evidence: Jeremy Roland, California Emerging Infections Program; Jordan Surgnier, Colorado Department of Public Health and Environment; Carol Lyons, Connecticut Emerging Infections Program, Yale School of Public Health; Kyle Openo, Georgia Emerging Infections Program, Georgia Department of Health, Division of Infectious Diseases, Emory University School of Medicine; Kenzie Teno, Iowa Department of Health; Alexander Kohrman, Michigan Department of Health and Human Services; Erica Bye, Minnesota Department of Health; Cory Cline, New Mexico Department of Health; Alison Muse, New York State Department of Health; Virginia Cafferky, University of Rochester School of Medicine and Dentistry; Laurie Billing, Ohio Department of Health; Nasreen Abdullah, Public Health Division, Oregon Health Authority; William Schaffner, Vanderbilt University Medical Center; Keegan McCaffrey, Utah Department of Health