- All California providers should follow CDPH vaccine recommendations, which may differ from ACIP.
- All CDPH-recommended vaccines must be covered by California Health Plans, including Medi-Cal managed care plans, even if not recommended by ACIP.
- Providers administering vaccines under CDPH recommendations are granted liability protection.
- Pharmacists are authorized to independently initiate and administer CDPH-recommended immunizations.
General Information
- Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023–24 Influenza Season
- Healthcare Personnel Vaccination Recommendations
HOO Information
Influenza and COVID-19 are highly communicable diseases, which can lead to potentially serious health complications, including severe illness, hospitalization, and death. Patients in healthcare facilities—most especially young children, pregnant women, elderly individuals, and persons with chronic health conditions who are immunocompromised—are particularly vulnerable to influenza and COVID-19 infection and its complications. The protective measures required by this Order are important actions that HCP can take to protect fellow personnel, patients, and communities from influenza and COVID-19.
This Order requires that each year, Healthcare Personnel (HCP) in all Licensed Healthcare Facilities, except Skilled Nursing Facilities (SNFs), must either: a) be immunized with an annual influenza vaccine authorized for use in the United States for the current respiratory virus season, or b) wear a Respiratory Mask while in contact with patients or working in Patient-Care Areas during the Respiratory Virus Season (November 1 through March 31). Due to the nature of care provided to highly vulnerable populations, the high risk of rapid respiratory transmission in SNFs, and low influenza vaccination rates among SNF HCP, all HCP working in Skilled Nursing Facilities must wear a Respiratory Mask while in contact with patients or working in Patient-Care Areas throughout the Respiratory Virus Season regardless of vaccination status.
HCP in these facilities who decline the influenza and/or COVID-19 vaccine must also provide their employer, on a form provided by their employer, a written declaration that they have declined the vaccination(s).
The Order remains in effect during each respiratory virus season, unless rescinded. Additionally, given the risk posed by influenza and COVID-19, Public Health strongly encourages other unlicensed healthcare and direct care entities to voluntarily adopt the same measures for their employees to protect their personnel and patients during the respiratory virus season.
Documents
- Los Angeles County Health Officer Order: Annual Influenza Immunization or Masking Requirement for Healthcare Personnel During Respiratory Virus Season (2025)
- Health Officer Order Frequently Asked Questions (Updated 2025 document coming soon.)
- Health Education Materials for Healthcare and Emergency Medical Services (EMS) Personnel
Educational Materials and Toolkits
Materials
- LAC DPH: Increasing Uptake of the Updated COVID-19 Vaccine (2023-2024 Formulation): Why and How? (Updated 2025 document coming soon.)
- California Department of Public Health, EZIZ - Downloadable educational materials
Resources
Influenza Vaccination For Healthcare Personnel Honor Roll
The Los Angeles County Department of Public Health recognizes and thanks the following Hospitals and Skilled Nursing Facilities who achieved 90% influenza vaccination coverage or higher for their healthcare personnel during the 2024-2025 influenza season. Their efforts and dedication to promoting vaccination protects patients, staff, and residents of Los Angeles County.
| Top Performing Hospitals 2024-2025 | ||
|---|---|---|
| Adventist Health Glendale | L.A. Downtown Medical Center | Torrance Memorial Medical Center |
| Cedars-Sinai Marina del Rey Hospital | Martin Luther King Jr. Community Hospital | Whittier Hospital Medical Center |
| Cedars-Sinai Medical Center | Southern California Hospital at Culver City | |
| Top Performing SNFs 2024-2025 | ||
|---|---|---|
| Alden Terrace Convalescent Hospital | Harbor Post Acute Care Center | The Gardens Of El Monte |
| Beachside Post Acute | Heritage Rehabilitation Center | The Hills Healthcare Center |
| Berkley Post-Acute | Huntington Healthcare Center | The Meadows Post Acute |
| Burlington Convalescent Hospital | Lakeview Terrace | Torrance Care Center West |
| California Healthcare And Rehabilitation Center | Longwood Manor Convalescent Hospital | Torrance Memorial Medical Center D/P SNF |
| Canyon Oaks Nursing And Rehabilitation Center | Mid-Wilshire Health Care Center | Villa Gardens Health Care Unit |
| Cerritos Vista Healthcare Center | Oakpark Healthcare Center | West Hills Health And Rehabilitation Center |
| Country Villa Belmont Heights | Pacific Villa, Inc | West Valley Post Acute |
| Grand Park Convalescent Hospital | San Gabriel Convalescent Center | York Healthcare & Wellness Centre |
| Guardian Rehabilitation Hospital | Studio City Rehabilitation Center | |
Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
