The California Department of Health has issued an All Facilities Letter (AFL) to skilled nursing facilities (SNFs) regarding COVID-19 vaccination and booster dose guidance. The AFL aims to ensure SNFs are aware of FDA authorization and CDC recommendations for additional and booster doses, explain eligibility for residents and healthcare personnel (HCP), and provide resources for facilities to access these doses. The letter highlights the urgent need for booster doses in SNFs due to recent increases in cases and outbreaks among vaccinated residents. The CDC recommends additional doses for immunocompromised individuals and booster doses for specific groups, including SNF residents and HCP. The AFL also provides guidance on co-administration with influenza vaccines and vaccine safety monitoring. SNFs are encouraged to contact their regular pharmacies, local health departments, or state resources to arrange for vaccine administration.

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