County of Marin Health and Human Services

Public Health Newsletter - February 2019

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)

Public Health Newsletter - February 2019
Marin County Public Health Newsletter Volume 7 - Issue 2 - February 2019
In this Issue: Measles | Celebrating Diversity | Shelter | Pertussis | Child Health | Message from the Deputy Public Health Officer
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A message to physicians and other health care providers from Marin County's Public Health Officer.


Measles continues to circulate in much of the world.  Airport travel can pose a risk for exposure to measles.  While recent measles outbreaks in other states have sparked concern, Californians are not at significant risk for measles unless they travel to Clark County.  While providers should consider measles in patients with fever and a descending rash, measles is unlikely in the absence of contact with a confirmed case of measles or a history of travel or exposure to travelers.  The California Department of Public Health (CDPH) has issued new guidance for measles testing.

All for One & Fun for All! 

This year, the Marin County Fair was recognized nationally by the Western Fairs Association (WFA) for celebrating the diverse cultures of our county.  The Global Stage showcased community performers' artistic interpretations and expressions of the "All for One & Fun for All!" theme.  The fair also hosted an International Festival of Short Film and Video, culinary contests, including a Recetas Latinas Contest for Latino foods, and an Out at the Fair day for Marin County's LGBTQ+ community.

Severe Weather Emergency Shelter Plan Update 

Marin Health & Human Services (HHS) is the primary funder of 165 of Marin's 190 year-round emergency shelter beds.  After a decade, the Rotating Emergency Shelter Team (REST), which provided 60 additional winter emergency shelter beds, ended in April 2018.  This season, HHS developed a Severe Weather Emergency Shelter (SWES) plan to open emergency shelter beds when cold-weather conditions increase the risk of hypothermia-related morbidity and mortality for residents who are unsheltered.   This winter season, we have activated the SWES plan four times and provided seven nights of shelter at the Health & Wellness Campus.   Watch this video to see what we are doing about Homelessness.   Visit this website to read what we are doing about Homelessness.

Pertussis Update

Since 2018, there has been an outbreak of pertussis (aka whooping cough) in Marin County.  Outbreaks commonly occur every 3 to 5 years.  Compared to 44 cases of pertussis in 2017, Marin County had 249 reported cases in 2018.  As of January 2019, there were 18 confirmed cases of pertussis in Marin County.  Visit Marin HHS' Communicable Disease Prevention and Control's Pertussis Update for more information.

Public Health Program Spotlight:  Child Health & Disability Prevention Program

The Child Health & Disability Prevention (CHDP) program is a preventive program that delivers periodic health assessments and services to low-income children and youth in California.  In 2016, the CHDP adopted the American Academy of Pediatrics' (AAP) Bright Futures recommendations for pediatric preventive healthcare.  CHDP providers are now required to provide developmental screenings at 9 month, 18 month, and 24 or 30 month well-child exams.  Health promotion and anticipatory guidance, disease prevention, and early detection of disease contribute to a lifetime of positive health outcomes.

Message from the Deputy Public Health Officer

Last year, HHS released our new Strategic Plan to Achieve Health & Wellness Equity.  In partnership with the community, HHS will be amplifying its work, addressing key conditions that help drive, maintain, or worsen racial inequities.  One indication of success on this front will be decreased exposure to trauma and increased resilience.  By incorporating trauma-informed approaches to care, health care providers can more effectively care for patients and improve health.  The first step of trauma-informed practice is recognizing how common trauma is and asking, "What happened to you?" rather than "What's wrong with you?" (which is not necessarily natural for professionals who start documentation with the "chief complaint").  Learn more about Trauma-Informed Care by visiting the Trauma-Informed Care Implementation Resource Center.
Warm Regards,
Lisa Santora, MD, MPH
HHS Website
HHS Youtube
Copyright (c) 2019
Matthew Willis MD, MPH
Marin County Public Health Officer
(415) 473-4163
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Our mailing address is:
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San Rafael, CA 94901

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