County of Marin Health and Human Services

Public Health Newsletter - July / August 2018

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 - July / August 2018
Marin County Public Health Newsletter Volume 6 - Issue 7 - July / August 2018
In this Issue: Wildfire | Climate Change | Cyclosporiasis | Overdoses | 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.

Wildfire Advisory

California is experiencing unprecedented wildfires this summer, affecting large parts of the state.  As local families travel to areas affected by the fires, Marin County Public Health recommends: 
  • Avoiding areas with poor air quality due to wildfire smoke, especially if traveling with people in sensitive groups, including people with cardiovascular and/or lung disease, infants and children, older adults, persons with obesity or diabetes, and expectant mothers; and
  • If travel to an affected area is unavoidable or essential, then monitor air quality frequently and follow EPA guidelines to reduce smoke exposure and reduce health consequences.

Climate Change Health Impacts:  Extreme Heat 

Heat waves are increasing in frequency and severity, resulting in a higher rate of all-cause and cardiovascular mortality.  The most common diagnoses in heat-related hospital admissions include the following preventable conditions:  heat stroke and sunstroke, fluid and electrolyte disorders, and acute kidney failure.  The risk of hospitalization is greatest in adults older than 85 (primarily due to volume depletion and heat exhaustion).  Households need to prepare for heat and learn symptoms and what to do in case of heat-related illness.  

Increase in Cyclosporiasis Cases in the Bay Area

Since May 2018, there has been an increase in the reported number of domestically-acquired cyclosporiasis cases in the San Francisco Bay Area.  Notably, the first case was diagnosed in a Marin County resident.  Health care providers are encouraged to consider cyclosporiasis in patients presenting with compatible symptoms, such as persistent diarrhea, and to request specific testing for Cyclospora.

Reaching Out to Opioid Overdose Survivors

The H&HS Community Epidemiology Program is piloting a project where individuals who experience non-fatal opioid overdoses served by the Marin County Emergency Medical Services (EMS) system are identified and connected to care.  We are partnering with Bright Heart Health, who provides professional outreach and referrals to treatment and recovery services, such as a naloxone or buprenorphine prescription and a warm hand-off to a treatment program.  This effort is a multisectoral collaboration, including Public Health, Behavioral Health and Recovery Services and community providers.

Message from the Deputy Public Health Officer

On my first day at work in Marin County, I "participated" in a full-scale exercise at the Emergency Operations Center (EOC).  Basically, I watched -- I had never been in an EOC environment.  I mistakenly thought that I wouldn't be responding to an emergency anytime in the near future.  A couple of days later, I deployed to Lake County with the Marin Medical Reserve Corps (MMRC).  In 2017, I deployed to the EOC to coordinate shelter operations at the Marin Center during the North Bay fires.  As I write today, the MMRC stands ready again to deploy to Lake County to provide medical services.  Our ability to serve our communities depends on our own preparedness.  I encourage you to visit FireSafe Marin and review your evacuation plans with your family, friends, and neighbors.  Also, consider joining the new MMRC Surge Team.  The only requirements to join are (1) being an actively licensed health care provider; (2) maintaining an active practice; and (3) registering online with the "Marin County Medical Reserve Corps" at
With gratitude,
HHS Website
HHS Youtube
Copyright (c) 2018
Matthew Willis MD, MPH
Marin County Public Health Officer
(415) 473-4163
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Our mailing address is:
3240 Kerner Blvd.
San Rafael, CA 94901

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