The Alameda County Public Health Department sends out Health Alerts, Advisories, and Updates regarding communicable disease outbreaks, immunization updates, and other public health concerns to Alameda County clinicians and other partners. See recent releases below.
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Health Alerts
| ALERT | conveys the highest level of importance; warrants immediate action or attention. |
| ADVISORY | provides important information for a specific incident or situation; may not require immediate action. |
| UPDATE | provides updated information regarding an incident or situation; unlikely to require immediate action. |
November 21, 2022 |
Advisory |
Respiratory and Influenza-Like Illnesses Guide ACPHD is informing local healthcare providers about the early rise of respiratory diseases seen in all age groups, especially influenza and Respiratory Syncytial Virus (RSV) in addition to COVID-19 infection. Influenza and RSV have increased in incidence this fall, earlier by several weeks compared to recent years in the US and California which is significantly impacting healthcare; hospital censuses are increased by ~10% across California and pediatric healthcare delivery systems in California are stressed. Please review the attached advisory for detailed updates and requested actions of providers. |
October 18, 2022 |
Alert |
Ebola Virus Disease Preparedness On October 7, 2022, the California Department of Public Health (CDPH) issued a health alert regarding the outbreak of Ebola Virus Disease (EVD) in Uganda caused by the Sudan virus. As of October 12, a total of 74 cases (54 confirmed, 20 probable) and 30 deaths (19 confirmed, 20 probable) have been identified from five affected districts (Mubende, Kyegegwa, Kassanda, Kagadi, Bunyangabu) in Uganda. CDPH, in collaboration with the U.S. Centers for Disease Control and Prevention (CDC), is closely monitoring the outbreak and providing guidance and notification to local health jurisdictions receiving travelers returning from Uganda. To date, there are no suspected or confirmed cases reported in the United States. This Alert includes requested actions for Alameda County clinicians and healthcare facilities. |
October 14, 2022 |
Advisory |
JYNNEOS Expanded Eligibility, Severe Manifestations of MPX, and Screening suspected/confirmed MPX cases for HIV and STIs The purpose of this Health Advisory is to update healthcare providers regarding: 1) JYNNEOS vaccine expanded eligibility criteria; 2) severe manifestations of MPX among people who are immunocompromised; and 3) screening suspected/confirmed MPX cases for human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). The JYNNEOS expanded eligibility include:
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September 08, 2022 |
Advisory |
JYNNEOS: Expanded Eligibility, Second Doses & Minor Consent The purpose of this Health Advisory is to share updated guidance regarding JYNNEOS with healthcare providers. Actions requested of healthcare providers include:
Please review the Advisory for further details. Please also see the 9/6/22 letter from CDPH regarding recent Title 17 revisions. |
September 02, 2022 |
Advisory |
Monkeypox (MPX) Guidance for Healthcare Providers The purpose of this Health Advisory is to share updated guidance regarding monkeypox (MPX) with healthcare providers. Actions requested of healthcare providers include:
Please review the Advisory for further details. Please also see the CAHAN: Healthcare Provider Health Advisory: Updates on Laboratory Testing and Treatment for Monkeypox (MPX) Virus Infection in California (8/30/22) |
August 19, 2022 |
Advisory |
Updated Clinical Provider Guidance for Monkeypox (MPX) The Alameda County Public Health Department has issued a health advisory to provide clinicians with updated guidance regarding monkeypox. Specifically, this advisory provides updated guidance to County healthcare providers regarding monkeypox virus testing, reporting, vaccine administration, and treatment. Guidance provided in this Health Advisory will replace guidance issued on 7/27/2022 and will go into effect on 8/19/2022. Please review the full health advisory for additional background and action requested of clinicians. |
August 10, 2022 |
Advisory |
Health Advisory Update: Outpatient COVID-19 Therapeutics The purpose of the attached Health Advisory is to share current COVID-19 therapeutics information with clinicians in Alameda County. Please see our full health advisory for complete information, including the most recent COVID-19 Therapeutics Program Update from CDPH For questions about COVID-19 therapeutics, please contact Arnie Spanjers, MD, Alameda County Public Health Department at arnie.spanjers@acgov.org |
August 01, 2022 |
Advisory |
Clarification Regarding Monkeypox Health Advisory Released on July 27, 2022 On July 27, 2022, the Alameda County Public Health Department (ACPHD) released a health advisory providing updated clinical guidance for monkeypox. Since we released this health advisory, ACPHD has received several questions regarding our updated JYNNEOS vaccine prioritization criteria. To address these questions, we are providing further clarification regarding our vaccine prioritization criteria. Please review full health advisory for additional background and action requested of clinicians. |
July 27, 2022 |
Advisory |
Updated Clinical Provider Guidance for Monkeypox The Alameda County Public Health Department has issued a health advisory to provide clinicians with updated guidance regarding monkeypox. Specifically, this advisory provides updated guidance regarding monkeypox reporting, testing, vaccine prioritization, and treatment. Please review the health advisory for additional background and action requested of clinicians. |
July 21, 2022 |
Advisory |
Make Evusheld Available to Eligible Patients The purpose of this health advisory is to remind clinicians about thebavailability of Evusheld as pre-exposure prophylaxis (PrEP) for COVID-19 in certain adult and pediatric patients (12 years of age and older weighing at least 40 kg). Providers are encouraged to reach out to all patients eligible for Evusheld to discuss risks and benefits and ensure access to this medication. Please visit ACPHD’s Treatment webpage for more information. For questions regarding the distribution of COVID-19 outpatient therapeutic products within ALCO, please contact Cynthia Frankel, RN, Alameda County Therapeutics Distribution Lead at cynthia.frankel@acgov.org For clinical questions about COVID-19 therapeutics,please contact Arnie Spanjers, MD, Alameda County Public Health Department at arnie.spanjers@acgov.org |
May 25, 2022 |
Advisory |
CDC-HAN: COVID-19 Rebound After Paxlovid Treatment The CDC has issued a Health Advisory to provide an update on the potential for recurrence of COVID-19 or “COVID-19 rebound” after Paxlovid treatment. COVID-19 rebound has been reported to occur between 2 and 8 days after initial recovery and is characterized by a recurrence of COVID-19 symptoms OR a new positive viral test after having tested negative. A brief return of symptoms may be part of the natural history of SARS-CoV-2 infection in some persons, independent of treatment with Paxlovid and regardless of vaccination status. Available information suggests that persons treated with Paxlovid who experience COVID-19 rebound have had mild illness; there are no reports of severe disease. Please see the health advisory for recommendations for healthcare providers. For questions regarding the distribution of COVID-19 outpatient therapeutic products within ALCO, please contact Cynthia Frankel, RN, Alameda County Therapeutics Distribution Lead at cynthia.frankel@acgov.org For clinical questions about COVID-19 therapeutics, please contact Arnie Spanjers, MD, Alameda County Public Health Department at arnie.spanjers@acgov.org |
May 24, 2022 |
Advisory |
Cases of Monkeypox Identified in Non-Endemic Countries Including the US The Alameda County Public Health Department has issued a health advisory for clinicians regarding monkeypox in light of reports of global transmission of monkeypox including the United States. As of May 24, 2022, monkeypox virus infections have been confirmed in Australia, Europe and North America including 1 confirmed in a Massachusetts resident – all countries where the virus is non-endemic. In addition, patients with symptoms compatible with monkeypox infection are under investigation in the United States (7) who are all confirmed with Orthopox viral DNA. Cases of monkeypox have been identified since early May 2022; many of the cases have involved men who identify as gay, bisexual or have sex with men (MSM) without a history of travel to an endemic country. Clinical details on these cases, including any hospitalizations or deaths, are currently unknown. Please review the full health advisory for additional background and action requested of clinicians. |