Guidance & Regulation Updates

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VIPTA members track guidance and regulation updates to create a one-stop-shop for users.  The updates include source documents that guide infection prevention and control practices for public health staff and clinical and non-clinical healthcare personnel.

The date of the regulation or guidance update is included in each post.  Please check linked content to be sure it is the most up to date and recommended practice.


 

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Search and/or filter the guidance and regulation updates posted on the VIPTA website.  Below, you can view all guidance and regulation updates sorted by most recent publication.

Not finding resources for a specific setting of care?  Try selecting "Any Practice Setting".


 

SHEA/APIC: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/28/2025)
APIC
SHEA
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Cleaning and Disinfection
Employee/Occupational Health
Hand Hygiene
High Level Disinfection
Outbreak Investigation
Physical Environment / Environment of Care (EOC)
This guidance document updates the 2008 SHEA/Association for Professionals in Infection Control and Epidemiology (APIC) guideline: Infection Prevention and Control in the Long-Term Care Facility and is intended to assist nursing homes in the United States in defining and implementing their infection prevention and control (IPC) programs and practices. Recommendations and implementation suggestions address IPC leadership, staffing, and resources, healthcare personnel and residents‘ adherence to precautions and effective hand hygiene, outbreak preparedness, training, occupational health, cleaning and disinfection in the care environment, and the involvement of IPC in the facility.
VDH Clinician Letter: Updates to CDC Immunization Schedule (10/10/2025)
CDC
VDH
Ambulatory (Outpatient) Care
Department of Health
Pediatric / NICU
Vaccination
This clinician letter outlines updates to immunization schedules for MMRV (measles, mumps, rubella, and varicella) and COVID-19 vaccines, emphasizing their essential role in community health and safety in Virginia. It discusses the new guidelines, including the separate administration of the MMR and varicella vaccines for children under 4 years, the COVID-19 vaccine's availability for individuals aged 6 months and older, and the importance of verifying insurance coverage prior to vaccination.
VDH Clinician Letter: COVID-19 Vaccine Update (09/11/2025)
VDH
Any Practice Setting
Department of Health
Vaccination
This letter provides important updates about the 2025-2026 COVID-19 vaccine. The State Health Commissioner issued a Statewide Standing Order authorizing pharmacists to administer the COVID-19 vaccine to adults consistent with FDA indication.
VDH Clinician Letter: Changes to the Reportable Disease Regulations in Virginia (09/24/2025)
VDH
Any Practice Setting
Department of Health
Regulatory Compliance
This communication describes recent updates to the Virginia Regulations for Disease Reporting and Control. These regulations were brought into compliance with changes in the field of communicable disease detection and control. The regulations were modified to conform to Chapter 375 of the 2024 Virginia Acts of Assembly. 
VDH Clinician Letter: Interim Recommendations for the Management of Healthcare Personnel Exposed to or Infected with COVID-19 or Seasonal Influenza (09/30/2025)
VDH
Any Practice Setting
Department of Health
Employee/Occupational Health
Physical Environment / Environment of Care (EOC)
VDH is providing updated recommendations for the management of healthcare personnel (HCP) exposed to or infected with COVID-19 or seasonal influenza. Healthcare facilities should evaluate VDH recommendations and consider updating HCP return to work and management guidance. These recommendations are not regulatory requirements or mandates.
CDC Health Advisory: Ebola Outbreak in the Democratic Republic of the Congo (09/18/2025)
CDC
Any Practice Setting
Department of Health
Outbreak Investigation
Surveillance
This Health Advisory summarizes CDC recommendations for U.S. public health departments, clinical laboratories, and healthcare workers about potential Ebola virus disease case identification, testing, and biosafety considerations in clinical laboratories.  
CDC: Interim Infection Prevention and Control Recommendations for Measles (8/19/2025)
CDC
Any Practice Setting
Department of Health
Cleaning and Disinfection
Standard Precautions
Transmission-Based Precautions
Vaccination
This updated webpage provides fundamental elements to prevent measles transmission within healthcare facilities. Healthcare personnel (HCP) immunization is highlighted as a first-line defense as well as the rapid identification and isolation of patients with suspected/confirmed measles. HCP education on respiratory protection and hand hygiene are also mentioned.
APIC: Guide to Preventing Cather-Associated Bloodstream Infections in Adults (7/29/2025)
APIC
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Dialysis
Home Health
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Urinary Catheter
This implementation guide provides information and tools to reduce the risk of infection due to catheter-associated bloodstream infections in various practice settings for adults.
CDC: Recommendations for Monitoring and Testing of Individuals Exposed to A(H5N1) Viruses (07/08/2025)
CDC
Department of Health
Outbreak Investigation
Personal Protective Equipment (PPE)
State, local, and jurisdictional health department officials are instructed to promptly investigate suspected cases of highly pathogenic avian influenza (HPAI) A(H5N1) virus infection and to notify the CDC within 24 hours of identifying such cases. Individuals exposed to HPAI A(H5N1) virus-infected birds, dairy cows, or other animals, including those using appropriate personal protective equipment (PPE), must be monitored for acute respiratory illness and conjunctivitis symptoms for 10 days following their last exposure.
VDH: Clinician Letter- Updates on Measles and Syphilis in Virginia (6/10/2025)
VDH
Any Practice Setting
Department of Health
Outbreak Investigation
Clinician Letter: Updates on Measles and Syphilis in Virginia (6/10/2025) Measles and syphilis are both on the rise in Virginia. Clinicians are encouraged to stay alert for measles and help identify and reduce the spread of syphilis in Virginia.
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Last Updated: March 14, 2024