Public Health Newsletter - September 2024Public Health Newsletter - September 2024
Marin County Public Health Newsletter - September 2024
In this Issue: RSV Vaccine | Fall Vaccine Opportunities | Mpox Update | Got Milk? H5N1 Update | Teeth, Fangs, and Vaccines | Weathering the Storms | Suicide Prevention | Message from the Public Health Officer
A message to physicians and other health care providers from Marin County's Public Health Officers.
RSV Vaccine
Last year, a new respiratory syncytial virus (RSV) vaccine was approved for older adults, providing additional protection against respiratory syncytial virus. RSV and flu are associated with substantial mortality among older adults > 65 years old. The Centers for Disease Control and Prevention (CDC) recommends everyone ages 75 and older and adults ages 60–74 who are at increased risk of severe RSV disease get an RSV vaccine once. Marin Public Health epidemiologists estimate that 35% of our population is 75 and older and 30% of Marin residents are 65 and older and have received this vaccine. At this time, annual (seasonal) RSV vaccination is not recommended.
Fall Vaccine Opportunities
Immunizations are a core prevention strategy to lower risk from respiratory viruses. Residents can obtain vaccines from their healthcare providers, in pharmacies, or in dedicated vaccine clinics. Marin Public Health and Safeway Pharmacy are offering COVID, flu (regular and high dose), and RSV vaccinations at the Marin Health and Wellness Campus, located at 3240 Kerner Blvd, San Rafael. Clinics are scheduled on October 12 and 26, from 10:00 AM to 4:00 PM (closed for lunch from 12:45 PM to 1:30 PM). For more information and to schedule an appointment, visit the Safeway Vaccination Clinic.
Mpox
The CDC issued updated guidance regarding the ongoing clade I monkeypox virus (MPXV) outbreak in Central and Eastern Africa. MPXV is transmitted through close human contact, with significant spread in the current global clade II outbreak linked to sexual contact. In 2024, the Democratic Republic of the Congo reported over 21,000 suspected clade I cases, the highest recorded. Healthcare providers should advise travelers to these regions about JYNNEOS vaccination. No clade I cases have been detected in the U.S., but active monitoring is ongoing.
Got Milk? H5N1 Update
Recent investigations by the California Department of Food and Agriculture (CDFA) have confirmed the presence of highly pathogenic avian influenza (HPAI) in 41 dairies across Central California. To date, HPAI has not been detected in Marin dairies. Healthcare providers should contact Marin Public Health to coordinate testing for suspected avian influenza A (H5N1) in persons with acute respiratory symptoms and/or conjunctivitis and recent exposure to livestock. While the risk of human infection remains low, with the substantial increase in infected livestock across the state, residents are advised to avoid consuming raw milk.
Teeth, Fangs, and Vaccine
We frequently receive after-hours inquiries about post-exposure rabies prophylaxis. Rabies is endemic in Marin's bat population. With about 10% testing positive, bats are the main source of rabies exposure in our area. Marin Public Health, in partnership with Marin Humane, addresses animal bites and ensures timely post-exposure prophylaxis (PEP). Complex cases often involve pediatric patients bitten by unidentified dogs. We urge health care providers to review our Rabies Information website and encourage pet owners to keep their cats and dogs up to date on rabies vaccinations.
Weathering the Storms: National Preparedness Month
Hurricane Helene serves as a reminder of vulnerability to natural disasters, especially knowing that conditions are ripe for a long and intense fire season. Health care providers play a crucial role in preparing medically frail patients for disasters. Visit Ready Marin and take steps to prepare yourself, your family and your staff. Ask your patients if they have tailored emergency plans to meet their needs. You can refer patients with disabilities and electricity-dependent services to Marin Center for Independent Living (MCIL) for an assessment and linkages to resources. Perhaps most importantly, encourage patients to get to know their neighbors. They can provide immediate support and assistance for those who will struggle to respond on their own.
Suicide Prevention
With suicide rates in Marin County higher than state averages, identifying at-risk individuals, providing support and interventions, and facilitating access to mental health resources is critical. As part of National Suicide Prevention Month, the Marin Suicide Prevention Collaborative launched the Ask, Listen, Connect campaign and introduced the 988 Hope and Help toolkit. This month, Marin Public Health epidemiologists also published a suicide prevention data dashboard, which provides interactive data to monitor suicide trends and support prevention efforts in the community. Please take time to care for yourself, review and share these resources.
Message from the Public Health Officer
Last week in his Farewell Message, Dr. Willis looked back on his 12 years as Marin County's Health Officer and highlighted our community's “superpower” - recognizing our shared interdependence and taking collective action. In his next chapter, Dr. Willis will focus on climate health and enhancing public health communication. You can find his “next post” at Your Local Epidemiologist, which is a newsletter that translates public health science for the community. Our Public Health team is deeply grateful for Dr. Willis’ leadership on both blue sky and gray sky days. Safe travels, Dr. Willis! Embrace the adventure ahead and enjoy the journey.
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