In an interview, Jonathan Musher, MD, CMD, president of Metropolitan Physicians Practice, Chevy Chase, MD, talked about seasonal flu inoculations among residents and staff in long-term care facilities. He said that the main way that influenza viruses are spread is from person to person in respiratory droplets of coughs and sneezes. A new strain of flu virus emerges every year. That is why the influenza vaccine is updated to include current viruses every year. Since the flu virus can quickly turn into an outbreak in a nursing facility if even just one person has the flu, it is important to set up a system to encourage all residents and employees to be vaccinated. It is important to prepare a comprehensive plan for resident and staff vaccination, surveillance, treatment, prophylaxis, and infection control. The medical director and director of nursing should review the CDC's Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices.