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Recommendations for HIV Testing and Prevention Among People Who Inject Drugs

The purpose of this HAN is to remind medical providers across Maine of recommendations for testing protocols for HIV and HCV, including testing for HIV during pregnancy and among people who inject drugs (PWID). It also serves as a reminder to providers about prevention, care, and treatment considerations for those who test negative and for those who test positive. This HAN elaborates on the use of a syndemic approach, encouraged by the Maine CDC, to address HIV, viral hepatitis, sexually transmitted infections (STIs) and harm reduction services.

Docket for Schools

Docket for Schools apple logo

The Docket for Schools module was created for school nurses and administrators to report student
immunizations. On this page you'll find user guides, communications, resources, and answers to frequently asked questions.

Recommendations for Diagnosis of and Prevention of Shigellosis

The purpose of this HAN is to remind medical providers across Maine of recommendations for diagnosis and prevention of Shigellosis. The HAN includes diagnosis, testing, and patient education recommendations for clinicians, and Shigella reporting requirements for medical providers and clinical laboratories. It also provides information on a Shigella cluster currently being investigated by the Maine Center for Disease Control and Prevention (Maine CDC).

HHE-200 & HHE-204 Updates

Subsurface Wastewater Disposal System 
Permit Application (HHE-200) and Variance Request (HHE-204)


Effective December 1, 2025, the HHE-200 and HHE-204 forms have been updated and can be used for permitting.  Previous versions of the forms will be retired in December 2026.

Recommendations Related to Infant Botulism Linked to Powdered Infant Formula

This health alert is to remind all health care providers that all ByHeart Whole Nutrition Infant Formula products have been recalled. This includes all unexpired lots of formula cans and single-serve “anywhere pack” sticks. Providers should advise patients and their families and caregivers that no one should consume any ByHeart infant formula products.

Pertussis Testing, Antibiotic Treatment, and Isolation

The Maine Center for Disease Control and Prevention (Maine CDC) reported 96 pertussis cases between January 1 and November 2, 2025, including 16 (17%) under 5 years old, 16 (17%) age 5–9 years, 53 (55%) age 10–19 years old, and 11 (11%) ages 20 years and older. At this time last year, Maine had 120 pertussis cases. Despite the reduction in cases from last year, the Maine CDC has recently had an increase in questions about pertussis, treatment, and isolation recommendations. 

Testing Your Wellwater

Many Maine residents access their drinking water from private wells, and those wells can, occasionally, contain metals or bacteria harmful to human health. Some Maine wells have too much arsenic, uranium, radon, or other harmful chemicals. The only way to know if your water is safe to drink is to test it.  

Well owners should test their private drinking water annually for coliform bacteria, E. coli, and nitrates and nitrites.  

It is also recommended that well owners test their water every 3-5 years for 

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