Caitlin Pedati, MD, MPH, FAAP1, Jennifer A House, DVM, MPH, DACVPM2, Jessica B Hancock-Allen3, Leah Colton2, Katie Bryan4, Dustin Ortbahn, MPH5, Lon Kightlinger5, Kiersten Kugeler, PhD, MPH6, Jeannine Petersen, PhD6, Paul Mead, MD, MPH6, Thomas Safranek, MD1 and Bryan Buss, DVM, MPH, DACVPM1, (1)Nebraska Department of Health and Human Services, Lincoln, NE, (2)Colorado Department of Public Health and Environment, Denver, CO, (3)Centers for Disease Control and Prevention, Denver, CO, (4)Wyoming Department of Health, Cheyenne, WY, (5)South Dakota Department of Health, Pierre, SD, (6)Centers for Disease Control and Prevention, Fort Collins, CO