Communicable Disease Surveillance

Washington state is seeing an increase in cases of RSV (respiratory syncytial virus). RSV is a common respiratory virus that causes cold and COVID-like symptoms, including runny nose, coughing, sneezing, and fever. Most people recover from RSV in a week or two. However, it may cause serious symptoms in infants, young children, and older adults.

If you or your family have symptoms that include trouble breathing or dehydration, call your doctor or pediatrician or go to a hospital core care. You should avoid a trip to the emergency department unless you have serious symptoms.

RSV can spread through airborne droplets or from touching surfaces with the virus on them. To prevent spreading RSV, regularly cover your coughs and wash your hands with soap and water for at least 20 seconds. If you believe you have RSV or cold-like symptoms, you should stay at home and avoid close contact with others. If you need to leave home while sick, please consider wearing a mast to prevent spreading RSV to others.

For more information about preventing the spread of flu, visit

Washington State Department of Health (DOH) News Releases

DOH strongly urges individuals get vaccinated to prevent spread of flu (English)
El Departamento de Salud de Washington insta a las personas a vacunarse para evitar la propagación de la gripe (Spanish)
Celebrating safely this holiday season (English)
Celebraciones seguras para esta temporada de fiestas (Spanish)

Washington State Department of Health (DOH) Informational Videos on RSV

RSV: I'm hearing a lot about RSV right now. What is going on? - YouTube
RSV: What can I do if my child/family is sick, and needs to see a doctor? - YouTube
RSV: How can I prevent my child/family from getting sick? - YouTube
RSV: I’m hearing a lot about hospitals being impacted by RSV. What is going on right now? - YouTube
RSV: How can I prevent my child/family from getting sick? - YouTube
RSV: What do I do if my child is really sick? - YouTube
RSV: What is important to keep in mind now that we’re heading into the holiday season? - YouTube
RSV: Are nursing lines helpful? - YouTube
RSV: Estoy preocupada por el VRS. ¿Cómo mantengo a salvo a mi hijo/familia? - YouTube

  1. Emily Mason

    Public Health Nurse, CD Lead

  2. Community Health Services

    Physical Address
    145 Rhone St.
    Friday Harbor, WA 98250

    Mailing Address
    P.O. Box 607
    Friday Harbor, WA 98250

    Fax: 360-378-7036

Is it COVID, flu, a cold, RSV, or allergies

We rely on healthcare providers, laboratories, and hospitals to report certain communicable diseases to us. Reporting communicable diseases helps protect our community and assists our efforts around disease prevention, surveillance, and outbreak response/investigation. Learn more about required notifiable conditions.

COVID-19 is a notifiable condition.

To report a positive over-the-counter COVID-19 test result, click here.

To learn what you should do if you test positive with an over-the-counter COVID-19 test, click here.

To access the San Juan County COVID-19 data dashboard, click here.

Monkeypox Virus (MPV)

For more information about MPV or for vaccine clinic appointments for high-risk individuals, please visit our MPV page here.

Vaccine for MPV is currently limited to: (1) those who have been directly exposed; (2) are close contacts of those who have been diagnosed; (3) are a probable case of MPV; and/or (4) certain high-risk individuals. Speak with a health care provider to find out if you are considered a high-risk individual and should receive the MPV vaccine.

Get answers to your questions about Monkeypox virus (MPV): Call 1-833-829-HELP

People across Washington can now call 1-833-829-HELP for the latest information on Monkeypox virus (MPV). This call center is an expansion of DOH’s efforts to provide information to Washingtonians. Through an ongoing partnership with Washington 211, call takers will answer questions about MPV risk factors, vaccine information, testing and treatment from 6:00 a.m. to 10:00 p.m. Monday, and 6:00 6 p.m. Tuesday through Sunday and observed state holidays. In addition to calling 1-833-829-HELP, callers can continue to dial 1-800-525-0127 and press # to be transferred to a Washington 211 specialist. Language assistance is available in 240 languages. Call takers will not be able to schedule vaccine appointments.

The best thing you can do to protect yourself against MPV is to know the risks and take precautions. Despite misinformation, we want to be clear that anyone who has close contact with a person with an infectious rash can get MPV; it is not exclusive to any community. MPV can also spread through touching objects, fabrics and surfaces that have been used by someone with MPV, and contact with respiratory droplets during prolonged face-to-face contact. If you have an unexplained rash, cover it, avoid skin-to-skin contact with others, and see a health care provider. They will determine what testing and treatment may be available.

If you’ve been exposed to someone with MPV, contact a health provider or call one of our public health nurses at 360-378-4474  to discuss whether you are eligible for vaccination. More information is available on the Washington State Department of Health MPV information page.

Additional resource: What You Need to Know About Monkeypox (MPV)

Tuberculosis (TB) Testing

We provide confidential tuberculosis testing and referrals to providers for follow-up care. Beginning on June 1, 2023 a fee of $10 will be charged for TB tests/reads - the total amount due at time of service will be based on the SJC HCS sliding fee scale. No one will be denied services because of inability to pay. 

FREE HIV Testing

We provide confidential testing for human immunodeficiency virus (HIV). HCS uses a 3rd generation Rapid HIV1/HIV2 test with confirmatory testing available during the visit if needed. This service is free. Call us now to schedule an appoint at 360-378-4474.