Ian D. Plumb, MBBS MSc1, Ben Westley2,3, Jacob Gray2,3, Carmen Wenger4, Christina Nelson5, Lynn Osikowicz6, Michael Kosoy5, Karen M. Rudolph6, Michael G. Bruce6, Tom Hennessy6, Michael P Cooper7, Louisa J. Castrodale, DVM, MPH7 and Joseph B. McLaughlin, MD, MPH7, (1)Centers for Disease Control and Prevention, Atlanta, GA, (2)Alaska Native Medical Center, Anchorage, AK, (3)Providence Alaska Medical Center, Anchorage, AK, (4)Anchorage Coalition to End Homelessness, Anchorage, AK, (5)Centers for Disease Control and Prevention, Fort Collins, CO, (6)Centers for Disease Control and Prevention, Anchorage, AK, (7)Alaska Department of Health and Social Services, Anchorage, AK