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California Health Alert Network (CAHAN) San Diego Alerts

See below for previous alerts sent to the San Diego medical and public health community. For alerts sent in 2024-2025, see Current CAHAN San Diego Alerts.

2023 CAHAN San Diego Alerts

Health Advisory—December 15

Health Advisory: Clade I Mpox Virus in Travelers to the Democratic Republic of the Congo

Health Advisory—November 27

Health Advisory Update #1: Respiratory syncytial virus (RSV): Shortage of RSV Monoclonal Antibody, Nirsevimab.

Health Advisory—November 22

Health Advisory: Pertussis Increasing in San Diego County

Health Advisory—November 15

Health Advisory: High Blood Lead Levels in Children Consuming Recalled Cinnamon Applesauce Pouches

Health Advisory—November 3

Health Advisory: Endemic Rocky Mountain Spotted Fever (RMSF) in Baja California Region

Health Advisory—October 26

Health Advisory: Limited Availability of Nirsevimab in the United States, Interim CDC Recommendations

Health Advisory—October 25

Health Advisory Update #7: Local Increase in Mpox Cases

Health Alert—October 25

Health Alert: Shiga toxin-producing E. Coli Associated with Miguel’s Cocina 4S Ranch

Health Alert—October 20

Health Alert: Gastrointestinal Illnesses Due to Salmonella spp. Linked to Dairy Products Produced by Raw Farm, LLC

Health Advisory—September 15

Health Advisory Update #63: COVID-19 Vaccine Update

Health Advisory —August 28

Health Advisory: Boil Water Advisory for Contaminated Water Supply

Health Advisory—August 18

Health Advisory: Listeria Associated with Soft Serve Ice Cream Distributed to Long-Term Care Facilities

Health Advisory—July 27

Health Advisory: Silicosis in Countertop Workers

Health Advisory—June 23

Health Advisory: Request to Submit Specimens from Patients Receiving Intensive Care for Influenza A to Public Health Laboratories

Health Advisory—June 15

Health Advisory Update #2: Bicillin® L-A Shortage

Health Advisory—June 8

Health Advisory: Fungal Meningitis in U.S. Patients Following Epidural Anesthesia in Mexico

Health Advisory—May 16

Health Advisory Update #6: Potential Risk for Mpox Resurgence 

Health Advisory Update #1:  Increased Hepatitis A Cases Associated with Homelessness, Drug Use in San Diego County

Health Advisory—May 9

Health Advisory: Doxycycline Post-Exposure Prophylaxis for Prevention of Bacterial Sexually Transmitted Infections

Health Advisory—April 27

Health Advisory Update #62: COVID-19 Vaccine Update: Deauthorization of Monovalent mRNA Vaccines

Health Advisory—April 25

Health Advisory: Potential Access Challenges to Bicillin L-A®

Health Advisory—April 10

Health Advisory Update #6: Identification, Laboratory Testing, Management and Treatment, and Vaccination for Mpox Virus Infection in California

Health Advisory—April 7

Health Advisory: Elevated Norovirus Activity in California

Health Advisory—March 27

Health Advisory Update #61: COVID-19 Vaccine Update: Bivalent Boosters for Children 6 Months to 4 Years Old Who Have Completed the three-dose Pfizer-BioNTech Primary Series

Health Advisory—March 22

Health Advisory: Recall of Imported Frozen Organic Strawberries following Hepatitis A Investigation in Washington State

Health Advisory—February 28

Health Advisory: Increase in Extensively Drug-Resistant Shigellosis in the United States

Health Advisory—February 10

Health Advisory: Increase in Hepatitis A Virus Infections including Persons Experiencing Homelessness in San Diego County

Health Advisory—February 3

Health Advisory: Outbreak of Extensively Drug-resistant Pseudomonas aeruginosa Associated with EzriCare Artificial Tears

Health Advisory—January 27

Health Advisory Update #60: Coronavirus Disease 2019 (COVID-19): Evusheld No Longer Authorized for Use

2022 CAHAN San Diego Alerts

Health Advisory—December 15

Health Advisory Update #59: Coronavirus Disease 2019 (COVID-19) Vaccine Update: COVID-19 Bivalent Booster Eligibility Expanded Down to Six Months of Age

Health Advisory—November 30

Health Advisory Update #58: Treatment Options for Current COVID-19 Omicron Subvariants

Health Alert—November 8

Health Alert Update #2: Outbreak of Ebola Virus Disease in Central Uganda

Health Advisory—October 28

Health Advisory: Multidrug Resistant Salmonella Newport among Travelers to and from Mexico

Health Advisory—October 27

Health Advisory Update #57: Coronavirus Disease 2019 (COVID-19): Bivalent Boosters Extended Down to 5 Years of Age

Health Alert—October 13

Health Alert: Increasing Influenza and Respiratory Syncytial Virus (RSV) Disease in San Diego County

Health Alert—October 7

Health Alert: Outbreak of Ebola Virus Disease in Central Uganda

Health Alert—September 30

Health Alert: Wound Botulism Associated with Black Tar Heroin

Health Advisory—September 20

Health Advisory: Severe Respiratory Illnesses and Acute Flaccid Myelitis Associated with Enterovirus-D68

Health Advisory—September 19

Health Advisory Update #5: Human Monkeypox Treatment with Tecovirimat and Supportive Measures

Health Advisory—September 6

Health Advisory Update #56: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Bivalent Boosters

Health Advisory—August 16

Health Advisory Update #4: Human Monkeypox Vaccination with Jynneos®

Health Advisory—July 29

Health Advisory Update #55: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Novavax Vaccine

Health Advisory—July 15

Health Advisory Update #3: Human Monkeypox, Testing at Commercial Laboratories

Health Advisory—July 14

Health Advisory Update #54: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Vaccine Eligibility Down to Six Months of Age

Health Advisory—June 10

Health Advisory: Meningococcal Infections and Monkeypox in Men who Have Sex with Men

Health Advisory—May 24

Health Advisory Update #53: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Pfizer Booster Age Indication

Health Advisory—May 23

Health Advisory: Human Monkeypox

Health Advisory—May 20

Health Advisory: Nationwide shortage of infant formulas may increase risk for inadequate nutrition in infants

Health Advisory: Human Monkeypox

Health AdvisoryApril 22

Health Advisory: Pediatric Hepatitis Associated with Adenovirus Type 41 Infections

Health AdvisoryApril 1

Health Advisory Update #52: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Second Boosters

Health Advisory Update #51: New Federal Program for Oral Antivirals: Test-to-Treat Program in California

Health Advisory—February 25

Health Advisory Update #50: Coronavirus Disease 2019 (COVID-19) Vaccine Updates

Health Advisory—February 24

Health Advisory: Multistate Investigation of Cronobacter sakazakii Infections Associated with Powdered Infant Formula

Health Advisory—February 14

Health Advisory: Dangerous Lead Levels Found in Dried Fruit and Candy Products, California

Health Advisory—February 11

Health Advisory Update #49: Coronavirus Disease 2019 (COVID-19) Addressing Low COVID-19 Vaccination Rates in Children 5-11 Years of Age

Health Advisory—January 11

Health Advisory #48: Coronavirus Disease 2019 (COVID-19) Management of Healthcare Personnel with SARS-CoV-2 Infection or Exposure

2021 CAHAN San Diego Alerts

Health Advisory—December 29

Health Advisory Update #47: Coronavirus Disease 2019 (COVID-19) Management of Healthcare Personnel with SARS-CoV-2 Infection or Exposure

Health Advisory—December 23

Health Advisory Update #46: Coronavirus Disease 2019 (COVID-19) Oral Treatment, Paxlovid

Health Advisory—December 20

Health Advisory: US Preventive Services Task Force Recommends Screening All Adults under Age 80 for Hepatitis C

Health Advisory—December 15

Health Advisory Update #45: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Pfizer Vaccine Age Indication

Health Advisory—December 2

Health Advisory Update #44: SARS-CoV-2 virus variant of concern B.1.1.529 (Omicron)

Health Advisory—November 5

Health Advisory Update #43: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Pfizer Vaccine Age Indication

Health Advisory—October 26

Health Advisory Update #42: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Expanded Eligibility for COVID-19 Vaccine Booster Doses

Health Advisory—October 14

Health Advisory Update #1: Expansion of Recall of LeadCare® Blood Lead Tests Due to Risk of Falsely Low Results

Health Advisory—October 11

        Health Advisory: Shigella sonnei among persons experiencing homeless in San Diego County

Health Advisory—October 6

Health Advisory Update #41: Coronavirus Disease 2019 (COVID-19) Vaccine Update: COVID-19 Vaccination for Pregnant People to Prevent Serious Illness, Deaths, and Adverse Pregnancy Outcomes from COVID-19

Health Advisory—October 4

Health Advisory: Influenza and Respiratory Syncytial Virus Activity and Guidance for Clinicians

Health Advisory—September 28

Health Advisory: Candida auris detected in San Diego County facilities

Health Advisory—September 28

Health Advisory Update #40: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Pfizer Vaccine Booster Dosing

Health Advisory—September 22

Health Advisory: Guidance for Clinicians Caring for Individuals Recently Evacuated from Afghanistan

Health Advisory—August 19

Health Advisory: Increased Interseasonal Activity of Respiratory Syncytial Virus in San Diego County

Health Advisory —August 19

Health Advisory Update #39: Coronavirus Disease 2019 (COVID-19) Vaccine Update

Health Advisory —July 30

Health Advisory Update #38: Coronavirus Disease 2019 (COVID-19) Urgent Need to Increase Vaccination

Health Advisory—July 22

Health Advisory Update #37: Coronavirus Disease 2019 (COVID-19) Monoclonal Antibody Therapies

Health Advisory—July 7

Health Advisory: Recall of LeadCare® Blood Lead Tests Due to Risk of Falsely Low Results   

Health Advisory—June 4

Health Advisory Update #36: Coronavirus Disease 2019 (COVID-19) Monoclonal Antibody Therapies

Health Advisory—June 3

Health Advisory Update #35: Coronavirus Disease 2019 (COVID-19) Update Myocarditis and Pericarditis after Receipt of mRNA COVID-19 Vaccines

Health Advisory—May 28

Health Advisory: Acute Non-Viral Hepatitis Associated with an
Alkaline Water Product

Health Advisory—May 20

Health Advisory Update #34 Coronavirus Disease 2019 (COVID-19) Update: Expansion of Monoclonal Antibody Indications

Health Advisory—May 13

Health Advisory Update #33: Coronavirus Disease 2019 (COVID-19) Vaccine Update: Pfizer Vaccine Age Indication

Health Advisory—April 26

Health Advisory Update #32: Coronavirus Disease 2019 (COVID-19) Vaccine Update

Health Advisory—April 15

Health Advisory Update #31: Coronavirus Disease 2019 (COVID-19) Vaccine Adverse Events and Update

Health Advisory—April 13

Health Advisory Update #30: Coronavirus Disease 2019 ( COVID-19) Vaccine Update      

Health Advisory—April 12

Health Advisory Update #29: Coronavirus Disease 2019 (COVID-19) Vaccine Update

Health Advisory—March 16

Health Advisory Update #28: Coronavirus Disease 2019 (COVID-19) Vaccine Update

Health Advisory—March 15

Ebola Virus Disease Outbreaks Democratic Republic of Congo & Guinea

Health Update—March 2

Update #27: Coronavirus Disease 2019 (COVID-19) Variants

Health Update—March 1

Update #26: Coronavirus Disease 2019 (COVID-19) Vaccine and Monoclonal Antibody Update

Health Update—February 23

Update: Ongoing Risk of Highly Drug-Resistant Infections in Patients Following Hospitalization or Invasive Procedures in Mexico

Health Advisory—February 18

Extensively Drug-Resistant Salmonella Typhi Infections Among U.S. Residents Without International Travel

Health Update—February 2

Update #25: Coronavirus Disease 2019 (COVID-19) Vaccine Updates

Health Update—January 27

Update #24: Coronavirus Disease 2019 (COVID-19) Quarantine Update

Health Update—January 21

Update #23: Coronavirus Disease 2019 (COVID-19) Vaccine Updates

Health Advisory—January 12

Expanded Syphilis Screening Recommendations for Prevention of Congenital Syphilis

Health Update—January 8

Update #22: Coronavirus Disease 2019 (COVID-19) Vaccine Update

Health Update—January 6

Update #21: Coronavirus Disease 2019 (COVID-19) California Crisis Care Continuum Guidelines for General Acute Care Hospitals and State Public Health Officer Order

2020 CAHAN San Diego Alerts

Health Update—December 28

Update #20: SARS-CoV-2 Virus Variant Identified in the United Kingdom

Health Advisory—December 16

Leptospirosis outbreak in dogs

Health Update—October 16

Update #19: Updated Coronavirus Disease 2019 (COVID-19) Test Result Reporting Guidance

Health Update—October 7

Update #18: Coronavirus Disease 2019 (COVID-19) Guidance and Resources to Support Management of Children with COVID-19 Symptoms Who Attend Daycare or In-Person School

Childcare COVID Decision Tree

K-12 Decision Tree

Health Advisory—August 21

Fentanyl Overdose Deaths Related to Illicit Drug Use

Health Information—August 20

Vector-Borne Illnesses of Public Health Significance

Health Update—August 17

Update #17: UPDATED Coronavirus Disease 2019 (COVID-19) Testing Guidance and Additional Updates

Table: Priority Level for Testing Criteria: Federal, State, and County Recommendations

Health Update—June 12

Update #16: Coronavirus Disease 2019 (COVID-19)

Health Update—June 11

Update #2: E-cigarette, or Vaping, Product Use-Associated Lung Injury (EVALI)

Health Update—May 4

Update #15: Coronavirus Disease 2019 (COVID-19)

Health Update—April 30

Update #14: Coronavirus Disease 2019 (COVID-19)

Health Update—April 23

Update #13: Coronavirus Disease 2019 (COVID-19)

Table: Priority Level for Testing Criteria: Federal, State, and County Recommendations

Health Update—April 17

Update #12: Coronavirus Disease 2019 (COVID-19)

Health Update—April 9

Update #11: Coronavirus Disease 2019 (COVID-19)

Health Update—April 6

Update #10: Coronavirus Disease 2019 (COVID-19)

Health Update—April 3

Update #9: Coronavirus Disease 2019 (COVID-19)

Health Update—April 1

Update #8: Coronavirus Disease 2019 (COVID-19)

Health Update—March 26

Update #7: Coronavirus Disease 2019 (COVID-19)

Health Update—March 19

Update #6: Coronavirus Disease 2019 (COVID-19)

Health Update—March 14

Update #5: Coronavirus Disease 2019 (COVID-19)

Health Update—March 10

Update #4: Coronavirus Disease 2019 (COVID-19)

Health Update—March 5

Update #3: Coronavirus Disease 2019 (COVID-19)

Health Update—February 28

Update #2: Coronavirus Disease 2019 (COVID-19)

Health Update—February 26

Update #3: Mumps in San Diego County

Health Update—February 1

2019 Novel Coronavirus Update

Health Advisory—January 24

2019 Novel Coronavirus

Health Advisory—January 10

Elevated Influenza Activity

2019 CAHAN San Diego Alerts

Health Advisory—December 24

National Increase in Disseminated Gonococcal Infection Cases

Health Advisory—December 4

Severe Myonecrosis and Wound Botulism Associated with Black Tar Heroin

Health Update—November 26

Update #2: Mumps in San Diego

Health Advisory—November 19

Ongoing Risk of Highly Drug-Resistant Infections in Patients Following Hospitalization or Invasive Procedures in Tijuana, Mexico

Health Update—October 3

Vaping Associated Pulmonary Injury

Health Information—September 25

Disease Reporting Requirement (Title 17) Updates

Health Alert—August 28

Vaping-Associated Pulmonary Injury

Health Information—August 27

Vector-Borne Illnesses of Public Health Significance

Health Alert—August 21

Second Measles Case in San Diego County

Health Alert—August 7

Measles Case in San Diego County

Health Advisory—August 1

Nationwide Shortage of Tuberculin Skin Test Antigens: San Diego Recommendations for Patient Care and Public Health Practice

Health Information—August 1

Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and the Hajj

Health Update—July 19

Mumps and Acute Parotitis in San Diego

Health Alert—June 29

Shiga toxin-producing Enteric Illnesses Associated with Attendance at County Fair

Health Information—June 26

Animal Rabies in San Diego County

Health Advisory—June 13

Candida auris Detected in California Healthcare Facilities

Health Advisory—June 7

Update #2: Measles Outbreaks in the United States and Overseas

Health Advisory—May 24

Increased Influenza-Like Illness in Local Migrant Shelter

Health Update—April 25

Measles Outbreaks in the United States and Overseas

Health Advisory—March 28

Influenza Season Continues with an Increase in Influenza A(H3N2) Activity

Health Information—March 25

HIV Testing Recommended in All Healthcare Settings

Health Update—March 18

Carbapenem-resistant Pseudomonas aeruginosa Infections after Hospitalization in Tijuana

Health Advisory—March 15

Mumps and Acute Parotitis Cases Increase in San Diego

Health Advisory—February 14

Kawasaki Disease Increased in San Diego

Health Advisory—February 12

Strangulation: Intimate Partner Violence in San Diego County

Health Advisory—January 31

Measles Outbreaks in Washington, New York, and Overseas

Health Advisory—January 25

Infections Associated with Unapproved Stem Cell Injections

Health Alert—January 16

Carbapenem-resistant Pseudomonas aeruginosa Infections after Surgery in Tijuana

2018 CAHAN San Diego Alerts

2017 CAHAN San Diego Alerts

Health Advisory—December 18

Biotin Supplements Can Cause False Laboratory Results

Health Update—October 31

Update #7: Hepatitis A Virus Outbreak in San Diego

Health Alert—October 9

Wound Botulism Associated with Black Tar Heroin

Health Information—September 27

Hepatitis A Vaccination Recommendations during the Current San Diego County Outbreak

Health Update—September 12

Update #6: Hepatitis A Virus Outbreak in San Diego

Health Information—September 5

Middle East Respiratory Syndrome Coronavirus (MERS-CoV)

Health Information—August 22

Vector-Borne Illnesses of Public Health Significance

Health Update—August 16

Update #5: Hepatitis A Virus Outbreak in San Diego

Health Alert—July 24

Immune Globulin Dosage Increased for Hepatitis A Virus Prophylaxis

Health Update—July 13

Update #4: Hepatitis A Virus Outbreak in San Diego

Health Update—May 31

Update #3: Hepatitis A Virus Outbreak in San Diego

Health Advisory—May 31

Zika Virus Advisory #10–Current Case Counts and Updated Guidance for Pregnant Women

Health Alert—May 23

Potential for Falsely Low Blood Lead Test Results from LeadCare® Analyzers

Health Update—May 10

Update #2: Shigellosis among Men in Southern California

Health Update—May 4

Update #2: Hepatitis A Virus Outbreak in San Diego County

Health Update—April 5

Update: Hepatitis A Virus Outbreak in San Diego County

Health Update—March 10

Limited Availability of Long-Acting Bicillin® Continues

Health Advisory—March 10

Hepatitis A Virus Outbreak Associated with Homelessness, Drug Use in San Diego County

Health Advisory—February 8

Zika Virus Advisory #9–Local Transmission Reported in Baja California

Health Update—January 17

Update: Shigellosis Among Men in Southern California

2016 CAHAN San Diego Alerts

Health Advisory—December 20

Zika Virus Advisory #8 – Updated Case Counts and Provider Actions

Health Advisory—November 14

Zika Virus Advisory #7 – Updated Case Counts and Provider Actions

Health Alert—November 3

Potential Hepatitis A Exposure, Imported Egyptian Strawberries

Health Update—October 24

Update #2: Mumps at Colleges and Universities

Health Advisory—September 30

Zika Virus Advisory #6 – Updated Case Counts, Guidelines, and Provider Actions; New Toolkits Available

Health Alert—September 20

Cluster of Shigella flexneri Infections among Men in Southern California

Health Advisory—August 24

Zika Virus Advisory #5 – Updated Interim Guidelines and Case Counts, Actions Requested of Providers

Health Information—August 18

Mosquito-Borne Illness Prevention in San Diego County

Health Update—July 27

Update: Invasive Meningococcal Disease among Men Who Have Sex with Men in Southern California

Health Information—July 5

Disease Reporting Requirement (Title 17) Updates

Health Advisory—June 24

Invasive Meningococcal Disease in Southern California

Health Advisory—May 10

Limited Availability of Long-Acting Bicillin

Health Advisory—April 19

Multistate Outbreak of Infections Caused by Elizabethkingia anopheles

Health Update—April 12

Update: Mumps in Colleges and Universities

Health Advisory—March 25

Zika Virus Advisory #4 – Interim Guidelines Updated, First Sexual Transmission Confirmed in San Diego County

Health Alert—March 11

Mumps in Colleges and Universities

Health Advisory—February 24

Zika Virus Advisory #3 – New CDC Guidelines and Health Advisory Issued and Case Count Update

Health Advisory—February 5

Zika Virus Advisory #2 – New Guidelines Issued, Provider Conference Call Announcement

Health Advisory—January 29

Zika Virus

2015 CAHAN San Diego Alerts

2014 CAHAN San Diego Alerts

Health Update—December 5

Ebola Update Regarding Mali

Health Advisory—November 7

Aedes aegypti Mosquitoes and Dengue

Health Update—November 7

Ebola Preparedness Update

Health Update—October 8

Travel Histories and Ebola Preparedness

Health Alert—September 19

Enterovirus D68 Detected in Southern California Children with Respiratory Illness

Health Alert—August 18

Ebola Virus Disease

Health Update—August 11

Pertussis Epidemic in San Diego County and California

Health Advisory—July 24

Wawona Packing Company Fruit Recall and Listeria monocytogenes

Health Advisory—July 9

Chikungunya Case Confirmed in San Diego County Resident

Health Alert—May 23

Tattoo-Associated Nontuberculous Mycobacterium Skin Infections

Health Advisory—May 20

Mercury Poisoning Linked to Use of Skin-Lightening or Acne Creams from Mexico

Health Alert—May 15

Middle East Respiratory Syndrome Coronavirus (MERS-CoV)

Health Update—April 29:

Pertussis Cases Increase in San Diego County

Health Advisory—April 9

Meningococcal Disease Cases Prompt New Immunization Recommendations in Los Angeles County

Health Alert—March 21

Wound Botulism Associated with Drug Injection

Health Update—March 12

New Measles Case Confirmed in San Diego

Health Update—March 6

Two More Measles Cases Confirmed in San Diego

Health Alert—February 21

Measles Case Confirmed in San Diego

Health Update—January 23

Influenza Activity Update and Management of Influenza Outbreaks in San Diego County

Health Advisory—January 3

Recent Alerts Concerning pH1N1 Influenza

2013 CAHAN San Diego Alerts


Call the Epidemiology Unit at (619) 692-8499, or send an e-mail, for more information.