1. What’s Up With The Flu?
The Facts, Not the Hype
Western New England College Health Services
Centers For Disease Control and Prevention
Massachusetts Department of Public Health
Lauren A. Dansereau MS RN ANP
2. Influenza(Flu) Virus
Influenza is a
contagious respiratory
illness which can cause
mild to severe illness
and in some cases
death.
15. High Risk Groups
Age >65
Children<5, especially <2
Pregnant women
Chronic lung diseases
16. High Risk Groups
Age >65
Children<5, especially <2
Pregnant women
Chronic lung diseases
Cancer, diabetes, heart disease
17. High Risk Groups
Age >65
Children<5, especially <2
Pregnant women
Chronic lung diseases
Cancer, diabetes, heart disease
Kidney, liver disease, blood disorders
18. High Risk Groups
Age >65
Children<5, especially <2
Pregnant women
Chronic lung diseases
Cancer, diabetes, heart disease
Kidney, liver disease, blood disorders
Neuromuscular, neurological disorders
19. High Risk Groups
Age >65
Children<5, especially <2
Pregnant women
Chronic lung diseases
Cancer, diabetes, heart disease
Kidney, liver disease, blood disorders
Neuromuscular, neurological disorders
Weakened immune systems (HIV)
39. H1N1(Swine Flu)
Novel Flu Influenza A (H1N1)
A new flu virus strain
Type A
Thought initially to be swine
but actually is
2 swine, 1bird & 1human gene
43. Cause for concern
March/April 2009 first illnesses US and Mexico
April 15, 2009 confirmed patient US H1N1
April 26, 2009 US declared
health emergency, activated
national pandemic plan
44. Cause for concern
March/April 2009 first illnesses US and Mexico
April 15, 2009 confirmed patient US H1N1
April 26, 2009 US declared
health emergency, activated
national pandemic plan
June 11, 2009 World Health
Organization signaled pandemic
45. Cause for concern
March/April 2009 first illnesses US and Mexico
April 15, 2009 confirmed patient US H1N1
April 26, 2009 US declared
health emergency, activated
national pandemic plan
June 11, 2009 World Health
Organization signaled pandemic
June 19, 2009 all 50
states and islands
confirmed cases H1N1
46. Cause for concern
March/April 2009 first illnesses US and Mexico
April 15, 2009 confirmed patient US H1N1
April 26, 2009 US declared
health emergency, activated
national pandemic plan
June 11, 2009 World Health
Organization signaled pandemic
June 19, 2009 all 50
states and islands
confirmed cases H1N1
Currently over 70 countries have
reported cases
50. Clinical Features
Median age hospitalized-age 20
Greatest # hospitalized- age <4
Mean age of persons who died-age 37
51. Clinical Features
Median age hospitalized-age 20
Greatest # hospitalized- age <4
Mean age of persons who died-age 37
Persons with medical risk factors had more severe infections
52. Clinical Features
Median age hospitalized-age 20
Greatest # hospitalized- age <4
Mean age of persons who died-age 37
Persons with medical risk factors had more severe infections
Pregnancy greater incidence of death
53. Clinical Features
Median age hospitalized-age 20
Greatest # hospitalized- age <4
Mean age of persons who died-age 37
Persons with medical risk factors had more severe infections
Pregnancy greater incidence of death
Seasonal flu: 60% hospitalizations and 90% deaths are age> 65
54.
55. While the US continues
to report the most
cases worldwide, most
people recover without
any medical treatment
(CDC)
58. Treatment
Stay home for 24 hours after fever is
gone without fever reducing
medication.
Rest
59. Treatment
Stay home for 24 hours after fever is
gone without fever reducing
medication.
Rest
Fluids
60. Treatment
Stay home for 24 hours after fever is
gone without fever reducing
medication.
Rest
Fluids
Over the counter flu/cough remedies
61. Treatment
Stay home for 24 hours after fever is
gone without fever reducing
medication.
Rest
Fluids
Over the counter flu/cough remedies
Avoid contact with others
68. Emergency Signs
Chest pains
Difficulty Breathing
Purple or Blue Lips
Vomiting and Unable
to keep liquids down
Signs of dehydration
(dizziness, absence of
urination)
69. Emergency Signs
Chest pains
Difficulty Breathing
Purple or Blue Lips
Vomiting and Unable
to keep liquids down
Signs of dehydration
(dizziness, absence of
urination)
Seizures,confusion, altered mental status
70. When Family,
Roommate Has Flu
Keep distance
If possible, have person self
isolate (separate room,
bathroom)
Frequent hand washing
Wear face mask if you are
high risk and within 6 feet
Antiviral only if you are high
risk
72. H1N1 Testing
CDC/MDPH recommends H1N1
viral testing only for:
Severe respiratory illness and/or
highest risk of complications.
In cases of mild illness, diagnosis is
made by symptoms
73. H1N1 Testing
CDC/MDPH recommends H1N1
viral testing only for:
Severe respiratory illness and/or
highest risk of complications.
In cases of mild illness, diagnosis is
made by symptoms
***Rapid flu tests have been shown to be up to 70%
inaccurate
76. Antiviral Therapy
Antiviral medication-
decreases viruses ability to
replicate
Recommended in persons with
flu symptoms who are:
High risk for complications
Hospitalized with flu/
emergency
Age <15 on aspirin therapy
Allergic to flu shot
78. Western New England
College
Aug1-Sept11- 450 patients
36 patients with Influenza
Like Illness (ILI)
Sept14-18- 289 patients
8 with (ILI)
Sept. 21-25- 227 patients
6 with (ILI)
79. Western New England
College
Aug1-Sept11- 450 patients
36 patients with Influenza
Like Illness (ILI)
Sept14-18- 289 patients
8 with (ILI)
Sept. 21-25- 227 patients
6 with (ILI) Only a handful over age 20
80.
81. Of students we have
spoken to most have
reported symptoms
resolving after 4-5 days.
82. Surrounding Colleges
9/28/09- AIC and Springfield College
report they have not seen increased visits
due to ILI. UMASS- “starting to see it”.
American College of Health Association
(267 Colleges polled) week of Sept. 12-18
7,696 cases 10 hospitalizations.
September 5-11 6,432 cases 16
hospitalizations.
1 death at a NewYork university, and 1 at
Ohio college
94. Western New England
College
Health Services
Deans and College
Administrators,
Academic Advisors
95. Western New England
College
Health Services
Deans and College
Administrators,
Academic Advisors
Residence Life
96. Western New England
College
Health Services
Deans and College
Administrators,
Academic Advisors
Residence Life
Public Safety
97. Western New England
College
Health Services
Deans and College
Administrators,
Academic Advisors
Residence Life
Public Safety
Aramark
98. Western New England
College
Health Services
Deans and College
Administrators,
Academic Advisors
Residence Life
Public Safety
Aramark
Human
Resources
99. Western New England
College
Health Services
Deans and College
Administrators,
Academic Advisors
Residence Life
Public Safety
Aramark
Human
Resources Plans and protocols in place
Emergency Preparedness
103. H1N1 Vaccination
Recommendations(CDC)
Pregnant women
Household contacts, caregivers children
<6 mo
Healthcare and emergency medical
personnel
All persons ages 6 mo- 24 yrs of age
Persons ages 25-64 who have health
conditions associated with higher risk
of medical complications from influenza
*Once demands for these age groups
met, ages 65 and older will be
vaccinated.
104. H1N1 Vaccination
Recommendations(CDC)
Pregnant women
Household contacts, caregivers children
<6 mo
Healthcare and emergency medical
personnel
All persons ages 6 mo- 24 yrs of age
Persons ages 25-64 who have health
conditions associated with higher risk
of medical complications from influenza
*Once demands for these age groups
met, ages 65 and older will be
vaccinated.
108. How to Stay Healthy
Hand washing
Vaccination
Avoid touching hands to eyes, nose and mouth
109. How to Stay Healthy
Hand washing
Vaccination
Avoid touching hands to eyes, nose and mouth
Stay at home with flu like symptoms for 24 hours after
fever without medication
110. How to Stay Healthy
Hand washing
Vaccination
Avoid touching hands to eyes, nose and mouth
Stay at home with flu like symptoms for 24 hours after
fever without medication
Stay informed, keep up to date with Health Services
web site for WNEC, local and national information
Notes de l'éditeur
This presentation is intended to inform you of information on the seasonal flu and the H1N1. It is intended to decrease fears and provide answer to any questions you may have as well.
In our northern hemisphere, winter is flu season though timing can vary. During past 26 flu seasons months with the heaviest activity occurred in November 1 season, December 4 seasons, Jan 5 seasons, Feb 12 seasons, March 4 seasons
Good Handwashing. Sneeze into your sleeve.
This may be longer in people with weakened immune systems and children where sx may be longer. Time to get sick is 1-4 days.
Asthma, COPD,
Sickle Cell
Asthma, COPD,
Sickle Cell
Asthma, COPD,
Sickle Cell
Asthma, COPD,
Sickle Cell
Asthma, COPD,
Sickle Cell
Asthma, COPD,
Sickle Cell
Asthma, COPD,
Sickle Cell
Asthma, COPD,
Sickle Cell
These infections are treated with antibiotics.
These infections are treated with antibiotics.
These infections are treated with antibiotics.
These infections are treated with antibiotics.
These infections are treated with antibiotics.
Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
Quadruple reassortant gene
Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
Quadruple reassortant gene
Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
Quadruple reassortant gene
Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
Quadruple reassortant gene
Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
Quadruple reassortant gene
May go out to health care provider or Health Services.
Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
May go out to health care provider or Health Services.
Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
May go out to health care provider or Health Services.
Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
May go out to health care provider or Health Services.
Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
May go out to health care provider or Health Services.
Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
Go to Health Services/ER
Go to Health Services/ER
Go to Health Services/ER
Go to Health Services/ER
Go to Health Services/ER
Go to Health Services/ER
Go to Health Services/ER
Only if you feel more comfortable. Remember, you have been exposed. Family member or Roommate contagious 1 day prior to symptom onset. Exposure does not mean you will get the flu!
We have not performed any rapid flu testing in Health Services.
We have not performed any rapid flu testing in Health Services.
Dosage is 75mg po BID x 5 days Tamiflu
3.5 days, may have been more cases as students did not all come to Health Services as reported by other students. Employees
We have treated some students for complications such as ear infections, and mild upper respiratory infections with antibiotics. We have not sent any students to the hospital.
Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
Shipment is pending. We will notify campus on our website and via email. Seasonal flu vaccination does not protect against H1N1. It is recommended along side. It can be given at the same time.
Shipment is pending. We will notify campus on our website and via email. Seasonal flu vaccination does not protect against H1N1. It is recommended along side. It can be given at the same time.
