2. CME Credit
• Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State
Medical Society to sponsor continuing medical education for physicians. The
Bridgeport Hospital Yale New Haven Health designates this live activity for a
maximum of one (1) AMA PRA Category 1 CreditsTM. Physicians should claim only
credits commensurate with the extent of their participation in the various
activities.
• This activity has been planned and implemented in accordance with the Essential
Areas and policies of the Accreditation Council for Continuing Medical Education
through the joint sponsorship of Bridgeport Hospital Yale New Haven Health and
the Weitzman Institute. Bridgeport Hospital Yale New Haven Health is accredited
by the Connecticut State Medical Society to provide continuing medical education
for physicians.
• The content of this activity is not related to products or services of an ACCME-
defined commercial interest; therefore, no one in control of content has a relevant
financial relationship to disclose and there is no potential for conflicts of interest.
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4. Department of Medical Microbiology, Edinburgh University
“There will be droplets”
http://www.3dscience.com/Resou
es/Influenza_Virus.php
www.newscientist.com/t
erm/coronavirus/
5. Two viruses – double trouble?
• SARS-CoV-2
– Fevers/Chills
– Cough, ST
– HA, myalgias
– N/V/D
– Anosmia, taste
– Slower onset
• INFLUENZA
– Fevers
– Cough, ST
– HA, myalgias
– N/V/D
– Rapid onset
6. COVID-19 in the United States
5,746,940 cases on 8/25/20 up from 5,481,795 cases on 8/18/20
177,536 deaths https://coronavirus.jhu.edu/map.html
8. Influenza burden of disease 2019-2020
• https://www.cdc.gov/flu/about/burden/preliminary-in-season-estimates.htm
9. Antivirals and Vaccines
SARS-CoV-2
– Remdesivir
– Plasma
– No vaccine (yet)
INFLUENZA
• Oseltamivir
• Baloxavir
• Vaccines
• High dose
• Adjuvenated
10. COVID-19 News updates
• Reinfections?
– 33 yo M Hong Kong -first confirmed reinfection with
SARS-CoV-2
• Different strain
• Mild disease first time; ‘asymptomatic’ 2nd time
“natural infection created immunity that prevented disease but not
reinfection”
– Netherlands: older pt with a weakened immune
system
– Belgian woman -only mild symptoms in March;
reinfected in June
11. News updates
• South Korea -closing schools in Seoul
– 280 new cases on Tuesday, the 12th-straight day
of triple-digit daily increases in virus infections
• Jobs and the economy:
– American Airlines – to furlough 19,000 employees
this Fall when Federal aid restrictions end Oct 1.
• The total number of employees cut -40,000
13. Flu Considerations
During COVID-19
Mary Blankson, DNP, APRN, FNP-C; Chief Nursing Officer,
Community Health Center, Inc.
Natalie Bycenski, RN, MSN; Nurse Manager, Chair of the
Infection Control Committee, Community Health Center, Inc.
Lucy Golding, RN, MSN; Nurse Manager, Chair of the Flu
Subcommittee of the Infection Control Committee,
Community Health Center, Inc.
14. Flu Season
• Timing and duration (can vary)
• Increase in October
• Cases can continue through end of May
• CDC statement on:
– Who should receive
– When to receive vaccine
– Who needs 2 doses
– Types of flu vaccines
• Flu + COVID ? Concerns and CDC Guidance
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15. Flu Committee
• Subcommittee of the Infection Control
Committee
• Planning tool
– Clinical Preparation
• Standing Orders
– Marketing
– Supply
– PPE
– Location
– Staff Vaccination
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