This document discusses business planning considerations for the 2009-2010 influenza season. It provides updates on the seasonal flu vaccine shortage and the new H1N1 vaccine. It recommends that businesses implement infection prevention measures like hand washing, encourage staff to get vaccinated, and develop pandemic plans to minimize business disruptions from staff absences. Businesses should clearly communicate sick policies, check on staff daily, and have communications plans in place to update staff and customers during a flu outbreak.
Public health clinics that rely on state-supplied seasonal flu vaccine should schedule seasonal flu clinics in early October because we expect seasonal flu vaccine to arrive in multiple shipments from August through October. The first doses of state-supplied seasonal flu vaccine will go to pediatric care providers so they can start vaccinating the youngest kids, who may need 2 doses of seasonal flu vaccine.
Pregnant women and their newborns at risk for complications from seasonal and H1n1 influenza. Pregnant women, in any trimester, and their household contacts should be vaccinated as soon as vaccine is available. Infants <6 months of age cannot be vaccinated and so need a cocoon of vaccinated household ( HH ) contacts around them. Emergency medcial services ( EMS ) = certified EMTs and paramedics. Discussions on-going regarding non-certified fire and police. HR = high risk for complications from influenza. Same for seasonal and H1N1, except for people > 65 (only for seasonal flu) and healthy people 19 – 24 years old (only or H1N1 Flu) . HR conditions H1N1 flu include: Chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, cognitive, neurologic/neuromuscular, hematological or metabolic disorders (including diabetes mellitus); Immunosuppression (including immunosuppression caused by medications or by human immunodeficiency virus); Children < 18 are receiving long-term aspirin therapy and therefore might be at risk for experiencing Reye syndrome after influenza virus infection; Pregnancy
Remember – Goal is to vaccinate as many people as quickly as possible. Give vaccinees H1N1 vaccine card (comes with vaccine) to remind them about 2 nd dose. CDC and MDPH public information campaigns will stress importance of 2 nd dose . H1N1 vaccine supply expect to increase quickly over time and there will be vaccine available for 2 nd doses No need to verify target groups – CDC and state public information campaigns will stress rationale for target groups. After making sure folks know what the target groups are for your clinic, it will be much more efficient to vaccinate everyone who stays and claims a HR condition, then to argue with them. No doctor’s notes – PLEASE. Provider offices will not have time to be taking calls and writing notes. Seasonal, H1N1 and pneumococcal vaccine can all be given at the same time. It’s up to the provider. (Stress this is what we expect – info could change after clinical trials.