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American Focus > Blog > World News > Mask mandates return in wealthy blue state county, leaders cite ‘risk of COVID’ and up vaccine recommendations
World News

Mask mandates return in wealthy blue state county, leaders cite ‘risk of COVID’ and up vaccine recommendations

Last updated: October 9, 2025 7:49 am
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Mask mandates return in wealthy blue state county, leaders cite ‘risk of COVID’ and up vaccine recommendations
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A county in California’s wine region is enhancing its vaccine guidance and implementing a mask requirement, pointing to an increased risk of COVID-19 infections with the onset of the flu season.

Dr. Karen Smith, the Interim Health Officer for the Sonoma County Department of Public Health, announced a mandate on Monday that requires masks in specific healthcare settings across the county.

The provided order affects skilled nursing facilities, areas within long-term care sites where nursing care is available, as well as acute and non-acute rehabilitation facilities, infusion centers, and dialysis centers.

“This mandate aims to safeguard the most at-risk populations, such as the elderly and those undergoing cancer treatments, while also protecting medical personnel from illness that could lead to staffing shortages,” a spokesperson for the Sonoma County Health Department stated to Fox News Digital.

A county in California wine country is beefing up its vaccine recommendations and instituting a mask mandate, citing "greater risk" of contracting COVID-19 amid the start of the annual flu season.
A county in California’s wine region is enhancing its vaccine guidance and implementing a mask requirement, pointing to an increased risk of COVID-19 infections with the onset of the flu season. AFP via Getty Images

The mask requirement will be enforced from November 1 to March 31, 2026, with the possibility for Dr. Smith to extend the mandate to additional healthcare facilities as necessary.

This mandate is expected to continue annually unless revoked.

Exemptions are included for individuals with specific medical conditions, mental health conditions, or disabilities that hinder them from wearing a mask.

Those who are hearing impaired, requiring visibility of the mouth for communication, are also exempt, along with anyone else judged to be at risk from mask use by local, state, or federal authorities.

The order specifies the types of masks permitted: surgical masks, KN95, KF94, or N95 respirators are acceptable. However, informal masks such as scarves, turtlenecks, balaclavas, bandanas, cloth masks, or any mask featuring an unfiltered, one-way exhaust valve do not meet the requirements.

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Alongside the mask order, Dr. Smith released stronger recommendations regarding COVID-19 and flu vaccinations, advising that everyone aged six months and older should get vaccinated.

The Sonoma County Department of Public Health's Interim Health Officer Dr. Karen Smith issued an order Monday requiring anyone entering certain healthcare facilities in the county to wear a mask.
The Sonoma County Department of Public Health’s Interim Health Officer Dr. Karen Smith issued an order Monday requiring anyone entering certain healthcare facilities in the county to wear a mask. Los Angeles Times via Getty Images

In addition to these measures, Smith has advised both vaccinated and unvaccinated individuals to wear masks in indoor spaces when the risk for COVID-19 and influenza is elevated.

It’s worth noting that Smith’s recommendations regarding COVID-19 vaccination and mask-wearing are at odds with the recent guidance set forth by Robert F. Kennedy Jr.’s Department of Health and Human Services (HHS).

This week, the CDC adopted a new recommendation from HHS that advises against mandatory COVID-19 vaccinations for adults aged 65 and older.

Additionally, the CDC encouraged individuals aged six months to 64 years to consult with their healthcare providers about whether they should receive a COVID-19 vaccine.

Furthermore, Kennedy and HHS have shifted their focus regarding new COVID-19 vaccine approvals and introduced various other initiatives centered around “science, safety, and common sense.”

TAGGED:BlueciteCountyCOVIDleadersMandatesmaskrecommendationsreturnRiskStatevaccinewealthy
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