The California Department of Health has issued an All Facilities Letter (AFL) warning healthcare facilities, including nursing homes, of potential influenza outbreaks this flu season. The AFL reiterates guidance on prevention and control of influenza in long-term care facilities (LTCFs) and urges them to be prepared to provide care safely without putting residents at risk. Infection control measures for LTCF residents with suspected or confirmed influenza include standard and droplet precautions. Facilities experiencing an influenza outbreak should follow CDC recommendations, including daily active surveillance and avoiding new admissions or transfers to units with symptomatic residents. LTCFs should consult with their local health department to determine strategies for limiting new admissions during an outbreak while maintaining capacity to care for other residents. The duration of limitations on new admissions should be determined on a case-by-case basis in consultation with the local health department.

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