Are you prepared for this summer’s heat?

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Summer is right around the corner which means sunshine and heat! While Pacific Northwesterners anxiously await these warmer months, we also need to be conscious of potential risks associated with extreme heat. For those who may be heat sensitive or who do not have adequate access to cooling systems or water, extreme temperatures can be life threatening. And with extreme heat events predicted to now be more common due to our changing climate, it is a good time to look at ways to prepare.

As you may recall, last summer we experienced a record-breaking heat wave that lasted 7 days—from June 26th to July 2nd. According to the Washington State Department of Health, there were 100 heat related deaths reported throughout the state. In Skagit County, we sadly lost 6 individuals to heat related complications during this time.

It is crucial that during these times we are ready and prepared. Being ready can help to prevent heat stroke, heat exhaustion, heat cramps and—most importantly—death. Do you know the signs of heat-related illnesses and ways to respond? Keep reading for some helpful information.

Prepare for Extreme Heat

  • Weather strip doors and windows.
  • Cover windows with drapes or shades.
  • Have at least 2 fans to create air flow in home. Remember fans create air flow and a false sense of comfort but will not reduce your body temperature or prevent heat-related illnesses.
  • Install a window air conditioner and insulate around it.
  • Add insulation to keep the heat out.
  • Know of cooling places like stores or libraries near you! Contact Skagit County Public Health to find a cooling shelter near you—(360) 416-1500.

Be Safe During

  • Stay hydrated and drink lots of fluids.
  • Take cold showers or baths.
  • Go to a cooling center if air conditioning is not available in your home.
  • Never leave people or pets in a closed vehicle on a hot or warm day.
  • Wear loose, light colored clothing, and lightweight clothes.
  • Use your oven less to help reduce heat in your home.
  • Avoid being outside.
  • Check in with family members to let them know you’re okay or to check if they’re okay. As well with neighbors, and friends.
  • Consider pet safety.
  • Watch for signs of heat cramps, heat exhaustion and heat stroke.

What is heat illness?

Some common heat illnesses are heat stroke, heat exhaustion, and heat cramps. Here are some signs to look out for.

Signs of Heat Stroke:

If you suspect a heat stroke, immediately call 9-1-1 or get the person to a hospital as soon as possible.

  • Rapid, strong pulse.
  • Red, hot, and dry skin with no sweat.
  • Dizziness, confusion, or unconsciousness.
  • Extremely high body temperature.

Signs Heat Cramps:

  • Muscle pains.
  • Spasms in the stomach, arms, or legs.

Signs of Heat Exhaustion:

  • Heavy sweating
  • Paleness
  • Muscle cramps
  • Tiredness
  • Weakness
  • Fast or weak pulse
  • Dizziness
  • Headache
  • Fainting
  • Nausea
  • Vomiting

If you have signs of heat cramps or heat exhaustion, go to the closest cooling center/location near you. Try to cool down by removing excess clothing and drink water or sports drinks. Call your healthcare provider if your symptoms get worse or last more than an hour.

Helpful Resources:

Extreme Heat | Ready.gov

Summer Safety (weather.gov)

Heat Wave 2021 | Washington State Department of Health

Don’t Fry Day: Sun Safety!

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Imagine yourself in ten years from now. How do you look? How’s your skin? What if you were told that you had skin cancer? Most of us do not think about how important our skin is and how crucial it is for us to take care of it every day.  

Although we have not had much sunshine this spring, the National Council on Skin Cancer Prevention has designated the Friday before Memorial Day as “Don’t Fry Day” to share awareness and remind everyone to protect their skin while enjoying the outdoors as the summer gets closer.  

Keep reading for some tips on how you and your family can prevent skin cancer and long-term skin damage.  

Sun Safety Tips:  

  1. Do not burn or tan 
  • Avoid intentional tanning and tanning beds. 
  1. Seek Shade 
  • When it’s very hot out, sit under a tree or other shade structure. Use an umbrella when at the beach. 
  • Sun rays are the strongest between 10 a.m. and 4 p.m. 
  1. Wear protective clothing  
  • Use long sleeve shirts and pants 
  • Wide brimmed hat and sunglasses 
  1. Apply Sunscreen throughout your day 
  • Use a broad-spectrum sunscreen with Sun Protection Factor (SPF) 30 or higher for protection from harmful ultraviolet A and B radiation.  
  • Budget friendly and clean sunscreens: CeraVe sunscreen, Neutrogena sunscreens, Derma e sunscreen, etc. To check if your sunscreen contains any harmful ingredients visit: Best Recreational Sunscreens | EWG’s Guide to Sunscreens 
  • Apply 15 minutes before going outside and reapply every two hours.  
  1. Use extra caution near water, snow, and sand 
  • These surfaces can be very harmful and reflect the damaging rays of the sun leaving you with a possible sunburn.  
  1. Get vitamin D safely 
  • Take vitamin supplements 
  • Incorporate in your healthy diet.  

What is Melanoma? 

Melanoma is a skin cancer that can spread to other parts of the body and causes over 9,000 deaths every year. People who die of melanoma lose an average of 20 years of life expectancy. Melanoma can be caused by too much exposure to ultraviolet (UV) rays from sun or sources such as indoor tanning.  

Why Is it important? 

Skin Cancer is one of the most common diagnosed cancers in the United States. Too much sun exposure can age your skin, lead to skin cancer, weaken, or suppress your immune system.  

According to the National Council on Skin Cancer Prevention, more than 1 million Americans are living with melanoma. Early detection of melanoma can save your life. Without additional prevention efforts, cases of melanoma will continue to increase in the next 15 years.  

You can detect it early by carefully examining all your skin once a month and visit your doctor if you notice a new or changing spot on your skin. For more helpful tips, visit How to Spot Skin Cancer. 

Please visit the sources for more information:  

Don’t Fry Day : National Council on Skin Cancer Prevention 

Healthy Skin  |  American Skin Association 

Best Recreational Sunscreens | EWG’s Guide to Sunscreens 

How to Spot Skin Cancer 

Preventing Melanoma | VitalSigns | CDC 

The importance of HPV Vaccination

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Did you know HPV is a common virus that can cause certain cancers later in life? According to CDC, more than 42 million American are currently infected with HPV types that cause disease and about 13 million Americans, including teens, become infected each year.  

What is HPV?  

HPV, also known as Human Papillomavirus, is a common virus that can cause cancers later in life. It is one of the most common sexual transmitted infections (STIs). HPV is spread through intimate skin-to-skin contact. You can get HPV by sexual contact with someone who has the virus, even if they do not have signs or symptoms.  

Who should get vaccinated? 

Children ages 11-12 years should get two doses of HPV vaccine, given 6 to 12 months apart, but HPV vaccines can be given as early as age 9 years. Talk to your child’s pediatrician about getting the HPV vaccine to prevent HPV infections. The vaccine is available for all people—male or female.  

It is recommended that everyone through age 26 should get the HPV vaccine. Adults between ages 27 and 45 years old who were not already vaccinated might still be able to get the HPV vaccine after speaking with their medical provider about their risks for new HPV infections. The HPV vaccine for adults provides less benefit because most people in this age range have already been exposed to HPV at some point.  

Why is vaccination important?  

You can protect your child from certain cancers later in life with the HPV vaccine. The earlier the better! It can protect your child long before they ever have contact with the virus. 

HPV infections can cause certain cancers in both men and women. Some of those are cervix, vagina and vulva cancer in women and penis cancer in men. Both men and women can also get anus and back-of-the-throat cancer. Cancer usually takes years, even decades, to be detected after a person is infected with HPV.  

Are HPV vaccines safe and effective? 

The HPV vaccine can prevent over 90% of cancers caused by this virus and work best when given at age 11-12 years, before contact with the HPV virus.  

HPV vaccination is safe! More than 135 million doses of HPV vaccines have been distributed throughout the states since they were licensed. Also, 15 years of monitoring have shown that HPV vaccines are very safe and effective in protecting against the HPV types targeted by the vaccine. For more information about HPV vaccination please visit, HPV Vaccine Safety | CDC.  

For more resources please visit: 

Click to access vaccine-safety.pdf

https://www.cdc.gov/hpv/index.html

HPV Resources, Education, and References | CDC 

Human Papillomavirus (HPV) Vaccine Information (immunize.org) 

Building Safety Month: Evacuation Planning!

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Were you and your family woken up by the earthquake that happened on May 1, 2022 here in Mount Vernon? Some described feeling a shake and hearing a loud explosion-like noise.  

If you felt the earthquake, what was the first thought that came to mind? Did you know what you and your family would do in case an evacuation was needed?  

This May, join Public Health and the International Code Council in commemorating Building Safety Month. This year, Building Safety Month is focusing on safety for all building codes in action. Help us educate and spread awareness about how to properly evacuate a building or home in case of an emergency.  

Preparing an effective evacuation plan is important. The worst mistake that you can make is waiting until the last minute to get prepared. Here are some helpful preparedness tips for you and your family on how to evacuate a building, including your home, in case of an emergency.  

At your home: 

  • Arrange your evacuation plan ahead of time. For tips on creating a plan, go to: Five Steps to preparing an effective evacuation plan | III.   
  • Sit down with your household and discuss clear exit points located in your home.  
  • Come up with a meeting point outside of your home in case you must evacuate.   
  • Remove any objects or furniture that are blocking exit ways. 
  • Make clear pathways to all exits. 
  • Make sure family members know how to unlock and open windows and doors. 
  • Have a plan for evacuating your pets, as well!  

In a building:  

  • Learn about your emergency exit routes and know where a building map is located. Talk with your employer about their approved evacuation/safety plan.  
  • If working in the building, safely stop your work. 
  • Leave the building through the nearest door with an exit. 
  • Wait for instructions from emergency responders.  

Why is it important? 

Being prepared and planning ahead can save lives during an emergency. Not only that, but it can also prevent you from feeling overwhelmed or scared. After all, having a plan will give you the confidence you need in order to activate during an emergency situation.  

Support Building Safety Month  

  • Educate Your Community  
  • Visit buildingsafetymonth.org to find the online campaign toolkit, safety tip sheets and kids’ corner materials.  
  • Issue a Proclamation  
  • Ask your city official to sign a proclamation.  
  • Promote  
  • Hand out Building Safety Month materials to your community, family, and friends. For print copies of brochures, pencils and more, you can visit the Code Council store. 

For more resources please visit: 

Evacuation | Ready.gov 

Five Steps to preparing an effective evacuation plan | III 

Building Evacuation Procedures (ucsd.edu) 

BUILDING SAFETY MONTH -May 2022 – National Today 

2022 Building Safety Month – ICC (iccsafe.org) 

Magnitude 3.6 earthquake shakes Mount Vernon | king5.com 

Connecting the Dots: Youth Alcohol Awareness!

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Did you know, April is Alcohol Awareness Month? If you haven’t already, now may be a good time to reflect on your drinking patterns and the role that alcohol plays in your life.

This year’s theme is “Connecting the Dots: Opportunity for Recovery, which focuses primarily on youth education and prevention. This specific group of individuals can be easily influenced by alcohol and other substances if not educated or informed about risks. For this reason, we are asking you to join us this month to help raise awareness in our communities, schools, and homes on alcohol use. 

Our youth in Skagit County

According to the 2021 Healthy Youth Survey, Alcohol use has been reported by youth as young as 6th grade, and prevalence of regular use increases each year. By 12th grade, approximately 1 in 5 12th graders reported drinking in the past month. This can be for many reasons, perhaps one being that children in these grades are not getting enough information about alcohol.

Why is it important?

Research shows that heavy alcohol use during teen years can permanently damage the still developing brain. Alcohol use at a young age is also associated with violence, poor school performance, suicide, and risky sexual behavior. The use of alcohol at this early age can lead to possible substance abuse later in life and Alcohol use disorder (AUD), which affects about 15 million adults in the United States. There are more than 380 deaths each day in the U.S. due to excessive alcohol use, making alcohol the third leading preventable cause of death in the nation.

Looking for something positive? Research also shows that about 50% of children who have conversations with parents about risks are less likely to use drugs and alcohol, than those who do not. That’s why “connecting the dots” with your child, sibling, cousin, niece, or nephew is so important.

What can we do to help spread awareness?

Although one month out of the year is not enough time to help educate and help everyone recover, continue to spread the word about the importance of alcohol awareness to friends and family.

Get creative and make informational flyers about the topic with resources and distribute them around your neighborhood town, local stores etc. Host a fundraiser to donate money to local non-profit treatment facilities.

For more information please visit:

Alcohol Awareness Month | AlcoholAwareness.org

Alcohol Awareness Month: Learn About Alcohol Use Disorder and Ways to Get Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA) (nih.gov)

Skagit County | Addictions, Drug & Alcohol Institute (uw.edu)

HYS Fact Sheets (askhys.net)

Alcohol and Public Health | CDC

April is National Minority Health Month!

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April is National Minority Health Month (#NMHM2022)! This year’s theme is Give Your Community a Boost, focusing on the importance of COVID-19 vaccination. CDC data show that some racial and ethnic minority groups have been impacted differently by Covid, showing how these communities have experienced higher rates of infection, hospitalization, and death.

Together let’s debunk misinformation and encourage our communities to get fully vaccinated. Join us and @MinorityHealth to learn how to #BoostYourCommunity or visit www.minorityhealth.hhs.gov/nmhm/.

Here in Skagit County

According to our 2020-21 Skagit Community Health Assessment when COVID hit, the Hispanic/ Latino community, along with other communities of color were disproportionately harmed by COVID. Why? Hispanics / Latinos are disproportionally represented in essential workforces and consequently, overexposed to the virus.

COVID-19 cases and rates in Skagit per 100,000 population, by race and ethnic origin show how 2,025 cases were made up by Indigenous Hawaiian/ Pacific Islander, Hispanic (all races), American Indian/Alaska Native, people of color and Asian.

Why is it important?

Reducing health disparities and improving health equity for our racial and ethnic minority groups will help save lives, reduce the risk of getting sick and having severe illnesses.

Ways we can help increase vaccine confidence

Presenting several strategies to our communities can help increase COVID-19 vaccine trust and help advance vaccine equity within the community. Here are some ways we could help do that. For more strategies visit https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html

Develop culturally relevant materials

  • Provide messaging and tone that is culturally relevant and predominant languages spoken in the community.
  • For an example, at our mass COVID-19 Testing and Vaccine site we had all materials in both Spanish and English. Also provided patients with Spanish and Mixtec Interpreters at our site.

Partner with trusted messengers within the community

  • Collaborated with community partners like Community-to-Community development (C2C), Skagit County YMCA, Skagit Valley College, Chinook Enterprises, Boys and Girls Club, churches etc.

Address any community concerns or questions

  • Skagit County Public Health nurses, CHWs and Promotoras conducted a Q&A session for Spanish speaking women at the Methodist church. At our mass vaccination site staff created a safe observation area for those who had gotten vaccinated or had any questions or concerns about COVID-19.                                                   

                                                                                         

For more resources please visit:

Disparities in COVID-19-Associated Hospitalizations | CDC

National Minority Health Month 2022 (hhs.gov)

COVID-19 Racial and Ethnic Disparities (cdc.gov)

Health Equity Considerations and Racial and Ethnic Minority Groups | CDC

Skagit County Population Health Trust Advisory Committee

SCPH_CHA_2021_FINAL.pdf (skagitcounty.net)

COVID-19 Treatment Options

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COVID-19 medications are now available through your doctor, local pharmacies, and health clinics. If you have COVID-19 symptoms and test positive, do not wait to get treated. Early intervention with COVID-19 therapeutics can reduce the risk of severe illness and hospitalization for people with COVID-19 who are at high risk of developing more serious illness.

If you think you might qualify, please speak to your healthcare provider first and get a referral and/or prescription for treatment. Please note that any healthcare provider can evaluate and prescribe you COVID-19 medication just as they normally would.

For assistance:

What is PrEP (pre-exposure prophylaxis)?

Pre-Exposure Prophylaxis (PrEP) is medication designed to block a virus from attachment and entering human cells. People 12 years and older may qualify for pre-exposure prophylaxis if persons are:

  • Not currently infected with COVID-19.
  • At least 88 pounds (40 kg) in weight.
  • Moderate to severely immune compromised.
  • Not recommended by their health care provider to receive the COVID-19 vaccine.

Please note: Pre-exposure prevention with Evusheld is not a substitute for vaccination in individuals for whom COVID-19 vaccination is recommended. 

What are Oral Antivirals?

Two treatments are available: Paxlovid™ (Pfizer) and molnupiravir (Merck). Oral antiviral treatment may help your body fight COVID-19 by stopping the SARS-CoV-2 virus (the virus that causes COVID-19) from multiplying in your body, lowering the amount of the virus within your body, or helping your immune system. By getting treatment, you could have less serious symptoms and may lower the chances of your illness getting worse and needing care in the hospital. You must take oral COVID-19 medication within 5 days of your first COVID-19 symptoms.

What are Monoclonal Antibody Treatments?

If you are at risk for severe COVID-19 illness and you have tested positive for COVID-19 or have been in close contact with someone who has tested positive, you may want to consider a monoclonal antibody (mAb) treatment. You may qualify for a mAb treatment (bebtelovimab) to treat COVID-19 depending on your age, health history, and how long you have had symptoms. A mAb treatment may help people who:

  • Are at high risk of getting more serious symptoms; and
  • Have a positive COVID-19 test with symptoms for 7 days or less; OR
  • Have been in close contact with someone who has recently tested positive.

How much does treatment cost?

Treatment is provided free of charge by the Federal Government, although each provider may charge an administration fee that will be billed to your insurance provider with a possible copay for the patient. If uninsured, call the State COVID-19 Information Hotline for assistance: 1-800-525-0127, then press #.

For more information:

April is STD Awareness Month: Say Yes to Test!

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Did you know in 2020 Washington State reported 613 Sexually Transmitted Infections cases in Skagit County? This month is Sexually Transmitted Infection Awareness Month. Join us by sharing information about STIs to friends and family on how to stay safe and stop the spread!

What is a STI?

A STI is an infection that is passed from one individual to another through sexual contact. STIs are also known as a sexually transmitted disease or STDs.  According to American Sexual Health Association ASHA, Americans contract around 20 million STDs every year, with young people (aged 15-24) making up half of the cases.

Most Common STIs

https://www.cdc.gov/std/statistics/2020/images/infographic-SM-1.png

Current trending STIs are Chlamydia, Gonorrhea and Syphilis. Chlamydia is the most reported STI in the U.S., with 15 – 24-year-olds making up nearly 2/3 of all cases. This STI is known as the silent STI due to it rarely having symptoms, therefore people often spread it before even realizing they have it.

Another prominent STI is Gonorrhea which has seen a 75.2% case increase since 2009. If caught early, it can most likely be cured early with a single dose of antibiotics.

Syphilis can cause serious health problems if not cured with treatment. This infection develops in three stages and has different signs and symptoms. It can also be spread from mother to her unborn child. In 2020 144,000 cases of syphilis were spotted in the country, which has been the highest in 30 years.

Why is it important to seek medical care and get tested?

Some STIs, like Chlamydia, if undiagnosed and untreated, can lead to a serious condition called pelvic Inflammatory disease (PID) that can cause infertility and increase the chances of transmitting or getting HIV.

Say Yes to Test every year and with every new partner! A way to reduce your risk of getting an STI is by practicing safe sex and using condoms every time you engage in sexual activity. Ask your health care provider at your annual check up to do a screening for STDs. For a list of providers near you visit https://gettested.cdc.gov/search_results?location=98273.

What can Skagit County Public Health do for STI prevention and treatment?

Skagit County Public Health (SCPH) does not offer any testing or treatment services to the general public but will test and treat as part of contact investigation for someone who has already been identified by a provider as STI positive. SCPH also provides free testing (via blood sample) and antibiotic treatment for the sex partner of positive cases, through a program called Expedited Partner Treatment (EPT). The patient must live in Skagit County to receive this. If a sex partner lives outside of Skagit County, they will be referred to their local county health department and be provided with adequate care. Our office also offers free condoms for anyone, located in the restrooms!  For questions or concerns feel free to contact us at (360) 416-1500 or visit our website for more info.

For more information please visit:

Watch
https://www.ashasexualhealth.org/sti-awareness-month/?msclkid=1958ed9fbc1d11ecaaa5085d440e8e1e

https://gettested.cdc.gov/

STI Awareness Week — April 11-17 – HIV (va.gov)

STI Awareness Week | Knowtify (nd.gov)

STI Awareness Month (ashasexualhealth.org)

Public Health Is Where You Are: Help Celebrate National Public Health Week!

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These recent years we have seen how critical Public health is.  American Public Health Association and Skagit County Public Health are excited to invite you to celebrate  National Public Health this week. This year’s theme is “Public Health is Where You Are.”

Public health covers countless issues/ topics and practices that help every individual’s ability to live a long, healthy life. Together we can make our communities safer, healthier, and stronger!

So, what are some ways you, friends and family can get involved? Keep scrolling or visit www.NPHW.org for more info.

Get Involved

  • Help spread the word and become a NPHW partner.
  • Host a NPHW activity in your community.
  • Join Generation Public Health, a movement that’s all about creating the healthiest nation in one generation.
  • Help APHA by hosting a Keep It Moving Challenge event or participate in one.
  • Celebrate and support gratitude for public health.
  • Look for ways to strengthen our communities, locally and globally.
  • Help dismantle racism in your community.
  • Hold accountable companies, people, and organizations responsible for climate change.
  • Ensure public health authority to public health workers and families by progressing policies for paid sick leave and living wage.
  • Help make sure that health and wellness are not just available, but accessible to everyone in your community.

There are countless ways to make your voice heard and become part of the movement for public health. To learn more about this year’s daily themes go to https://www.nphw.org/Themes-and-Facts. Also, make sure to check APHA’s toolkits for more ways to keep the momentum going in your community.

Is It COVID-19 or Allergies? What are the Differences?

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Spring season is here and, for several of us, that also means allergy season. Right now, it can sometimes be difficult to tell whether you may be experiencing a cold, COVID, or allergies with the change of season.

A safe way to check before spending time with friends or loved ones is to take a COVID-19 test. To look for locations that offer COVID-19 testing, please visit our site at https://skagitcountywa.gov/Departments/HealthDiseases/coronavirusTESTsites.htm. To identify common symptoms, here are some key differences between COVID and seasonal allergies.

Differences

Seasonal Allergies Symptoms

  • Watery eyes
  • Sneezing
  • Itchy nose
  • Itchy eyes
  • Runny nose
  • Congestion
  • Headache
  • Shortness of breath or difficulty breathing (if you have asthma)
  • Fatigue (mild)
  • Sore throat
  • Wet cough
  • Snoring

Common Symptoms

  • Congestion or runny nose
  • Fatigue
  • Headache
  • Sore Throat
  • Cough
  • Shortness of breath or difficulty breathing

COVID-19 Symptoms

  • Fever
  • Dry cough
  • Shortness of breath
  • Loss of taste or smell
  • Fatigue
  • Nasal congestion or runny nose
  • Sore throat
  • Conjunctivitis (red eyes)
  • Headache
  • Muscle or joint pain
  • Different types of skin rashes
  • Nausea or vomiting
  • Diarrhea
  • Chills
  • Dizziness
  • Sneezing

As you can see, allergies and COVID-19 share several common symptoms. Even though they look similar, there are some distinctions. If you are not sure if you’re suffering from allergies or COVID, please seek out a COVID-19 test to avoid potentially spreading the virus to others. 

When to seek emergency care

If you or someone you know is experiencing trouble breathing, persistent chest pain (pressure in the chest), and skin is looking pale, gray, or blue-colored, please seek medical care right away.

If you or someone you know is experiencing any COVID-19 symptoms mentioned above, please feel free to visit us at our COVID-19 Test Site located at the Burlington Cascade Mall for a free COVID-19 rapid antigen test. If you test positive for COVID-19 at home, please stay home and contact your provider. Make sure to monitor and watch for symptoms. For more information check out the CDC website.

For more resources please visit:

Coronavirus Disease 2019 (COVID-19) | CDC

Novel Coronavirus Outbreak (COVID19) (skagitcounty.net)