County of Marin Health and Human Services

Public Health Newsletter - November 2023

Public Health Newsletter - November 2023
Marin County Public Health Newsletter - November 2023
In this Issue: Beyfortus Shortage | COVID-19 Vaccine I Marin County Toolkit for Fall Vaccines | Mpox Advisory | Gun Violence Restraining Orders | APEC | Message from the Deputy Public Health Officer 
A message to physicians and other health care providers from Marin County's Public Health Officers.

Beyfortus Shortage

This year two new forms of protection against RSV were released—a conventional vaccine for adults, and an antibody formulation for infants (Beyfortus™). The supply of nirsevimab (Beyfortus™) has fallen far below demand, resulting in a local shortage.  Last month, Centers for Disease Control and Prevention (CDC) recommended prioritizing available 100 mg doses for young infants aged <6 months with underlying conditions who are at increased risk for severe disease, and stopping use in children aged 8–19 months during the 2023–2024 season. In light of this shortage, MCPH strongly recommends that providers vaccinate pregnant patients between 32 - 36 weeks with the RSV vaccine to provide their infants with antibody protection during the first 6 months of life.

COVID-19 Level at Medium and the Updated COVID-19 Vaccine

Due to higher concentrations of COVID-19 found in the wastewater, Marin County has increased to Marin COVID level to medium levels this week. Currently only 36% of Marin residents 65 and older are up to date with their COVID-19 vaccine and only 16% of residents countywide are up to date. This month on Wednesdays and Thursdays, Safeway is offering COVID-19, flu, and RSV vaccines to non-Kaiser patients ages 19 and older at the Marin Health and Wellness Campus (3240 Kerner Blvd in San Rafael).  Walk-ins and appointments are welcome.  Please refer your patients to our only weekend vaccine clinic on Saturday, November 18th from 9 am to 3 pm.

Tracking Local COVID-19 Severe Illness Burden

MCPH has created a comprehensive  and accessible Marin County "Respiratory Virus Season" communications toolkit for your use. This toolkit includes open-source graphics, printable flyers, video reels, pre-written captions, and alt-text in English and Spanish. The toolkit is available to download online.  Please share and post widely.

Mpox Advisory

Last week Marin County Public Health (MCPH) issued a Public Health Advisory with updated clinical guidance on mpox. Mpox cases are rising statewide, and for the first time in nearly a year, a case of mpox was reported in Marin that coincided with viral detection in local wastewater. Clinicians should take a sexual history, consider mpox when evaluating rashes, and recommend the JYNNEOS vaccine for patients at risk. Contact MCPH at (415) 473-4163 for clinical support or visit for more information.

Gun Violence Restraining Order

Gun Violence Restraining Order BannerFirearms are responsible for the majority of suicides and homicides in the United States.  A Temporary Gun Violence Restraining Order is a tool to protect persons in crisis by temporarily preventing access to guns and ammunition. The person's immediate family member, including a spouse, parent, child, grandparent, or any other person who regularly lives with them now or lived with them in the last 6 months, can file a restraining order online or at Marin County Superior Court. Clinicians who are concerned about a patient’s access to guns can contact local law enforcement to assess for a temporary restraining order.  Learn more at Prevent and Prepare | California Governor's Office of Emergency Services.


This week San Francisco is hosting the 2023 Asian Pacific Economic Cooperation (APEC) conference. Certain sections of San Francisco are closed to traffic as dignitaries and their entourages travel through the Bay Area. The MCPH Healthcare Preparedness Program (HPP) worked with local hospitals and emergency response agencies to prepare for this global gathering. Sign up for AlertMarin to stay connected and receive updates.

Message from the Deputy Public Health Officer


Globally we have watched millions of people forcibly displaced from conflicts, crises, and disasters. Nationally we are observing increases in mass shootings, overdoses, and suicides.  Locally we see our neighbors struggle with substance use and mental health disorders and homelessness. While these realities, especially when amplified by social media, can lure us into a feeling of despair, we are surrounded by opportunities to build resilience, connections, and hope.  Marin’s Community Action Teams are fostering engagement in mental health and well-being, suicide prevention and substance use awareness activities.  Marin Medical Reserve Corps is partnering with OD Free Marin to train residents in Lifesaving Skills.  In October, Marin’s Housing First program provided permanent supportive housing to 31 persons experiencing chronic homelessness, including 5 veterans.  TAY Radio Marin is literally amplifying Marin’s youth voices.  Everyday we are surrounded by acts of kindness that are changing the world - for the better.  As we move into the holiday season, I encourage everyone to practice not only the art of medicine, but the art of kindness

With gratitude,

Lisa M. Santora, MD, MPH
Deputy Public Health Officer

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Copyright ©  2023
Marin County Public Health, a division of the Marin County Health & Human Services Department

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