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What LTCFs Should Expect This 2023-2024 Flu Season


As the 2023-2024 flu season approaches, long-term care facilities need to be prepared for potential challenges that could arise. The ongoing COVID-19 pandemic has brought attention to respiratory illnesses, but we can’t overlook the impact of the seasonal flu.

Influenza can cause severe illness and complications, particularly in vulnerable populations such as the elderly and individuals with medical conditions. This blog will provide insight into what long-term care facilities (LTCFs) can anticipate in the upcoming flu season. This includes the importance of flu vaccines, the use of antiviral medications, and strategies for prevention and control.


By staying informed and proactive, long-term care facilities can help protect their residents and staff from the impact of influenza.


Flu Season 2023 - 2024

Long-term care facilities (LTCFs) play a critical role in caring for vulnerable populations, such as older adults and individuals with complex medical conditions. As we enter the 2023-2024 flu season, LTCFs are prioritizing the well-being of their residents by implementing preventive measures. These include offering flu vaccines and promptly managing any potential flu outbreaks.


Monitoring and Reporting Influenza Cases

LTCFs are vigilant in monitoring and reporting cases of influenza. They recognize their residents are at greater risk for severe illness and complications from the flu. It’s important to report data on influenza cases among residents through the National Healthcare Safety Network (NHSN) Long-term Care Facility Component. This data aids in understanding the impact of the flu within these facilities. In turn, public health organizations are better equipped to implement effective prevention measures.


Collaboration for Control and Prevention

In collaboration with health departments and healthcare providers, LTCFs contribute to the control of seasonal influenza in their facilities. They ensure the availability and administration of flu shots to residents, staff, and visitors. These locations are a hub for reducing the risk of influenza virus infection and its subsequent consequences. Additionally, LTCFs follow guidelines from the Advisory Committee on Immunization Practices to ensure optimal vaccination strategies for their residents. These guidelines particularly emphasize high-risk groups such as pregnant individuals and those with underlying medical conditions.


Antiviral Medication and Influenza Testing

LTCFs are prepared to promptly address influenza-like illness among their residents. They have protocols in place for the timely initiation of antiviral medications recommended for the treatment and chemoprophylaxis of influenza. Furthermore, LTCFs collaborate with public health laboratories to facilitate prompt laboratory-confirmed influenza testing. This guides appropriate management and infection control measures.


Anticipated Timeline

The flu season typically runs through the fall and winter and can extend through the early spring. The peak period of influenza activity occurs between December and February. During this time, LTCFs remain vigilant in monitoring their residents for respiratory symptoms, such as sore throat and cough, that may indicate influenza-like illness.


To mitigate the spread of the virus, LTCFs collaborate with health departments and healthcare providers to conduct vaccination campaigns. These campaigns usually start in September or October, ensuring that residents, staff, and visitors receive their flu shots before the peak period of influenza activity. By administering the quadrivalent vaccines, which protect against four different flu strains, LTCFs aim to reduce the risk of influenza complications among their vulnerable populations.


Throughout the flu season, LTCFs continuously monitor influenza activity and promptly implement interventions to control its spread. This includes timely initiation of antiviral medications for residents with confirmed influenza and implementing infection control measures, such as respiratory hygiene and the use of personal protective equipment.


Vaccination Recommendations for LTCF Residents and Staff

Vaccination is a crucial preventive measure against influenza for both residents and staff in long-term care facilities. As per the flu season 2023 - 2024 guidelines, routine annual influenza vaccination is recommended for all individuals aged ≥6 months. LTCF residents and staff need to be vaccinated to reduce the risk of severe illness and complications from influenza.


There are various influenza vaccines available for different age groups. The quadrivalent influenza vaccine, which protects against four flu strains, is commonly administered in LTCFs. The vaccine is recommended for residents, staff, and visitors, ensuring comprehensive protection within the facility.


Specific populations, such as pregnant women, those with underlying medical conditions, and individuals with higher risk for influenza complications, should be prioritized for vaccination. It is important to consider any contraindications, such as previous severe allergic reactions to influenza vaccines or salicylate-containing medications.


Monitoring for Influenza Activity in LTCFs

Monitoring influenza activity is essential for LTCFs to detect and respond promptly to outbreaks. By closely tracking influenza virus infections, LTCFs can implement necessary measures to protect their residents and staff. The National Healthcare Safety Network (NHSN) Long-term Care Facility Component is a valuable tool for surveillance.

Using the NHSN, LTCFs can report and monitor influenza-like illness (ILI) and laboratory-confirmed influenza cases among residents. This component helps track the prevalence of influenza within LTCFs and provides valuable data for public health departments. Through regular reporting, LTCFs contribute to the broader understanding of influenza activity in their communities.


Key indicators that LTCFs should monitor include the number of ILI cases, the percentage of residents and staff vaccinated against influenza, and the rate of laboratory-confirmed influenza infections. By observing these indicators, LTCFs can identify trends and patterns to detect and respond to influenza outbreaks promptly.


Regular surveillance of influenza activity in LTCFs is crucial for ensuring the well-being of residents and staff. By leveraging the NHSN Long-term Care Facility Component and monitoring key indicators, LTCFs can take proactive steps to prevent the spread of influenza and protect vulnerable populations during flu season 2023.


To stay updated on influenza surveillance, prevention, and control, it is essential to refer to reputable sources such as the Centers for Disease Control and Prevention (CDC) and local health departments. These organizations provide current information on influenza activity, vaccine recommendations, and strategies to prevent the spread of the flu. They also offer guidance on the use of antiviral medications for the treatment and prevention of influenza.


Interventions to Reduce the Spread of Influenza in LTCFs

To reduce the spread of influenza in long-term care facilities (LTCFs), it is crucial to implement certain interventions. These can include:

  1. Use of Antiviral Treatment: Prompt initiation of antiviral treatment is recommended for residents with suspected influenza, even before laboratory confirmation. Antiviral drugs such as oseltamivir and zanamivir can help reduce the severity and duration of influenza symptoms. The dosing of these medications should be as per the guidance provided by the Centers for Disease Control and Prevention (CDC).

  2. Antiviral Chemoprophylaxis: It is important to consider antiviral chemoprophylaxis for residents who have been exposed to influenza. This preventive measure can help reduce the risk of infection in vulnerable individuals. To ensure the timely administration of antiviral medications, the use of preapproved orders can expedite the process, ensuring that residents receive the necessary treatment promptly.

By implementing these interventions, LTCFs can effectively reduce the spread of influenza among their residents. It is crucial to follow the CDC-recommended guidelines to ensure optimal care and prevention of flu-related complications.


Final Thoughts

LTCFs play a pivotal role in protecting vulnerable populations from the influenza virus. By adhering to the outlined strategies, LTCFs can mitigate the spread of influenza and safeguard the health and well-being of their residents.


We know that LTCFs prioritize the well-being of their residents and staff, especially during the flu season. Ensuring adequate staffing is a crucial part of maintaining a safe and healthy environment.


If you're seeking additional support to bolster your staffing during this flu season, consider reaching out to a reputable staffing agency like Beyond Medical Staffing. They specialize in providing qualified healthcare professionals to long-term care facilities.


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