Influenza Surveillance Report (FluView), Previous Forecasts for the 2021-2022 Season, Tools to Prepare Your Practice for Flu Season, Multiplex Assays Authorized for Simultaneous Detection of Influenza Viruses and SARS-CoV-2, Information on Collection of Respiratory Specimens for Influenza Virus Testing, Information for Clinicians on Rapid Diagnostic Testing for Influenza, Algorithm: Interpreting Influenza Testing Results When Influenza is Circulating, Algorithm: Interpreting Influenza Testing Results When Influenza is NOT Circulating, Guide: Influenza Diagnostic Testing in Closed Setting Outbreaks, Guidance: Standard-Based Electronic Laboratory Reporting, Guidance: Antiviral and Obstetric Health Care, Guidance: Outbreak Management in Long-Term Care Facilities, Guidance: Use of Mask to Control Influenza Transmission, Guidance: Prevention & Control in Peri- and Postpartum Settings, U.S. Department of Health & Human Services, Infection Prevention and Control Measures, Influenza-related illness and death, especially among people at increased risk for severe influenza complications. For those living in a county listed in the Medium/Yellow category . Given the predominance of women of child-bearing potential among the healthcare workforce, a substantial number of HCP are estimated to be pregnant or breastfeeding at any given time. Residents often live in their own room or apartment within a building or group of buildings. CDC recommends everyone stay up to date with COVID-19 vaccines for their age group: People who are moderately or severely immunocompromised have. G) Encourage residents and HCP to remain up to date with recommended COVID-19 vaccine doses. Avoid new admissions or transfers to wards with symptomatic residents. Infection prevention and-control measures are especially important for patients who are immunocompromised to reduce the risk for transmission of oseltamivir-resistant viruses. Gloves do not replace the need for performing hand hygiene. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Currently, there are no data on the safety and efficacy of COVID-19 vaccines in these populations to inform vaccine recommendations. Guidance for Fully Vaccinated Residents of Assisted Living Facilities Fully vaccinated residents of assisted living facilities may follow the CDC's recommendations for individuals who have been fully immunized against COVID-19 as described below: Fully vaccinated residents can gather with other fully vaccinated residents without masks Information on. We take your privacy seriously. All information these cookies collect is aggregated and therefore anonymous. Cookies used to make website functionality more relevant to you. Because it can be difficult to anticipate potential for coughs and sneezes, facilities might consider having healthcare personnel routinely wear eye protection for the care of residents with influenza. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Email AHS.VDHEpiCOVID19Program@Vermont.gov (monitored during business hours). Clinicians should consult the manufacturers package insert for approved ages, recommended drug dosing adjustments and contraindications. Stay connected with the healthcare-associated infection program in your state health department, as well as your local health department, and their notification requirements. More information is available, Travel requirements to enter the United States are changing, starting November 8, 2021. CDCs guidance titled Prevention Strategies for Seasonal Influenza in Healthcare Settings contains details on the prevention strategies for all healthcare settings. Thus, coordination between state and local health officials and healthcare administrators is needed to ensure vaccine access to HCP not affiliated with hospitals. Consent/assent for vaccination should be obtained from the resident or their medical proxy and documented in the residents chart per standard practice. All information these cookies collect is aggregated and therefore anonymous. Influenza can be introduced into a long-term care facility by newly admitted residents, healthcare personnel and by visitors. Thank you for taking the time to confirm your preferences. Treating and preventing influenza in aged care facilities: a cluster randomised controlled trial. This care may represent custodial or chronic care management or short-term rehabilitative services. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Ensure that the laboratory performing influenza testing notifies the facility of tests results promptly. Considerations for sub-prioritization, of equal importance, include: Furthermore, given the storage requirements of mRNA vaccines, initial vaccine distribution may be limited to large healthcare systems with ultracold freezer capacity. 3721.01 the following: 1. Skilled nursing facilities: facility engaged primarily in providing skilled nursing care and rehabilitation services for residents who require care because of injury, disability, or illness. Ye M, Jacobs A, Khan MN, et al. The Centers for Disease Control and Prevention on May 13 loosened indoor mask-wearing guidance for fully vaccinated people after previously easing restrictions in outdoor settings. Oseltamivir is recommended for treatment of influenza in people of all ages. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Cookies used to make website functionality more relevant to you. CDC twenty four seven. Dosage adjustment may be required for children and persons with certain underlying conditions. 1. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. COVID-19 vaccines are safe and effective especially against becoming seriously ill, being hospitalized and dyingand very important for older adults. You will be subject to the destination website's privacy policy when you follow the link. CDC twenty four seven. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. March 10, 2020. The CDC has provided guidance on communal activities and dining based on resident vaccination status. The latest CDC antiviral recommendations are available on CDCs influenza antiviral drugs page for health professionals. LTCFspdf icon provide a spectrum of medical and non-medical services to frail or older adults unable to reside independently in the community. While highly effective, antiviral chemoprophylaxis is not 100% effective in preventing influenza illness. DHHS Guidance on Masking for Assisted-Living Facilities NEW 7/14/2021 Guidance on Communal Dining/Group Activities for NF and AL Nursing Home Visitation - COVID-19 from CMS Essential Caregiver Guidance for Long-Term Care Facilities Licensure Unit, Office of Outpatient and In-Home Care Services Guidance Strong confidence in COVID-19 vaccinesleads to more people getting vaccinated. BMJ Open 2016; 6:e011686. Check the manufacturers package insert for approved respiratory specimens. Quality Improvement Organizationsexternal icon. Use the response checklist (updated 4/29/2022) to get started: Co-circulation of Influenza Viruses and SARS-CoV-2, Centers for Disease Control and Prevention. Examples of standard precautions include: Droplet Precautions are intended to prevent transmission of pathogens spread through close respiratory or mucous membrane contact with respiratory secretions. Conduct daily active surveillance until at least 1 week after the last laboratory-confirmed influenza case was identified. For purposes of entry into the United States, vaccines accepted will include FDA approved or authorized and WHO Emergency Use Listing vaccines. CDC twenty four seven. However, in settings where the initial vaccine supply is insufficient to vaccinate residents of all LTCFs, sub-prioritization of vaccine doses may be necessary. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Older adults (especially those ages 50 years and older, with risk increasing with older age) are more likely than younger people to get very sick if they get COVID-19. Even if its not influenza season, influenza testing should occur when any resident has signs and symptoms of acute respiratory illness or influenza-like illness. See the CDC guidance Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination for information on communal dining and activities. The previous CMS guidelines, issued in September 2020 and largely adopted by the states, recommended allowing indoor visits if a facility has been case-free for 14 days and is located in a county with a positivity rate on coronavirus tests of less than 10 percent. Because some of the symptoms of influenza and COVID-19 are similar, it may be difficult to tell the difference between these two respiratory diseases based on symptoms alone. HCP include all paid and unpaid persons serving in healthcare settings who have the potential for direct or indirect exposure to patients or infectious materials. Baloxavir is approved for post-exposure antiviral chemoprophylaxis of influenza in persons aged 5 years and older but no data are available from clinical trials of baloxavir chemoprophylaxis of influenza in long term care facility residents. Considerations for sub-prioritization include: Partners supporting the Pharmacy Partnership for Long-Term Care Programshould follow all Emergency Use Authorization Conditions of Use for COVID-19 vaccines when vaccinating LTCF residents, including provision of fact sheets. Most COVID-19 deaths occur in people older than 65. Healthcare-Associated Infections Program Licensing and Certification Center for Health Statistics and Informatics End of Life Option Act Medical Marijuana Identification Card Program Vital Records Vital Records Data and Statistics Center for Infectious Diseases HIV/AIDS Binational Border Health Communicable Disease Control Ohio is on the ROAD BACK and now is the time to evolve our practices as the COVID-19 pandemic enters the next phase. Western Pac Surveill Response J 2016; 7:1420. If available, multiplex nucleic acid detection assay for SARS-CoV-2, influenza A and B viruses can be performed onsite, or at an offsite clinical laboratory.3, Two different specimens may need to be collected if a multiplex nucleic acid detection assay including both influenza viruses and SARS-CoV-2 is unavailable.2,3, B) Test for SARS-CoV-2 by nucleic acid detection4OR by SARS-CoV-2 antigen detection assay.5,6, Because antigen detection assays have lower sensitivity than nucleic acid detection assaysfor detecting SARS-CoV-2 in upper respiratory tract specimens, a negative SARS-CoV-2 antigen detection assay resultin a symptomatic persondoes not exclude SARS-CoV-2 infection and should be confirmed by either a negative result from a SARS-CoV-2 nucleic acid detection assay or a second negative antigen test result on an upper respiratory tract specimen collected 48 hours after the first negative testresult. assisted living communities). Saving Lives, Protecting People, Vaccine Recommendations and Guidelines of the ACIP, Pharmacy Partnership for Long-Term Care Program, National Center for Immunization and Respiratory Diseases, Comprehensive Recommendations and Guidelines, Preventing and Managing Adverse Reactions, Vaccine Recommendations for Emergency Situations, CDC's International Travelers Yellow Book, Clinical Travel Notices, Updates, and Vaccine Shortages, U.S. Department of Health & Human Services, HCP with direct patient contact and thus who are unable to telework, including those who work in inpatient, outpatient, or community settings, who provide services to patients or patients family members, or who handle infectious materials, HCP working in residential care or long-term care facilities, HCP with documented acute SARS-CoV-2 infection in the preceding 90 days may choose to delay vaccination until near the end of the 90 day period in order to facilitate vaccination of those HCP who remain susceptible to infection, as. CDC's guidance titled Prevention Strategies for Seasonal Influenza in Healthcare Settings contains details on the prevention strategies for all healthcare settings. CDC and the Advisory Committee on Immunization Practices (ACIP), recommend that all U.S. healthcare personnel get vaccinated annually against influenza. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Active surveillance for additional cases should be implemented as soon as possible once one case of laboratory-confirmed influenza is identified in a facility. Because residents with influenza may continue to shed influenza viruses while on antiviral treatment, infection control measures to reduce transmission, including following Standard and Droplet Precautions, should continue while the resident is taking antiviral therapy. Long-term care facilities are expected to adhere to the infection prevention and control standards, quarantine requirements, and testing .
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