This month there was an outbreak of influenza A at a local skilled nursing facility. During our investigation, the first influenza-associated fatalities were announced for California, which included an infant, an adult and an elder. These events remind us that influenza can cause serious illness or death across the lifespan. Visit marinflu.org for links to clinical information and surveillance reports. The first of our regular seasonal influenza surveillance reports for 2015-2016 will be released in early December.