Rebekah Stewart1, John Rossow1,2, Seth Eckel, MPH3, Sally Bidol3, Amanda Lubit4, Grant Ballew5, Kimberly Signs, DVM3, Julie Thelen6, Alicia Fry, MD, MPH1, Sonja Olsen1 and Matthew Biggerstaff, ScD, MPH1, (1)Centers for Disease Control and Prevention, Atlanta, GA, (2)University of Georgia, Athens, GA, (3)Michigan Department of Health and Human Services, Lansing, MI, (4)National Association of County and City Health Officials, Washington DC, DC, (5)Compliant Campaign, Scottsdale, AZ, (6)Michigan State University, East Lansing, MI