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Breaking News: Health Advisory for Contra Costa County

Last updated: November 10, 2018, 12:38 pm

The Bay Area Air Quality Management District reports that parts of our county have unhealthy air due to smoke. Please follow the following tips to protect yourself and your loved ones. Everyone, especially children, should reduce outdoor activity. Active children and adults, and people with respiratory disease such as asthma, should avoid prolonged outdoor activity. Masks are not a substitute for staying indoors. Masks such as the N-95 are not effective for untrained users and may be dangerous for people with lung or heart conditions. N-95 masks may be helpful for people who must work outdoors if properly fitted. Employees should work with their employers for direction on when/how to use N-95 masks. Seek medical attention if you experience symptoms like repeated coughing, difficulty breathing, wheezing, chest tightness, palpitations, nausea, fatigue or lightheadedness. Visit for smoke tips and for air quality in your area

Rabies Guide for Health Providers

All clinicians should report to Animal Services all instances in which any mammal has bitten a human even if the risk of rabies is low (e.g. bite from a domestic dog). Call Animal Services at 925-608-8400 to report a biting animal, alternatively you may complete and fax a Bite Report to 925-335-8301.

Every veterinarian practicing in Contra Costa County and every person providing professional medical treatment for animal bite by an animal of a species subject to rabies shall immediately notify Contra Costa Health Services whenever rabies is suspected. Veterinarians are required to report six animal diseases: anthrax, brucellosis (except Brucella canis), plague, rabies, tularemia, and viral hemorrhagic fevers.

Vets may submit a Confidential Morbidity Report for Animal Patients by fax to 925-313-6465. For questions regarding this reporting requirement, call 925-313-6740

Rabies Post-Exposure Prophylaxis (PEP)

ACIP guidelines for a bite that is considered high risk for rabies transmission includes a regimen of one dose of human rabies immune globulin and four doses of rabies vaccine (except in immunosuppressed persons who should receive five doses of rabies vaccine). HRIG and the first dose of rabies vaccine should be given as soon as possible after an exposure. Additional doses of rabies vaccine should be given on days 3, 7 and 14 after the first vaccination (immunosuppressed persons should receive a fifth dose on day 28 after the first vaccination).

This Rabies PEP poster provides a quick visual reference for when and how to administer rabies prophylaxis.

See more information designed specifically for health care providers.