Health Intelligence

Public Safety-Specific Information on Emerging Health Issues

This page was last updated on June 14, 2026.

Keep up on local, and world, emerging health issues. FirstWatch provides this resource to anyone interested – designed to inform our Public Safety and Public Health Partners. Sign up for notifications today!

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Public Health Emergency of International Concern – Mpox Clade I

The likelihood of a large outbreak of Mpox Clade I or I b is low outside of Africa, but isolated cases or outbreaks are possible. This post provides an early [...]


Updates for Seasonal Influenza (Flu) for 2022–2023

After a couple of Flu Seasons that were extraordinarily mild, Seasonal Flu is back with a vengeance. It’s starting early and all indications point to a very active Season.  The [...]


Be Careful with Fentanyl but Don’t Be Afraid to Treat

The Media, and now TV shows & movies, are representing any response from First Responders (EMS, Fire, Law Enforcement) as at risk for their own overdoses, should they even be [...]


Chemical, Biological, Radiological, and Nuclear Resources for First Responders

There has been increased concern about both domestic and international terrorism throughout the world. There are also natural disasters and accidental events, such as chemical releases or theft/loss of radioactive [...]


EMS1-Ebola virus disease Sudan Strain emerges in Uganda

EMS1 article by Pam Farber, RN, EMT-P and Rob Lawrence CDC issues Health Advisory Network Health Advisory, for healthcare workers to be aware of the Ebola outbreak View Article


Ebola (Sudan strain) Outbreak in Uganda

Uganda announced that they had an outbreak of Ebola, caused by the rarer Sudan viral strain on Sept 20, 2022.  Although the rate of new cases has slowed, there is [...]


Snohomish County, Washington Shares Their South County Fire COVID-19 Procedure Manual

Click here go to the permanent posting page for this manual.


Update on the Omicron Variant & Review of Mitigation Strategies for COVID-19

Omicron, the latest Variant of Concern, has become dominant in the U.S. and is gaining on the Delta Variant in Canada.  This follows its sudden surge in dominance over other [...]


Intro to Seasonal Influenza (Flu) 101 for 2021-2022

This document serves as an introduction, or review, for topics related to Seasonal Flu and what can be anticipated in the 2021-22 Flu Season.  It includes a description of Flu, [...]


CDC Intro to Omicron & Review of COVID-19 Vaccinations & Boosters

The CDC EPIC (Emergency Partners Information Connection) Extra contains info on the new Variant of Concern – Omicron - and what can be done to protect against it.  There is [...]


COVID-19 Variants Update

COVID-19 Variants, particularly those named Variants of Concern, are increasingly posing a greater risk to countries throughout the world, including the US and Canada. Currently, the Delta Variant (aka B.1.617.2), [...]


Paramedics Chiefs of Canada: COVID-19 Situation Report (Update) | Recording May 20th

During this interactive session we explored lessons learned, what we should be doing now, and strategies for handling things as they evolve.


J&J (Janssen) COVID-19 Vaccination Restart

After about a 10 day pause in the Johnson and Johnson (Janssen) Vaccine being administered in the US, on April 23, the Advisory Committee for Immunization Practice (APIC), recommended to […]


Seasonal Flu – So NOT in the News in 2020-2021

Seasonal Flu, for both the US and Canada, has pretty much been a no show for the 2020-21 Season.  Even though both countries did more surveillance and Flu tests than […]


Ebola in the Democratic Republic of the Congo (DRC) & Guinea Update

There is good news in the DRC regarding Ebola, while the fight against it in Guinea continues.  Both the DRC and Guinea began their 42-day countdowns from their last known […]


Health Canada Issues an Advisory/Recall for Face Masks Containing Graphene

Health Canada published an Advisory to warn Canadians (the general public, healthcare professionals and hospitals) to NOT wear face masks that contain Graphene or Biomass Graphene until further notice. The […]


FDA & CDC Recommend Pause in Johnson & Johnson (J&J) Vaccinations

THE FDA & CDC have recommended a pause in administering J&J (Janssen) COVID vaccinations after the VAERS (Vaccine Adverse Event Reporting System) had reports of six (6) women, between the […]


Johnson & Johnson’s Janssen Vaccine Information

The Johnson & Johnson’s (J&J) Vaccine started distribution this month and has been used at vaccination sites throughout the US. This vaccine is a different type of vaccine, called a […]


1st CDC Guidance for Those Fully Vaccinated Against COVID-19

The CDC has issued its first Guidance for those who are considered fully vaccinated against COVID-19.  The definition of fully vaccinated depends on which vaccine was administered, but is two […]


Ebola in Guinea & the DRC Update

There are now two separate Ebola Outbreaks in Africa; one is in the DRC and the other is in Guinea. Guinea, in West Africa is where the Ebola Epidemic of […]


Finding Valid Information & Keeping Up-to-Date on COVID-19

A year into the Pandemic, there is lots of information about COVID-19 out there – more and more based on sound science — but not all of it.  We absolutely […]


List of Employer & Employee COVID-19 Resources for the General Workplace & Specific Occupations

This list of Resources with links is provides In an attempt to make this updated info available more quickly, this document provides a list, divided into topics, each with links […]


Dept of Homeland Security National Terrorism Bulletin

The US DHS has released a Terrorism Advisory Bulletin to alert all people of a need to be aware of their surrounding and report any suspicious information or activity. It […]


COVID-19 In the News Update

The available information about COVID-19 is updating/changing on a daily, if not hourly, basis.  In an attempt to make this updated info available more quickly, this document provides a list, […]


COVID-19 Vaccine and Vaccination Update

The two mRNA vaccines have been out for more than a month and 4,263,056 individuals have already completed their vaccination series, while millions more await their second shot in the […]


SARS-CoV-2 (COVID-19) Variants

A year into the COVID Pandemic, and the SARS-CoV-2 virus has mutated millions of times as it transmitted between people.  It is what viruses do to survive & thrive.  Several […]


Paramedic Chiefs of Canada – Revolutionizing EMS: New Models of Care to Address Changing Health Care Needs in the Age of COVID | January 21st

Across Canada, access to appropriate health care is an ongoing challenge, and pressures within our health care system – wait times, hospital overcrowding, patient backlog – have only been intensified by the COVID-19 pandemic. To address these challenges, integrated primary health care teams across the country are working to help patients receive the care they need in their homes and communities, where they are often happiest and healthiest.


SARS-CoV-2 (COVID-19) Vaccine Update

SARS-CoV-2 Vaccinations to protect against COVID-19 have begun in the United States.  This article supplies some FAQs with subsequent discussion intended to help each individual come to their own personal […]


CDC Guidance for Managing the Holidays during COVID-19

The CDC published Guidelines intended to help individuals & families make the best and safest choices for themselves while celebrating the upcoming holidays. Most of the guidance is applicable to […]


COVID-19 Transmission FAQs Answered by Experts

With COVID levels at record highs it’s time to double down on protecting yourself, those you are responsible for and/or care about, from getting it. This paper answers vital questions […]


HHS/CDC SARS-CoV-2 Vaccination Plan for COVID-19

The HHS/CDC has reposted their Interim Vaccination Plan for the SARS-CoV-2 virus to prevent COVID-19.  This is a rapid rollout plan that is identified as interim because not all the […]


Paramedic Chiefs of Canada – 16th COVID-19 Webinar – The Epicenter: Contemplations on EMS Crisis Standards of Care – September 24th | Recording and Handout

New York City was the epicenter for COVID-19 during March and April 2020.  Amid the overwhelming case load and mortality associated with COVID burdening our health system leaders and frontline providers in EMS were forced to make life and death decisions, often with too little time and too little information.  Dr. Redlener discussed the challenges faced and how we can be better prepared should we face another pandemic surge.


Seasonal Flu in the Midst of COVID-19

As the 2020/21 Flu Season approaches, COVID-19 is still circulating in most states throughout the U.S. with many states again on the rise.  Since the Southern Hemisphere had their Flu […]


COVID – 19 Update – Airborne Transmission

Since the onset of the disease that would be named COVID-19, there have been questions about how it’s transmitted & how to decrease person-to-person transmission. More and more evidence has […]


COVID-19 Update – Fecal Transmission

Since the onset of the disease that would be named COVID-19, there have been questions about how it’s transmitted & how to decrease direct and indirect transmission. Fecal transmission is […]


Latest Strategies on COVID-19 Mitigation On & Off Duty

Most Public Safety & First Responders, especially EMS and Fire that work around COVID often, are keen to decrease its transmission to themselves or others.  And, recent studies and articles […]


Latest Data on COVID-19 Mitigation On & Off Duty Resources & Links

There are a lot of recently published scientific & observational studies, editorials, viewpoints, and more about both medical and lay person PPE. This includes predominantly masks & respirators, but also […]


Paramedic Chiefs of Canada – 15th COVID-19 Webinar – EMS Performance in Times of COVID-19: Montreal’s Experience – August 20th | Recording and Handout

Montreal was one of the regions hardest hit by the COVID-19 pandemic in Canada. As the situation progressed, Urgences-santé had to adapt and innovate in order to face this new reality. With the shut down of several links in the prehospital survival chain, the paramedics were left alone to face this invisible enemy.


Ebola Cases in the Democratic Republic of the Congo (DRC)

The Ebola outbreak in the DRC Equateur Province in Mbandaka continues to produce new cases with a total of 74 known cases and 32 deaths.  There was only one new case reported on August 3 and no new deaths, but one new case and one new death reported on August 5 by the WHO African Regional Office.  


Updated FDA Hand Sanitizer Warning 8-5-20

There is an ongoing and escalating issue with hand sanitizers manufactured in some factories in Mexico, and sold in stores throughout the U.S, that pose a danger to those who use them.  This is due to either methanol being added or substituted for ethyl or isopropyl alcohols, or subpotent percentages of appropriate alcohols in them. 


The EMS Today Show: Mike Taigman Speaks on Stress Management in the Age of COVID-19

JEMS Editor Emeritus A.J. Heightman talks with EMS visionary, researcher and educator extraordinaire Mike Taigman about living with stress and stress management in EMS, accelerated by the COVID-19 pandemic.


Finding & Reading the Literature on COVID-19

There are very few positives that have come from this COVID-19 Pandemic, but there is one that has made it easier for scientists, health care providers, and anyone who wants […]


COVID-19 Update Resources

View/Download the list


Paramedic Chiefs of Canada – COVID-19 Webinar – July Update – July 23rd | Recording and Handout

During this month’s interactive webinar, which was the 14th COVID-19 Webinar of our series, we provided an update on COVID-19 with an emphasis on what’s changed and how it relates to paramedic services.


EMS1 Article – Public health: We’ve got your back

EMS1 article by Mike Taigman – 5 ways for fire and EMS professionals to support our colleagues in public health as they battle COVID-19


EMS1 Article – Evidence-based pandemic leadership

EMS1 article by Jay Arthur, Scott Dorsey, and Mike Taigman – Tracking COVID-19 cases, PPE supply and ambulance turnaround times to inform EMS response


COVID-19 First Responder Update 6/11/20

There is plenty of information about COVID-19 available for anyone who searches and clicks on a computer or turns on a TV or radio to catch up on the news. […]


Paramedic Chiefs of Canada – COVID-19 Webinar – Timeline and Lessons Learned to Date – June 11th | Recording and Handouts

During this week’s interactive webinar, which is the 13th COVID-19 Webinar of our series, we summarized the timeline and progression of this pandemic, reviewed the information shared in our previous webinars, and lessons learned to date.


New Ebola Outbreak NW DRC Declared 6-1-20

Executive Summary: On 6/1/20, the WHO announced a new outbreak of Ebola in the Northwestern part of the Democratic Republic of the Congo (DRC), the same area that had a […]


Acute Inflammatory Illness in Children Temporally Linked to COVID-19 aka Multi Inflammatory Syndrome in Children (MIS-C)

GOAL:  Awareness of the Syndrome, early identification of its signs that can be recognized by parents/caregivers, EMS systems, and other first responders, with transport to an appropriate hospital for further […]


Websites for Multisystem Inflammatory Syndrome in Children

United States: CDC Health Advisory from the Health Alert Network: https://emergency.cdc.gov/han/2020/han00432.asp CDC MIS-C for Parents: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/children/mis-c.html CDC COVID and MIC-C Information for Healthcare Providers: https://www.cdc.gov/coronavirus/2019-ncov/hcp/pediatric-hcp.html#anchor_1589580133375 Medscape Video & Article on […]


Paramedic Chiefs of Canada – COVID-19 Webinar – A National Conversation: Part 8 – Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19 – May 28th | Recording and Handouts

A new syndrome, now named MIS-C, has been identified in multiple countries in the past few weeks which seems to be associated with COVID-19 infection, even if COVID was asymptomatic or unrecognized. It manifests itself as a Kawasaki-like illness and/or as Toxic Shock-Like Syndrome.


Paramedic Chiefs of Canada – COVID-19 Webinar – A National Conversation: Part 7 – COVID-19 Procedure Manual Review – May 14th | Recording and Handouts

In this installment, we had a follow-up discussion with Deputy Chief Shaughn Maxwell on the editable COVID-19 Procedure Manual used by South County Fire in Snohomish County, Washington. In our previous session on April 30th, Dr. Richard Campbell covered their approach to PPE Conservation, and gave a quick overview of their entire manual which received input from NASA and other experts on various subjects, including Human Factors, to enhance adoption and usability.


CDC Health Alert Network (HAN) Advisory on 5/14/20: Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19

A new syndrome, now named MIS-C, has been identified in multiple countries in the past few weeks which seems to be associated with COVID-19 infection, even if COVID was asymptomatic […]


More Than a Pile of Data with Todd Stout

Podcast with IAED – Annals of Emergency Dispatch & Response, hosted by Becca Barrus. Todd Stout, president and founder of FirstWatch, discusses the role of FirstWatch in COVID-19 surveillance, lessons learned from the Ebola virus outbreak, and the importance of emergency dispatchers increasing their resilience.


Paramedic Chiefs of Canada – COVID-19 Webinar – A National Conversation: Part 6 – Personal Protective Equipment (PPE) Preservation Tactics – April 30th | Recording and Handouts

Continuing forward from our reoccurring COVID-19 Webinars, “A National Conversation” where we gather brief “snapshots” of current provincial and/or national states on a variety of pressing topics related to COVID-19. [...]


Paramedic Chiefs of Canada – COVID-19 Webinar – A National Conversation: Part 5 – Community Paramedicine During a Pandemic – April 24th | Recording and Handout

Continuing forward from our reoccurring COVID-19 Webinars, “A National Conversation” where we gather brief “snapshots” of current provincial and/or national states on a variety of pressing topics related to COVID-19. The focus in this webinar was on “Community Paramedics during a Pandemic.”


Situational Awareness for All Public Safety Responders

Police, Fire, EMS, and Corrections personnel (my apologies if I missed anyone) are all taught and practice situational awareness.  This practice is what allows so many First Responders to go [...]


COVID-19 Guidance Resources for Law Enforcement Personnel

There is a lot of available information for Health Care Workers and EMS, but not very much for Law Enforcement who have several roles as part of their work that puts them at increased risk for being infected by COVID-19.  This document raises the awareness of that risk and offers a clearinghouse of resources specifically for Law Enforcement, First Responders/Public Safety.


EMS1 Article – Q&A: Data-driven EMS staffing for COVID-19

EMS1 article by Mike Taigman – Leaders from Montgomery County Fire & Rescue Service and Snohomish County Fire District detail how they’re monitoring the COVID-19 surge and preparing for the worst-case scenario.


Paramedic Chiefs of Canada – COVID-19 Webinar A National Conversation: Part 4 – Supporting Staff During a Pandemic – April 16th | Recording and Handout

Continuing forward from our recent COVID-19 Webinars, “A National Conversation” where we gather brief “snapshots” of current provincial and/or national states on a variety of pressing topics related to COVID-19. The focus of this webinar was on “Supporting Staff during a Pandemic.”


Paramedic Chiefs of Canada – COVID-19 Webinar: National Conversation (Part 3) – April 9th | Recording and Handout

Continuing forward from our recent COVID-19 Webinars, “A National Conversation” where we gathered a brief “snapshot” of current provincial and/or national states on a variety of pressing topics. The focus of this webinar was on Patient Management including IAED Protocol 36 and other topics.


The Prepared Warrior Podcast: Policing in a Pandemic | Mike Taigman

Before beginning a shift for the day, what is something those working in law enforcement can do to prepare themselves, knowing they are risking exposure to COVID-19?

For those working in a leadership role, what is important for them to keep in mind?

This pandemic has the potential to drag on for a long time, what are the possible effects of long-term heightened stress on first responders?

Can you explain the concept of crisis rehearsal and how that could be beneficial for law enforcement at this time? and more!


Introduction to the Staying Informed, Staying Healthy, & Staying in Charge Article Series

Any time there is a novel virus, regardless of what it is or where it came from, there is a learning curve for virologists, infectious disease doctors, epidemiologists, other health […]


First Responders, Stress Management and Coronavirus – April 2nd | Recording and Resources

How to take care of yourself and your family during this crisis Coronavirus transformed our lives nearly overnight. Suddenly, we’re bombarded with messages: Stay home, shelter in place, avoid sick [...]


6th Webinar in a Series: Paramedic Chiefs of Canada – COVID-19: National Conversation (Part 2) – April 2nd | Recording and Handout

Continuing forward from our most recent COVID-19 Webinar, “A National Conversation” where we gathered a brief “snapshot” of current provincial and/or national states on a variety of pressing topics, join us for this next installment delving into a few specific topics more specifically.


New COVID-19 Resource Page on EMS.gov

A new COVID-19 resource page on EMS.gov provides easy to find links to the most relevant and up-to-date information from the US Centers for Disease Control and Prevention (CDC), NHTSA [...]


New COVID-19 Enhancements in Academy Analytics Webinar – March 30th | Recording Available

This is an overview of the new features and training session on using them, as well as existing Academy Analytics features, to monitor your calls taken using the MPDS EIDS tool and/or Protocol 36. Geared toward those who have Academy Analytics, but is open to all.


Ryan White Act Expanded to Include COVID-19 Reporting

Executive Summary: For those Public Safety Agencies reporting an employee’s possible exposure, and expecting notification of a positive COVID-19 disease result from the hospital or public health officer, the expanded [...]


COVID-19 Surveillance and Triage Using MPDS Webinar – March 27th | Recording and Handout

Emerging Disease Surveillance and Triage using the MPDS ProQA software Click here to view the recording. Click here for a pdf of the slides. Mentioned during webinar: Link to Academy Analytics COVID-19 features, click [...]


JEMS Article – The Public Health Perspective on Data and EMS

FirstWatch Medical Director, Silvia Verdugo Puts COVID-19 in Perspective in JEMS Interview


National Institutes of Health (NIH) launches COVID-19 website for the workplace, including emergency responders

With new funding from Congress, the NIH has launched a website with training and educational resources for workers confronting COVID-19 in the workplace, including emergency first responders, hospital workers, and [...]


5th Webinar in a Series: Paramedic Chiefs of Canada – COVID-19: National Conversation on Employee Quarantine and Other Topics – March 26th | Recording and Handout

Canadian Paramedic Services National Conversation led by Darren Sandbeck, Senior Provincial Director & Chief Paramedic, Alberta Health Services Emergency Medical Services This conversation was in the tradition originally started with a [...]


EMS1 Article – 7 data visualizations that explain COVID-19

EMS1 article – Our friend Catherine Counts PhD from Seattle shares data visualization resources to help manage the response to our pandemic.


EMS1 Article – Quick Take: COVID-19 EMS Patient Management: Myth vs. Reality webinar

EMS1 article by Rob Lawrence – Communication, PPE and decontamination strategies highlighted the 4th FirstWatch and Paramedic Chiefs of Canada COVID-19 webinar


4th Webinar in a Series: COVID-19 EMS Patient Management: Myth vs. Reality | Recording and Handout

This joint webinar of PCC, AIMHI, IAED, NAEMT, CAA, and FirstWatch was the 4th in a series. We were proud to see that over 1,300 people registered for it. With Matt Zavadsky from MedStar moderating, our presenters for Solano County, California were Dr. [...]


EMS1 Article – Elbow bumps are the new hugs

EMS1 article by Mike Taigman – Coronavirus spread in an already busy flu season calls staffing contingency plans and a commitment to hygiene and PPE


COVID-19 Process/Policy Template

The intention of the COVID-19 Process/Policy Template is to provide agencies, medical directors, or others who want to utilize it, an outline/template on which to build an agency-specific policy/protocol to […]


For Week #8 Flu & ILI Decreased for 2nd Week but Pediatric Deaths at Record Rate

Executive Summary:  Although the flu season is hopefully going to continue to decline over the next month, it is still something to watch closely.  Flu activity decreased with hospitalizations for […]


Coronavirus: 2 dozen first responders quarantined in Washington state

WSB-TV – Article and Video: Two dozen emergency workers in Washington state are off the job as they are being monitored for possible exposure to the coronavirus. (KIRO7.com)


COVID-19 Revised CDC Definition Feb 27, 2020

Executive Summary: A revised Criteria to Guide Evaluation of PUI for COVID-19 and Footnotes have been developed by the CDC to better define what currently makes a person fall into […]


COVID-19 Update 2/25/20

Executive Summary: The COVID-19 outbreak is rapidly evolving into a global event which potentially puts people all over the world at risk for being infected by it.  Although it not […]


Keeping Your Employees Safe – NIOSH COVID-19 – Feb 15, 2020

Executive Summary: The CDC considers this COVID-19 outbreak to be, “an emerging, rapidly evolving situation.  The CDC/NIOSH have published a webpage with links to resources for the protection of workers […]


For Week #7 Flu & ILI Decreased Slightly with a Record Setting Number of Total Pediatric Deaths

Executive Summary:  Although eyes are still focused on COVID-19, Flu activity remains a far greater threat to North America at this time.  Flu activity decreased with hospitalizations for children & […]


COVID-19 Webinar, including pediatric discussion, with Paramedic Chiefs of Canada on Wednesday, February 26th, 2020

This Paramedic Chiefs of Canada (PCC) webinar is presented in conjunction with the International Academies of Emergency Dispatch (IAED), and FirstWatch. View Webinar Recording View Webinar Slides (PDF Format) Additional […]


For Week #6 Flu & ILI Increased for the 4th Week with 14 Pediatric Deaths Reported

Executive Summary: Although most eyes are laser-focused on the COVID-19, Flu activity remains a far greater threat to North America and other countries outside the China region at this time.  […]


COVID-19 PCC Webinar #2 – Presentation Supporting Documents – URL & Resources

This list of URLs provides current, as of 2/12/20, URL links to both Canadian (PHAC) and American (CDC) COVID-19 Case Definitions, including a rapid use CDC Flowchart for ID and […]


For Week #4 Flu & ILI Increased for the 2nd Week with 14 Pediatric Deaths Reported

Executive Summary: Although most eyes are laser-focused on the 2019-nCoV, Flu activity remains a far greater threat to North America and other countries outside the China region at this time.  […]


Coronavirus Webinar with Paramedic Chiefs of Canada on Thursday, February 13th, 2020 | Recording and Handouts

2nd PCC Webcast in a Series: 2019-nCoV “Coronavirus” – Feb-13-2020 View Webinar Recording View Webinar Slides (PDF format) Download Webinar Slides (PowerPoint format, for your teaching purposes) Additional Resources Mentioned […]


NIOSH Warns of Counterfeit Particulate Respirators Feb 4, 2020

IN THE NEWS Executive Summary: The CDC and NIOSH have reported counterfeit respirators being sold on the open market with various methods of NIOSH Approval misrepresentation in the way of […]


EMS1 Article – Quick Take: Transporting Patient One – Coronavirus in the US

EMS1 Article by Rob Lawrence. Snohomish County, Washington, officials describe the EMS transport of the first confirmed 2019-nCoV patient in the U.S.


1st Coronavirus Webinar with Paramedic Chiefs of Canada on Monday, February 3rd, 2020 | Recording and Handouts

PCC Webcast: 2019-nCoV “Coronavirus” – Emerging Infectious Disease – Feb-3-2020 View Webinar Recording View Webinar Slides Additional Resources Mentioned During the Webinar: Novel Coronavirus 2019-nCoV – What Public Safety/First Responders […]


Novel Coronavirus 2019-nCoV – What Public Safety/First Responders Can Do

What First Responders Can Do Feb-3-2020: The information in the attached PDF is designed to assist EMS and other First Responders, but may contain information not complete or applicable to […]


Coronavirus 2019-nCoV URL Resources Feb 2, 2020

Coronavirus Resource URLs for Public Safety Organizations: Link to the IAED EIDS Tool for 2019-nCoV: https://www.emergencydispatch.org/coronavirus-2019-nCoV OSHA Recommendations for 2019-nCoV: https://www.osha.gov/SLTC/novel_coronavirus/ FEMA on 2019-nCoV: https://www.usfa.fema.gov/operations/infograms/012320.html NAEMSP Recommendations for 2019-nCoV: https://naemsp.org/home/news/ems-considerations-for-coronavirus/ […]


Coronavirus Travel Alert & Screenings in the US & the WHO Erred in its Assessment of Risk

Executive Summary: The CDC has announced that U.S. Travel Alert Status in now at Level 3 – All non-essential travel to China should be avoided.  The CDC has also expanded […]


CDC Issued Health Advisory regarding elevated flu activity Week #3 — Week Ending 1-18-20

Executive Summary: The CDC issued a health advisory, HAN 00425, on Jan 10 warning of elevated flu activity with Influenza B/Victoria and A(H1N1)pdm09 viruses dominating. Children have taken the worse […]


Novel Coronavirus (2019-nCoV) Update 1/26/20

IN THE NEWS The 2019-nCoV situation is a rapidly changing one with almost constant news media reports, situation reports, revised information and guidelines, travel bans and recommendations, and more.  Reports […]


First case of Coronavirus (2019-nCoV) in Toronto, Canada

IN THE NEWS
Toronto Health Officials have announced the first case of 2019-nCoV in Canada. The patient travelled from Wuhan City and arrived in Toronto on January 22nd and was transported by our customer, Toronto Paramedic Services.


Novel Coronavirus (2019-nCoV) Update 1/24/20

IN THE NEWS The emergence of a novel disease is always a rapidly changing situation and FirstWatch will attempt to be your clearinghouse of important information for planning and on-going […]


1st Case of Novel Coronavirus (2019-nCoV) in the United States

IN THE NEWS The CDC and the State of Washington Department of Health in coordination with the Snohomish Health District posted news releases of the first U.S. case of the […]


Influenza (FLU) Update for Week Ending 12-28-19

Influenza (FLU) Update for Week #52 — Week Ending 12-28-19 The CDC reported that flu activity (diagnosed flu and ILI outpatient visits) is high in all regions of the US […]


Influenza (FLU) Update for Week Ending 12-14-19

Influenza (FLU) Update for Week #50 — Week Ending 12-14-19 The CDC reported that flu season is in full swing, with all regions of the US having elevated ILI and […]


Influenza (FLU) Update for Week Ending 12-7-19

Influenza (FLU) Update for Week #49 — Week Ending 12-7-19 The CDC reported that seasonal flu is in full swing, with all regions of the US having elevated ILI and […]


Influenza (FLU) Update for Week Ending 11-30-19

Influenza (FLU) Update for Week #48 — Week Ending 11-30-19 The CDC reported that seasonal flu activity continued to increase over the previous week; from a national perspective, ILI has […]


Influenza (FLU) Update for Week Ending 11-23-19

Influenza (FLU) Update for Week #47 — Week Ending 11-23-19 The CDC reported that seasonal flu activity continued to increase over the previous week but the level of activity and […]


Influenza (FLU) Update for Week Ending 11-9-19

Influenza (FLU) Update for Week #45  Week Ending 11-9-19 The CDC reported that seasonal flu activity increased over the previous week with more states reporting increased levels of Flu and […]


Influenza (FLU) Update for Week Ending 11-2-19

Influenza (FLU) Update for Week #44  Week Ending 11-2-19 The CDC reported that seasonal flu activity is low, but increased some from the previous week.  These lower levels are expected […]


Influenza (FLU) Update for Week Ending 10-26-19

Influenza (FLU) Update for Week #43  Week Ending 10-26-19 The CDC reported that seasonal flu activity is low, but had increased a little from the previous week. These levels are […]


Ebola Virus Disease (EVD) Update

The Eastern DRC Outbreak of Ebola began in August of 2018. Just over a year later, cases continue to be identified but the rate of new cases appear to have […]


MERS – CoV (Middle East Respiratory Syndrome Coronavirus) Update

As of September 19, 2019, the WHO Regional Office for the Eastern Mediterranean reported only one (1) new case so far in September; August had a total of six (6) […]


EMS/First Responder Application of the CDC Measles Recommendations

The CDC has recently published a new document called Interim Infection Prevention and Control Recommendations Guidance for Measles in Healthcare Settings (7/19).  It is a comprehensive document aimed at a […]


Ebola has Spread to a Neighboring Country, Uganda 6-12-19

The WHO, the Democratic Republic of the Congo (DRC) Health Minister, and the Ugandan Health Minister have all announced that there have been confirmed cases of Ebola (EVD) in Uganda.  […]


U.S. Measles Cases number over 1000 in 2019

According to the CDC, another measles milestone has been reached and, as of 6/6/19, there were 1,022 confirmed cases of measles in 28 of the 50 states.  This is the […]


Influenza (FLU) Update for Week Ending 6-1-19

Influenza (FLU) Update for Week #22 — Week Ending June 1, 2019  The CDC reported Flu & ILI activity remained low throughout the nation during Week #22. This year’s Flu […]


Outbreak of Ebola Virus Disease (EVD) in the DRC

Note:  There have been previous posts on Ebola to the Health Intelligence Page.  Please see those articles for background, as well as more detailed information on EVD.  You can find […]


Measles (Rubeola) in Multiple States in the United States

The Data:* According to the CDC, from January 1st through May 24, 2019, there have been 940 confirmed cases of measles in 26 states within the U.S.A. (compared to 127 […]


Influenza (FLU) Update for Week Ending 5-18-19

For week #20 (ending 5-18-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), stayed low throughout the nation during Week #20, as this […]


Influenza (FLU) Update for Week Ending 5-4-19

For week #18 (ending 5-4-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), continued to decline during Week #18, as this year’s Flu […]


Influenza (FLU) Update for Week Ending 4-27-19

For week #16 & 17 (ending 4-20 & 4-27-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), continued to decline during Weeks #16 […]


Influenza (FLU) Update for Week Ending 4-13-19

For week #15 (ending 4-13-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), decreased again but was still elevated during Week #15, particularly […]


Influenza (FLU) Update for Week Ending 4-6-19

For week #14 (ending 4-6-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), decreased again but was still elevated during Week #14, particularly […]


Influenza (FLU) Update for Week Ending 3-30-19

For week #13 (ending 3-30-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), decreased but was still elevated during Week #13.  The percentage […]


Influenza (FLU) Update for Week Ending 3-23-19

For week #12 (ending 3-23-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), decreased but was still elevated during Week #12.  The percentage […]


Influenza (FLU) Update for Week Ending 3-16-19

For week #11 (ending 3-16-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), was elevated during Week #11.  The percentage of respiratory specimens […]


Influenza (FLU) Update for Week Ending 3-9-19

For week #10 (ending 3-9-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), remained widespread during Week #10.  The percentage of respiratory specimens […]


Influenza (FLU) Update for Week Ending 3-2-19

For week #09 (ending 3-2-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), remained widespread during Week #9.  The percentage of respiratory specimens […]


Influenza (FLU) Update for Week Ending 2-23-19

For week #08 (ending 2-23-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), remained widespread during Week #8.  The percentage of respiratory specimens […]


Acute Flaccid Myelitis (AFM) Update 2-23-19

The CDC released a new update of confirmed cases and PUIs (persons under investigation) for AFM through 2/18/19.  With five (5) new confirmed cases reported for 2018 included, it brings […]


Influenza (FLU) Update for Week Ending 2-16-19

For week #07 (ending 2-16-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), continued to increase during week #7.  The percentage of respiratory […]


Outbreaks/Emerging Diseases:  MEASLES (Rubeola)

Although Measles was declared eradicated in 2000 within the United States, there have been individual cases of measles reported in most years, mostly as outbreaks (3 or more confirmed cases […]


Influenza (FLU) Update for Week Ending 2-9-19

For week #06 (ending 2-9-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), continued to increase with all of the markers increased during […]


Influenza (FLU) Update for Week Ending 2-2-19

For week #05 (ending 2-2-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), continued to increase with almost all of the severity markers […]


Influenza (FLU) Update for Week Ending 1-26-19

For week #04 (ending 1-26-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), increased again.  The percentage of respiratory specimens testing positive for […]


Influenza (FLU) Update for Week Ending 1-19-19

For week #03 (ending 1-19-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), increased.  The percentage of respiratory specimens testing positive for flu […]


Influenza (FLU) Update for Week Ending 1-12-19

For week #02 (ending 1-12-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), remained elevated.  The percentage of respiratory specimens testing positive for […]


Influenza (FLU) Update for Week Ending 1-5-19

For week #01 (ending 1-5-19) the CDC reported that Influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), remained elevated.  The percentage of respiratory specimens testing positive for […]


Influenza (FLU) Update for Week Ending 12-29-18

For week #52 (ending 12-29-18) the CDC reported that influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness), continued to increase.  The percentage of respiratory specimens testing […]


Influenza (FLU) Update for Week Ending 12-22-18

For week #51 (ending 12-22-18) the CDC reported that influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness) continued to increase.  The percentage of respiratory specimens testing […]


Influenza (FLU) Update for Week Ending 12-15-18

For week #50 (ending 12-15-18) the CDC reported that influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness) increased and the threshold has been reached met to […]


Influenza (FLU) Update for Week Ending 12-8-18

For week #49 (ending 12-8-18) the CDC reported that influenza (Flu) activity, which includes diagnosed flu as well as ILI (Influenza-Like-Illness) was still slightly elevated. The percentage of respiratory specimens […]


PoliceOne article: “How biosurveillance turns opioids-related data into actionable intelligence”

Check out this PoliceOne article “How biosurveillance turns opioids-related data into actionable intelligence” by By Rob Lawrence, P1 Contributor. See how a customer agency, in Richmond, Virginia, is utilizing the […]


Outbreak of Acute Flaccid Myelitis (AFM) 10-17-18 Update

The CDC continues to investigate a surge in cases of a rare syndrome (one in one million), called AFM, which causes inflammation in spinal cord and results in the sudden […]


Outbreak of Acute Flaccid Myelitis (AFM)

The CDC is investigating a surge in cases of a rare syndrome, called AFM, which causes inflammation in spinal cord and results in the sudden onset of a weakened limb […]


Middle East Respiratory Syndrome – Corona Virus (MERS-CoV)

A patient who normally lives in the Middle East, but traveled to England on Saudi Arabian Airlines Flight# SV123, on August 16, 2018, has been diagnosed with MERS-CoV infection after […]


Protecting from Heat Illness/Injury

Very hot temperatures seem to be a frequent topic in the news and as people discuss the weather.    Everyone who feels these temperatures can readily identify them and, when they […]


Suicide Prevention for First Responders

For those who have seen the tragedy of first responder suicide up close, or heard about it, they know that suicide needs to be prevented at all costs. And, to prevent it, an agency and its individuals – all of them – need to be aware of the increased risks in this population, the causes, the early signs of an issue, and how to quickly intercede and get help for that individual(s).


ZIKA UPDATE 7/23/18

There have been recent reports, from new agencies and other organizations, about Zika cases in the United States for 2018.  It seemed important to clarify exactly what those reports mean […]


First Responder Health & Safety Links

CDC / NIOSH Emergency Responders Resources including: • Safety Management • Bloodborne Infectious Disease • Personal Protective Equipment • Traumatic Incident Stress https://www.cdc.gov/niosh/topics/emres/responders.html Safety Management: https://www.osha.gov/SLTC/emergencypreparedness/index.html Bloodborne Infectious Disease: https://www.osha.gov/SLTC/bloodbornepathogens/ […]


Detection & Management of Opioid Exposure for Public Safety Working Dogs

Although this subject is outside the usual scope of FirstWatch’s focus, it’s recognized that working service dogs that assist local, state and federal law enforcement and other agency partners (FBI, […]


EBOLA RESOURCES 2018

Information on the 2018 Ebola outbreak


Ebola Outbreak May 2018

As you are no doubt aware from the media, there is an outbreak of Ebola in the Democratic Republic of Congo (DRC).  There are no cases in the United States […]


Influenza Update Week Ending 5-19-2018

Influenza (FLU) Update for Week #20 Week Ending 5-19-18 FLU and ILI news continued to improve and, although there were still Flu and ILI cases, as well as hospitalizations and […]


Influenza Update Week Ending 5-12-2018

Influenza (FLU) Update for Week #19 Week Ending 5-12-18 FLU and ILI news continued to get better although there were still two indicators that have not normalized, specifically, hospitalizations and […]


Influenza Update Week Ending 5-5-2018

Influenza (FLU) Update for Week #18 Week Ending 5-5-18 Continued good news about Flu but two indicators still have not abated.  Specifically, the rate of hospitalizations from flu continued to […]


Novel Viruses

Typically, pandemics are caused by novel viruses or variant strains of known viruses since few, if any, people have been exposed or developed antibodies to the virus. Since there is […]


DHS Information for First Responders on Maintaining Operational Capabilities during a Pandemic

Executive Summary First responders have a critical role in prehospital emergency care and must continue to provide this essential service and fill the many emergency response roles in a community. […]


CDC Interim Pre-pandemic Planning Guidance: Community Strategy for Pandemic Influenza Mitigation in the United States

Purpose This document provides interim planning guidance for State, territorial, tribal, and local communities that focuses on several measures other than vaccination and drug treatment that might be useful during […]


Influenza Update Week Ending 4-28-2018

Influenza (FLU) Update for Week #17 Week Ending 4-28-18 Continued good news about Flu but two indicators still haven’t shown any sign of abating.  Specifically, the rate of hospitalizations from […]


Influenza Update Week Ending 4-21-2018

Influenza (FLU) Update for Week #16 Week Ending 4-21-18 Continued good news about Flu but there are still a couple of indicators that have yet to fall, namely, the rate […]


Influenza Update Week Ending 4-14-2018

Influenza (FLU) Update for Week #15 Week Ending 4-14-18 Good news about Flu!!  For the second time in-a-row since the third week in November, influenza activity was below the national […]


Synthetic Opioids/Fentanyl and Fentanyl Analogs

This is a collection of resources, developed by experts and stakeholder groups, to help identify, mitigate, and manage the risk for First Responders. The documents contain tools, recommendations, charts, and other pertinent information for knowledge as well as the development of Best Practice Policies for First Responder agencies in dealing with synthetic opioids.


Influenza Update Week Ending 3-31-2018

Influenza (FLU) Update for Week #13 Week Ending 3-31-18 Although Flu and ILI was still elevated above the national baseline, they each continued to decrease last week.  Week #13 was […]


Influenza Update Week Ending 3-24-2018

Influenza (FLU) Update for Week #12 Week Ending 3-24-18 Although Flu and ILI remained elevated above the national baseline respectively, they each continued to decrease last week.  Week #12 was […]


Influenza Update Week Ending 3-17-2018

Influenza (FLU) Update for Week #11 Week Ending 3-17-18 Although Flu and ILI is still fairly widespread and above the national baseline, respectively, Week #11 was the fifth week with […]


Influenza Update Week Ending 3-10-2018

Influenza (FLU) Update for Week #10 Week Ending 3-10-18 Although Flu and ILI is still fairly widespread and above the national baseline, respectively, Week #10 was the fourth week with […]


Influenza Update Week Ending 3-3-2018

Influenza (FLU) Update for Week #9 Week Ending 3-3-18 Although Flu and ILI are still fairly widespread and above the national baseline, respectively, Week #9 was the third week with […]


Influenza Update Week Ending 2-17-2018

Influenza (FLU) Update for Week #7 Week Ending 2-17-18 The CDC reported that although there were multiple indicators suggesting that the flu season has hopefully peaked, flu activity is still […]


MIDDLE EAST RESPIRATORY SYNDROME (MERS)

Download the below information in PDF form MERS is considered an emerging disease, caused by a novel virus (one that has not been identified before), that was first identified in […]


Influenza Update Week Ending 2-03-2018

Week ending 2-3-18 The CDC reported that influenza activity (diagnosed flu and Influenza-Like-Illness) increased once again.  Levels have met or exceeded flu and ILI markers from flu seasons over the last […]


Influenza Update Week Ending 1-27-2018

Week ending 1-27-18 The CDC reported that influenza (Flu) activity, including diagnosed flu and Influenza-Like-Illness (ILI), increased again;  there was no indication that flu/ILI was waning.  All but two states, Hawaii […]


Influenza Update Week Ending 1-20-2018

Week ending 1-20-18 TThe CDC reported that influenza (Flu) activity, including diagnosed flu and Influenza-Like-Illness (ILI), increased again. All states reported widespread flu activity except for Hawaii, and ILI levels […]


Influenza Update Week Ending 1-13-2018

Week #56 (ending 1-13-18) The CDC reported that influenza (Flu) activity, including diagnosed flu and Influenza-Like-Illness (ILI), increased again. All states reported widespread flu activity except for Hawaii and ILI […]


Influenza Update Week Ending 1-6-2018

Week #55 (ending 1-6-18) The CDC reported that influenza (Flu) activity, including diagnosed flu as well as Influenza-Like-Illness (ILI), increased again and all states reported widespread activity except for Hawaii. […]


Seasonal Influenza Resources

We have put together a running list of top Influenza resources for you to make use of during the flu season. Download the Full Resource List


Influenza Update Week Ending 12-30-2017

Week #52 (ending 12-30-17) the CDC reported that influenza (Flu) activity, including diagnosed flu as well as Influenza-Like-Illness (ILI) sharply increased for this week. The dominating flu subtype continued to […]


In the News: HAN Influenza Advisory

CDC has released a Health Advisory from their Health Alert Network:https://emergency.cdc.gov/han/han00409.asp Due to the rapid rise in cases of flu and recent past history when the predominantly circulating flu strain […]


Influenza Update Week Ending 12-30-2017

Week #52 (ending 12-30-17) the CDC reported that influenza (Flu) activity, including diagnosed flu as well as Influenza-Like-Illness (ILI) sharply increased for this week. The dominating flu subtype continued to […]


Influenza Update Week Ending 12-23-2017

Earlier in this flu season, the CDC posted an expectation that this flu season (2017-18) would likely start early and be more severe (as it was last year) than previous […]


Pinnacle 2017 Session: How EMS Can Fight the Opioid Overdose Crisis

What a great session at the Pinnacle 2017 conference. For those of you that were unable to attend, you can find the information regarding the conference below, as well as […]


Zika Update as of Aug 23, 2016

1. A new area with local transmission by mosquitos has been identified in Miami, Florida for a portion of South Beach. 2. A non-travel case of Zika has been identified […]


Should EMS Data be Monitored for Zika Infection?

FirstWatch likes to provide surveillance and early warning for many different threats to our clients – that was, in fact, the initial reason for starting the company. So, it makes […]


Zika in all but 4 U.S. States

There are currently three scenarios in which the Zika virus is spreading: areas where local mosquito transmission is occurring, areas that have the potential for having local mosquito transmission (have […]


Influenza Update: 2015-2016, Week Ending 2-27-16

Download the below information in PDF form Influenza 2015-2016 On Feb 1, 2016, the CDC published a notice that the Influenza (Flu) season had begun and that severe cases of […]


UPDATED: What EMS Should Know About Zika

Download the below information in PDF form Current Assessment The largest outbreak of the Zika virus continues with active circulation (local transmission) in many countries in South and Central America […]


Confirmed Zika Transmission through Intercourse

Download the below information in PDF form Update Since my last writing on Zika, there have been new developments. Multiple cases of Zika have been diagnosed in the United States, […]


What EMS Should Know About Zika

Download the below information in PDF form Current Assessment The largest outbreak of the Zika virus is occurring in Central and South America with fear that the virus will become […]


MERS-CoV Outbreak in Korea

Download the below information in PDF form The World Health Organization is reporting an outbreak of Middle Eastern Respiratory Syndrome caused by the Corona Virus, otherwise known as MERS-CoV. On […]


CDC Grant Opportunity – Ebola Preparedness and Response Activities

The CDC is awarding a total of $145 million in supplemental funding to the current 62 Public Health Emergency Preparedness (PHEP) cooperative agreement awardees to support accelerated Ebola public health […]


Early Indications from CDC Point to Bad Flu Season

Download PDF  Predictions and early indications from the CDC point to a bad influenza season. There are a couple of reasons why they are worried about this year being particularly […]


Wrap-Up: Ebola International Webinar Discussion

We recognize that Ebola is still an issue across the world, however it seems to be generally contained to the few suffering countries for now. As a result, we held […]


International Webinar Discussion on Ebola

The eighth webinar held on Thursday, December 18th included featured guest speaker Dr. Ed Racht, Chief Medical Officer at AMR, who discussed their comprehensive approach to transporting Ebola patients in […]


CDC Warning on Influenza

Download PDF  The CDC sent out a health advisory on December 3, 2014 regarding the potential for a poor match between the circulating influenza strain and the vaccine. The CDC […]


International Webinar Discussion on Ebola

The sixth webinar held on Thursday November 20th included special guest presenter Dr. Richard Alcorta, acting Co-Executive Director and State EMS Medical Director at MEIMSS, who spoke to Maryland’s statewide […]


International Webinar Discussion on Ebola

The fifth webinar held on Thursday November 6th included special guests Peter Simpson, Clinical Operations Manager, East of England Ambulance Trust, Norwich, United Kingdom and Catherine Jackson-Cole, Ambulance Coordinator, Pharmacist […]


International Webinar Discussion on Ebola

The seventh webinar held on Thursday November 4th included featured guest speakers, Battalion Chief Edward Bergamini and Captain Paul Miano of FDNY who shared with us their experience transporting Dr. […]


International Webinar Discussion on Ebola

The fourth webinar held on Thursday October 30th included special guest Russell MacDonald, MD, MPH, FRCPC, Associate Professor and Co-Director of Emergency Medicine at the University of Toronto, Medical Director […]


International Webinar Discussion on Ebola

The third webinar held on Thursday October 23rd included special guests Alexander Isakov, MD, MPH, Associate Professor of Emergency Medicine and Director, Section of Prehospital and Disaster Medicine at the […]


International Webinar Discussion on Ebola

The second webinar held on Thursday October 16th included special guests Dr. Jeff Clawson and Dr. Conrad Fivaz of IAED, who explained the newly updated ProQA Emerging Infectious Disease tool, […]


International Webinar Discussion on Ebola

This weeks webinar features special guest Chief Normal Seals, EMS Chief at the Dallas Fire Department who spoke to his agency’s experience with Ebola and fielded questions. With growing attention […]


Enterovirus D68 Continues to Spread

Download PDF  Since first reported in August, Enterovirus D68 (EV-D68) has spread from the Midwest to the majority of the United States. The CDC now reports that over 32 states […]


Ebola – a Disaster in the Making

Download PDF  The CDC recently released a report stating that if there is no action on tackling the Ebola virus, their models predict 1.4 million persons will become infected by […]


Enterovirus D68 Infections Reported in Midwest

Download PDF  The CDC has released an early report on a cluster of children with severe respiratory complaints in the Midwest. The Children’s Mercy Hospital in Kansas City, MO and […]


Ebola Virus Update

The CDC has posted interim guidance for Emergency Medical Services (EMS) Systems and 9-1-1 Public Safety Answering Points (PSAPs) for management of patients with known or suspected Ebola Virus Disease […]


Ebola Virus Update

Download PDF  The CDC has posted recommendations for Hospitalized patients suspected or known to have the Ebola virus. View recommendations.


Ebola Virus

Download PDF The largest outbreak of the Ebola virus is occurring on the African continent with fear that the deadly disease will spread to other countries. So far, there have […]


Second confirmed case of MERS-CoV in the United States

Download PDF Today the Centers for Disease Control and Prevention announced a second case of MERS-CoV. The second case was identified in Orange County Florida in a healthcare worker who was […]


MERS-CoV case is now in United Kingdom

Two British passengers who flew into Heathrow next to a man who has been diagnosed with Mers-Cov are being tracked down by Public Health England. Read full story


First MERS-CoV case in United States 

Download PDF  The Centers for Disease Control and Prevention is reporting the first case of Middle Eastern Respiratory Syndrome caused by the Corona Virus, otherwise known as MERS-CoV. The CDC […]


Louisville Metro EMS gets first MERS-CoV triggers

Download PDF FirstWatch has recently developed our first MERS-CoV near-real-time triggers. Earlier this week, Dr. Neal Richmond, Chief Executive Officer and Medical Director for Louisville Metro EMS in Kentucky asked […]


Updates on MERS and Cylospora

Mers and Cylospora Update: As of July 26, 2013, CDC has been notified of 353 cases of Cyclospora infection from the following 15 health departments: Iowa , Texas , Nebraska , Florida, Wisconsin , Illinois, New York City, Georgia, Missouri, Arkansas, Connecticut, Kansas, Minnesota, New Jersey, and Ohio


MERS-CoV a significant potential for a public health emergency

Download PDF The Obama administration has declared MERS-CoV a significant potential for a public health emergency that may lead to affects on national security or the health and security of […]


UPDATE: H7N9 and MERS-CoV

Download PDF The Beijing Center for disease control announced yesterday they had found an additional case of H7N9 in a six-year-old boy. Saudi Arabia announced that they had identified five […]


Read the Latest, Novel Viruses H7N9 and MERS-CoV

Download PDF The GlobalTimes reported today that China has downgraded the response to H7N9. There continues to be no evidence of human-to-human transmission. Middle Eastern Respiratory Syndrome – Coronavirus has […]



The information contained on this site is provided under the direction of our medical advisors by FirstWatch as a service to all interested First Responders and Public Health Providers. Posts will summarize content for informational purposes; some will also include implications for First Responders. Links to sites that provide more detailed information and/or helpful resources will often be included. The most recent events will be at the top of the section.

These updates are provided by Pam Farber, RN, EMT-P using data from various public health, government, academic and other resources and include links to the source information, for those wishing more detail.


Join Our Regional Influenza Network

The FirstWatch Regional Influenza Network (or simply, RIN) uses FirstWatch Real-Time surveillance software to automatically monitor live data in 911 (EMS, Fire and Police) computer-aided dispatch (CAD) systems, watching for increases in complaints or symptoms that are consistent with the flu, including respiratory problems, abdominal pain, headache, fever, and other indicators associated with the flu, whether they appear in geographic clusters or across the entire population being monitored.

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