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Immunization ProgramCommunicable Disease ControlPublic Health Nurse Communicable disease investigation, contact tracing, and consultation are available at the Health Department relating to all communicable diseases. Local health care providers and labs are required by Washington State law (WAC 248-100) to report over sixty communicable diseases. Prompt reporting enables health department staff to identify exposed persons who are at risk of acquiring disease, detect outbreaks, follow trends, and limit the spread of disease. Although the law requires reporting, there are often inconsistencies in reporting, documentation and diagnosis among different providers, and it is believed that many communicable diseases, especially those that are less severe or are associated with sexual contact, are seriously under-reported. Reportable communicable diseasesResponsibilities of health care providersThe following document outlines the disease and conditions that are to be reported
to the Local County Health Department pursuant to
WAC 248-100 Fact sheetsLinks
TuberculosisContact: Public Health Nurse The tuberculosis clinic can provide: tuberculin skin testing, diagnosis of tuberculosis infection and active disease, referrals, and treatment for tuberculosis infection and active disease. The cost of a tuberculin skin test is $46. The second test cost is $10. Links
ImmunizationsContact: Public Health Nurse Adult and childhood immunizations are available during clinic hours. Staff are also available to provide individual review of vaccination records. Washington State law requires that children have certain recommended immunizations before they enter child care and school. Over the past several years, immunization rates of school-aged children in Washington have been near 95%. However, immunization rates for children under the age of two are significantly lower. Because this is when children are most susceptible to communicable diseases, 80% of childhood vaccinations are recommended during a child's first two years of life. The Center for Disease Control and Prevention's (CDC) National Immunization Survey provides ongoing national estimates of vaccination coverage among children aged 19-35 months. The 2008 survey showed that only 68% of those children surveyed had received the initial primary series of vaccines. This includes four or more doses of diphtheria and tetanus toxoids and pertussis vaccine/diphtheria and tetanus toxoids (DTaP/DT), three or more doses of poliovirus vaccine, one or more doses of measles-containing vaccine, three or more doses of Haemophilus influenzae type b vaccine, three or more doses of hepatitis B vaccine, one or more doses of varicella (chickpox) vaccine, and four or more doses of pneumococcal conjugate vaccine. In Washington State during that same year, 69% of the children surveyed had received this series.
Immunize
Additional Information
Links
International Travel Immunization ClinicFor Appointments: (509) 962-7515 What to know before you go...You are planning the trip of a lifetime. You've been busy preparing. You've considered every detail…or have you? Traveling to locations outside the U.S. means the possibility of coming into contact with diseases that are harmful and potentially fatal. This may be especially true for specific populations, such as the elderly, pregnant women and children. In many cases, you can significantly reduce the risk of acquiring various diseases or health problems while traveling internationally. We do this by obtaining a travel consultation from a trained public health professional who can provide education regarding recommended and required vaccinations and other information about preventing diseases and decreasing risk of illness while abroad. These recommendations vary according to a person's specific itinerary, the length of travel, time of year of travel, an individual's personal health history and the activities an individual expects to engage in while traveling. Due to this complexity recommendations, advice or information cannot be provided over the telephone. We recommend that you make an appointment at least two months prior to travel, if possible. Multiple vaccinations may be recommended and an appropriate amount of time must pass for a vaccine to become effective after it is given. The international travel clinic consultation is conducted by a specially trained Public Health Nurse and will include as applicable for your travel:
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