DPH continues to investigate invasive group A streptococcal (GAS) cases and clusters in long-term care facilities (LTCF). To that end, DPH is providing long-term care facilities with information, guidance, and recommendations to try to mitigate GAS transmission. Since we are still in respiratory illness season, which includes increased transmission of group A streptococcus infections, it is important that long-term care facility leadership and staff focus on strict infection prevention and control practices while providing resident care as well as following DPH recommendations. Newly identified cases of invasive GAS in long-term care residents or staff should be reported to the DPH Division of Epidemiology at (617) 983-6800 which is available 24/7.