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
Map: International Co-circulation of 2009 H1N1 and Seasonal Influenza
(As of October 9, 2009; posted October 9, 2009, 3:00 PM ET)
NC Flu Severity
 267 Hospitalizations
 Lab Confirmed H1N1
 #’s are lower than actual
60, M Heart attack
37, M Substance abuse,
asthma
38, F Epilepsy, pregnant
cases
 14 Deaths
 2 since 10/3
67, M
60, M
62, F
55, M
70, F
leukemia
COPD, smoker
COPD, smoker
none
obesity
8/
1/
20
09
8/
8/
20
09
8/
15
/2
00
9
8/
22
/2
00
9
8/
29
/2
00
9
9/
5/
20
09
9/
12
/2
00
9
9/
19
/2
00
9
9/
26
/2
00
9
10
/3
/2
00
9
10
/1
0/
20
09
Visits
ILI Visits noted in NC DETECT
Wilson
26
24
22
20
18
16
14
12
10
8
6
4
2
0
Date
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
Recommended Interventions
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
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
Mass Vaccination
and Other Pharmaceutical Interventions
Thanks to:
Amanda Fuller, SNS Coordinator
Beth Rowe-West, Immunization Branch Head
Vaccine Availability
 Injectable and nasal spray
 Children under 10 – 2 doses, 10 and older 1 dose
 It will NOT protect you from seasonal flu
 Seasonal vaccine will NOT protect against H1N1
 Get BOTH your vaccines!
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
Public Information
 Flyers
 Website
 Phone recording
 Newspaper has run multiple articles
 Local Emergency Planning Committee
 Multiple Speaking Engagements
Droplets:
Coughing, sneezing or
exhaling
Indirect Contact:
Contact with a
contaminated
object
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
 Avoid close contact with sick people
 If sick, stay home and limit contact with others
 Get Vaccinated for both seasonal and H1N1 Flu
(252) 237-3141
www.wilson-co.com