Tom Hennessy1, Dana Bruden2, Louisa J. Castrodale, DVM, MPH3, Ken Komatsu, MPH4, Laura M. Erhart, MPH4, Deborah Thompson5, Kristy Bradley, DVM, MPH6, Dan O'Leary7, Joseph B. McLaughlin, MD, MPH3 and Michael Landen, MD, MPH5, (1)Centers for Disease Control and Prevention, Anchorage, AK, (2)Maine Center for Disease Control and Prevention, Anchorage, AK, (3)Alaska Department of Health and Social Services, Anchorage, AK, (4)Arizona Department of Health Services, Phoenix, AZ, (5)New Mexico Department of Health, Santa Fe, NM, (6)Oklahoma State Department of Health, Oklahoma City, OK, (7)Wyoming Dept of Health, Unknown, WY