County of Marin Health and Human Services

Influenza Surveillance Update - Week Ending March 7, 2020

Information on Service Adjustments During the COVID-19 Emergency

HHS is the County’s largest department with more than 700 employees who work at many sites throughout Marin. Many HHS offices have reopened with limited staffing to the public. Staff will continue to provide services remotely when possible for safety reasons, and residents in need of HHS services should consider conducting conversations over the phone or email when possible. Please call ahead if you have an appointment or require in-person assistance.

  • Adult Protective Services: (415) 473-2774.
  • Skilled Nursing/Assisted Living Ombudsman: (415) 473-7446.
  • Child Protective Services: (415) 473-7153.
  • Public Assistance Call Center (Medi-Cal, CalFresh, CalWorks): 1 (877) 410-8817, or visit
  • General Relief: (415) 473-3450.
  • Behavioral Health and Recovery Services Access Line: 1 (888) 818-1115.
  • For information on resources and services specifically for older adults (persons 60+), persons with disabilities and family caregivers, call (415) 473-INFO (415) 473-4636 or email
  • HHS created a phone hotline, (415) 473-7191 (CRS 711), and an online contact form, for residents to contact staff with questions or concerns about the virus and about the county and community response. The call center is open from 9:30 a.m. to noon and 1 to 5 p.m. weekdays, and interpreter services are available.
  • Dial 711 for CA Relay Service (link is external)


COVID-19 Update

Regular influenza surveillance updates have been temporarily paused during COVID-19 response. For up-to-date information on COVID-19 and respiratory illness surveillance in Marin County, visit our Novel Coronavirus Surveillance page.


Local influenza activity continues to increase in Marin County with a spike in activity seen during January 2020. To date, the 2019-2020 flu season has been more severe  than the 2018-2019 season. It is not too late to get the flu vaccine if you haven't already. You can find out where to receive the flu vaccine here.

Influenza-like Illness Activity

Influenza-like illness activity in Marin County has remain elevated levels since early November, with a larger spike in activity seen at the end of January. Discharge data from Kaiser San Rafael, MarinHealth, and Novato Community Hospital emergency departments showed the percentage of visits associated with influenza-like illness (ILI) was 12.8% during week 10 (Mar.1-7). See Figure 1 below.

Figure 1. Proportion of Visits due to Influenza-Like Illness (ILI):  Kaiser San Rafael, MarinHealth Medical Center, and Novato Community Hospital Emergency Departments, 2017-2018, 2018-2019, and 2019-2020 Influenza Seasons


Influenza testing: During week 10 (Mar. 1-7),  21 (14.1%) of the 149 specimens tested for influenza were positive. During this influenza season through March 7, 512 specimens have tested positive for influenza. See Figure 2 below. 

Figure 2. Influenza Tests in Marin County, 2019-2020 Influenza Season


Influenza Related Deaths: There have been three influenza-related deaths of older adults (>65 years old) in Marin County during the 2019-2020 flu season.

Note: Marin County now includes number of influenza-related deaths in our influenza communications. This does not indicate an increase in deaths compared to previous flu seasons, but a change in reporting procedures.


The geographic spread of influenza activity in California was widespread during week 9 (Feb.23-29).
Outpatient influenza-like illness and hospitalizations were above expected levels.
Visit the California Department of Public Health’s influenza website here for more information.

United States

National influenza activity remained elevated but continued to decrease for the third week in a row as of week 9 (Feb.23-29).
For additional national influenza data, visit the Center for Disease Control and Prevention's influenza surveillance website here.

Novel Coronavirus (2019-nCoV): You can find local information about COVID-19 (novel Coronavirus) here.

If you have any questions or comments please contact:
Lisa Santora, MD
Deputy Public Health Officer
(415) 473-4163

This publication is provided to you by the Office of the Public Health Officer, County of Marin Department of Health and Human Services.


California Department of Public Health. Accessed 3/12/20.

Centers for Disease Control and Prevention. Accessed 3/12/20.

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