County of Marin Health and Human Services

MCPH OPIC Newsletter #10 January 2024

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


*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
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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 to be added to the meeting invitation. 

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

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