Stephen G. Ladd-Wilson , Richard W. Fawcett, Sarah Y. Park, Shivkumar Venkatasubrahmanyam, Martin S. Lindner, Scott Davis, Alanna Spry, Joseph Singleton, Sandor E. Karpathy, and Christopher D. Paddock Author affiliation: Public Health Division, Oregon Health Authority, Portland, Oregon, USA (S.G. Ladd-Wilson); Columbia Sands Infectious Diseases, Redmond, Oregon, USA (R.W. Fawcett); Karius., Inc., Redwood City, California, USA (S.Y. Park, S.