The California Department of Public Health has issued updated guidance for healthcare facilities to prepare for and respond to a surge in respiratory viruses among pediatric patients, including respiratory syncytial virus (RSV) and influenza. Facilities are advised to explore short-term measures to expand capacity for evaluating and treating pediatric patients. The temporary waiver related to space requirements due to the COVID-19 emergency expired on February 28, 2023, but facilities can submit a program flexibility request for continued need. The guidance also offers recommendations for acute care facilities, inpatient pediatric units, inpatient facilities without pediatric services, emergency rooms, and outpatient facilities. Facilities should promote and facilitate influenza and COVID-19 vaccinations for staff and patients, prepare for increased call volume, and coordinate with local authorities for resource requests.

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