Marin County Public Health Newsletter - July 2025
In this Issue: Back to School Vaccines | Bicillin Out of Stock | FDA Juul Authorization | Navigating Family Social Media Use | Message from the Public Health Officer
A message to physicians and other healthcare providers from Marin County's Public Health Officers.
Protecting Kids: Back to School Vaccines
As the new school year approaches, the Association of Bay Area Health Officials (ABAHO) is calling on health care providers to make immunizations a top priority. Vaccines are a safe, effective, and essential part of preventive care—protecting children and communities from serious diseases like measles, pertussis, and polio. Health care provider’s play a central role in building and maintaining community immunity. Encourage families to check vaccination records and schedule well-child visits early. Together, we can support vaccine confidence and help all children start the school year protected and ready to learn. Visit https://www.vaccinesafety.edu/ to access evidence-based resources for health professionals.
Health Alert: Bicillin Out of Stock
Pfizer has issued a voluntary recall of multiple Bicillin L-A lots after particulates from defective stoppers were found on visual inspection. Though no adverse events have been reported, this recall is expected to cause a near-term stockout of the long-acting penicillin. Bicillin L-A is the only CDC-recommended treatment for syphilis in pregnancy, and its shortage comes as congenital syphilis rates continue to climb. Pfizer is allocating limited inventory and expects to provide a supply update by mid-August. Providers should prioritize Bicillin for pregnant patients and newborns and consider doxycycline or FDA-authorized imports like Extencilline or Lentocilin for others. You can review the guidance from CDPH here Stay up to date: https://www.pfizerhospitalus.com/.
FDA's Juul Authorization Threatens Youth Health: What Providers Can Do
The FDA’s decision to authorize the sale of Juul e-cigarettes, including menthol flavors, is a step backward in protecting youth from nicotine addiction. Juul played a central role in the youth vaping epidemic due to its sleek design and flavored products that were especially appealing to teenagers. Despite national progress, youth use remains high, and local data indicate cause for concern. In Marin County, nearly 1 in 4 11th graders report vaping nicotine or marijuana in their lifetime. More concerningly, 14% are currently vaping nicotine and 12% are currently vaping marijuana — underscoring the urgent need for prevention and intervention. Providers should screen adolescents for nicotine and marijuana vaping, educate families about the risks of e-cigarettes, refer youth to evidence-based cessation resources, and advocate for local policies that reduce commercial tobacco and nicotine use. Learn more at https://kickitca.org.
Helping Families Navigate Healthy Social Media Use
Healthcare providers can help families address youth anxiety, depression, and social isolation linked to excessive social media use—especially doom scrolling. Instead of focusing on screen time alone, guide families to reflect on how media is used and how it makes their teens feel. Recommend screen-free routines (e.g., before bed), advise families to co-create a Family Media Plan and to have open conversations about online content. Encourage positive alternatives like outdoor activities and in-person social time. Remind parents that teens may need support their teens replacing harmful habits with healthy coping strategies. For quick guidance, review the AAP’s The 5 Cs of Media Use, which is a simple framework to help families foster intentional, balanced digital habits that support mental health and connection.
Message from the Health Officer
In this time of growing need and shrinking resources, health care and social service providers are under immense pressure. Budget cuts strain the systems our patients rely on—and take a personal toll. Now more than ever, it’s essential to care for our own wellbeing: maintaining stability, staying connected, and remembering that our work matters. We’re grateful for the strength of our community and the dedication of our fellow providers. By supporting one another, we protect our capacity to serve others with compassion and clarity. We're in this together.
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