County of Marin Health and Human Services

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Public Health Newsletter - June 2024
Marin County Public Health Newsletter - June 2024
In this Issue: Extreme Heat | COVID-19 Outlook | Suicide Prevention Dashboard | Wildfire Smoke | Message from the Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

Extreme Heat

Image of thermometer and a very sunny skyExtreme heat is here and of growing concern.  Parts of California and the nation have already experienced major excessive heat events this summer.  Today, the National Weather Service (NWS) is forecasting a possible HeatRisk for the Bay Area starting this weekend.  Extreme heat can lead to serious medical emergencies, especially for vulnerable populations, including young children, older adults, people with chronic diseases and disabilities, outdoor workers and those who are pregnant.  New resources are available from the Governor’s Office at HeatReadyCA.


COVID-19 Surge and Outlook for this Fall

Since June 1, the amount of SARS-CoV-2 in Marin County wastewater has more than doubled to a four-month high. COVID-19 hospitalizations have followed a similar pattern and continue to rise.  The FDA advisory panel unanimously recommended that the Fall 2024 COVID vaccine be updated to target the JN.1 variant or one of its descendants. In Marin County, JN.1 was the dominant strain from December 2023 to April 2024. The KP.2 variant, which gained local dominance in May, is closely related to JN.1. Vaccine production is currently on track for availability in August.


Wildfire Smoke


Smoke from the Point Fire in Sonoma County impacted Marin County air quality this week. An increasing body of evidence is linking prolonged exposure to wildfire smoke to serious health outcomes. Simple measures to protect ourselves are outlined in the updated Marin County wildfire smoke safety webpage and described by Health Officer Dr. Matt Willis in this video from last year’s wildfire season. In addition, you can sign up for the new air quality notification service from the Bay Area Air Quality Management District.

Suicide Prevention Dashboard Launched


Suicide Prevention Logo
Marin County Public Health, Behavioral Health and Recovery Services, and the Marin County Suicide Prevention Collaborative have joined forces to share data in a new public-facing dashboard regarding suicide in our community. The goal is to elevate understanding, stimulate community dialogue, and drive collective action toward the goal of zero suicide deaths in our community.

Message from the Public Health Officer



Dr. Matt Willis, Public Health OfficerThis week, I had a chance to meet Dr. Tony Fauci after a lecture at Dominican University. His account of the federal pandemic response brought vivid memories of our local experience. I was reminded of the strong and immediate partnership with our clinical community during those uncertain times. The slack channel exchanges between Bay Area health officers in early 2020, made public through the Freedom of Information Act, help capture the degree to which the early response fell to us at the local level. As the nation reflects on the pandemic response, Marin Public Health remains grateful for the bond with our healthcare community.
 
In gratitude,

Matt Willis, MD, MPH
Public Health Officer



 
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Copyright ©  2024
Marin County Public Health, a division of the Marin County Health & Human Services Department
https://www.marinhhs.org/public-health

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at DisabilityAccess@MarinCounty.org. Copies of documents are available in alternative formats, upon request.

County of Marin Logo

Our mailing address is:
3240 Kerner Blvd
San Rafael, CA 94901
MCPH OPIC Newsletter #15 - June 2024
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OPIC Monthly Newsletter

Issue 15                                                                                                      June 24, 2024

Greetings from Marin County Public Health (MCPH) Outbreak Prevention and Infection Control (OPIC).  MCPH OPIC team supports healthcare and congregate care facilities mitigate and manage risks and prepare for emergencies. Our monthly newsletters include news, guidance, updates, trainings and educational opportunities for all levels of staff.
 
Changes to our Communications
Starting this month, we will be alternating our communication methods between newsletters and MCPH Updates for LTCFs Zoom meetings. Newsletters will be sent out every other month (August, October, and December 2024).  MCPH Updates for LTCFs Zoom mtgs will take place in July, September, and November 2024.

GUIDANCE UPDATES AND NEWS

Heat & Summer Safety

CDPH Alignment with CDC Respiratory Guidance - updated 5/22/2024

COVID-19 Updates

Influenza Updates

H5N1 - Bird Flu CDPH Updates

Healthcare Associated Infections (HAI) Update for LTCFs

  • CDPH is now aligned with CDC’s Enhanced Barrier Precautions (EBP), see AFL 24-15.  They will be retiring Enhanced Standard Precautions (ESP); however, you may continue to use the “6 Moments of ESP” PDF poster.

Maintain Measles Vigilance

Salmonella Prevention:

Marin County Updates: 

All Facilities Letters (AFLs)

View all CDC's Health Alert Network (HAN) webpage and sign up to receive alerts
View all CDPH HAN (CAHAN) alerts page and sign up to receive alerts
View all AFLs at the All Facilities Letter webpage.  
View CDSS PINs at the All COVID-19 ASC PINs by Topic webpage. 

CAHAN

LOCAL SURVEILLANCE DATA DASHBOARDS
 
Marin County Public Health Data Dashboards show information on local public health priorities
MULTI-DRUG RESISTANT ORGANISM (MDRO) UPDATES AND RESOURCES

 
CDPH - Carbapenemase-producing Organisms (CPOs): Laboratory and Epidemiology Updates 5/14/2024 (slides), (recording);  HAI home web page on CPOs

Awareness and Advocacy: Trailblazing Sepsis Awareness Month at Your Organization (RN CE credit hours), Thursday, July 18, 2024, 11 am – 12 pm PT,  Click here to register.

Sepsis Alliance Symposium: Sepsis in Immunocompromised Patients, Thursday, August 1, 2024, 9:00 am PT,  Free continuing nursing education credits will be available! Click here to register.
TRAININGS AND EDUCATION
 
RESOURCES AND OTHER RELEVANT TOPICS
 
June is PRIDE month:  Immunizations Before Summer Travel
     
Next MCPH Monthly Zoom meeting:
Tuesday, July 23, 2024 from 2:00pm - 2:30pm

Next MCPH Monthly Newsletter:  August 2024
     
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County of Marin · 3240 Kerner Blvd. · San Rafael, CA 94901 · USA

Public Health Newsletter - May 2024
Marin County Public Health Newsletter - May 2024
In this Issue: Seasonal vs Bird Flu | Rabies Update I Public Health Leadership Hand-Off | COVID-19: FLiRT Variant | Social Isolation | E-Bike Safety | Message from the Deputy Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

Influenza Circulating in Marin is Not H5N1

Marin County Public Health is closely monitoring the national H5N1 bird flu outbreak. In early May, a late season rise in influenza A levels in wastewater raised concerns about the possibility of local H5N1 transmission. Starting May 20th, Marin County began testing wastewater for the presence of H5N1, and none has yet been detected. This suggests ongoing presence of routine seasonal flu H1N1, highlighting the importance of the seasonal flu vaccine. The risk to the public for H5N1 remains low. For more information, including guidance for clinicians, visit the CDC’s H5N1 Bird Flu: Current Situation Summary.


Rabies Risk Low but Present in Marin

Wild bat on mossRabies infection is nearly 100 percent fatal in humans. While no human cases have ever been reported in Marin, about one in ten local bats tested carry the rabies virus. Marin clinicians should be aware that Post-Exposure Prophylaxis (PEP) may be recommended for individuals who had contact with a bat, or who experience bites or scratches with other animals, when rabies cannot be ruled out. All Marin County emergency departments offer rabies PEP. Rabies control happens daily with investigations performed by Marin Public Health, animal control by Marin Humane and testing at our regional public health laboratory. Clinicians with questions about rabies PEP should visit Marin Public Health rabies webpage or contact us at 415-473-4163.


Public Health Leadership Hand-Off


Starting in October 2024, Marin County Public Health will be under the leadership of Dr. Lisa Santora, as Dr. Matt Willis retires from County service. On June 4, Marin County Board of Supervisors will announce the transition. Dr. Willis has served as Public Health Officer since 2013, and Dr. Santora joined the team as Deputy Public Health Officer in 2016. Dr. Santora calls on experience as a physician, executive leader, and member of the Marin community to guide public health strategy. The next four months will be focused on Health Officer transition and recruitment of a new Deputy Health Officer.

COVID-19: FLiRT Variant Driving Transmission


In early May, SARS CoV2 levels in wastewater  and COVID-19 hospitalizations rose locally and across the region. This coincides with a shift in circulating variants. KP.2, also called FLiRT, has become dominant nationally. While KP.2 has immune evasive properties that can accelerate spread, it does not seem to carry additional virulence or unique symptoms. 27 percent (3/11) of Marin County cases sampled in April were infected with KP.2. As community transmission rates rise, it’s especially important for older and medically vulnerable residents to remain up to date with COVID-19 vaccination.

Social Isolation


Older woman looking out the windowMarin County has one of the demographically oldest populations in California. An increasing body of evidence indicates that social isolation in older age accelerates disability directly and contributes to preventable mortality. In his 2023 report, "Our Epidemic of Loneliness and Isolation," U.S. Surgeon General Dr. Vivek Murthy reports that loneliness in older age is associated with a 29% increased risk of heart disease, a 32% increased risk of stroke, and a 50% increased risk of developing dementia.  The 2023 Marin County older adult community needs assessment, conducted by Health and Human Services’ Office of Aging and Adult Services, found that one in three older adults in Marin is socially isolated.  Primary care providers play an important role in identifying loneliness among older patients and supporting strategies to increase social connection.

Clinicians and Public Leaders Join Forces for E-Bike Safety


Child on an e-bike at a stop sign Marin County clinicians have led a call for stronger e-bike safety measures, prompting government action. In October 2023, Marin Public Health established a dashboard tracking e-bike injuries in Marin, which showed that youth ages 10-15 years old are at the highest risk for e-bike accidents. This data helped drive Assemblyman Damon Connelly to sponsor state legislation, Assembly Bill 1778, to protect riders under age 16.  In addition, Assemblyman Connelly, Supervisor Mary Sackett, and Dr Matt Willis provided testimony and written commentary (County’s “Legislative Letters” webpage) to the federal Consumer Product Safety Commission (CPSC), advocating for stronger federal standards for E-bike safety, especially for youth. This joint action highlights the impact clinicians can have in prompting policies to support health.

Message from the Deputy Public Health Officer



Dr. Matt Willis, Public Health OfficerAs we conclude May Mental Health Month, I encourage all of you who focus every day on caring for others to prioritize your own well-being.  Self-care is vital to preventing burn-out.  Take a moment to focus on your needs, find time to connect with family and friends, and practice gratitude.  The Self Care for Healthcare Workers Modules developed by SAMHSA offer videos, checklists, and toolkits to recognize stress levels and build resilience. Remember, taking care of yourself allows you to better care for others!
 
In gratitude,

Lisa M. Santora, MD, MPH
Deputy Public Heath Officer



 
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Copyright ©  2024
Marin County Public Health, a division of the Marin County Health & Human Services Department
https://www.marinhhs.org/public-health

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at DisabilityAccess@MarinCounty.org. Copies of documents are available in alternative formats, upon request.

County of Marin Logo

Our mailing address is:
3240 Kerner Blvd
San Rafael, CA 94901
MCPH OPIC Newsletter #14 - May 2024
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OPIC Monthly Newsletter

Issue 14                                                                                                      May 17, 2024

Greetings from Marin County Public Health (MCPH) Outbreak Prevention and Infection Control (OPIC).  MCPH OPIC team supports healthcare and congregate care facilities mitigate and manage risks and prepare for emergencies. Our monthly newsletters include news, guidance, updates, trainings and educational opportunities for all levels of staff.

Guidance Updates

All Facilities Letters (AFLs) from CDPH

AFL 23-29 - COVID-19 Treatment Resources for Skilled Nursing Facilities (SNFs) - 9/26/2023

AFL 23-12 - COVID-19 Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities - 1/24/2023

 
View all CDC's Health Alert Network (HAN) webpage and sign up to receive alerts
View all CDPH HAN (CAHAN) alerts page and sign up to receive alerts
View all AFLs at the All Facilities Letter webpage.  
View CDSS PINs at the All COVID-19 ASC PINs by Topic webpage. 
Surveillance Updates
Pertussis Outbreak, county-wide  - https://www.marinhhs.org/pertussis  
Maintain Measles Vigilance
H5N1 - Bird Flu CDPH Update
  • No known human cases at this time.  Current surveillance of zoonotic disease by MCPH.  CDPH Bird Flu Page, YouTube video with Dr. Willis, Public Health Officer for Marin County
COVID-19 - New monoclonal antibody: FDA approval for PEMGARDATM (pemivibart) monoclonal antibody received Emergency Use Authorization (EUA) for the pre-exposure prophylaxis (PrEP) of COVID-19.

Marin County Public Health Data Dashboards show information on local public health priorities.
Multi-Drug Resistant Organism (MDRO) Updates
 

Trainings
QCHF - DON/Nurse Leadership Virtual Training June 10, 11, 17, and 18, 2024; Virtual. Fee and registration required, 16 CEU provided.

Sepsis Alliance May 30, 2024:  The Impact of Rapid Diagnostics on Antimicrobial Stewardship Practices (bioMérieux Sponsored Webinar)

Sepsis Alliance June 14, 2024 Peer-to-Peer Sepsis Quality Improvement in Action (RN CE credit hours)

Sepsis Alliance July 18, 2024: Awareness and Advocacy: Trailblazing Sepsis Awareness Month at Your Organization (RN CE credit hours)

CDC - Immunization Training, B4649: Immunization:  You Call the Shots-Module Seven-MMR-2023: virtual, anytime, FREE, 1.25 CEU for nurses.

NIOSH - Address Burnout Among Health Professionals: 5/22/2024, registration required and FREE.

Monthly Infection Control CEU Webinars with Dr. Duncan.  Email LTCFReport@marincounty.gov to be added to our webinar.  These webinars are open to all and provide 1.0 Continuing Education (CEU) credit to nurses (LVN and RN).

*FREE* On-site PPE Training and Infection Control Training for your staff by your OPIC team!  We have bilingual educators! Book Online  or email us to schedule LTCFReport@marincounty.gov

Project First Line (PFL): CDC's FREE training materials to provide education for your staff. 
 
Required Training for IPC Nurse Certification
CDPH SNF Online Infection Prevention Course - Infection Preventionist Training for SNFs Course, online 18 hours

CDC Learning Connections:  CDC TRAIN  - Nursing Home Infection Preventionist Training Course

 
IPC Career Development
Certification Board of Infection Control and Epidemiology, Inc. (CBIC).  Get your Certificate of Infection Control (CIC) and become certified.  Contact APIC and begin your preparation.

APIC National Conference: San Antonio, TX.  June 3-5, 2024. Information and link to Registration here

Association for Professionals in Infection Control and Epidemiology (APIC) - Join your professional society: Learn about membership here
Resources
 
Update your Respiratory Mitigation Plan for COVID-19, Influenza, and Other Respiratory Viral Infections with this resource from CDPH:  Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities – 2023-24

May is Mental Health Month

CIDRAP - Study: TB-COVID co-infections increasingly common, tied to worse outcomes, data shows


APIC's Infection Prevention & You website or check out the Patient Hand Hygiene toolkit

NHSN’s Survival Guide for Mandatory National Healthcare Safety Network (NHSN) Reporting for Long-Term Care Facilities (LTCFs)

 
     
Next MCPH Monthly meeting is:
Tuesday, May 28, 2024 from 2:00pm - 2:30pm
     
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Marin County Public Health's Monthly Updates for LTCFs provide updates regarding guidance, local data and surveillance, and training opportunities. Please contact LTCFReport@marincounty.gov to be added to the meeting invitation. 






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County of Marin · 3240 Kerner Blvd. · San Rafael, CA 94901 · USA

Public Health Newsletter - April 2024
Marin County Public Health Newsletter - April 2024
In this Issue: Mental Health Month | Highly Pathogenic Avian Influenza I National Volunteer Week | Flattening the Curve on Congenital Syphilis Infections | Winter Respiratory Virus Season Ends | Emergency Medical Services Leaders Honored | Message from the Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

Mental Health Month

May is Mental Health Month.  At least one in four people in our Marin community faces a mental health or substance use challenge. Marin County Behavioral Health and Recovery Services and partners invite you to join events throughout May to prioritize mental health and combat stigma. Highlights include:

  • Pertussis Virus May 2: Marin Maternal Mental Health Community Forum with California Surgeon General, Dr. Diana Ramos. RSVP to Michelle@First5Marin.org
  • May 9: Drew Robinson, former SF Giant and Mental Health Advocate:  A survivor’s story about mental health, hope and recovery. Register
  • May 18: "One Stride at a Time: 5K for Hope, Help, and Recovery." Register 
  • May 21: "Honoring Stories, Transforming Minds" with Living Arts Playback Theater. Register to share and heal through theater.

More events can be found here.


Highly Pathogenic Avian Influenza

The spread of H5N1 Avian Influenza  into mammals, including humans, has gained significant media attention recently. Clinicians may be called upon to explain risk for their patients. Dr. Willis offered a video update on this emerging threat for the Marin public on April 26. No cases among humans or livestock have been reported in California or Marin. Avoiding contact with dead birds and not consuming raw milk are two simple steps to protect against infection. Marin Public Health will continue to provide any relevant updates.


National Volunteer Week and the Medical Reserve Corps


Last week was National Volunteer Week. The Marin Medical Reserve Corps (MMRC) is a volunteer based organization dedicated to protecting the health of residents, especially during large scale emergencies. The MMRC has played a pivotal role in several recent responses, including the pandemic, wildfires, and the opioid crisis. Learn more and sign up to join the MMRC here.
Flattening the Curve on Congenital Syphilis Infections

Sexually Transmitted Infections (STIs) are on the rise nationally and in Marin. Congenital syphilis rates have increased eight-fold in the past decade nationally. In response, last week the American College of Obstetricians and Gynecologists issued new recommendation for syphilis screening in pregnancy. Universal screening in now recommended in the first prenatal visit and again in the third trimester. To help address a national shortage of bicillin, the FDA has approved extencilline to treat syphilis. The California Prevention Training Center has free trainings in STI diagnosis and management for clinicians.

Winter Respiratory Virus Season Ends


Local clinical and wastewater data are demonstrating that the local winter virus season is behind us. RSV and influenza levels have returned to “off season” levels. COVID-19 is less seasonal as surges in cases align with the emergence of new variants, more than seasons per se. COVID transmission risk should be assumed to be present year-round. The local public health mandate requiring mask use in hospitals and nursing homes during peak respiratory virus season ended March 31.

Emergency Medical Services Leaders Honored


Marin County Emergency Medical Services (EMS) responds to about 25 thousand 911 calls for medical emergencies every year. The EMS system is administered under Public Health and operated by fire agency EMT’s and paramedics across Marin. The heads of both our EMS and fire agencies have recently been honored statewide. Marin County Fire Chief Jason Weber was named California Fire Chief of the Year, and Marin County EMS Director Chris Le Baudour was named California EMS Educator of the Year. Under their joint leadership, Marin County ambulance response times and 911 call patient outcomes consistently out-perform state and national averages.

Message from the Public Health Officer



Dr. Matt Willis, Public Health OfficerPublic Health is back in the headlines lately with concerns about the spread of Avian flu H5N1 to humans.  It remains important to place this threat in context, while not minimizing risk. There is no immediate danger to our community. At the same time, this emerging virus demonstrates the importance of maintaining infrastructure for responding to pandemic threats, and of maintaining strong ongoing communication between healthcare and public health.

Thank you for providing excellent care for our community.

Matt

Matthew Willis, MD, MPH
Public Heath Officer



 
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Copyright ©  2023
Marin County Public Health, a division of the Marin County Health & Human Services Department
https://www.marinhhs.org/public-health

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at DisabilityAccess@MarinCounty.org. Copies of documents are available in alternative formats, upon request.

County of Marin Logo

Our mailing address is:
3240 Kerner Blvd
San Rafael, CA 94901
MCPH OPIC Newsletter #13 April 2024
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OPIC Monthly Newsletter

Issue 13                                                                    April 19, 2024

Greetings from Marin County Public Health (MCPH) Outbreak Prevention and Infection Control (OPIC).
MCPH OPIC team supports healthcare and congregate care facilities mitigate and manage risks and prepare for emergencies. Our monthly newsletters include news, guidance, updates, trainings and educational opportunities for all levels of staff.

COVID-19 Outbreak Definition Updates for Required Investigation and Reporting in LTCFs and LTACHs:
COVID-19 Healthcare Outbreak Definition Guidance.pdf (corha.org and CSTE)

Guidance Updates

Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections AFL-23-36 (ca.gov)   Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities – 2023-24
Measles Increase in Cases nationally View CDPH Advisory Immediate Respiratory Isolation Recommended for Persons with Suspected Measles; CAHAN Alert 3/14/2024; CDC Cases and Outbreaks Dashboard
Pertussis Outbreak Progress:  MCPH Public Health Advisory 3/22/2024; Resources  Respiratory Prevention Resource, CDC Pertussis for patients/residents and HCW
CDC Advisory - Avian Flu: Highly Pathogenic Avian Influenza A(H5N1) Virus: Identification of Human Infection and Recommendations for Investigations and Response, USDA link

Recent All Facilities Letters (AFLs) from CDPH

AFL 24-11: Notice of Petition Hearing Regarding Medical Staff Membership P-23-002 - public hearing on 5/8/2024 to discuss petition to amend portions of Title 22 to expand medical staff membership to NPs, CNM, CRNA and other licensed practitioners.

AFL 24-12 Notice of Public Comment Period for Temporary Management Regulations (DPH-11-017) - public comment period 3/15 - 5/4/2024 for proposed addition of regulations to Title 22 of CCR for Temporary Management of LTCFs.

 
Recent Health Alerts from CDPH and CDC
 
View all AFLs at the All Facilities Letter webpage.  
View CDSS PINs at the All COVID-19 ASC PINs by Topic webpage. 
Surveillance Updates
 
All winter respiratory viruses including Covid, Influenza, and RSV continue to circulate at low levels.  Click on link Public Dashboard for details.

Public Health Dashboard: Local Data for Local Action. Marin County Public Health has 12 Data Dashboards reflecting local public health priorities. *New* Flood Vulnerability Dashboard launched.
 

Multi-Drug Resistant Organism (MDRO) Updates
 
Trainings
 
*FREE* On-site PPE Training and Infection Control Training for your staff by your OPIC team!  We have bilingual educators!  Contact us at LTCFReport@marincounty.gov and we will work with you to schedule at your convenience or Book Online.

Monthly Infection Control CEU Webinars with Dr. Duncan.  Email LTCFReport@marincounty.gov to be added to our webinar.  These webinars provide 1.0 Continuing Education (CEU) credit to nurses (LVN and RN).  This webinar is open to all, not just nursing staff.

Project Firstline: CDC's Training Collaborative for Healthcare Infection Control - FREE training materials to provide education for your staff.  Training toolkits for CNA and EVS staff.

 
Required Training for IPC Nurse Certification
CDPH SNF Online Infection Prevention Course - Infection Preventionist Training for SNFs Course, online 18 hour 
CDC Learning Connections:  CDC TRAIN  - Nursing Home Infection Preventionist Training Course

 
IPC Career Development
Association for Professionals in Infection Control and Epidemiology (APIC) - Join your professional society: Learn about membership here.
APIC National Conference: San Antonio, TX.  June 3-5, 2024. Information and link to Registration here

Certification Board of Infection Control and Epidemiology, Inc. (CBIC).  Get your Certificate of Infection Control (CIC) and become certified. Contact APIC and begin your preparation
RESOURCES
 
APIC's Infection Prevention & You website or check out the Patient Hand Hygiene toolkit
NHSN’s Survival Guide for Mandatory National Healthcare Safety Network (NHSN) Reporting for Long-Term Care Facilities (LTCFs)

CDPH Vaccine - Reporting and Returning Spoiled/Expired Vaccines - Refer to the following links:
     
Next MCPH Monthly meeting is:
Tuesday, April 23, 2:00 PM - 3:00 PM
     
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Marin County Public Health's Monthly Updates for LTCFs provide updates regarding guidance, local data and surveillance, and training opportunities. Please contact LTCFReport@marincounty.gov to be added to the meeting invitation. 






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County of Marin · 3240 Kerner Blvd. · San Rafael, CA 94901 · USA

Public Health Newsletter - March 2024
Marin County Public Health Newsletter - March 2024
In this Issue: Pertussis | Fentanyl Update I Alzheimer's Resources | California Surgeon General in Marin | Community Health Assessment | Long-Term Care Facilities | Message from the Deputy Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

Pertussis

Pertussis Virus Last week, MCPH issued a health advisory due to an outbreak of pertussis (whooping cough) at Tamalpais High School. People who have been vaccinated for pertussis often present with mild symptoms. MCPH recommends providers have a high index of suspicion and a low threshold for testing and evaluating individuals for pertussis.  Protect infants from pertussis by advising pregnant women and family members to get a DTaP vaccine.


Fentanyl Update

There were five overdose deaths in Marin due to fentanyl in the last two weeks of February, which corresponded with an increase in wastewater and 911 calls for non-fatal overdose events.  Earlier this month, MCPH issued a health advisory to clinicians and substance use treatment providers.    Overdose prevention is a top priority locally in Marin, and OD Free Marin is holding a community forum to address this critical issue on April 10th from 6:30-8pm.  To join the conversation and be part of the solution Register here.


New Tools for Addressing Alzheimer's


 

CDPH estimates that in 2019, over 7,000 Marin residents were living with Alzheimer’s disease, and that number is projected to double by 2040.  Out of growing concern statewide about the impact of Alzheimer’s and related dementias, CDPH has released a tool to help families; the tool addresses prevention, early identification, and advance planning.  Learn more at TakeOnAlz.com.


California Surgeon General in Marin for Maternal Mental Health

Mother holding baby.California’s Surgeon General, Dr. Diana Ramos will be coming to Marin on Thursday, May 2, to give a keynote address at First 5’s Marin Communications Forum.  The talk will be focused on all aspects of Maternal Mental Health from Adverse Childhood Experiences to pregnancy to post-partum. More information can be found on the Facebook event page.


Community Health Assessment
 

Every three years, Marin Public Health gathers with stakeholders across our community to re-assess local health needs and set shared priorities. The Community Health Assessment (CHA) is required for achieving Public Health Accreditation and describes health indicators, disease prevalence, social determinants of health, access to healthcare services and other factors. Focus is placed on understanding health disparities, identifying areas for improvement, and informing interventions to promote health for all members of the community. The next CHA process will occur in 2025. Please click here to view the last Marin County Community Needs Assessment: A Summary of Key Findings.


Long-Term Care Settings Outbreak Free 





 

 

For the first time in 4 years, there are no reported outbreaks of communicable diseases among Marin County's long term care facilities.  This is due to waning seasonal respiratory viruses and improvements in infection control practices. In 2020, Public Health formed a new team dedicated to outbreak prevention and infection control (OPIC). In 2023, the OPIC team made 81 visits to long-term care settings to provide on-site training and support.  Marin’s OPIC team is currently mentoring Long Beach and Tuolumne County as part of the National Association of County and City Health Officials (NACCHO) Infection Prevention and Control Learning Collaborative.

Message from the Deputy Public Health Officer



Dr. Lisa Santora, Deputy Health OfficerThis week, Public Health was in the news.  The Marin IJ feature our Marin County Life Expectancy Dashboard and the work of our Community Response Teams, which have been renamed Community Resilience Teams to reflect a broader scope of work post-pandemic.  It also highlighted how the pandemic fortified our public health system and the importance of harnessing lessons learned to improve the health and safety of our community.  We have deep gratitude for our ongoing partnership with Marin’s health care providers.  Thank you for all you do each day to keep our community, especially our most vulnerable residents, healthy and safe.
 
In gratitude,

Lisa M. Santora, MD, MPH
Deputy Heath Officer


 
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Marin County Public Health, a division of the Marin County Health & Human Services Department
https://www.marinhhs.org/public-health

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at DisabilityAccess@MarinCounty.org. Copies of documents are available in alternative formats, upon request.

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MCPH OPIC Newsletter #12 March 2024
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OPIC Monthly Newsletter

Issue 12                                                                    March 14, 2024

Greetings from Marin County Public Health (MCPH) Outbreak Prevention and Infection Control (OPIC).
MCPH OPIC team supports healthcare and congregate care facilities mitigate and manage risks and prepare for emergencies. Our monthly newsletters include news, guidance, updates, trainings and educational opportunities for all levels of staff.

Guidance Updates

Older Adults Now Able to Receive Additional Dose of Updated COVID-19 Vaccine - 2/28/2024
The CDC recommended that adults aged 65 years and older can receive an additional dose of the updated COVID-19 vaccine at least 4 months following the previous dose of the updated 2023-2024 formula (CDC Clinical Considerations). Marin County Public Health supports this recommendation. Over 90 percent of local COVID-19 hospitalizations are among residents aged 65 or older. COVID-19 exposures occur year-round, and immunity wanes over time. However, for residents aged 65 and older who have not received even one dose of the updated vaccine, the urgency is even higher to gain the protection of the vaccine.

*UPDATED* CDC Respiratory Virus Guidance for Community Settings
This updated guidance does not apply to hospitals or nursing homes. Guidance for healthcare settings recommendations are not being updated at this time. For the general public, the updated Respiratory Virus Guidance recommends that people stay home and away from others until at least 24 hours after both their symptoms are getting better overall, and they have not had a fever (and are not using fever-reducing medication). Note that depending on the length of symptoms, this period could be shorter, the same, or longer than the previous guidance for COVID-19. See link for complete details.

 

Surveillance Updates
 
Respiratory Virus Transmission Trending Downward
For the first time this season,  influenza, RSV and COVID-19 levels are all trending downward in Marin County. RSV and influenza are more reliably seasonal (typically October through March); whereas COVID-19 is unpredictable and subject to surges any time of year based on emerging strains and other factors. Marin County Public Health will continue to monitor and report virus levels to keep our community informed.

Protect your Family Against Measles Ongoing reports of measles cases around the country remind us about the importance of vaccination, which provides protection against serious illness. 

CDPH Health Advisory: Substantial Increase in Tuberculosis in California

Marin County Public Health Advisory - Increase in local overdose deaths suspected to be related to fentanyl  Noted increases in these substances in Marin County wastewater and in 911 calls for non-fatal overdose events. People using substances may be at higher than usual risk for fatal overdose in Marin County.

 
Multi-Drug Resistant Organism (MDRO) Updates
 
Best Practices for SNFs in Accepting Residents with MDROs (2.15.24) This CDPH HAI Program slide deck provides information on how you can safely care for patients with MDROs.  Presentation recording

CDPH CPO Main Page: quicksheets, webinars, prevention strategies, and recordings

 

Recent All Facilities Letters (AFLs) from CDPH

AFL 24-07 Assembly Bill (AB) 48 - Nursing Facility Resident Informed Consent Protection Act of 2023 related to a patient's right to be free from psychotherapeutic drugs and, to provide informed consent before treatment.

AFL 24-08 Updated Information on Family Council Requirements to Include AB 979 – Long-Term Care Family Councils revises and expands previous guidance issued on California state requirements for family council. 

AFL 24-09 Assembly Bill (AB) 1417 - Elder and Dependent Adult Abuse Mandated Reporting informs LTC facilities about updates to the mandated reporter process.
 

AFL 24-10 Senate Bill (SB) 137: Health Omnibus Trailer Bill

This AFL notifies hospice agencies of extending the deadline for CDPH to adopt emergency regulations for hospice agencies until January 1, 2025.

View all AFLs at the All Facilities Letter webpage.  
 

View CDSS PINs at the All COVID-19 ASC PINs by Topic webpage. 

Free Virtual Trainings
 
Project Firstline: CDC's Training Collaborative for Healthcare Infection Control
CDPH online 18 hour SNF Online Infection Prevention Course

CDC Learning Connections:  CDC TRAIN 
     
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Marin County Public Health's Monthly Updates for LTCFs provide updates regarding guidance, local data and surveillance, and training opportunities. Please contact LTCFReport@marincounty.org to be added to the meeting invitation. 

Next MCPH Monthly meeting is: Tuesday, March 26, 2:00-3:00 PM






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County of Marin · 3240 Kerner Blvd. · San Rafael, CA 94901 · USA

Public Health Newsletter - February 2024
Marin County Public Health Newsletter - February 2024
In this Issue: Measles Update | Think TB I Emergency Alert System Test | Safety After a Flood | Social Media and Teen Mental Health | County Health Ranking | Message from the Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

Measles Update


Measles, once nearly eliminated in the U.S., is on the rise again globally and nationally. The California Department of Public Health issued a health advisory, reminding health care providers to consider measles in persons presenting with a febrile rash illness. Clinicians should ensure patients are up to date with measles vaccine and report any suspected cases to Marin Public Health at 415-473-4163. Travelers should check CDC’s Travel Health Notices to monitor measles risk abroad. For more information visit CDPH EZIZ Measles Resources.

 


Think TB

Tuberculosis infections are on the rise in California, partly due to reductions in screening rates during the pandemic.  Active TB disease is effectively prevented with testing and treatment of latent TB (LTBI). Marin County clinicians are reminded to “Think TB” and test at-risk residents for LTBI. Providers should not repeat testing unless new risk factors emerge, and only treat LTBI after active TB is ruled out.  For guidance, visit TB Risk Assessment (ca.gov). Report any suspect or active TB cases to Marin Public Health using the online confidential reporting form.


Emergency Alert System Test

On March 23 at 10AM, the County of Marin Office of Emergency Management (OEM) will conduct a first ever countywide test of AlertMarin.  AlertMarin is designed to reach residents countywide during an emergency incident, to communicate instructions to evacuate, shelter in place, or take other protective actions. Clinicians should encourage staff, patients and families who live or work in Marin to sign-up to receive emergency alerts ahead of the test.
OEM Graphic


Safety Concerns After a Flood

Climate change is accelerating natural disasters, including flooding. Healthcare providers should be equipped to manage emerging threats to health. The California Department of Public Health has developed materials for healthcare providers and patients regarding flooding, including a preparation checklist and clinical guidance for infectious, dermatologic, and injury concerns. This guidance is posted on a new Marin Public Health landing page. dedicated to flood safety.


Social Media and Teen Mental Health
 

The U.S. Surgeon General has cited an increasing body of evidence showing social media can harm the mental and social well-being of young people. The Marin County Office of Education (MCOE) has developed a resource guide for parents that clinicians can share with families. MCOE has also joined a lawsuit against social media companies to accelerate change and offset costs associated with supporting youth who have been negatively impacted.


Unpacking Marin's Top Health Ranking 


Marin County was recently ranked the healthiest county in the United States in an analysis performed by MarketWatch.  This mirrors results from the annual County Health Rankings.  However, significant health disparities exist within Marin that are hidden by county-level averages. Last week, Marin Public Health epidemiologists launched a new dashboard to describe health factors in four Health Equity Zones, to guide equity strategies and track progress. The team also created a dashboard focused on life expectancy  Marin Public Health is committed to ensuring all residents have the same opportunity for long and healthy life.

Message from the Public Health Officer



For many of us in healthcare, our roles have shifted rapidly from direct pandemic response to managing the consequences of four years of disrupted health services. Resurgences in measles and TB are partly attributable to reduced screening and vaccinations. Teen mental health has suffered from a combination of social isolation and accelerated social media. Together, these point to the value of the everyday work of preventive care, and the irreplaceable value of personal relationships with our patients. For me, it’s reassuring to recognize that pandemic recovery happens in the routine elements we all bring to the vocation of healthcare. Thank you for your stamina and compassion as we continue to care for our community.

Sincerely,

Matt Willis MD, MPH
Public Health Officer
Matt.Willis@marincounty.gov
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Copyright ©  2023
Marin County Public Health, a division of the Marin County Health & Human Services Department
https://www.marinhhs.org/public-health

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at DisabilityAccess@MarinCounty.org. Copies of documents are available in alternative formats, upon request.

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Our mailing address is:
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MCPH OPIC Newsletter #11 February 2024
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OPIC Monthly Newsletter

Issue 11                                                                    February 14, 2024

Greetings from Marin County Public Health (MCPH) Outbreak Prevention and Infection Control (OPIC).
MCPH OPIC team supports healthcare and congregate care facilities mitigate and manage risks and prepare for emergencies. Our monthly newsletters include news, guidance, updates, trainings and educational opportunities for all levels of staff.
Dr. Lael Duncan, Marin County Deputy Public Health Officer, emphasizes the critical role of the RSV vaccine in long-term congregate settings, reducing the risk of infections and outbreaks. The RSV vaccine reduces the risk of serious illness by 80%. Residents are encouraged to request it from their doctor. Protect yourself and others.
Visit MarinHHS.org/Vaccine for more information.

Please share this video with your residents, their families, and your staff.

Guidance Updates from CDPH and CDC


Late Season Prevention of RSV 
Continue year-round to administer private-purchase supplies of RSV vaccines to adults aged 60 years and older. Do not discard unused doses of nirsevimab and RSV vaccines. RSV vaccines and Nirsevimab are expensive and have a lengthy shelf life, so unused doses can be saved for use this Fall. We encourage you to label remaining doses “Keep for Fall 2024.”  CDC updated guidance on nirsevimab use

Resources

CDPH - Public Health Officer, Dr. Aragón:  Letter to Directors and Administrators of Long-Term Care Facilities (LTCFs) (1/19/2024) This letter reviews the importance of vaccination for COVID-19, influenza, pneumococcal and RSV for residents. Article - COVID-19 behind thousands of excess US deaths, analysis shows, 2/7/2024

CDPH COVID-19 Testing and Communications Toolkit for General Public (updated 1/2024)
  

All Facilities Letters (AFLs) from CDPH

AFL 24-06  – Compassionate Access to Medical Cannabis Act  (1/17/2024) permitting medicinal cannabis use by patients over the age of 65 with a chronic disease in all Skilled Nursing Facilities (SNF), Congregate Living Health Facilities (CHLF), Special Hospitals (SH), Hospice Facilities (HOFA), and Home Health Agencies (HHAs).

AFL 24-03 – Health Information Disclosures (1/16/2024): notifies all licensed health care facilities of the chaptering of AB 352 (Chapter 255, Statutes of 2023), amending the Confidential Medical Information Act (CMIA) to prohibit disclosing or sharing of health information relating to sensitive services, including abortion and abortion-related care, with any individual or entity in another state. 
AFL 24-04 – Health Professionals and Facilities Adverse Actions Based on Another State’s Law (1/16/2024): informs facilities about protections for providers of sensitive services.​

AFL 24-02 - Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)  (1/16/2024): the opening January 1, 2024 of the application period for SNFs requesting a Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW) for fiscal year 2024-2025.

AFL 23-34 - Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Clinically Eligible Individuals (11/13/2023) - reminds facilities of the importance of offering and encouraging COVID-19 vaccinations to clinically eligible individuals, especially those at highest risk of morbidity and mortality, at all interactions across the healthcare continuum.
AFL 23-36 - Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities – 2023-24 (12/5/2023)

View AFLs at the All Facilities Letter webpage.  

CDSS Updates

View PINs at the All COVID-19 ASC PINs by Topic webpage. 

To view published Email Blasts, visit the E-Blast webpage

Resources

*FREE*  COVID-19 Test Kits Allocation - LAST ORDERING OPPORTUNITY!

The California Department of Public Health (CDPH) at-home testing program will end, effective February 29, 2024.  Eligible organizations, including LTCFs and SNFs, will be able to order at-home tests only before this date. Orders need to be placed before 2/29/24. Review test kit storage, expiration dates, and important info in the links below:

FREE Virtual Trainings
  • Free, online, Training for staff at LTACHs.
  • Free, online Training for staff at SNFS.
  • Toolkit for Certified Nursing Assistants (CNAs) Training
  • Project Firstline Project Firstline Training Toolkit for EVS Staff
     
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Marin County Public Health's Monthly Updates for LTCFs provide updates regarding guidance, local data and surveillance, and training opportunities. Please contact LTCFReport@marincounty.org to be added to the meeting invitation. 

Next MCPH Monthly meeting is: Tuesday, February 27, 2:00-3:00 PM






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County of Marin · 3240 Kerner Blvd. · San Rafael, CA 94901 · USA

Public Health Newsletter - January 2024
Marin County Public Health Newsletter - January 2024
In this Issue: COVID-19 Isolation | Nirsevimab for Infants I RSV Advisory | Cipro Resistance Advisory | Mental Health for Boys and Men | Cardiovascular Health and Life Expectancy | Message from the Deputy Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

New COVID-19 Isolation Guidance

On January 9, 2024, the California Department of Public Health (CDPH) updated isolation guidance for individuals who test positive for COVID-19. This guidance does not apply to healthcare personnel who work in hospitals or skilled nursing facilities. Individuals can now return to work or school if symptoms are mild and improving, and they have been fever-free for 24 hours without the use of fever-reducing medications. Staying home for at least 5 days is no longer required. Asymptomatic close contacts should test if they are at higher-risk or have higher-risk close contacts.  Cal OSHA COVID-19 prevention regulations and the health officer face mask order in patient areas of specified healthcare settings remain in effect.


Increased Supply of RSV Antibody for Infants

The new RSV infant immunization nirsevimab has been in short supply since itsRSV Virus approval in July, 2023. Following the announcement that the manufacturer is releasing additional doses, the CDC is now advising providers to provide nirsevimab to eligible infants and children as soon as possible. Healthcare providers can order nirsevimab through their usual supplier, or at https://www.vaccineshoppe.com/
For 
Vaccines for Children (VFC) program providers, nirsevimab is available.   For questions on how to become a VFC provider, call Marin County Public Health at 415-473-4163.


RSV Vaccine Advisory

On December 29th, Marin County Public Health issued a Public Health Advisory urging providers to order the RSV vaccine for their patients who live in long term care facilities. To date, there have been two RSV outbreaks in skilled nursing facilities, involving four hospitalizations and one death. RSV is in peak circulation in our community and the vaccine is highly effective at preventing serious disease.


Ciprofloxacin-Resistant Meningococcus Advisory

On January 22nd, Marin County Public Health issued a Public Health Advisory advising providers not to use ciprofloxacin for post-exposure prophylaxis (PEP) for invasive meningococcal disease (IMD) due to an increase in ciprofloxacin-resistant strains of Neisseria meningitidis in our region.  Healthcare providers in Marin County should use rifampin, ceftriaxone or azithromycin for IMD PEP in Marin County.  Suspected cases of meningitis must be reported to Public Health immediately at 415-473-4163.  This highlights critical the importance of antibiotic stewardship in preventing or slowing the development of antimicrobial resistant organisms in our community.


Supporting Men and Boys' Mental Health

Men account for 3 out of 4 suicides and overdoses in Marin County. Men and boys often struggle to recognize personal crises or seek help. Marin County Suicide Prevention Collaborative formed the Men and Boys Action Team to address the disproportionate impact on men in our community. Led by people with firsthand experiences, the team meets regularly to talk through shared challenges, offer mutual support, and inform local efforts to reduce overdose and suicide. The group welcomes anyone over 13 years old who identifies as a male to join their team.  Learn more about their work at Redefining Strength – A Conversation About Marin County Men And Boys’ Mental Health.

Cardiovascular Mortality Drives Local Life Expectancy Gap


Marin County Public Health's epidemiology team recently published an analysis of differences in life expectancy (LE) between groups within Marin. While Marin’s average LE is among the highest in the state, the team found a 15-year gap in longevity between communities. This health inequity is driven mainly by preventable cardiovascular mortality in lower income communities, and especially among Marin’s African American residents. Promoting a health life span for all communities is a priority for Marin County Public Health. Visit MarinHHS.org/Marin-County-Life-Expectancy to learn more about local strategies to reduce this health disparity.

Message from the Deputy Public Health Officer


Four years ago this week, the city of Wuhan was placed on lockdown and the first case of COVID-19 was confirmed in the United States.  Flash forward to today - we have at-home COVID tests, vaccinations, and effective treatment. This month we also reached a historic post-pandemic milestone – shifting from a prescribed isolation period to a symptom-based approach.  COVID is now part of our viral landscape. 

While the acute strain of the pandemic is easing, health care will still be marked by disruption and change.  We have tremendous opportunities to harness lessons learned from the pandemic and galvanize efforts to address the challenges that lay ahead of us. We look forward to collaborating with you in 2024 to improve the health of our community.

With gratitude,

Lisa M. Santora MD, MPH
Deputy Public Health Officer
Lisa.Santora@marincounty.gov

 
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Copyright ©  2023
Marin County Public Health, a division of the Marin County Health & Human Services Department
https://www.marinhhs.org/public-health

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at DisabilityAccess@MarinCounty.org. Copies of documents are available in alternative formats, upon request.

County of Marin Logo

Our mailing address is:
3240 Kerner Blvd
San Rafael, CA 94901
MCPH OPIC Newsletter #10 January 2024
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OPIC Monthly Newsletter

Issue 10                                                                    January 18, 2024

Greetings from Marin County Public Health (MCPH) Outbreak Prevention and Infection Control (OPIC).
MCPH OPIC team supports healthcare and congregate care facilities mitigate and manage risks and prepare for emergencies. Our monthly newsletters include news, guidance, updates, trainings and educational opportunities for all levels of staff.

NEW! COVID-19 Guidance Updates from CDPH

New Isolation and Testing Guidelines from CDPH do not apply to certain High Risk Facilities in Marin County. 

High-risk settings include long term care sites and residential congregate facilities for the elderly, facilities where persons at higher risk of severe disease are more likely to be present. Wide spread transmission and large-scale outbreaks are more likely to occur at these sites. Many residents in these locations are persons at high risk of severe COVID-19 disease due to underlying health conditions, advanced age, or both. 

Skilled Nursing facilities should continue to apply isolation guidance as per 2023 documents. Masking for all staff is required in Acute Care Hospitals and SNF settings November 1 to March 31 per Health Order from Marin County Public Health dated September 27, 2023.

CDSS licensed sites are recommended to have residents with COVID-19 infection isolated for 5 days then avoid congregate activities and mask for another 5 days.

During the winter respiratory illness season, masking for all personnel and residents is strongly recommended at all times in common areas, care areas and when near other staff, residents, patients, clients through March 31, 2024. Consult Marin County Public Health or your licensing entity if you have questions.

Return to work and post exposure testing guidance for facility personnel is included in CDC's healthcare infection control guidance and in CDPH AFL 21-08.9. Healthcare personnel and personnel working in high risk congregate  settings (as listed above) that are not covered by AFL 21-08.9 are recommended to follow the guidance outlined in AFL 21-08.9 until further notice by Marin County Public Health.

 

CDC Health Advisory (12/14/23)

Urgent Need to Increase Immunization Coverage for Influenza, COVID-19, and RSV and Use of Authorized/Approved Therapeutics in the Setting of Increased Respiratory Disease Activity During the 2023 – 2024 Winter Season. The alert is for  healthcare providers to increase vaccination due to low vaccination rates against influenza, COVID-19, and RSV (respiratory syncytial virus). “Low vaccination rates, coupled with ongoing increases in national and international respiratory disease activity caused by multiple pathogens, including influenza viruses, SARS-CoV-2 (the virus that causes COVID-19), and RSV, could lead to more severe disease and increased healthcare capacity strain in the coming weeks.”

 

All Facilities Letters (AFLs) from CDPH

AFL: 23-26: Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities – 2023-24

This AFL notifies facilities of an updated version of the guidance document which includes streamlined guidance that can be broadly applied for the prevention and control of influenza, COVID-19, RSV, and other common respiratory viruses (e.g., adenovirus, parainfluenza virus, etc.) in California SNFs.

View AFLs at the All Facilities Letter webpage.  

CDSS Updates

Influenza and RSV Vaccination Recommendations 

View PINs at the All COVID-19 ASC PINs by Topic webpage. 

To view published Email Blasts, visit the E-Blast webpage

Resources

*FREE*  COVID-19 Test Kits Allocation - Limited Ordering Opportunities Left

The California Department of Public Health (CDPH) at-home testing program will be coming to an end*, effective February 29, 2024.  Eligible organizations, including LTCFs and SNFs, will be able to order at-home tests. Orders need to be placed before 2/29/24. Review test kit storage, expiration dates, and important info in the links below:


Infectious Disease toolkits

 

Additional Resources:

FREE Virtual Trainings
  • Free, online, Training for staff at LTACHs.
  • Free, online Training for staff at SNFS.
  • Toolkit for Certified Nursing Assistants (CNAs) Training
  • Project Firstline Project Firstline Training Toolkit for EVS Staff
     
Was this email forwarded to you? 
Sign up for our list!
     
Marin County Public Health's Monthly Updates for LTCFs provide updates regarding guidance, local data and surveillance, and training opportunities. Please contact LTCFReport@marincounty.org to be added to the meeting invitation. 

Next MCPH Monthly meeting is: Tuesday, January 23, 2:00-3:00 PM






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County of Marin · 3240 Kerner Blvd. · San Rafael, CA 94901 · USA

Public Health Newsletter - December 2023
Marin County Public Health Newsletter - December 2023
In this Issue: World AIDS Day | Fall Vaccine Progress I Pertussis | Xylazine | Green Space and Longevity | Message from the Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

World AIDS Day

 

December 1st marked the 35th anniversary of World AIDS Day. Marin passed a resolution at the Board of Supervisors to commemorate this day.  HIV is highly preventable and treatable, and all clinicians have a part to play in reaching zero HIV transmission in Marin. Track local  progress with our newly launched HIV dashboard.  A list of local support services can be found here.

 


Fall Vaccine Progress

California reported its first pediatric flu death this month. This is an important reminder to protect eligible residents against common seasonal viruses. Flu, COVID and RSV levels continue to rise in Marin. As of this week, among residents aged 60 and over in Marin, 56% had the flu shot, 49% received the COVID-19 vaccine, and 19% had received the RSV vaccine. While these rates are significantly higher than state averages, a majority of older residents are not fully protected. The Bay Area health officers recently issued a press release encouraging residents to obtain the protection of vaccine


Pertussis

From 2010-2015, Marin County had among the highest rates of pertussis (whooping cough) in  the nation. With increased vaccinations, Marin’s last outbreak was in 2018. Concerningly, six pertussis cases have been reported to Marin Public Health so far this fall. Clinicians should consider pertussis and test any patients with characteristic symptoms. Persons at highest risk include infants who can’t get vaccinated (< 1 year old), pregnant women (especially in the third trimester), and those who may expose infants or pregnant women. Youth get their last vaccine in 7th grade. Public health recommends vaccination for pregnant women and any adult in close contact with infants.


Xylazine

Marin County Public Health monitors wastewater for the presence of xylazine, or Tranq, a powerful veterinary sedative increasingly found in the illegal U.S. drug supply. In May 2023, xylazine was detected locally and has not been detected since then. CDPH recently warned Californians about the dangers of xylazine. in an all Facilities Letter: Xylazine in the Illicit Drug Supply and Patient Best Practices. If and when this substance re-surfaces in Marin wastewater, Public Health will issue a local advisory.


Green Space and Longevity

Marin County is known for long life expectancy and abundant green space. While the health  benefits of being outdoors are well known, a new study provides insights into the cellular  mechanism by which our environment impacts our health.


Message from the Public Health Officer

 

One of the core functions of Public Health is to describe gaps in community health and wellbeing. During the pandemic, timely, locally derived data was critical to our strategic response. Our epidemiologists are committed to providing our clinicians and residents accurate and timely “community vital signs."  New features on our Marin County Public Health website include interactive charts describing local bicycle crashes and injuries, and the latest wastewater levels for nine infectious diseases.

With gratitude,

Matt Willis, MD, MPH
Public Health Officer

 
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Copyright ©  2023
Marin County Public Health, a division of the Marin County Health & Human Services Department
https://www.marinhhs.org/public-health

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at DisabilityAccess@MarinCounty.org. Copies of documents are available in alternative formats, upon request.

County of Marin Logo

Our mailing address is:
3240 Kerner Blvd
San Rafael, CA 94901