1. School Nurse Update Stephanie Snitily, BSN
Communicable Disease Director Chelan-Douglas Health District
Jackie Dawson, PhD
Public Health Epidemiologist Chelan, Douglas, Grant, Kittitas and Okanogan Counties

2. Rabies 84 bats submitted for rabies testing 10 positive for rabies
14 untestable
26 persons have received PEP (4 in 2017)

3. Genetics and pollution drive severity of asthma symptoms- Aug 31, 2018
When individuals with specific variations in certain genes are exposed to traffic pollution, they display more intense asthma symptoms than people that lack those same gene variations.
Asthma sufferers who were hyper-responders and lived closer to heavily travelled roads had the worst asthma symptoms, such as difficulty breathing, chest pain, cough, and wheezing, compared to the other groups.
In contrast, asthma patients who were hypo-responders and lived further away from busy roads had milder symptoms.

4. Hazardous Air Sept 6, 2018 STAY INFORMED

7. Wildfire Smoke, Sept 7, 2018

8. LIMIT EXPOSURE

9. N95 masks distribution

10. Wildfire Smoke and voluntary use of N95 masks at work

13. What can schools do to protect students during smoky conditions?
The Air Pollution and School Activities Guide (PDF), provides recommendations for recess, P.E., and athletic events and practices during smoky conditions. This guide is based on air quality categories used in the Washington Air Quality Advisory Map.    
Follow the guidance for schools on keeping indoor air free of smoke:
 Improving Ventilation and Indoor Air Quality during Wildfire Smoke Events (PDF)

14. Improving Indoor Air Quality
Close windows and minimize use of outside doors
Close air intakes when air is unhealthy
Monitor CO2 levels
Upgrade filters on HVAC units
Use portable air cleaners

15. Local Air Quality Monitoring
pDR-1500 Particulate Matter Monitor

17. Questions?