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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ADVISORY: provides important information for a specific incident or situation; may not require immediate action.

August 28, 2013


Mandatory Influenza Vaccination or Masking or Health Care Workers During Every Influenza Season

Alameda County Health Officer has updated the joint order with the Berkeley Health Officer mandating that all licensed health care facilities in Alameda County and the City of Berkeley require their health care workers (HCWs) to receive an annual influenza vaccination or, if they decline, to wear a mask during the influenza season while working in patient care areas.

August 27, 2013


Tuberculin Skin Test Solution Shortages

Ongoing shortages of Tubersol and limited availability of Aplisol, the purified protein derivative (PPD) solutions used for tuberculin skin testing (TST) may impact provider ability to assess patients for latent tuberculosis infection (LTBI). In April 2013, the Centers for Disease Control and Prevention (CDC) issued information regarding nationwide shortages of Tubersol and Aplisol solutions. The current projection for restoration of normal production of Tubersol is this fall. The shortage of Tubersol has created increased demand for Aplisol and shortages of both PPD solutions. See Advisory for information on prioritization and substitutions for TST tests.

June 07, 2013


Hepatitis A: Multistate Outbreak Linked to Frozen Berry Product and Alameda County Pharmacy Exposure

As of June 7, 2013, the CDC reports 79 people from 8 states with hepatitis A virus (HAV) infections that may be linked to consumption of Townsend Farms Organic Antioxidant Blend frozen berry and pomegranate mix widely distributed in Costco stores. As of June 7, the California Department of Public Health reports 33 California residents from 15 local health jurisdictions (including 1 Alameda County case) are part of this outbreak. Costco has removed the product from their stores and is notifying customers who bought the product. The manufacturer has recalled the product.

In Alameda County, a case of HAV infection was identified in an employee of Target store pharmacies in San Leandro and in Hayward on Whipple Road.

February 04, 2013


Doxycycline and Tetracycline Shortage

On February 4, 2013 the State of California Department of Public Health released a notification about recent shortages of Doxycycline and Tetracycline, which may impact your ability to treat or provide prophylaxis for patients.

The Food and Drug Administration (FDA) reported a shortage of doxycycline on January 18, 2013. Doxycycline is a recommended therapy for some sexually transmitted infections and syndromes including Chlamydia, nongonococcal urethritis, epidiymitis and pelvic inflammatory disease. It is also an alternative therapy for syphilis in patients with a penicillin allergy. Reports were also received of a shortage of tetracycline, which is an alternative to doxycycline for treating certain conditions.

For additional information about the availability of doxycycline or tetracycline including expected dates of resolution for different manufacturers and current distribution allotments please visit the FDC Drug Shortage website and for CDC-recommended and additional STD alternative regimens please consult the 2010 STD Treatment Guidelines or visit this CDC site for updates.

January 25, 2013


Nationwide Shortage of Isonizaid (INH)

There is currently a nationwide shortage of INH, one of the most important drugs to treat tuberculosis (TB) disease and latent TB infection (LTBI). The low inventory is attributed to a shortage of the active ingredient for making INH and shipping delays.

October 04, 2012


Meningitis and Stroke Associated with Potentially Contaminated Product

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) are coordinating a multi-state investigation of fungal meningitis among patients who received an epidural steroid injection. Several of these patients also suffered strokes that are believed to have resulted from their infection.

October 01, 2012


Mandatory Influenza Vaccination or Masking of Health Care Workers During Influenza Season

Alameda County Health Officer is issuing a joint order with Berkeley Health Officer mandating that all licensed health care facilities in Alameda County and the City of Berkeley require their health care workers (HCWs) to receive an annual influenza vaccination or, if they decline, to wear a mask during the influenza season while working in patient care areas. Facilities with a documented 90 percent or greater HCW influenza vaccination rate are exempt from the masking requirement.

May 06, 2012


Hot Summer Weather Advisory

The summer season with its potential for fluctuating high temperatures is approaching. Health care facilities are reminded that the elderly and other health compromised individuals are more susceptible to extremes in temperature and dehydration.

January 25, 2012


Novel H3N2 Influenza Virus: Increaed Surveillance

California Department of Public Health (CDPH) is requesting increased surveillance and testing for influenza in children less than 18 years of age. Since July 2011, a novel swine-origin triple reassortant H3N2 influenza virus (S-OtrH3N2) has been reported in 5 states with a total of 12 cases. California has no cases but heightened surveillance is being requested.

August 18, 2011


Pediatric Health Providers: Fatal Vaccine-Preventable Pneumococcal Disease

Immunize all children younger than 5 years of age who have not yet received 13-valent pneumococcal conjugate vaccine.

May 20, 2011


FDA Warns Not to Feed SimplyThick to Premature Infants

Do not feed the thickening product called SimplyThick to infants born before 37 weeks because it may cause a life-threatening condition.

May 03, 2011



Since January 2011, 11 cases of measles have been reported in California. A nationwide increase in the numbers of reported measles cases has also been noted this year. As in recent years, nearly all of the cases are known to have involved recent travel to Europe or Asia, or contact with international travelers (including via transit through U.S. international airports). Some of the cases have been intentionally unvaccinated children.

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