Clinical Information

Opioid Resources and Recommendations for Practitioners and Printable Reference Materials for Patients and Families

  • Listing of Resouces for Epic, PMG guides, and materials from CDC, Snohomish Health District, and SAMHSA

 2019 Cumulative Sensitivity Reports

Hepatitis A Outbreak - December 2019

Snohomish Health District 2019 nCoV

Call Center
9 am to 6 pm

Snohomish County Health Advisory
2019 nCoV

Assessment Information - Interim 2-28-2020 Screening Guide

 Alert from 2020-2-6

Alert from 2020-1-24

Alert from 2020-1-21

Novel Coronavirus (2019-nCoV) Respiratory Infection Wuhan City, China & Snohomish County

  •  Post signage at facility entries to direct patients to mask and immediately report travel to China in the prior 14 days if they have cough or fever.
  • Obtain a detailed travel history for patients being evaluated with fever and acute respiratory illness.
  • 2019-nCoV should be suspected in patients who present with: 
    • fever AND symptoms of lower respiratory illness (e.g., cough, difficulty breathing) AND in the 14 days before symptom onset:, have a history of travel from Wuhan City, China --or-- had close contact with a person who is under investigation for 2019-nCoV while that person was ill.
    • fever OR symptoms of lower respiratory illness (e.g., cough, difficulty breathing) AND in the 14 days before symptom onset had close contact with an ill lab-confirmed 2019-nCoV patient.
  • Ask patients with suspected 2019-nCoV infection to wear a surgical mask as soon as they are identified and evaluate them in a private room with the door closed, ideally an airborne infection isolation room if available.
  • All healthcare personnel entering the room should use standard precautions, contact precautions, airborne precautions, and use eye protection (e.g., gown, gloves, N95 mask or PAPR, and face shield or goggles).
  • Immediately notify both infection control personnel at your healthcare facility and the Snohomish Health District at 425.339.5278 (24-hour line) in the event of a suspected case of 2019-nCoV.
  • Prepare to collect lower respiratory, upper respiratory and serum specimens. Stool and urine may also be collected. Specimens should be refrigerated. Public health will provide guidance and facilitation regarding specimen collection, storage, and shipping.

  • Among suspected cases, please collect specimens for influenza and viral respiratory panel testing through your clinical laboratory. Also prepare to collect upper respiratory (nasopharyngeal and oropharyngeal swabs) and lower respiratory (sputum or BAL) specimens for 2019-nCoV testing upon direction by public health. Such specimens should be refrigerated. SHD will provide further guidance and facilitation regarding specimen collection, storage, and shipping at the time of your telephone consultation with them.

     *  Note that this is a rapidly evolving situation. Information and guidelines are likely to change as time passes. Stay tuned for ongoing updates and guidance.

CDC Information for Healthcare Professionals on 2019-nCoV

CDC Travel Health Advisory poster for patients

You can find my recent health alerts posted on the Provider pages of our website.


Project Access: Snohomish County Alliance for Health Access

Most physicians already see charity patients. However, since there is no system for providing support services for these patients, the physician often feels frustrated and the process is often inefficient and ineffective.

The Snohomish County Alliance for Health Access is designed to change that. Patients are screened for appropriate lab work, x-rays, and medications before the patient is scheduled with a specialty physician.

Referrals are carefully managed to ensure that caring for charity patients is shared fairly throughout the community. Physicians are recognized for their contribution, and most of them choose to continue year after year.