• COVID hospitalizations peaked in September nationally and in Oregon on Oct. 9. As of Oct. 23, 208 people were in the hospital with COVID. 
• Deaths, positive tests and infections detected in wastewater have been declining at the national level.
• There's no sign anywhere in the U.S. that flu season has begun.
• RSV is increasing in Oregon. Hospitalizations are low, but a significant wave is likely. In Georgia, RSV appears to be near its peak, with levels equivalent to last year's.  The peak is about two weeks later than last year's.

• COVID is likely to decline through November and into December. It's possible a new wave could begin then, and peak in January or February.
• RSV is likely to keep increasing. Based on patterns in other states,  this year's peak could be similar to last year's. The peak is likely to occur in mid-December.
• So far,  it looks like the flu season will start later than it did last year. It may revert to a more traditional pattern of increasing during December and peaking in January or February.

Chickenpox, a viral disease, causes an itchy and sometimes painful rash on the whole body. Chickenpox spreads easily to people who haven’t had it or weren’t vaccinated against it.

The virus that causes chickenpox also causes another painful rash called shingles. The shingles vaccine is recommended for:

• People 50 and older
• People 19 and older with weakened immune systems (immunocompromised)

This bacterial infection often damages tissues in the nose and throat. If it gets into the blood, it can damage the heart, nerves and kidneys. It can also infect the skin. Diphtheria spreads through droplets from coughing or sneezing.

This viral disease damages the liver. The most common types are called hepatitis A, hepatitis B and hepatitis C. Vaccines are available for hepatitis A and B. Hepatitis can spread through:

• Eating or drinking something that contains even a microscopic amount of stool from an infected person who didn’t wash their hands.
• Sharing personal items, such as toothbrushes or razors.
• Sharing needles, syringes and other medical items.
• Sex with an infected person.
• Being born to an infected person.

About 97,800 people get hepatitis each year in the U.S. Hepatitis B and C can become chronic (ongoing) conditions and can cause liver cancer.

This viral disease has symptoms that include:

• High fever
• Cough
• Conjunctivitis (eye swelling or infection)
• Rash

The CDC warned Nov. 23 that measles vaccination rates are at their lowest since 2008 and that millions of children worldwide are at risk of infection. 

This viral disease spreads through close contact, especially repeated contact. Symptoms include:

• Fever
• Headache or muscle aches
• Tiredness
• Lack of appetite
• Swollen salivary glands (cheeks and jaw)

The U.S. last had a mumps outbreak in 2019, with 3,780 cases. Thirty-six states have reported at least one mumps case in 2022; Oregon has reported five.

This contagious viral disease has symptoms that vary from person to person:

• No visible symptoms (most people)
• Flu-like symptoms (about one in four people)
• Serious symptoms such as:
  • Meningitis, an infection of the brain or spinal cord
  • Weakness or paralysis (can’t move) in the arms, legs or both

A case of paralytic polio was reported in New York state in July 2022 in an unvaccinated young adult.

In most people, this viral disease causes mild symptoms. But in unvaccinated pregnant people, it can cause a miscarriage or serious birth defects.

This bacterial infection makes muscles tighten, especially in the jaw, which can cause breathing and swallowing problems. Tetanus does not spread from person to person. People usually get tetanus through broken skin.

More than 100 OHSU staffers helped care for an Oregon boy who got tetanus in 2019.

This bacterial infection starts like a cold. In children and adults, it moves to violent coughing fits that can last up to 10 weeks. These coughing fits can cause:

• A high-pitched “whoop” sound
• Vomiting
• Tiredness
• Trouble breathing

Babies may not cough. Instead, they may:

• Struggle to breathe
• Turn blue
• Stop breathing briefly (apnea)

Unvaccinated pregnant people should get the whooping cough vaccine to protect their babies, who cannot get it until 2 months. A CDC study released in February 2023 found that vaccinations during pregnancy helped prevent  whooping cough cases in newborns. The CDC recommends getting the vaccine between the 27th and 36th weeks of pregnancy.