EffectiveJanuary 1, 2019, California Health & Safety Code Section 1262.5 establishesrequirements of general acute care hospitals, acute psychiatric hospitals andspecial hospitals serving homeless patients.
Although influenza activity is decreasing across the nation, in certain areas, including Sonoma County, activity remains widespread and significantly elevated above baseline.
Advise patients with suspected measles to stay home with no visitors until at least 4 days after rash onset AND cleared by Sonoma County Disease Control to resume usual activities.
Consider screening for infectious diseases that are not uncommon in homeless communities such as TB, sexually transmitted infections (Syphilis, Chlamydia, and Gonorrhea), HIV, and Hepatitis A/B/C. Seize the opportunity of a healthcare visit and avoid delaying next steps.
In Sonoma County, suspected accidental fentanyl related deaths have increased (12 in 2018 as of 7/31/18, 5 in 2017, and 3 in 2016). In California, fentanyl deaths increased from 2016 to 2017 by 57%. In 2017, 373 fentanyl deaths and 1,882 opioid overdose deaths were reported in California.
There continues to be an increase in early syphilis cases in Sonoma County, including known transmission within heterosexual networks resulting in cases among women of childbearing age. Rising numbers among women increase the potential for congenital syphilis which can cause devastating outcomes for newborns including stillbirth or infant death.
Sonoma County and its residents have faced unprecedented trauma in the face of the recent October fires. The Sonoma County Department of Health Services wants to encourage our community to take care of themselves this holiday season by being attuned to the needs of our minds and bodies.