Medical Advisories

November 18, 2024
Medical Advisory – Assessment of Individuals with Potential Exposure to Avian Influenza in Light of Confirmation of H5N1 in Central Oahu Backyard Flock

October 16, 2024
Medical Advisory – Continued Clade II Mpox Cases in U.S. and Clade I Mpox Outbreak in the DRC

September 6, 2024
Medical Advisory – Norovirus Outbreak Kalalau Valley, Kauai

August 23, 2024
Medical Advisory – Infant RSV Monoclonal Antibody for Year-Round RSV Prevention in Infants in Hawaii

August 7, 2024
Medical Advisory – Recent Case Highlights Importance of Considering Tuberculosis When Evaluating Respiratory Complaints

August 6, 2024
Medical Advisory – Dengue Fever Case in Hana, Maui

June 19, 2024
Medical Advisory – Pertussis (Whooping Cough) Cases in Hawaii Island Residents, Update #2

June 7, 2024
Medical Advisory – Paralytic Shellfish Poisoning from Shellfish Imported from Washington and Oregon

April 19, 2024
Medical Advisory – Pertussis Cases in Hawaii Island Residents Update #1

April 12, 2024
Medical Advisory – Dengue Fever Case In Haleʻiwa, Oahu

April 5, 2024
Medical Advisory – Pertussis Cases in Hawaii Island Residents

March 13, 2024
Medical Advisory: Gonorrhea With reduced Susceptibility to Cephalosporins Detected in Hawaii

March 12, 2024
Medical Advisory – New Cases of Monkeypox in Hawai`i

February 13, 2024
Medical Advisory – Pertussis Cases in Oahu Visitors

January 16, 2024
Medical Advisory – Shigellosis Outbreak

December 27, 2023
Medical Advisory:  Maternal RSV Vaccination and Infant RSV Monoclonal Antibody for Year-Round RSV Prevention in Infants in Hawai`i

December 15, 2023
Medical Advisory – Lead Poisoning Outbreak Linked to Cinnamon Applesauce Pouches

December 11, 2023
Medical Advisory – Evaluation of People Exposed to Tuberculosis at an Oahu Preschool

October 30, 2023
Medical Advisory – Malaria

October 26, 2023
Medical Advisory:  New Cases of Mpox in Hawai`i

October 18, 2023
Medical Advisory: Maui Fires – Toxins in Ash

October 6, 2023
Medical Advisory: Evaluation of People Exposed to Tuberculosis at a North Hawaii County School

September 6, 2023
Medical Advisory Update – COVID-19 and Influenza Infections Increasing Statewide

August 24, 2023
Medical Advisory: Maui Fires – Information for Providers

July 19, 2023
Medical Advisory: A Call to Action to Expand Screening and Treatment of Syphilis

May 10, 2023
Medical Advisory: Changes to Laboratory and Clinical Provider Reporting of COVID-19

April 24, 2023
Medical Advisory Update: Second Oahu Measles Case Linked to Previously Identified Case in Traveler

April 10, 2023
Medical Advisory: Measles Infection Identified in Oahu International Traveler

March 22, 2023
Medical Advisory: Risk of Hepatitis A Exposure from Frozen Organic Strawberries

November 11, 2022
Medical Advisory: Increased Respiratory Virus Activity, Especially Among Children, Early in the 2022-2023 Fall and Winter Season
CDC HAN 479

August 15, 2022
Medical Advisory: Update – Monkeypox Virus Vaccination Recommendations

August 1, 2022
Medical Advisory: Diagnosis, Management and Prevention of Monkeypox Virus Infection

June 3, 2022
Medical Advisory: Probable Case of Monkeypox Identified in Hawaii

May 11, 2022
Medical Advisory: Outpatient Therapeutics Available for COVID-19

May 6, 2022
Medical Advisory: Pediatric Hepatitis of Unknown Etiology

April 6, 2022
Medical Advisory: Norovirus Outbreak Linked to Oysters

March 24, 2022
Medical Advisory: Probable Mumps case on Big Island

March 11, 2022
Medical Advisory: Chemical Screening (aka Biological Monitoring) for Exposures to Petroleum Hydrocarbons in Drinking Water

February 28, 2022
Medical Advisory: Investigation of Consumer Complaints of Cronobacter and Salmonella Infections-Powdered Infant Formula

February 25, 2022
Medical Advisory: Updated Clinical Considerations for Use of COVID-19 Vaccines

January 25, 2022
Medical Advisory: Navy Water System Contamination DOH-ATSDR Health Survey

December 20, 2021
Medical Advisory: Preferential Recommendation for mRNA COVID-19 vaccines over Janssen COVID-19 vaccine

September 30, 2021
Medical Advisory: Pfizer-BioNTech COVID-19 Booster Dose

September 3, 2021
Medical Advisory: Update regarding Timing of COVID-19 Vaccines and TB Testing

August 19, 2021
Medical Advisory: Additional mRNA COVID-19 Vaccine Dose Recommendations

August 10, 2021
Medical Advisory: COVID-19 Disease Reporting

July 26, 2021
Medical Advisory:  COVID-19 Vaccine and TB Testing

June 22, 2021
Hepatitis A Cases on Oahu and Maui

May 5, 2021
Update #22 – Coronavirus Disease 2019 (COVID0-19):  Cluster of COVID-19 Cases in Hawaii Associated with Football Tournaments Held in Nevada and Utah

March 23, 2021
Updates to Guidance on Quarantine After Vaccination and Case Reporting

March 18, 2021
Ebola Hemorrhagic Fever Outbreaks in Democratic Republic of the Conga (DRC) and Guinea

March 17, 2021
Revised CDC Gonorrhea Treatment Guidelines

February 11, 2021
Update #20-Coronavirus Disease 2019 (COVID-19): Quarantine Guidance for Vaccinated Persons Following Exposure to COVID-19

February 1, 2021
Update #19-Coronavirus Disease 2019 (COVID-19): COVID-19 Vaccination Contraindications, Precautions, and Adverse Event Reporting

December 8, 2020
Update #18-Coronavirus Disease 2019 (COVID-19) Revised Quarantine Period for Close Contacts of a COVID-19 Case

September 3, 2020
Update #17-Coronavirus Disease 2019 (COVID-19) Reinfection With COVID-19/Negative Results/Isolation & Quarantine

August 19, 2020
Update #16-Coronavirus Disease 2019 (COVID-19) Types of COVID-19 Tests-CORRECTED

August 18, 2020
Congenital Syphilis Is Increasing Statewide

July 31, 2020
Update #15-Coronavirus Disease 2019 (COVID-19)

July 22, 2020
Update #14-Coronavirus 2019 (COVID-19) attach-correction

July 8, 2020
Update #13-Coronavirus Disease 2019 (COVID-19)

May 14, 2020
Update #12 – Coronavirus Disease 2019 (COVID-19)

May 1, 2020
Update #11- Coronavirus Disease 2019 (COVID-19)

April 15, 2020
Update #10-Coronavirus Disease 2019 (COVID-19)

April 8, 2020
Update #9-Coronavirus Disease (COVID-19)

April 1, 2020
Update #8-Coronavirus Disease (COVID-19)

March 25, 2020
Update #7-Coronavirus Disease (COVID-19)

March 18, 2020
Update #6-Coronavirus Disease 2019 (COVID-19)

March 11, 2020
Update #5-Coronavirus Disease 2019 (COVID-19)

March 4, 2020
Update #4-Coronavirus Disease 2019 (COVID-19)

February 26, 2020
Update on Coronavirus Disease 2019 (COVID-19)

February 14, 2020
Coronavirus Disease-19 Identified in Tourist After Return to Japan

February 13, 2020
Mumps Case on Big Island

February 3, 2020
Update and Guidance on Outbreak of 2019 Novel Coronavirus (2019-nCoV)
[Flowchart to Identify and Assess 2019 Novel Coronavirus]

January 29, 2020
Measles Identified in International Visitor

January 21, 2020
Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus (2019-NCoV) in Wuhan, China  *updated 01-23-2020

November 14, 2019
Measles Infection in Recent Visitor to Oahu

November 13, 2019
Additional Cases of Vaping Associated Lung Injury and Diagnostic Algorithm

September 11, 2019
Probable Vaping-Associated Severe Respiratory Illness Case

August 27, 2019
New Immunization Rules Align with National Immunization Recommendations

May 15, 2019
Measles Situational Awareness and Vaccination Recommendations

May 2, 2019
Pertussis Cluster on the Island of Maui

February 11, 2019
Suspect Mumps Case in Visitor to Kauai

January 16, 2019
Measles Among Visitors on the Island of Hawaii

November 26, 2018
Clusters of Shigella Sonnei

June 20, 2018
Recently Reported Persons with Legionnaires’ Disease

May 15, 2018
Mumps Outbreak Update – Ongoing Activity on Oahu and New Case on Maui

March 14, 2018
Update to Mandated Tuberculosis Disease Reporting and Clearance

January 8, 2018
Norovirus Cluster Associated With Exposure On Oahu

January 5, 2018
Hepatitis A Cases on Kauai With Likely Links to California Outbreak

November 13, 2017
Continuing Mumps Outbreak and Outbreak MMR Dose Recommendation

September 21, 2017
Mumps Outbreak Vaccination Dose Recommendation

June 19, 2017
Zika Testing Of Pregnant Women

June 1, 2017
Mumps Update – Vaccination Recommendations

May 15, 2017
Mumps Update – Oahu & Kauai

April 28, 2017
Two Separate, Concurrent Mumps Clusters On Oahu

April 3, 2017
Evaluating Tuberculosis Contacts Exposed at Waipahu High School

March 21, 2017
Confirmed Mumps Cases

January 18, 2017
Risk of hepatitis A exposure through the Republic of the Marshall Islands

December 14, 2016
Potential for mumps introduction in Hawaii

October 17, 2016
Possible association of non-tuberculousmycobacteria infections with heater-cooler device used in open-chest cardiac surgery

August 2, 2016
Zika Update 2

July 14, 2016
Hepatitis A post-exposure prophylaxis

June 30, 2016
Hepatitis A cluster investigation on Oahu

June 7, 2016
Testing for Zika virus

April 27, 2016
Clinician guidance on testing for Zika virus and patient care and counseling

February 17, 2016
Clinical updates on Zika virus

January 15, 2016
Congenital Zika virus infection confirmed in neonate with microcephaly

January 13, 2016
Update on dengue outbreak: Critical need for providers statewide to report suspect cases

November 5, 2015
2015 Big Island dengue outbreak: Providers across state should be vigilant for suspect dengue infection

October 29, 2015
Locally-acquired dengue infection identified on Hawaii Island

October 23, 2014
Guidance for primary care and urgent care providers regarding patients possibly infected with Ebola virus disease

October 20, 2014
Separate confirmed measles cases on Maui and Kauai with potential healthcare-related and community contacts

October 3, 2014
Evaluation of patients for potential infection with Ebola virus disease

May 11, 2022
Medical Advisory: Outpatient Therapeutics Available for COVID-19

May 6, 2022
Medical Advisory: Pediatric Hepatitis of Unknown Etiology

April 6, 2022
Medical Advisory: Norovirus Outbreak Linked to Oysters

March 24, 2022
Medical Advisory: Probable Mumps case on Big Island

March 11, 2022
Medical Advisory: Chemical Screening (aka Biological Monitoring) for Exposures to Petroleum Hydrocarbons in Drinking Water

February 28, 2022
Medical Advisory: Investigation of Consumer Complaints of Cronobacter and Salmonella Infections-Powdered Infant Formula

February 25, 2022
Medical Advisory: Updated Clinical Considerations for Use of COVID-19 Vaccines

January 25, 2022
Medical Advisory: Navy Water System Contamination DOH-ATSDR Health Survey

December 20, 2021
Medical Advisory: Preferential Recommendation for mRNA COVID-19 vaccines over Janssen COVID-19 vaccine

September 30, 2021
Medical Advisory: Pfizer-BioNTech COVID-19 Booster Dose

September 3, 2021
Medical Advisory: Update regarding Timing of COVID-19 Vaccines and TB Testing

August 19, 2021
Medical Advisory: Additional mRNA COVID-19 Vaccine Dose Recommendations

August 10, 2021
Medical Advisory: COVID-19 Disease Reporting

July 26, 2021
Medical Advisory:  COVID-19 Vaccine and TB Testing

June 22, 2021
Hepatitis A Cases on Oahu and Maui

May 5, 2021
Update #22 – Coronavirus Disease 2019 (COVID0-19):  Cluster of COVID-19 Cases in Hawaii Associated with Football Tournaments Held in Nevada and Utah

March 23, 2021
Updates to Guidance on Quarantine After Vaccination and Case Reporting

March 18, 2021
Ebola Hemorrhagic Fever Outbreaks in Democratic Republic of the Conga (DRC) and Guinea

March 17, 2021
Revised CDC Gonorrhea Treatment Guidelines

February 11, 2021
Update #20-Coronavirus Disease 2019 (COVID-19): Quarantine Guidance for Vaccinated Persons Following Exposure to COVID-19

February 1, 2021
Update #19-Coronavirus Disease 2019 (COVID-19): COVID-19 Vaccination Contraindications, Precautions, and Adverse Event Reporting

December 8, 2020
Update #18-Coronavirus Disease 2019 (COVID-19) Revised Quarantine Period for Close Contacts of a COVID-19 Case

September 3, 2020
Update #17-Coronavirus Disease 2019 (COVID-19) Reinfection With COVID-19/Negative Results/Isolation & Quarantine

August 19, 2020
Update #16-Coronavirus Disease 2019 (COVID-19) Types of COVID-19 Tests-CORRECTED

August 18, 2020
Congenital Syphilis Is Increasing Statewide

July 31, 2020
Update #15-Coronavirus Disease 2019 (COVID-19)

July 22, 2020
Update #14-Coronavirus 2019 (COVID-19) attach-correction

July 8, 2020
Update #13-Coronavirus Disease 2019 (COVID-19)

May 14, 2020
Update #12 – Coronavirus Disease 2019 (COVID-19)

May 1, 2020
Update #11- Coronavirus Disease 2019 (COVID-19)

April 15, 2020
Update #10-Coronavirus Disease 2019 (COVID-19)

April 8, 2020
Update #9-Coronavirus Disease (COVID-19)

April 1, 2020
Update #8-Coronavirus Disease (COVID-19)

March 25, 2020
Update #7-Coronavirus Disease (COVID-19)

March 18, 2020
Update #6-Coronavirus Disease 2019 (COVID-19)

March 11, 2020
Update #5-Coronavirus Disease 2019 (COVID-19)

March 4, 2020
Update #4-Coronavirus Disease 2019 (COVID-19)

February 26, 2020
Update on Coronavirus Disease 2019 (COVID-19)

February 14, 2020
Coronavirus Disease-19 Identified in Tourist After Return to Japan

February 13, 2020
Mumps Case on Big Island

February 3, 2020
Update and Guidance on Outbreak of 2019 Novel Coronavirus (2019-nCoV)
[Flowchart to Identify and Assess 2019 Novel Coronavirus]

January 29, 2020
Measles Identified in International Visitor

January 21, 2020
Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus (2019-NCoV) in Wuhan, China  *updated 01-23-2020

November 14, 2019
Measles Infection in Recent Visitor to Oahu

November 13, 2019
Additional Cases of Vaping Associated Lung Injury and Diagnostic Algorithm

September 11, 2019
Probable Vaping-Associated Severe Respiratory Illness Case

August 27, 2019
New Immunization Rules Align with National Immunization Recommendations

May 15, 2019
Measles Situational Awareness and Vaccination Recommendations

May 2, 2019
Pertussis Cluster on the Island of Maui

February 11, 2019
Suspect Mumps Case in Visitor to Kauai

January 16, 2019
Measles Among Visitors on the Island of Hawaii

November 26, 2018
Clusters of Shigella Sonnei

June 20, 2018
Recently Reported Persons with Legionnaires’ Disease

May 15, 2018
Mumps Outbreak Update – Ongoing Activity on Oahu and New Case on Maui

March 14, 2018
Update to Mandated Tuberculosis Disease Reporting and Clearance

January 8, 2018
Norovirus Cluster Associated With Exposure On Oahu

January 5, 2018
Hepatitis A Cases on Kauai With Likely Links to California Outbreak

November 13, 2017
Continuing Mumps Outbreak and Outbreak MMR Dose Recommendation

September 21, 2017
Mumps Outbreak Vaccination Dose Recommendation

June 19, 2017
Zika Testing Of Pregnant Women

June 1, 2017
Mumps Update – Vaccination Recommendations

May 15, 2017
Mumps Update – Oahu & Kauai

April 28, 2017
Two Separate, Concurrent Mumps Clusters On Oahu

April 3, 2017
Evaluating Tuberculosis Contacts Exposed at Waipahu High School

March 21, 2017
Confirmed Mumps Cases

January 18, 2017
Risk of hepatitis A exposure through the Republic of the Marshall Islands

December 14, 2016
Potential for mumps introduction in Hawaii

October 17, 2016
Possible association of non-tuberculousmycobacteria infections with heater-cooler device used in open-chest cardiac surgery

August 2, 2016
Zika Update 2

July 14, 2016
Hepatitis A post-exposure prophylaxis

June 30, 2016
Hepatitis A cluster investigation on Oahu

June 7, 2016
Testing for Zika virus

April 27, 2016
Clinician guidance on testing for Zika virus and patient care and counseling

February 17, 2016
Clinical updates on Zika virus

January 15, 2016
Congenital Zika virus infection confirmed in neonate with microcephaly

January 13, 2016
Update on dengue outbreak: Critical need for providers statewide to report suspect cases

November 5, 2015
2015 Big Island dengue outbreak: Providers across state should be vigilant for suspect dengue infection

October 29, 2015
Locally-acquired dengue infection identified on Hawaii Island

October 23, 2014
Guidance for primary care and urgent care providers regarding patients possibly infected with Ebola virus disease

October 20, 2014
Separate confirmed measles cases on Maui and Kauai with potential healthcare-related and community contacts

October 3, 2014
Evaluation of patients for potential infection with Ebola virus disease