{"id":12294,"date":"2025-04-04T13:33:47","date_gmt":"2025-04-04T13:33:47","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/roanoke\/?p=12294"},"modified":"2025-04-04T13:33:47","modified_gmt":"2025-04-04T13:33:47","slug":"alleghany-highlands-situation-update-4","status":"publish","type":"post","link":"https:\/\/www.vdh.virginia.gov\/roanoke\/2025\/04\/04\/alleghany-highlands-situation-update-4\/","title":{"rendered":"Alleghany Highlands Situation Update"},"content":{"rendered":"<div id=\"pl-12294\"  class=\"panel-layout\" ><div id=\"pg-12294-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-12294-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-12294-0-0-0\" class=\"so-panel widget widget_sow-button panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-12294\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2025\/04\/AlleghanySituationUpdate4.3.25.pdf\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe922;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tView PDF of this document\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><div id=\"panel-12294-0-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-12294-0-0-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3><span style=\"font-size: 18pt;\">4.3.25 Action Update #4: Roanoke City &amp; Alleghany Health Districts (RCAHD) staff continue to systematically explore possible factors related to the cluster of reports of elevated levels of carboxyhemoglobin, including lab quality assurance. <\/span><\/h3>\n<h4><span style=\"font-size: 14pt;\">The larger community-wide investigation is still ongoing. Continuing coordinated efforts are underway with other agencies, providers and lab managers to methodically explore possible related factors, including lab quality assurance. <\/span><\/h4>\n<h4><span style=\"font-size: 14pt;\">Reports of a strong odor occurred at Covington Middle School on 3.31.25. RCAHD staff have been in touch with the superintendent and the interim CEO of the hospital in the area about the situation. <\/span><\/h4>\n<p style=\"padding-left: 40px;\">Fewer than 25 people chose to be seen by a healthcare provider that day. We have not learned of anyone who needed treatment from this week\u2019s situation. RCAHD expects to receive any resulting healthcare reports soon. Beyond what the school system has given, we do not have any added information about the school building.<\/p>\n<p><em>-end update-<\/em><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-12294-1\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-12294-1\" ><div id=\"pgc-12294-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-12294-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr class=\"clinic5\" \/>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-12294-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-12294-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-12294-2-0-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-12294\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/communications-hub\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe904;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tCommunications Hub Home\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-12294-2-1\"  class=\"panel-grid-cell\" ><div id=\"panel-12294-2-1-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-12294\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/news-room\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe904;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tNews Room\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><div id=\"pgc-12294-2-2\"  class=\"panel-grid-cell\" ><div id=\"panel-12294-2-2-0\" class=\"so-panel widget widget_sow-button panel-first-child panel-last-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-flat-bfdfc6dbd1d9-12294\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-right ow-button-hover\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-icomoon\" data-sow-icon=\"&#xe900;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tRCAHD Homepage\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-12294-3\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-12294-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-12294-3-0-0\" class=\"so-panel widget widget_sow-post-carousel panel-first-child panel-last-child\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-post-carousel so-widget-sow-post-carousel-base-8415c3b0c03d-12294\"\n\t\t\t\n\t\t>\t<div\n\t\tclass=\"sow-post-carousel-wrapper sow-post-carousel-theme-base\"\n\t\tstyle=\"overflow: hidden; max-width: 100%; min-height: 182px\"\n\t>\n\t\t<div class=\"sow-carousel-title\">\n\t\t\t<div class=\"sow-carousel-navigation \">\n\t\t\t\t\t\t<a href=\"#\" class=\"sow-carousel-next\" title=\"Next\" aria-label=\"Next Posts\" role=\"button\"><\/a>\n\t\t\t\t\t\t<a href=\"#\" class=\"sow-carousel-previous\" title=\"Previous\" aria-label=\"Previous Posts\" role=\"button\"><\/a>\n\t\t\t\t\t<\/div>\n\t<\/div>\n\n<div class=\"sow-carousel-container \">\n\t\t<div class=\"sow-carousel-wrapper\"\n\t\tdata-dir=\"ltr\"\n\t\tstyle=\"opacity: 0;\"\n\t\tdata-widget=\"post\" data-fetching=\"false\" data-page=\"1\" data-ajax-url=\"https:\/\/www.vdh.virginia.gov\/roanoke\/wp-admin\/admin-ajax.php?_widgets_nonce=32e7e6a1ef\" data-item_count=\"78\" data-carousel_settings=\"{&quot;loop&quot;:true,&quot;animation&quot;:&quot;Ease&quot;,&quot;animation_speed&quot;:800,&quot;autoplay&quot;:&quot;off&quot;,&quot;pauseOnHover&quot;:false,&quot;autoplaySpeed&quot;:8000,&quot;item_overflow&quot;:true,&quot;autoplay_continuous_scroll&quot;:false}\" data-responsive=\"{&quot;desktop_slides_to_scroll&quot;:3,&quot;tablet_landscape_breakpoint&quot;:1366,&quot;tablet_landscape_slides_to_scroll&quot;:2,&quot;tablet_portrait_breakpoint&quot;:1025,&quot;tablet_portrait_slides_to_scroll&quot;:2,&quot;mobile_breakpoint&quot;:480,&quot;mobile_slides_to_scroll&quot;:1}\" data-variable_width=\"true\" \t>\n\t\t<div\n\t\t\tclass=\"sow-carousel-items\"\n\t\t\t\t\t>\n\t\t\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/05\/13\/rabies-case-alert-botetourt-county-catawba-road-troutville\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2023\/07\/Raccoon-488x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13799\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/05\/13\/rabies-case-alert-botetourt-county-catawba-road-troutville\/\"\n\t\t\t\tid=\"sow-carousel-id-13799\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Botetourt County \u2013 Catawba Road, Troutville\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/04\/23\/rabies-case-alert-roanoke-county-lonsdale-road-roanoke\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2023\/07\/Raccoon-488x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13791\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/04\/23\/rabies-case-alert-roanoke-county-lonsdale-road-roanoke\/\"\n\t\t\t\tid=\"sow-carousel-id-13791\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Roanoke County \u2013 Lonsdale Road, Roanoke\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/03\/26\/rabies-case-alert-roanoke-city-beechwood-dr-sw-roanoke\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2022\/09\/Redfox-488x326-1-272x182.jpeg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13714\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/03\/26\/rabies-case-alert-roanoke-city-beechwood-dr-sw-roanoke\/\"\n\t\t\t\tid=\"sow-carousel-id-13714\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Roanoke City \u2013 Beechwood Dr, SW Roanoke\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/03\/16\/rabies-case-alert-salem-newman-dr-salem\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2022\/11\/Skunk-488x326-1-272x182.jpeg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13706\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/03\/16\/rabies-case-alert-salem-newman-dr-salem\/\"\n\t\t\t\tid=\"sow-carousel-id-13706\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Salem \u2013 Newman Dr, Salem\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/03\/09\/rabies-case-alert-roanoke-city-adams-street-roanoke\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2023\/07\/Raccoon-488x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13688\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/03\/09\/rabies-case-alert-roanoke-city-adams-street-roanoke\/\"\n\t\t\t\tid=\"sow-carousel-id-13688\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Roanoke City \u2013 Adams Street, Roanoke\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/02\/03\/rabies-case-alert-roanoke-county-thirlane-road-roanoke\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2023\/07\/Raccoon-488x326-1-272x182.jpg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13308\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/02\/03\/rabies-case-alert-roanoke-county-thirlane-road-roanoke\/\"\n\t\t\t\tid=\"sow-carousel-id-13308\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Roanoke County \u2013 Thirlane Road, Roanoke\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/01\/22\/1-22-26-large-scale-community-clean-up-in-roanoke-featuring-sharps-disposal\/\"\n\t\t\t\t\tclass=\"sow-carousel-default-thumbnail\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\taria-labelledby=\"sow-carousel-id-13179\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/01\/22\/1-22-26-large-scale-community-clean-up-in-roanoke-featuring-sharps-disposal\/\"\n\t\t\t\tid=\"sow-carousel-id-13179\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\t1.22.26 \u2013 Large-Scale Community Clean-Up in Roanoke Featuring Sharps Disposal\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/01\/21\/rabies-case-alert-roanoke-county-tree-top-camp-road-salem\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2022\/11\/Skunk-488x326-1-272x182.jpeg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13166\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/01\/21\/rabies-case-alert-roanoke-county-tree-top-camp-road-salem\/\"\n\t\t\t\tid=\"sow-carousel-id-13166\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Roanoke County \u2013 Tree Top Camp Road, Salem\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div class=\"sow-carousel-thumbnail\">\n\t\t\t\t\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/01\/20\/rabies-case-alert-roanoke-city-main-ave-nw-roanoke\/\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"background-image: url( https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/128\/2022\/11\/Skunk-488x326-1-272x182.jpeg )\"\n\t\t\t\t\taria-labelledby=\"sow-carousel-id-13127\"\n\t\t\t\t\ttabindex=\"-1\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"overlay\"><\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t<h3 class=\"sow-carousel-item-title\">\n\t\t\t<a\n\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2026\/01\/20\/rabies-case-alert-roanoke-city-main-ave-nw-roanoke\/\"\n\t\t\t\tid=\"sow-carousel-id-13127\"\n\t\t\t\t\t\t\t\ttabindex=\"-1\"\n\t\t\t>\n\n\t\t\t\tRabies Case Alert \u2013 Roanoke City \u2013 Maine Ave, NW, Roanoke\t\t\t<\/a>\n\t\t<\/h3>\n\t<\/div>\n\t\t<div class=\"sow-carousel-item\" tabindex=\"-1\" style=\"float: left;\">\n\t\t<div 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The larger community-wide investigation is still ongoing. Continuing coordinated efforts are underway with other agencies, providers and lab managers to methodically explore [&hellip;]<\/p>\n","protected":false},"author":450,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[16],"tags":[],"class_list":["post-12294","post","type-post","status-publish","format-standard","hentry","category-press-releases"],"modified_by":"shannonbowles","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Alleghany Highlands Situation Update - Roanoke Health District<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/roanoke\/2025\/04\/04\/alleghany-highlands-situation-update-4\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Alleghany Highlands Situation Update - Roanoke Health District\" \/>\n<meta property=\"og:description\" content=\"4.3.25 Action Update #4: Roanoke City &amp; Alleghany Health Districts (RCAHD) staff continue to systematically explore possible factors related to the cluster of reports of elevated levels of carboxyhemoglobin, including lab quality assurance. 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