County of Marin Health and Human Services

Public Health Newsletter - August 2023

Public Health Newsletter - August 2023
Marin County Public Health Newsletter - August 2023
In this Issue: West Nile Virus | Tough Mudder Rashes I Catch-up Vaccine Schedule | RSV IZ for Infants | DEA Training Requirement | Suicide Prevention | Message from the Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

West Nile Virus Detected Locally

Early this month the Marin/Sonoma Mosquito and Vector Control District reported the first dead bird infected with West Nile virus (WNV) for 2023 in our region. WNV is the most common and serious vector-borne disease in California. Clinicians should be aware that WNV season, typically later summer and fall, has begun in Marin. 

West Nile Virus disease should be considered in any person with a febrile or acute neurologic illness who has had recent exposure to mosquitoes, blood transfusion, or organ transplantation. WNV cases should be reported to Marin Public Health at with a CMR report and by phone to 415-473-4163 within one working day. For details on how to report click here. For more information on clinical evaluation, diagnostic testing, and treatment please refer to the CDC.

Aeromonas Causing Rash Illness in Tough Mudder Race Participants

Sonoma County Public Health has received reports of participants who developed a rash with fever, muscle pain and nausea after the Tough Mudder race at Sonoma Raceway on Aug. 19 and 20. Racers are drawn from across the region. Aeromonas has been identified as a cause, which responds to ciprofloxacin. For more information click here.

National Immunization Awareness Month

August is Immunization Awareness Month. Marin County has made remarkable progress in childhood vaccinations. In order to maintain high levels of protection during this season of back-to-school vaccines, Marin Public Health is reminding clinicians to refer to the CDC’s Catch-up Immunization Schedule. CDC also offers guidance in  how to recommend vaccinations to hesitant patients of all age groups.

A New RSV Immunization for Infants

A new immunization against respiratory syncytial virus (RSV) will be available for infants this fall. Nirsevimab (Beyfortus™) is a long-acting monoclonal antibody that has demonstrated an 80% reduction in the risk of hospitalizations and healthcare visits for RSV in infants. CDC recommends immunization for infants under 8 months and some older babies at increased risk of severe RSV illness. The immunization is available through the Vaccine for Children (VFC) program and through most insurers. For more information visit: RSV in Infants and Young Children | CDC.

Treating Opioid Use Disorder: DEA Training Requirement for All Licensees

Treatment of opioid use disorder (OUD) reduces risk of overdose and the harm of long term addiction. The Medical Board of California is requiring licensees who are registering or renewing a DEA license to complete an eight hour training requirement.

Board licensees who completed their one-time 12-hour CME course on pain management and the treatment of terminally ill and dying patients may have already satisfied this requirement.



This requirement can be met with multiple options, as long as it totals eight hours.
Please see the DEA notice for additional information or guidance on this matter.

Suicide Prevention Resources

September is Suicide Prevention and Recovery Month. Suicide a leading cause of preventable death In Marin County. For people considering suicide, real time connection with another person can be a life-line. 988 Suicide & Crisis Lifeline is a direct connection to compassionate, accessible care and support for anyone experiencing suicidal thoughts or any mental health or substance use related distress. 

Healthcare providers should ensure their patients are aware of and can access 988 for times in need. Clinicians can also play a role in preventing suicide by joining the Marin County Suicide Prevention Collaborative for in person and virtual meetings throughout the year.  The collaborative’s schedule of events is HERE.


Message from the Public Health Officer

Deputy Public Health Officer, Dr. Lisa Santora

For Marin Public Health, one of our take-homes of the pandemic was the need to provide frequent and reliable communication to the public. We now offer a weekly public health status update to the community covering a range of locally relevant topics. As an example, last week I outlined fall vaccine options in this video. We can combat misinformation together by providing consistent, clear and shared messages from healthcare and public health. Sign up to receive our weekly Public Health Status Updates here.

Matt Willis, MD, MPH

Facebook Facebook
Twitter Twitter
HHS Website HHS Website
HHS Youtube HHS Youtube
Copyright ©  2023
Marin County Public Health, a division of the Marin County Health & Human Services Department

Requests for disability accommodations may be made by phoning (415) 473-4381 (Voice), CA Relay 711 or by e-mail at 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

Blog Category: