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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.
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