2009 H1N1 Flu

Berks County Pandemic Advisory Council

Berks County Pandemic Advisory Council
• BCPAC is an organization composed of Berks County stakeholders from different parts of the community who have come together to plan for the next pandemic. • The organization first came together in late August of 2007 • The Council is divided into 7 sub-groups which include:
▫ ▫ ▫ ▫ ▫ ▫ ▫ business communication educational institutions health services security transportation volunteers

Overview
I. What is H1N1?
I. What is a pandemic? II. How does it spread? III. Who is at high risk? IV. Symptoms V. Emergency warning signs VI. Prevention VII.Vaccines

II. Tips for Caregivers III. 2009 H1N1 Flu: Situation Update

What is H1N1 (Swine Flu)?
• H1N1 is an influenza virus which was first detected in people in the United States in April 2009. • This virus is spreading from person to person, the same way that the regular seasonal influenza viruses spread.

What is a Pandemic?
• Pandemic influenza refers to a worldwide outbreak of influenza among people when a new strain of the virus emerges that has the ability to infect humans and to spread from person to person.
• During the early phases of an influenza pandemic, people might not have any natural immunity to the new strain; so the disease would spread rapidly among the population.

How the Flu Spreads
• Influenza spreads from person to person in respiratory droplets of coughs and sneezes. • Droplets from a cough or sneeze of an infected person can be propelled through the air and deposited on the mouth or nose of people nearby. • Viruses may also be spread when a person touches respiratory droplets on another person or an object and then touches their own mouth or nose or someone else’s mouth or nose before washing their hands.

People at “High Risk”
• Pregnant women • Household contacts and caregivers for children younger than 6 months of age • Healthcare and emergency medical services personnel • All people from 6 months through 24 years of age • Persons aged 25 through 64 years who have health conditions associated with higher risk of medical complications from influenza.

Symptoms of H1N1
• Fever • Cough • Sore throat • Runny or stuffy nose • Body aches • Headache • Chills and fatigue • Diarrhea and vomiting.

Emergency Warning Signs in Adults
• Difficulty breathing or shortness of breath • Pain or pressure in the chest or abdomen • Sudden dizziness • Confusion • Severe or persistent vomiting

• Flu-like symptoms improve but then return with fever and worse cough

Emergency Warning Signs in Children
• Fast breathing or trouble breathing • Bluish or gray skin color • Not drinking enough fluids • Severe or persistent vomiting • Not waking up or not interacting • Being so irritable that the child does not want to be held

• Flu-like symptoms improve but then return with fever and worse cough

6 Easy Prevention Strategies:

Cover your Cough!

Sneeze in your sleeve!

Avoid touching your eyes, nose, or mouth.

2009 H1N1 Influenza Vaccine & Seasonal Flu Shot!

Stay Home if you are sick

2009 H1N1 Influenza Vaccine
• The 2009 H1N1 vaccine is expected to be available in the fall. • The seasonal flu vaccine is not expected to protect against the 2009 H1N1 flu. • It is anticipated that seasonal flu and 2009 H1N1 vaccines may be administered on the same day. However, the seasonal vaccine is expected to be available earlier than the H1N1 vaccine.

Who Should Not Be Vaccinated for the Flu:
• People with a severe allergy to chicken eggs • People who have had a severe reaction to a flu vaccine • People who have developed Guillain-Barre syndrome within 6 weeks of a flu vaccine • Children less than 6 months old • People who currently are sick with a fever should wait until well to get vaccinated

Treatment
• If you have severe illness or are at high risk for flu complications, contact your health care provider or seek medical care. • There are two influenza antiviral medications that are recommended for use against H1N1:  Oseltamivir (Tamiflu) Zanamivir (Relenza) • Asprin or asprin-containing products should not be administered to any confirmed or suspected ill case of H1N1 aged 18 years or younger due to the risk of further complications. • For fever relief other anti-pyretic medications are recommended such as acetaminophen or non steroidal anti-inflammatory drugs. (Tylenol, Advil or Motrin)

Tips For Caregivers
1. Wash hands with soap and water–or use an alcohol-based hand sanitizer–after you touch the person, used tissues, utensils or their bed linens. Do your best to avoid face-to-face (less than 3 feet away) contact. Hold young children with their chins on your shoulder to avoid coughs in your face. Talk with your healthcare provider about your taking antiviral medication to prevent infection. If you are pregnant or in a group considered at high risk of complications from H1N1, try to avoid being the primary caregiver in the home if at all possible. If possible, sick persons should be kept in a room apart from other family members and use a separate bathroom. This bathroom should be cleaned daily with household disinfectant. 2. 3. 4. 5.

6.

Cleaning Methods When a Sick Person Is in Your Home
• Clean bedside tables, bathrooms, doorknobs, kitchen counters and children’s toys daily with a household disinfectant. • Linens, utensils and dishes used by the sick person do not need to be washed separately, but should not be shared prior to cleaning. • Avoid hugging bed linens before laundering to prevent becoming contaminated, and tumble dry on the hot setting. Wash hands immediately after handling dirty laundry. • The CDC has stated that several germicides, including: chlorine, hydrogen peroxide, soap, iodine-based antiseptics and alcohol are effective against human influenza viruses.

Using Facemasks and Respirators
• Surgical masks can help decrease the spread of H1N1 in certain situations. PADOH suggests considering them for home use only in specific situations, including: ▫ Uninfected people who are at high-risk for complications from H1N1 who must come in close contact with an infected person. ▫ Caregivers helping a sick person with nebulizer or inhaler respiratory treatments. • Used facemasks should be immediately placed in the trash after use and not saved for re-use. Clean hands after use.

H1N1 Situation Update
• Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called FluView. • During the week of September 20-26, 2009, a review of the key indicators found that influenza activity remained elevated in the United States.

FluView week of September 20-26, 2009
• Visits to doctors for influenza-like illness continued to increase in some areas of the country, and overall, are higher than levels expected for this time of the year. • Total influenza hospitalization rates for laboratory-confirmed influenza are higher than expected for this time of year for adults and children. And for children 5-17 and adults 18-49 years of age, hospitalization rates from April – September 2009 exceed average flu season rates (for October through April). • The proportion of deaths attributed to pneumonia and influenza (P&I) based on the 122 Cities Report was low and within the bounds of what is expected at this time of year. However, 60 pediatric deaths related to 2009 H1N1 flu have been reported to CDC since April 2009, including 11 deaths reported this week.

FluView week of September 20-26, 2009 Continued
• Twenty-seven states are reporting widespread influenza activity at this time. They are: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Delaware, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Minnesota, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, Texas, Tennessee, Virginia, Washington, and Wyoming. Any reports of widespread influenza activity in September are very unusual. • Almost all of the influenza viruses identified so far are 2009 H1N1 influenza A viruses. These viruses remain similar to the virus chosen for the 2009 H1N1 vaccine, and remain susceptible to the antiviral drugs

Total U.S. Hospitalizations and Deaths from August 30 – September 19
Cases Defined by Hospitalizations Deaths

Influenza and Pneumonia Syndrome* Influenza LaboratoryTests** Totals

12,863 3,311 16,174

1,197 182 1,379

*Reports can be based on syndromic, admission or discharge data, or a combination of data elements that could include laboratory-confirmed and influenza-like illness hospitalizations. **Laboratory confirmation includes any positive influenza test (rapid influenza tests, RT-PCR, DFA, IFA, or culture), whether or not typing was done. This table is based on data from a new influenza and pneumonia hospitalizations and deaths web-based reporting system that will be used to monitor trends in activity. This is the first week of data from this new system and reflects reports by 42 of 56 states and territories. The table shows aggregate reports of all influenza and pneumonia-associated hospitalizations and deaths (including 2009 H1N1 and seasonal flu) since August 30, 2009 received by CDC from U.S. states and territories. This table will be updated weekly each Friday at 11am. For the 2009-2010 influenza season, states are reporting based on new case definitions for hospitalizations and deaths effective August 30, 2009.

Be Smart. Be Prepared.

For More Information:
• Please Contact the Berks County Pandemic Advisory Council at:
▫ Email: panflu@countyofberks.com ▫ Phone: (610) 374-4800 Ext. 8289 ▫ Website: www.flutoolbox.com

References:
• H1n1inpa.com • www.cdc.gov • www.flu.gov • www.flutoolbox.com • www.osha.gov

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