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September 17, 2021
Note: This alert modifies implementation of previous guidance issued on this topic earlier in the week.
A recent change in mAb allocation policy and supply chain management by the federal government has resulted in mAb procurement running through the Washington State Department of Health (DOH), with geographic allocation going forward being based on COVID-19 incidence and mAb utilization. For at least the current time, this has led to a shortage of mAb supply in Snohomish County and statewide. While we wait for further statewide guidance from DOH on triage of access and as a measure to optimize utilization of the limited available supply, the Health District in coordination with the county’s mAb providers requests that you follow these guidelines on an interim basis when considering referrals for administration of mAb:
*In consultation with local medical leadership, these three asterisked and italicized criteria were added to or further tailored NIH guidance in order to optimize allocation of this currently scarce resource in Snohomish County as part of the declared emergency with respect to COVID-19.
The Health District will update you when the supply of mAb permits broader implementation. Meanwhile, thank you for your patience with this and other frequent and short-term changes in COVID-19 guidance.
Christopher Spitters, MD, MPH Health Officer