Transcript The Wilson County Response to H1N1 (Swine) Flu

Tammra L. Morrison, RN
Communicable Disease Coordinator
Christopher J. Smith, RS, MPA
Director of Environmental Health
Rodney Dancy
Community Preparedness Coordinator
International H1N1 Presence
cdc.gov
NC Flu Severity (August 11, 2009)
 156 Hospitalizations
 9 Deaths
 Latest 8/12/09 Hoke Co.
 US deaths = 477
60, M Heart attack
37, M Substance abuse,
asthma
38, F Epilepsy, pregnant
67, M
60, M
62, F
55, M
70, F
Table: Dr. Jeff Engel, State Health Director, NC
Division of Public Health, July 2009
leukemia
COPD, smoker
COPD, smoker
none
obesity
H1N1 Associated Deaths by Age Group
H1N1 Confirmed and Probable Case Rate
H1N1 Hospitalizations by Age Group
Influenza Positive Tests Reported by the N.C. State Laboratory of Public Health by Week
80
90%
70
80%
70%
50%
40
40%
30
30%
20
20%
MMWR Week
Seasonal A (H1)
Novel A (H1N1)
Seasonal A (H3)
Percent Positive†
A unsubtypable*
Influenza Surveillance Report
Seasonal B
29
27
25
23
21
19
17
15
13
11
9
7
5
3
1
52
50
48
0%
46
0
44
10%
42
10
% Positive†
60%
50
40
#Positive Specimens
60
Wilson County Picture
 16 Confirmed Cases
 0 Pending
 No Hospitalized Cases
 1 Death
Public Information
 Flyers
 Website in process of updating
 Phone recording
 Newspaper has run multiple articles
 Local Emergency Planning Committee
 Multiple Speaking Engagements
Current and Future Activities
 Continued monitoring
 Continued updates for providers, LEPC, and the public
 Preparation for upcoming flu season
Recommended Interventions
 Exclusion from Work or School

Individuals with ILI should remain home for at least 24
hours after they are free of fever or feverishness without
the use of fever-reducing medications

Can shed virus for more than 24 hours after fever goes away

3 to 5 day exclusion period required in most cases

Stay home until the end of this period

Avoid contact with others

Upon returning to work or school continue to follow

Hand hygiene

Respiratory etiquette
Dr. Jeff Engel, State Health Director, NC Division
of Public Health, July 2009
Recommended Interventions
(Continued)
 Exclusion (Continued)

Exclusion recommended regardless of
antiviral drug use

Decisions about extending period should be
made at community level, in conjunction
with local and state health officials
Dr Jeff Engel, State Health Director, NC Division of
Public Health, July 2009
Recommended Interventions (Continued)
 Routine Cleaning
 Viruses may spread when persons touch respiratory
droplets on hard services and objects then touch
their mouth, nose, or eyes
 Not necessary to disinfect beyond routine cleaning
 Regularly clean areas and items likely to have
frequent hand contract
 Clean when visibly soiled
 Use detergent-based cleaners or EPA-registered
disinfectants
Dr. Jeff Engel, State Health Director, NC Division
of Public Health, July 2009
Mass Vaccination
and Other Pharmaceutical Interventions
Thanks to:
Amanda Fuller, SNS Coordinator
Beth Rowe-West, Immunization Branch Head
Antiviral Treatment is
recommended for:
 All hospitalized patients with confirmed, probable or
suspected novel influenza (H1N1)
 Patients who are at higher risk for seasonal influenza
complications
Vaccine
 The official decision to vaccinate for
H1N1 has NOT been made
 vaccine safety and effectiveness
 Impact/epidemiology of influenza illness,
especially in Southern Hemisphere
Vaccine
 5 US Manufacturers
 Novartis
 GlaxoSmithKline
 Sanofi Pasteur
 CSL Biotherapies
 MedImmune
Vaccine
 Injectable and nasal spray
 85% will be filled/finished in a 5mL vial/10 doses
per vial
 MDV will contain thimerosal
 2 doses per person
 Will be a separate vaccine from seasonal flu
 Providers may charge administration fee
 Fee to be set by CDC – unknown amount at this time
Trial Locations
 Baylor College of Medicine, Houston
 Children’s Hospital Medical Center, Cincinnati
 Emory University, Atlanta
 Group Health Cooperative, Seattle
 Saint Louis University, St. Louis
 University of Iowa, Iowa City
 University of Maryland School of Medicine, Baltimore
 Vanderbilt University, Nashville
 Duke University, Durham
Advisory Committee On
Immunization Practices (ACIP)
 Priority Groups suggested
 Pregnant Women
 Household and caregiver contacts of children < 6 mos
 Health Care Workers, Emergency Medical Services
Personnel, and Children 6 mos through 24 years
 Persons 25-64 with high risk medical conditions
 School-based vaccination in planning
 The State will provide guidance on what to do if short
supply
What You Can Do
 Cover nose & mouth with tissue when cough/sneeze,
throw tissue away
 Wash hands often with soap & water
 Avoid touching eyes, nose, & mouth
 Try to avoid close contact with sick people
 If sick, stay home and limit contact with others
Questions??
 Contact Wilson County Health Department if you
have further questions.
 252-237-3141