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Influenza Guidance for Providers

Health Officer Flu Vaccination Order for SF Healthcare Workers

  • Health Officer Order: Mandatory Influenza Vaccination for Healthcare Workers – (SFDPH, effective starting 9/17/21 until rescinded)

Influenza Vaccination Information & Guidance

  • Health Update on Influenza Vaccination for the 2022-23 season (SFDPH, 9/28/2022) – see our Health Alerts page
  • CDC Advisory Committee on Immunization Practices (ACIP): Recommendations for 2022-23 Influenza Vaccination and Recommendations Summary.
  • The Influenza Vaccine Identification Guide (CDPH) is a visual guide to all available US influenza vaccines.
  • SF providers who wish to order free, state-purchased influenza vaccine to administer to their patients should check our ordering page.
  • Curated Guide for Staff Self-Education on the Flu Vaccine (10/7/2020) – designed for behavioral health staff, but can be used more widely
  • Talking with Your Patient about Contraindications and Precautions to Influenza Vaccination (Immunize.org)

Influenza Disease Reporting

  • Reporting requirements and forms for influenza cases

Influenza Disease Guidance

  • Annual Influenza and Respiratory Illness Health Update (SFDPH, 2022-23 update expected in November) is found on our Health Alerts page.  Information on influenza testing, treatment, infection control, and case reporting, updated for the 2022-23 season during which COVID-19 is circulating.
  • Long-Term Care Facilities Influenza Guidance
  • Influenza Guidance for Special Settings
  • CDC Guidance for Influenza Antivirals

Rules and Regulations

Aerosol and Transmissible Diseases Standard Effective September 1, 2010, the Aerosol and Transmissible Diseases Standard requires that vaccines including measles, mumps, and rubella (MMR), tetanus, diphtheria, and pertussis (Tdap), varicella, and influenza be offered to employees at no cost. If you are a health care worker, check with your institution to find out if you are eligible for these vaccines. If you are an institution and you would like more information about the ATD Standard, you can read it in detail by clicking here. If you have questions, please direct them to Cal/OSHA Consultation Service by calling 1-800-963-9424 or via email at InfoCons@dir.ca.gov . SB 739 (Health and Safety Code Section 1288.7) Effective July 1, 2007, SB 739 requires general acute care hospitals to:

  • Annually offer onsite flu vaccinations to all employees at no cost
  • Institute respiratory hygiene and cough etiquette protocols
  • Revise/develop disaster plans to include pandemic influenza components

The Mercury Free Act of 2004 – AB 2943 Added Article 9 to Part 2, Chapter 3 of Division 106 of the Health and Safety Code (entitled Personal Health Care). Health and Safety Code Section 124172.

  • Effective July 1, 2006. Affects children under three years and women who are “knowingly pregnant.”
  • Restricts thimerosal content in vaccines.
    • Influenza vaccine:
    • All other vaccines: < 0.5 microgram/0.5mL

The Influenza Vaccine Identification Guide indicates which vaccine products can be given to children under three years of age and pregnant women.

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101 Grove Street
San Francisco, CA 94102
(415) 554-2500

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