (SR 22-082; N. Thomsen)    
   3. Authorize the Administrative Officer to reimburse a staff member $1,000 for tuition-related expenses for fall quarter 2022 (SR 22-101; K. Curtis)    
   4. Authorize the Administrative Officer to purchase a Bruker X-Ray Florescent (XRF) machine for environmental health sampling (SR 22-097; K. Curtis)    
   5. Authorize the Administrative Officer to hire a temporary project manager for electronic health record implementation (SR 22-098; K. Curtis) 
   6. Authorize the Administrative Officer to sign the amendment to the contract with the Department of Social and Health Services for the Refugee and Health Screening program (SR 22-100; K. Curtis)    
   7. Authorize the Administrative Officer to sign amendment #8 to the consolidated contract with the Washington State Department of Health (SR 22-093; K. Curtis)
7. Special Business 
   1. Briefing and Public Hearing on the Health District's 2022 preliminary budget (SR 22-108; S. Frederick)    
   2. Briefing and Public Hearing on proposed Environmental Health fee schedule
8.  Action
   1. Adopt Resolution 22-28 approving the proposed Environmental Health fee schedules as shown in Exhibit A (SR 22-106; R. Gray)    
   2. Authorize the Administrative Officer to fully execute an agreement with Patagonia Health for an electronic health record system (SR 22-102; K. Curtis)    
   3. Authorize the Administrative Officer to sign agreements with Lamar Transit and National CineMedia for public health awareness and vaccine advertising (SR 22-104; N. Thomsen)
9. Executive Session
   1. The Snohomish Health District Board of Health will recess and convene into Executive Session for the purposes of collective bargaining matters pursuant to RCW 42.30.140(4)(b) and personnel matter pursuant to RCW 42.30.110(1)(g) to evaluate qualifications of an applicant for public employment. Executive Session is expected to last up to 10 minutes. Unless extended to a later time, the Board will reconvene into regular session at __________ p.m. and is not expected to take action.
10. Briefings
    1. Snohomish County Integration
11. Administrative Officer's Report 
12. Health Officer's Report    
13.  Written Reports    
    1. Finance Manager's report for August 2022 (SR 22-107; T. Bengtson)   
    2. Program Policy Committee draft minutes - Oct. 20    
    3. Administration Committee draft minutes - Oct. 26    
    4. Executive Committee draft minutes - Oct. 27    
    5. Public Health Advisory Council draft minutes - Oct. 26
14. Information Items
    1. Upcoming meetings
15. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE

October 12, 2022 

CONTACT:

communications@snohd.org  

INFLUENZA DEATH CONFIRMED IN SNOHOMISH COUNTY 

HEALTH DISTRICT URGES RESIDENTS TO GET VACCINATED AGAINST FLU AND COVID-19

SNOHOMISH COUNTY, Wash. – The first Influenza death since 2020 has been confirmed in Snohomish County. 

There have been no deaths in the last two flu seasons, according to a surveillance report released by the Snohomish Health District.

“During the past two years, COVID has been in the forefront of everyone’s mind and has been the primary respiratory illness circulating,” said Dr. James Lewis, Snohomish Health District Health Officer. “Because of all of our mitigation efforts to stop COVID from ravaging our community, other respiratory illnesses like the flu have remained quite low.” 

Habits such as masking, increased social distancing and hand washing are also credited with the low flu numbers that Snohomish County has experienced during the pandemic.

“Unfortunately, this is likely to be the first of more cases to come,” says Lewis. “In the southern hemisphere of the world, who have their flu season during our summer, we saw a resurgence of flu infections. We are likely to see the same here.”

Dr. Lewis encourages county residents to get their recommended vaccinations, including Influenza and the new COVID-19 bivalent booster. This booster provides better protection than the previous vaccine against the predominant variants currently circulating, including Omicron. 

The flu vaccine is recommended for everyone six months and older, including those pregnant and nursing. Bivalent (COVID-19) boosters are approved for persons aged 12 and older. For specific recommendations regarding the COVID vaccine and boosters, please go here. In most cases, both vaccinations can be given together. Please speak to your healthcare provider or pharmacist for more information.

If assistance is needed in locating a vaccine, people can visit www.vaccinefinder.org or call the Help Me Grow Washington hotline at 1-800-322-2588 (language assistance is available).

For more information regarding Influenza, please visit the Snohomish Health District’s website at www.snohd.org/154/The-Flu.

A copy of the “Snohomish County Influenza Surveillance Report: Season End 2021-2022” can be found here.

##END## 

FOR IMMEDIATE RELEASEOctober 7, 2022      

CONTACT:  communications@snohd.org

BOARD OF HEALTH MEETING, OCTOBER 11

FULL BOARD TO CONVENE FOR REGULAR BUSINESS 

SNOHOMISH COUNTY, Wash. – The Board of Health will hold its regular meeting at 3:00 p.m. on Tuesday, October 11, 2022. 

Zoom: https://zoom.us/j/92258682166Dial-in: 253-215-8782; Meeting ID: 922 5868 2166 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order
2. Special Business    a.    Oath of Office
3. Roll Call    
4. Approval of Agenda Contents and Order
5. Approval of Minutes    
   1. Approval of minutes of the regular meeting of September 13, 2022    
6. Public Comment
7. Consent Agenda 
   1. Vouchers and Res. 22-25 authorizing Health District expenditures from August 16, 2022, to September 15, 2022 (no staff report; T. Bengtson) 
   2. Adopt Res. 22-24 rescinding Res. 20-25 and authorizing Mr. Shawn Frederick, Ms. Ragina Gray, Ms. Katie Curtis, and Ms. Pamela Aguilar as authorized signers on bank and investment accounts (SR 22-079; T. Bengtson)
   3. Authorize the Administrative Officer to sign amendment #7 to the consolidated contract with the Washington State Department of Health (SR 22-077; K. Curtis)
   4. Position reclassification for Healthy Community Educator to Healthy Community Specialist (SR 22-075; K. Curtis)
   5. Authorize the Administrative Officer to sign the revised agreement with Swedish Medical Center to provide surveillance activities for non-fatal overdose emergency room visits (SR 22-081; P. Sampaga-Khim) 
8. Executive Session
   1. The Snohomish Health District Board of Health will recess and convene into Executive Session for purposes of discussing with legal counsel the legal risk of a potential action pursuant to RCW 42.30.110(1)(i)(iii) and potential litigation pursuant to RCW 42.30.110(1)(i). Executive Session is expected to last up to 20 minutes. Unless extended to a later time, the Board will reconvene into regular session at ____ p.m. and is not expected to take action.
9.  Action   
   1. Adopt Res. 22-26 establishing consulting fee for hearing examiner services (SR 22-096; S. Frederick)  
   2. Authorize the Administrative Officer to utilize $1,500,000 of the unreserved fund balance for the replacement of vehicles for the Health District's fleet (SR 22-091; P. Aguilar)
   3. Authorize the Administrative Officer to apply for a grant through NACCHO for vaccine hesitancy (SR 22-095; P. Sampaga-Khim)
   4. Approve Res. 22-27 rescinding Res. 22-19 and authorizing the appointment of a new Auditing Officer (SR 22-094; S. Frederick)
10.  Briefings    
    1. Public Health Integration
11. Administrative Officer's Report  
12. Health Officer's Report  
13. Written Reports
    1. Finance Manager's report for June 2022 (SR 22-089; T. Bengtson)
    2. Finance Manager's report for July 2022 (SR 22-090; T. Bengtson)
    3. Executive Committee approved minutes - September 8
    4. Program Policy Committee draft minutes - September 15
    5. Executive Committee approved minutes - September 22
    6. Public Health Advisory Council draft minutes - September 28
    7. Administration Committee draft minutes - September 28
    8. Executive Committee draft minutes - September 29
    9. Executive Committee draft minutes - October 6
14. Information Items
    1. Upcoming meetings
15. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASESeptember 21, 2022                       

CONTACT:  communications@snohd.org

BOARD OF HEALTH Executive Committee MEETING, September 22

Executive committee to convene for meeting

SNOHOMISH COUNTY, Wash. – The Board of Health Executive Committee will hold a meeting at noon on Thursday, September 22, 2022, in the Auditorium at 3020 Rucker Ave., Everett.

Zoom: https://zoom.us/j/95698855599Dial-in: 253-215-8782; Meeting ID: 956 9885 5599

The full packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Approval of Agenda Contents and Order  
4. Approval of Minutes    
   1. Approval of minutes of the regular meeting of June 23, 2022    
   2. Approval of minutes of the special meeting of July 22, 2022    
   3.  Approval of minutes of the regular meeting of July 28, 2022    
   4.  Approval of minutes of the special meeting of August 9, 2022    
   5. Approval of minutes of the special meeting of August 31, 2022    
   6. Approval of minutes of the special meeting of September 8, 2022
5. Public Comment
   1. Public Comment
6. Action                         
   1. Authorize the Administrative Officer to reclassify the payroll analyst role to a program specialist II accounting specialist roll (SR 22-087; P. Aguilar)    
   2. Authorize the Administrative Officer to approve payment of the invoice for Enduris through August 30, 2023 (SR 22-088; P. Aguilar)
7. Executive Session    
   1.  The Snohomish Health District Board of Health Executive Committee will recess and convene into Executive Session for purposes of personnel matter pursuant to RCW 42.30.110(1)(g) to evaluate qualifications of an applicant for public employment, and discussing with legal counsel the legal risk of a potential action pursuant to RCW 42.30.110(1)(i)(iii). Executive Session is expected to last up to 10 minutes. Unless extended to a later time, the Executive Committee will reconvene into regular session at ____ p.m. and is not expected to take action.
8. Information Items
   1. Upcoming meetings
9. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASESeptember 15, 2022

 CONTACT: communications@snohd.org 

SNOHOMISH COUNTY, Wash. – The Snohomish Health District is asking county residents to share their thoughts on the most important health issues and needs in the community.

Work is underway to gather information for the 2022 Community Health Assessment. This report will include numerical data on health indicators, but also thoughts and personal experiences that help illustrate what those numbers mean.

Any Snohomish County resident aged 16 or older can request to participate in this process. There are two ways to do so:

1. Key informant interview (age 16+), where they will be interviewed by someone from the Health District about their perspectives on health issues impacting them and their community. This is a one-time commitment of about 90 minutes.
2. Data committee (age 18+), where 10-15 members will meet biweekly to look at data on key health indicators and share their feedback. This is a commitment of six meetings between October and December, each lasting about 90 minutes.

Anyone interested in participating should fill out the Snohomish Health District Community Health Assessment Participation Form by September 30.

To ensure there is representation from communities throughout Snohomish County, slots may be limited if there are many applicants from the same area of the county. Those who complete the form will be contacted to confirm their participation and provide more details, or to notify them if slots have been filled.

Stipends are available for those who complete their commitments.

Data and community input for the health assessment will be gathered by the end of the year, with the report to be published shortly after.

For more information and updates as the Community Health Assessment moves forward, please visit www.snohd.org/cha2022.

##END##

FOR IMMEDIATE RELEASESeptember 12, 2022      

CONTACT:  communications@snohd.org

BOARD OF HEALTH MEETING, september 13

FULL BOARD TO CONVENE FOR REGULAR BUSINESS 

SNOHOMISH COUNTY, Wash. – The Board of Health will hold its regular meeting at 3:00 p.m. on Tuesday, September 13, 2022. 

Zoom: https://zoom.us/j/92258682166Dial-in: 253-215-8782; Meeting ID: 922 5868 2166 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Approval of Agenda Contents and Order
4. Approval of Minutes    
   1. Approval of minutes of the regular meeting of July 12, 2022    
   2. Approval of minutes of the special retreat meeting of August 25-26
5. Public Comment
6. Action 
   1. Vouchers and Res. 22-22 authorizing Health District expenditures from July 16, 2022, to August 15, 2022 (no staff report; T. Kellogg)
   2. Resolution 22-21 recognizing and honoring National Hispanic Heritage Month (SR 22-083; S. Frederick)    
   3. Thompson, Guildner, and Associates legal counsel amendment (SR 22-078; S. Frederick)    
   4. Approve Resolution 22-23, establishing every Thursday at 12 p.m. at the main offices of Snohomish Health District located at 3020 Rucker Avenue, Everett, Washington, and via virtual meeting platform, as the set day, time, and location of its regular Executive Committee meeting (SR 22-085; S. Frederick)    
   5.  Authorize the Administrative Officer to apply for the National Association of County & City Health Officials (NACCHO) grant: Implementing Overdose Prevention Strategies at the local level (SR 22-076; P. Sampaga-Khim)
7.  Briefings    
   1. Stipends for community members to participate in the Community Health Assessment (SR 22-086; K. Curtis)    
   2. Department Director hiring process
8. Executive Session
   1. The Snohomish Health District Board of Health will recess and convene into Executive Session for purposes of discussing with legal counsel the legal risk of a potential action pursuant to RCW 42.30.110(1)(i)(iii) and potential litigation pursuant to RCW 42.30.110(1)(i). Executive Session is expected to last up to 20 minutes. Unless extended to a later time, the Board will reconvene into regular session at ____ p.m. and is not expected to take action.
9. Health Officer's Report    
10. Administrative Officer's Report    
11. Information Items
    1. Upcoming Meetings
12. Written Reports 
    1. Finance Manager's report for May 2022 (SR 22-070; T. Kellogg)    
    2. Program Policy Committee draft minutes - July 21    
    3. Executive Committee draft minutes - July 22    
    4. Administration Committee draft minutes - July 27    
    5. Executive Committee draft minutes - July 28   
    6. Executive Committee draft minutes - August 9    
    7. Executive Committee draft minutes - August 31    
    8. Public Health Advisory Council draft minutes - July 27
13. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASESeptember 7, 2021

CONTACT:Kari Bray, 425.382.3184communications@snohd.org 

Kent Patton, 425.388.3883Kent.Patton@snoco.org 

New Data Dashboard Explores Details of Opioid Overdoses in Snohomish County  

The interactive display can help people understand what is happening in their community with substance use, overdose deaths, and naloxone use to reverse overdoses

SNOHOMISH COUNTY, Wash. – An updated dashboard on the Snohomish Overdose Prevention website combines medical examiner, department of health, and emergency department information to illustrate the rising toll of opioid overdoses in the county.

The new Snohomish County Opioid Overdose and Prevention Data Dashboard can be found at www.snohomishoverdoseprevention.com/data. It was published August 24, replacing the previous dashboard on that website with new information and more interactive features.

The dashboard was produced and is maintained by the Snohomish Health District. It is part of ongoing efforts by the Snohomish County Opioid Response Multi-Agency Coordination Group, a county-wide effort to improve outcomes for those who use and abuse drugs. 

“We are so glad to have published this new tool to communicate with the public and help answer the types of questions we are often asked about how many people are impacted and who is impacted,” said Sara Lidstrom, the epidemiologist who led the dashboard project. “With the increasing severity of the opioid crisis, it’s incredibly important to have this kind of data at our fingertips to help guide decision-making.”

The dashboard includes data from the Snohomish County Medical Examiner’s Office, the Washington State Department of Health, and emergency departments at the county’s two largest hospitals, Providence Regional Medical Center Everett and Swedish Edmonds. 

The data show that opioid overdose deaths have increased drastically in the last five years. There were 198 reported deaths in 2021, up from 100 in 2017. Fentanyl is currently the most common substance involved in fatal overdoses.

“The opioid epidemic is a huge problem nationally, and Snohomish County is no exception. You can see on our new dashboard that this is a growing problem in our community,” said Dr. James Lewis, Health Officer for the Snohomish Health District. “It is especially concerning now with the increased availability of fentanyl products, which are much more potent than the previously prevalent opioids such as prescription opioid pills and heroin. Because of this increased potency it can be easier for people who use opioids to miscalculate the dose they are taking and lead to overdose.” 

“Overdoses are killing far too many of our residents, and now that we have better access to data, we can design better policies and take action to save lives,” said Snohomish County Executive Dave Somers. “The partnerships across the county reflected in this data dashboard will give us more opportunities to collaborate.”

In local emergency departments, nonfatal overdoses also are increasing. From 2020 to 2021, Providence Regional Medical Center Everett treated 844 opioid overdoses in its emergency department, up from 535 in 2017-18. The proportion of those overdoses involving either heroin or a prescription pain medication have been trending down while the proportion involving fentanyl trends upward. While most overdoses previously involved injecting opioids, people now are more likely to swallow or smoke them. For years private residences have been the most common location of opioid overdoses. Since 2017, the percentage of overdoses in private residences has increased from about 43% to 60%, based on the dashboard data.

The data also show that use of naloxone, often referred to by brand name Narcan, is increasing. This life-saving overdose reversal drug can be administered by anyone. So far in 2022, more than three-quarters of opioid overdose patients arriving at emergency departments had already been treated with naloxone. Most often, naloxone is administered by emergency medical services (EMS). However, at least 18% of the time, a community member such as a friend, family member or bystander administered naloxone. 

Anyone can become trained in how to use naloxone, and online forms are available at www.snohomishoverdoseprevention.com to request training.   

Tips for using the new data dashboard

• Click the “full screen” button in the bottom right corner of the window for a larger, easy-to-navigate display
• Most data points on graphs and charts will allow you to hover and/or click to focus in on a specific piece of data and break out information by factors such as timeframe or demographic characteristics
• Watch for user tips throughout the dashboard to help you interact with and sort the data
• Read the “Data Notes” section to understand where the information comes from

Much of the information is preliminary and final reported numbers may change as data is reviewed and reconciled. There may be minor differences in numbers reported on the dashboard and those reported in similar sources, such as the state Department of Health. This is generally due to slight differences in definitions or in how the data is processed. Small numbers have been presented as proportions or in combination with other small numbers to avoid potentially identifying individuals.  

“Addiction is an insidious disease that can affect anyone at any time and we should work to reduce the stigma associated with it by providing information and education,” Dr. Lewis said. “Providing information and data, such as that available through our dashboard and our Snohomish Overdose Prevention website, will hopefully help community members better understand this serious health problem, combat stigma, and empower citizens to intervene if they know or see someone who is struggling with addiction.”

Additional resources and information about substance use disorder are available at www.snohomishoverdoseprevention.com. The Washington Recovery Help Line also offers free, confidential support 24 hours a day at 1-866-789-1511. If you or someone you know is struggling with substance use, please reach out for help.

##END##

FOR IMMEDIATE RELEASE August 25, 2021

CONTACT:Cathi Lee, Debbie Warfield, Lindsey Arrington - Hope Soldiers425.341.3572hopesoldiers@gmail.com

Kari Bray, 425.382.3184communications@snohd.org 

Kent Patton, 425.388.3883Kent.Patton@snoco.org 

Sixth Annual A Night To Remember, A Time To Act

Candlelight vigil and community event to be held in honor of International Overdose Awareness Day

SNOHOMISH COUNTY, Wash. – The sixth annual A Night To Remember, A Time To Act will take place on International Overdose Awareness Day on Wednesday, August 31. A resource fair will begin at 5 p.m., with the candlelight vigil and program starting at 6:30 p.m.

 The event brings members of the community together to remember those who have died of overdoses, as well as lift up those who are struggling with addiction and substance use disorder. Anyone is welcome to attend. This year’s theme is Pathways to Purpose. 

 The vigil was started six years ago by Cathi Lee and Debbie Warfield. They organize the event in memory of their sons, whom they lost to overdoses, and to help reach others who are struggling or grieving a loved one. The event is coordinated in partnership with Hope Soldiers, Snohomish County and the Snohomish Health District.

 “Spencer has been gone now for almost 10 years. It seems so unbelievable,” said Debbie Warfield. “We have moved forward with awareness, but still have so much work to do with overdose prevention and availability of drugs on the streets.”

 “Changing the stigma and bringing awareness of this tragic epidemic was a start, but now we have to work together and harder to find realistic and working solutions for substance abuse, addiction and mental health,” said Cathi Lee. “It is time to stop the heartache that this is increasingly causing for friends, families and communities. It is time to strategize for prevention.”

The resource fair will feature a variety of local service providers who can share information about substance use prevention, recovery, and other community support. The fair runs from 5 p.m. until about 9 p.m. at the Snohomish County Plaza at 3000 Rockefeller Ave. in Everett. Narcan will be available at no cost while supplies last.

At about 6:30 p.m., the evening’s program will begin with a candlelight vigil and a moment of silence in remembrance of all those lost to overdoses. In Snohomish County, more than 1,000 lives have been ended by overdoses since the start of 2019.

Following the candlelight vigil, Snohomish County Executive Dave Somers will open the program. Snohomish County Sherriff Adam Fortney will introduce graduates from the LEAD the Way Program, who will share their experience with this prevention program in a Q&A. Mark Rogge, construction director for Supreme Living, will also share his story of battling addiction and now working to build treatment facilities. 

The program will be MC’d by Lindsey Arrington of Hope Soldiers. 

“It has truly been an honor to join and support these two courageous women with this event for a 6^th year,” Arrington said. “We look forward to having more information to share with the public about increased support and services, and warning about the dangers of fentanyl; how no recreational drug or inhalant device is safe for anyone – especially kids. And I still think the most important message we can give is that there is still hope, and that is what I am most looking forward to leaving community members with.”

The event will be livestreamed via the Hope Soldiers and Snohomish Overdose Prevention Facebook pages for those who cannot attend in person.

More resources and information about substance use disorder are available at www.snohomishoverdoseprevention.com. The Washington Recovery Help Line also offers free, confidential support 24 hours a day at 1-866-789-1511. If you or someone you know is struggling with substance use, please reach out for help.

##END##

FOR IMMEDIATE RELEASEAugust 23, 2022                            

CONTACT:  communications@snohd.org

BOARD OF HEALTH Special MEETING, August 25-26

FULL BOARD TO CONVENE FOR retreat

SNOHOMISH COUNTY, Wash. – The Board of Health will hold a special meeting for a two-day retreat August 25 and 26 at Swinomish Yacht Club in La Conner. 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Thursday, August 25 Morning Session - 9:30 am to 12:30 pm    
   1.  Agenda Review, Welcome Video    
   2. Health Officer Update    
   3. Snohomish County Public Health Integration Update    
   4. Prevention Services Division Overview    
   5.  Break    
   6. Environmental Health Division Overview    
   7. Tuberculosis Program    
   8.  Public Records and HIPAA    
   9. Communicable Diseases, Public Health Emergency Preparedness Response, and Vaccine Hesitancy Outreach    
3.  Thursday, August 25 Afternoon Session - 12:30 to 5:00 pm    
   1. Lunch    
   2. Naloxone Training    
   3. Assessment Program    
   4.  Land Use Program    
   5. Maternal Child Health Program    
   6. Break    
   7. Safe Environments Program    
   8. Healthy Communities Program    
   9. Sexually Transmitted Diseases    
4. Friday, August 26 Morning Session - 8:15 to 11:45 am    
   1.  Communications, Policy, and Legislative Priorities    
   2.  Facilities and Fleet    
   3. Customer Service and Vital Records    
   4. Break    
   5. Food Safety    
   6. Human Resources and Finance    
   7. Budget Overview    
5. Friday, August 26 Afternoon Session 11:45 am to 3:00 pm    
   1. Lunch    
   2. Prioritization Discussion Exercises Part 1    
   3. Prioritization Discussion Exercises Part 2    
6. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEAugust 8, 2022                            

CONTACT:  communications@snohd.org

BOARD OF HEALTH Executive Committee MEETING, August 9

Executive committee to convene for special meeting

SNOHOMISH COUNTY, Wash. – The Board of Health Executive Committee will hold a special meeting at 3:00 p.m. on Tuesday, August 9, 2022, in the Auditorium at 3020 Rucker Ave., Everett.

Zoom: https://zoom.us/j/95698855599Dial-in: 253-215-8782; Meeting ID: 956 9885 5599

The full packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Public Comment    
4. Action   
   1. Authorizing the Administrative Officer to hire additional staffing to support monkeypox-response efforts (SR 22-073; K. Curtis)
   2. Authorize the Administrative Officer to hire additional staffing to support the tuberculosis control program (SR 22-074; K. Curtis)
5. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE July 25, 2022

CONTACT: communications@snohd.org 

Snohomish Health District Administrative Officer announces plans to step down at end of 2022 

Shawn Frederick worked to improve public health services and build a sustainable organization 

SNOHOMISH COUNTY, Wash. – Administrative Officer Shawn Frederick announced this month that he will be stepping down at the end of his third full year leading the Snohomish Health District.  

Frederick has worked at the District for more than six years and has served as Administrative Officer since 2019. During his time here, he has worked to improve public health services for Snohomish County residents and to set the Health District up for long-term success. That work has included: 

• Setting a sustainable budget after years of financial challenges for local public health 
• Modernizing information technology at the Health District  
• Adding new programs and grants focused on improving health outcomes for county residents 
• Supporting the launch of the nonprofit Sound Foundation for Public Health 
• Improving processes for contracts and purchasing  
• Updating policies and procedures used by District leadership and staff 
• Sustaining a 2-and-a-half-year emergency response to the COVID-19 pandemic 

“We’ve improved public health in Snohomish County over the years,” Frederick said. “I believe that to be the absolute truth. And in partnership with the County and others we’ve fielded one of the best responses to COVID in the country, despite having fewer resources than larger public health agencies.” 

He plans to continue as Administrative Officer through the end of 2022 and will assist with the transition of the Snohomish Health District to a county health department starting Jan. 1, 2023. He was not asked to leave as a result of the integration. 

“Ultimately, I’m leaving because it’s the right time for me and my career,” Frederick said. “I’ve accomplished what I wanted to accomplish. It’s a new chapter for me, and it’s a new chapter for public health in Snohomish County.”  

“The Snohomish Health District has been fortunate to have Shawn,” said Board of Health Vice Chair Anji Jorstad. “He’s worked hard to build up the District to meet not only the demands of the pandemic, but also prioritize the important day-to-day business of public health.”

“We are grateful for Shawn’s skill and dedication, and for his ongoing work on the sustainability and resilience of public health in our community,” added Stephanie Wright, former Board of Health Chair and current Board member. “He has helped to set this team up for success. We wish him all the best in his future endeavors.”

Frederick joined the Snohomish Health District in March 2016 as the Healthcare Coalition Coordinator. He previously worked as a medical and dental practice manager with Community Health Center of Snohomish County. He brought experience in the healthcare system and expertise in emergency preparedness and response. He also had first-hand experience in crisis situations from his service in the U.S. Navy, including healthcare response during Hurricane Katrina.  

“I think few appreciate the full scope of work the Health District does,” he said. “I want to thank the current and former Board of Health members I’ve had the privilege of working with for giving me the opportunity to lead. I also want to thank the public and private partners who have been key to so many public health efforts in recent years, including the County, the healthcare system, first responders, community organizations, and the business community. I especially want to thank the incredible staff at the Snohomish Health District for their tireless work and for the care and skill they bring to their jobs.” 

Frederick served as Administrative Services Director for the District starting in July 2017 and stepped in as Interim Administrator in June 2019. In December 2019, the Board of Health appointed him as Administrative Officer, the chief executive role for the District.  

“Mr. Frederick’s leadership at the helm of the Snohomish Health District could not have come at a better time for our Board, staff and citizens of Snohomish County,” said Adrienne Fraley-Monillas, former Board of Health Chair. “The Health District was in the middle of flux with no administrative leadership, a budget that was overspent, and staff morale at its lowest. His teamwork and understanding of public health was invaluable in bringing the District back up to the standards of excellence the citizens of this county deserve. On a personal note, I will miss his laughter, jokes and the steady hand he always provided.”

“Shawn was great to work with,” Board of Health member and Mountlake Terrace Mayor Kyoko Matsumoto Wright said. “He understood what the District needed and made the right choices at the right time.”

Frederick took the helm just before the start of the COVID-19 pandemic, and his background in the healthcare system and emergency response proved crucial. He was instrumental in an extensive, coordinated response, while supporting day-to-day public health work that did not stop during the emergency. 

“Shawn really stepped up into leading the District through the most difficult time in public health and his leadership has been proven to be invaluable,” Deputy Administrative Officer Pam Aguilar said. “I wish him well in his future endeavors and truly enjoyed working with him over the last 6 ½ years.”

The Snohomish Health District Board of Health approved a separation agreement with Frederick at its July 12 meeting.  

##END##

FOR IMMEDIATE RELEASE July 11, 2022

CONTACT:communications@snohd.org 

Monkeypox case confirmed in Snohomish County

The virus typically spreads through close physical contact, and those at higher risk of exposure are encouraged to be aware of symptoms and prevention measures. 

SNOHOMISH COUNTY, WA – A monkeypox case in a Snohomish County resident was confirmed Friday afternoon.

This is the first known case in the county. As of Friday, at least 15 other confirmed and probable cases of monkeypox have been identified in Washington state.

Monkeypox is a virus that spreads through close physical contact, including sexual contact. Anyone can become ill with monkeypox, but some people are at increased risk of exposure. Individuals who are at higher risk in the current outbreak include men who have sex with men, people who are sexually active with multiple partners, and people traveling to areas where monkeypox is spreading more widely.

Symptoms of monkeypox include a rash that can appear anywhere on the body, as well as flu-like symptoms and swollen lymph nodes. The current outbreak has included many cases with lesions in the genital or anal area.

To protect yourself and others:

• Be aware. While monkeypox remains generally low risk in Washington, those at higher risk of exposure should consider precautions. This can include avoiding or limiting sexual contact with new or unknown partners; clear communication with potential partners about whether either of you is experiencing symptoms; and avoiding close physical contact with anyone who has symptoms, particularly open wounds, sores, or rashes.
• Be alert for the appearance of a new rash or rashes characterized by sores, bumps, or fluid-filled bumps. 
• If you have symptoms, or if you have been in close contact with someone diagnosed with monkeypox in the last 21 days, you should contact a healthcare provider to see if you should be tested.

The monkeypox case in Snohomish County is in an adult male, and public health staff have been working with the individual to directly contact people who were potentially exposed. 

This virus spreads through contact with body fluids, sores, items like clothing or bedding that have been contaminated with fluids or sores, or through prolonged face-to-face contact in which respiratory droplets from a case enter the mouth or eyes of another person.

People typically recover in two to four weeks, and most cases do not require hospitalization. However, the disease can be serious, particularly for those who are immunocompromised, children, people with a history of eczema, or people who are pregnant or breastfeeding.

More information about monkeypox

• U.S. Monkeypox Outbreak 2022: Situation Summary | Monkeypox | Poxvirus | CDC
• Monkeypox | Washington State Department of Health 

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FOR IMMEDIATE RELEASEJuly 8, 2022                            

CONTACT:  communications@snohd.org

BOARD OF HEALTH MEETING, July 12

FULL BOARD TO CONVENE FOR REGULAR BUSINESS 

SNOHOMISH COUNTY, Wash. – The Board of Health will hold its regular meeting at 3:00 p.m. on Tuesday, July 12, 2022. 

Zoom: https://zoom.us/j/92258682166Dial-in: 253-215-8782; Meeting ID: 922 5868 2166 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Approval of Agenda Contents and Order
4. Special Business
   1. Election of Chair
5. Approval of Minutes   
   1. Approval of minutes of the regular meeting of June 14, 2022
6. Public Comment    
   1. Public comment   
7. Consent Agenda
   1. Amendment #4 to the consolidated contract with the Washington State Department of Health (SR 22-047; P. Sampaga-Khim)
   2. Amendment #5 to the consolidated contract with the Washington State Department of Health (SR 22-063; K. Curtis)   
   3. Amendment #4 with Health Care Authority for the ABCD program (SR 22-052; P. Sampaga-Khim)   
   4. Policy POL 130.004 concerning contracts (SR 22-041; N. Thomsen)
8. Action   
   1. Vouchers and Res. 22-18 authorizing Health District expenditures from May 16, 2022, to June 15, 2022 (no staff report; S. Centanni)    
   2. Resolution 22-19 rescinding Resolution 21-18 and authorizing the appointment of a new Auditing Officer (SR 22-064; S. Frederick)    
   3. Specialty pay for Environmental Health Safe Environments program (SR 22-048; J. Myers)    
   4. Youth Cannabis and Commercial Tobacco Prevention Program (YCCTPP) request for application to fund one lead organization to facilitate and support the Program’s Practice Collaborative (SR 22-059; P. Sampaga-Khim)    
   5. Addition of temporary term-limited COVID FTEs (SR 22-058; C. Parker, P. Aguilar)
9.  Executive Session    
   1. The Snohomish Health District Board of Health will recess and convene into Executive Session for the purposes of personnel matter pursuant to RCW 42.30.110(1)(g) to review the performance of a public employee and to discuss with legal council the legal risk of a potential action pursuant to RCW 42.30.110(1)(i)(iii). Executive Session is expected to last up to 10 minutes. Unless extended to a later time, the Board will reconvene into regular session at ____ p.m. and may take possible action.
10. Administrative Officer's Report
11. Briefings
    1. Public Health Integration Presentation (No staff report; S. Frederick)    
12. Written Reports 
    1. Finance Manager's report for December 2021 (SR 22-056; S. Centanni)    
    2. Finance Manager's report for April 2022 (SR 22-057; S. Centanni)   
    3. Program Policy Committee draft minutes - June 16    
    4. Administration Committee draft minutes - June 22    
    5. Executive Committee draft minutes - June 23    
    6. Public Health Advisory Council special meeting draft minutes - June 29
13. Information Items    
    1. Upcoming meetings 
14. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASE                                June 16, 2022

CONTACT: communications@snohd.org 

Changes in COVID data reporting coming soon

Data updates from the Snohomish Health District will have some changes this month

SNOHOMISH COUNTY, Wash. – Weekly updates from the Snohomish Health District on preliminary case counts, case rates, and additional COVID-19 data will look different starting June 21. 

The detailed monthly reports also have some changes starting with the report published in June for data through May 2022. 

The Health District currently produces regular COVID updates, available online at www.snohd.org/casecounts. While these reports will continue, modifications are being done to keep the focus on key metrics while reducing duplication of effort in data reporting between the Snohomish Health District and the Washington State Department of Health (DOH). 

An extensive COVID dashboard is available online from DOH, with the ability to narrow down to county-level data.

The changes to local data reporting include:

• Addition of a weekly CDC Community Level update to the local case counts page. Please note that the Health District updates on a different day of the week than the CDC, so there may be times when the community level temporarily does not match between the CDC website and the Health District website.
• Weekly updates will no longer have cumulative case counts and deaths
• City case counts will be reported monthly rather than weekly
• Long-term care and K-12 outbreak data will be removed from the weekly update
• COVID vaccination data will no longer be updated weekly or monthly
• The following figures or tables will be removed from the monthly report: Cumulative total by age group, cumulative case rate by age group, case counts by sex at birth, outbreaks by type of facility, long-term care facilities with outbreaks, COVID vaccination data
• The number of heat maps will be reduced to one – the 7-day case rate map by ZIP Code.

Data at the county-level for disease activity, testing and vaccination is available using the state dashboard.

Given the length of the pandemic and the sheer number of total cases, cumulative counts are no longer as useful for planning and disease prevention as other metrics, such as 7-day rates or hospitalization numbers.

Weekly data updates typically are posted to the case counts page and Health District social media channels on Mondays, except for holidays. This will continue to be the schedule after June 21.

##END##

FOR IMMEDIATE RELEASEJune 10, 2022                            

CONTACT:  communications@snohd.org

BOARD OF HEALTH MEETING, June 14

FULL BOARD TO CONVENE FOR REGULAR BUSINESS 

SNOHOMISH COUNTY, Wash. – The Board of Health will hold its regular meeting at 3:00 p.m. on Tuesday, June 14, 2022. 

Zoom: https://zoom.us/j/92258682166Dial-in: 253-215-8782; Meeting ID: 922 5868 2166 

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Approval of Agenda Contents and Order
4. Special Business
   1. Proclamation recognizing and honoring MRC volunteers for their service responding to COVID-19
   2. Proclamation recognizing Grant Weed for his service providing legal counsel to the Health District 
   3. Proclamation recognizing Dr. Christopher Spitters for his service as Health Officer of the Snohomish Health District
5. Approval of Minutes   
   1. Approval of minutes of the regular meeting of May 10, 2022
   2. Approval of minutes of the special meeting of May 26, 2022
   3. Approval of minutes of the special meeting of May 31, 2022 
6. Public Comment    
   1. Public comment   
7. Consent Agenda
   1. Vouchers and Res. 22-15 authorizing Health District expenditures from April 16, 2022, to May 15, 2022 (no staff report; S. Centanni)
   2.  Amendment to the master services agreement with the North Sound Accountable Community of Health for participation in the collaborative action network (SR 22-038; K. Curtis)
   3. Agreement with Ideal Option to provide sexually-transmitted disease testing and treatment to Health District clients (SR 22-040; K. Curtis)
   4. Policy POL 100.001 concerning policies and procedures (SR 22-042; N. Thomsen)    
   5. Fleet vehicle purchasing (SR 22-039; S. Frederick)
8. Action   
   1. Assignment agreement with Maxim Healthcare Services to provide temporary nursing support for the tuberculosis program (SR 22-049; K. Curtis)
   2. Res 22-17 approving the 2021 budget amendment #3 (SR 22-050; S. Centanni)    
   3. Res. 22-14 approving the 2022 budget amendment #1 (SR 22-043; S. Centanni) 
9. Administrative Officer's Report
10. Health Officer's Report    
11. Executive Session
    1. The Snohomish Health District Board of Health will recess and convene into Executive Session for the purposes of personnel matter pursuant to RCW 42.30.110(1)(g) to evaluate qualifications of an applicant for public employment, personnel matter pursuant to RCW 42.30.110(1)(g) to review the performance of a public employee, and potential litigation pursuant to RCW 42.30.110(1)(i). Executive Session is expected to last up to 10 minutes. Unless extended to a later time, the Board will reconvene into regular session at ___ p.m. and is expected to take action.
12. Written Reports 
    1. Finance Manager's report for March 2022 (SR 22-046; S. Centanni)  
    2. Program Policy Committee draft minutes - May 19    
    3. Administration Committee draft minutes - May 25    
    4. Executive Committee draft minutes - May 26    
    5. Public Health Advisory Council draft minutes - May 25
13. Information Items    
    1. Upcoming meetings 
14. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

Contact: 

Kent Patton                Snohomish County Executive Office       Kent.Patton@snoco.org            425-388-3883              

Kari BraySnohomish Health Districtcommunications@snohd.org425-508-4980

Snohomish Health District Board of Health Passes Resolution in Support of District-County Integration

The Snohomish County Council is expected to vote June 8 to determine if integration moves forward

EVERETT, Wash., May 31, 2022 – Today, the Snohomish Health District Board of Health unanimously passed a resolution supporting integration of the Health District and Snohomish County. The next step will be consideration of a motion by the Snohomish County Council on June 8, 2022. If the motion passes, it would formally begin the process of integration.

 You can find the text of the resolution here. An agenda for the Snohomish County Council meeting will be available here once it is posted. Additional background is available in the memorandum from the County Executive here.

FOR IMMEDIATE RELEASEMay 27, 2022                              

CONTACT:  communications@snohd.org

BOARD OF HEALTH Special MEETING, May 31

FULL BOARD TO CONVENE FOR a special meeting

SNOHOMISH COUNTY, Wash. – The Board of Health will hold a special meeting at 3 p.m. on Tuesday, May 31, 2022. 

Zoom: https://zoom.us/j/95555165088Dial-in: 253-215-8782; Meeting ID: 955-5516-5088

Special Meeting Agenda

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Public Comment
   1. Public comment will not be taken at the meeting. However, the public is encouraged to submit written comments prior to the meeting by emailing the Board Clerk at sdejong@snohd.org. Please email your comments no later than 1:00 p.m. on May 31 so staff can prepare them for submission into the record. Comments received will be read aloud as part of the "Public Comment" section on the agenda.
4. Action
   1. Strengthening Public Health in Snohomish County
5. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEMay 23, 2022                              

CONTACT:  communications@snohd.org

BOARD OF HEALTH Special MEETING, May 26

FULL BOARD TO CONVENE FOR a special meeting

SNOHOMISH COUNTY, Wash. – The Board of Health will hold a special meeting at 1 p.m. on Thursday, May 26, 2022. 

Zoom: https://zoom.us/j/93087882545Dial-in: 253-215-8782; Meeting ID: 930-8788-2545 

Special Meeting Agenda

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Executive Session
   1. The Snohomish Health District Board of Health Executive Committee will recess and convene into Executive Session for the purposes of personnel matter pursuant to RCW 42.30.110(1)(g) to evaluate qualifications of an applicant for public employment. Executive Session is expected to last up to 20 minutes. Unless extended to a later time, the Executive Committee will reconvene into regular session at ___ p.m. and is not expected to take action.
4. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##

FOR IMMEDIATE RELEASEMay 9, 2022                              

CONTACT:  communications@snohd.org

BOARD OF HEALTH MEETING, May 10

FULL BOARD TO CONVENE FOR REGULAR BUSINESS 

SNOHOMISH COUNTY, Wash. – The Board of Health will hold its regular meeting at 3:00 p.m. on Tuesday, May 10, 2022. 

Zoom: https://zoom.us/j/92258682166Dial-in: 253-215-8782; Meeting ID: 922 5868 2166

The full board packet for the meeting is available online, and the agenda for the meeting is as follows:

1. Call to Order     
2. Roll Call    
3. Approval of Minutes    
   1. Approval of minutes of the regular meeting of April 12, 2022    
   2. Approval of minutes of the special meeting of April 12, 2022   
   3. Approval of minutes of the special meeting of April 21, 2022
4. Public Comment    
   1. Public comment will not be taken at the meeting. However, the public is encouraged to submit written comments prior to the meeting by emailing the Board Clerk at sdejong@snohd.org. Please email your comments no later than 1 p.m. on March 10 so staff can prepare them for submission into the record. Comments received will be read aloud as part of the "Public Comment" section on the agenda.    
5. Consent Agenda
   1. Vouchers and Res. 22-13 authorizing Health District expenditures from March 16, 2022, to April 15, 2022 (no staff report; S. Centanni)   
   2. Amendment with Snohomish County extending the CLFR invoice period through December 31, 2022 (SR 22-033; P. Aguilar)    
   3. Addition and hiring of two health educator positions within the Prevention Services division (SR 22-023; K. Curtis)    
   4. Addition and hiring of an infection preventionist position for the Communicable Disease Surveillance and Response program (SR 22-022; K. Curtis)    
   5. Addition and hiring of a disease intervention specialist position for the Prevention Services Division (SR 22-025; C. Parker)
   6. Addition and hiring of a program specialist II position for the Prevention Services Division (SR 22-024; C. Parker)    
   7. Amendment #3 to the consolidated contract with the Washington State Department of Health (SR 22-029; K. Curtis)
6. Action   
   1. Naloxone purchase for use in Snohomish County (SR 22-021; P. Sampaga-Khim)    
   2. Agreement with Darrington School District to support HRSA-related work by funding a behavioral health specialist term-limited position (SR 22-032; P. Sampaga-Khim)   
   3. Application for the Childhood Lead Poisoning Prevention and Surveillance of Blood grant with the Centers for Disease Control and Prevention (SR 22-037; K. Curtis)    
   4. Proclamation recognizing and honoring the nurses of Snohomish County (SR 22-036; S. Frederick)
7. Executive Session
   1. The Snohomish Health District Board of Health will recess and convene into Executive Session for the purposes of personnel matter pursuant to RCW 42.30.110(1)(g) to evaluate qualifications of an applicant for public employment, for the purposes of personnel matter pursuant to RCW 42.30.110(1)(g) to review the performance of a public employee, and for the sale, acquisition, or lease of real property pursuant to RCW 42.30.110(1)(b). Executive Session is expected to last up to 15 minutes. Unless extended to a later time, the Board will reconvene into regular session at _____ p.m. and may or may not take action.
8. Administrative Officer's Report
9. Health Officer's Report    
10. Information Items    
    1. Upcoming meetings    
11. Written Reports    
    1. Finance Manager's report for February 2022 (SR 22-030; S. Centanni)  
    2. Program Policy Committee draft minutes - April 21    
    3. Administration Committee draft minutes - April 27    
    4. Executive Committee draft minutes - April 28    
    5. Public Health Advisory Council draft minutes - April 27
12. Adjournment

Visit the Board of Health webpages at www.snohd.org/boardofhealth.  

##END##