Swine Flu 2009

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H1N1 is a Type A flu virus that causes regular outbreaks in pigs. H1N1 flu viruses do not normally infect humans. However, sporadic human infections with H1N1 flu have occurred. Most commonly, these cases occur in persons with direct exposure to pigs.

When flu viruses cross species, the viruses can swap genes and new strains of virus can emerge. http://www.museumofplay.org/about_us/press/nthof/presstoys/erector.jpg http://www.cartype.com/pics/347/small/truck_lego.jpg

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Pandemic Influenza - a regional or worldwide outbreak of flu among people when a new strain of virus emerges that has the ability to infect humans and spread from person-to-person e.g. H1N1 flu. During the early stages, people may not have any natural immunity to the new strain, so the virus can spread rapidly among the population. Pandemics can vary in severity from something that seems like a bad flu season to an especially severe pandemic that could led to high levels of illness, death, social disruption and economic loss. http://media.ksee24.com/images/H1N1-2.jpg

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It is impossible to predict when the next pandemic will occur or whether it will be mild or severe. Experts suggest that employers should plan for 30% to 50% absenteeism for up to six weeks in the event of pandemic flu. A pandemic is likely to be an extended event, with multiple waves of outbreaks in the same geographic area. Each outbreak could last for 6 – 8 weeks. Waves of outbreaks may occur over a year or more.

Seasonal Influenza – periodic outbreaks of respiratory illness during various months depending on location – caused by the strain of flu virus circulating at the time. Most people have some immunity to the circulating strain of virus. A vaccine is prepared in advance of seasonal ‘flu’ and designed to match the viruses most likely to be circulating in the community. The illness caused can be mild or severe and occasionally can lead to death. http://www.partialobserver.com/wallpaper/images/worldmap/worldmap1600.jpg

Spreads rapidly across the globe because people do not have a previous immunity to it.

Although the first cases of the disease were registered in the continental U.S, and the rest of Europe long before getting to Spain, the 1918 Flu received its nickname "Spanish flu" because Spain, a neutral country in WWI , had no special censorship for news against the disease and its consequences. Hence the most reliable news on the disease came from Spain, giving the false impression that Spain was the most—if not the only—affected zone. Among the conclusions of this research is that the virus kills via a cytokine storm (overreaction of the body's immune system ) which explains its unusually severe nature and the concentrated age profile of its victims. The strong immune systems of young adults ravaged the body, whereas the weaker immune systems of children and middle-aged adults caused fewer deaths.

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Some groups of people are more susceptible to flu complications than others, especially older people and people of any age with certain medical conditions.

Like seasonal flu, pandemic flu can worsen underlying medical conditions. Employees who have an underlying medical condition such as asthma, diabetes, emphysema, or who are pregnant should contact their health care provider to determine whether flu testing or treatment is needed. http://blogs.phillyburbs.com/news/bcct/wp-content/blogs.dir/2/files/2008/May/Wednesday/smoking.jpg http://www.deviantart.com/download/75993546/32_weeks_pregnant_by_MorbidRealityDesigns.jpg http://www.ra4food.org/wp-content/uploads/2008/07/brokenheart.jpg http://desmarwalkes.com/images/rev_jpg/Diabetic.jpg http://l.yimg.com/img.tv.yahoo.com/tv/us/img/site/07/55/0000000755_20060919024352.jpg http://michigan.gov/images/mdch/MDCH_CDE_Asthma_226551_7.jpg

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It is likely that the signs and symptoms of pandemic flu will be similar to those of seasonal flu but they may be more severe and cause more serious complications because of reduced immunity. The most significant symptoms are the sudden onset of: F ever Cough and shortness of breath Other symptoms may include: Headache, Fatigue, Chills, Aching muscles, Sore throat, Runny or stuffy nose Sneezing, Loss of Appetite, Diarrhea, Vomiting http://kidskatyfamilypop.files.wordpress.com/2009/04/p4300009.jpg

The incubation period between infection and appearance of symptoms can be up to 7 days, most likely 1-5 days. http://www.co.cowlitz.wa.us/health/environmentalhealth/PHEPR/sneeze.jpg

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An update on what is known about H1N1 flu can be found at www.pandemicflu.gov .

H1N1 virus is thought to spread in the same way that seasonal flu spreads. Flu viruses are spread from person-to-person in respiratory droplets of coughs and sneezes. They may also spread when a person touches respiratory droplets on another person (i.e., handshake) or a contaminated object and then touches their own mouth, nose, or eyes before washing their hands. Studies indicate that flu viruses can live on hard surfaces for up to 24 hours (i.e., keyboards, handrails, door knobs, light switches, telephone, radios, etc.).

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Wash your hands frequently, especially after coughing, sneezing, and using tissues. Soap and warm water are perfectly effective.

Wash hands for 20 sec – about the time it takes to sing Happy Birthday to you twice. Yeah my mom, told me that one too.

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Normal disinfectants should be used to clean surfaces frequently touched by hands or contaminated by coughs or sneezes. http://www.nukeworker.com/pictures/albums/userpics/20819/control_room~0.jpg

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Generally we all do this, but at home, not uncommon to have one glass in the bathroom for rinsing after brushing. http://www.eventsupplies.co.uk/blog/wp-content/uploads/2009/02/istock_000007632149medium.jpg

Avoid close contact with sick people. http://farm1.static.flickr.com/186/363550717_522ce857cc_o.jpg

Limit close contact with co-workers – try to maintain a minimum distance of 3 feet (1 meter) between yourself and fellow employees or other individuals. Avoid touching your mouth, eyes and / or nose unless you have recently washed your hands. Wash your hands as soon as you arrive at work and when you arrive home.

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Use a tissue to cover your nose and mouth when coughing or sneezing. Dispose of the tissue promptly and then wash your hands. Used tissues should be disposed in trash cans – they do not require any special treatment.

Do not use a cloth handkerchief or reuse tissues. This practice carries a risk of contaminating pockets or handbags which may then re-contaminate hands each time you reach into pockets or handbags. Stork Club owner Sherman Billingsley - one of his signals to nearby assistant which means “Bring a bottle of champagne,” while sitting w. patrons over his usual Coca Cola, in the Cub Room. (circa 1950s) http://acontinuouslean.files.wordpress.com/2009/03/c31.jpg

Cough or sneeze in to your upper sleeve if a tissue is not available.

Alcohol-based hand sanitizers can be used as an alternative to hand washing or if hand washing facilities are not available. http://www.flickr.com/photos/jkannenberg/3518419344/sizes/o/

You must rub your hands until they are dry. The alcohol in the rub is what kills the bugs.

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A vaccine may not be widely available until many months after an influenza pandemic begins. http://latimesblogs.latimes.com/photos/uncategorized/2009/03/02/i5natlkf.jpg

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To minimize the risk of an influenza (flu) pandemic to employees, contractors and visitors. Continue functions essential to company’s operations during a pandemic. Manage the impact on our Operations and our ability to supply customers during a drastic reduction in employee population due to sickness. http://www.adonishoffman.com/images/hand_puzzle_pieces_blowing_wind.jpg

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Closely monitor your health for flu symptoms. Notify your supervisor if you become ill at work. The affected employee and the person assisting them will follow all protocols as established by management. Employees are to notify their supervisor if they will not be able to report to work. At the time they call to report an absence, they should communicate if the absence is pandemic flu-related.

See a doctor if: Hard to breath, Pain or pressure in chest or abdomen, Sudden dizziness, Confusion, Severe or persistent vomiting http://www.macombcountymi.gov/publichealth/PanFlu/images/Medicine%20Feathered.jpg

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Sick employees should stay home until at least 24 hours after they are free of fever (100° F [37.8°C]), or signs of a fever without the use of fever-reducing medications. http://www.cmn-global.com/advocate/q4/images/contents/fever.jpg

Employees who do not have symptoms, but who have family members at home with the flu can go to work as usual. These employees should closely monitor their health for flu symptoms, notify their supervisor, and stay home if they are ill.

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Warning Signs: Fast or Trouble Breathing, Bluish skin color, Not enough drinking of liquids, Not waking up, Rash, Flu gets better and worse with a cough http://www.wesleymc.com/cpm/nurse%20with%20little%20girl%20in%20pink%20cropped%20small.jpg

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Swine Flu 2009 - Presentation Transcript

  1. Swine Flu
  2. AKA
  3. Why called Swine Flu ? Actual Flu Virus
  4. Pig (2), Bird (1) and Human (1)
  5. Why variations ? DNA People RNA Flu Virus
  6. It’s the flu you see, things you need to know
  7. Before School Ended…. There had been a fair number of Swine flu cases
  8. World Health Organization 6/11/09
  9. School has started…. and Swine Flu is on the rise again
  10. 11/13/09 503,000 cases 6260 deaths These numbers are way low
  11. 11/12/09 22 Million cases 3900 deaths and these numbers are a guess
  12. Seasonal Flu 6 – 12 months to work it’s way around the world
  13. Pandemic Flu 1 – 3 months to show up everywhere in the world
  14. 1918 (Spanish Flu) H1N1 Flu 1 billion infected 30-70 Million deaths
  15. 1957 (Asian Flu) Bird Flu 100 million infected 2 Million deaths
  16. 1968 (Hong Kong Flu) Swine Flu 50 million infected 1 Million deaths
  17. Who at risk - Seasonal Very Young Elderly # of Deaths Seasonal
  18. Who at risk - H1N1 Very Young Elderly Up to 25 year old # of Deaths H1N1 Seasonal
  19. Underlining Issues
  20.  
  21. If you get both… Swine Flu Seasonal
  22. Cold Sore Throat Fever Stuffy Nose Body Aches Sneezing Coughing Coughing Tired Gradual Sudden Vs. Flu
  23. When Contagious
    • 0 to 4 days after sick
  24. Symptoms
    • 1 - 4 days after infection
    You’ll feel, well … like this
  25. Fever > 100.5 F see a doctor talk to
  26. Testing for Swine Flu
    • Within first 2 to 4 days of infection
  27. Anti-Virals
    • Tamiflu – Oral
    • Relenza – Inhalation
    • Need a prescription
    • Check with Doctor
  28. Use within 1-3 days of being sick
  29. Check about anti-virals Especially if you have kids
  30. Keep Informed http://www.cdc.gov/h1n1flu/
  31. But there are precautions, you see
    • Sneeze/Cough (20%)
    • Direct Contact (80%)
  32. So Better to Wash Your Hands…
  33. ...And Wash Them A lot
  34. Sing Happy Birthday to You x2 How long to wash ? My Son 
  35. Dispense Towel First Wash Hands Then Use Towel
  36. Consider Auto Units
    • Look Mom – No Hands
  37. Wipe down Work Areas
  38. Wipe down Phones
  39. Wipe down Radios
  40. Wipe down keyboards
    • And your little mouse too!
  41. Wipe down Doorknobs
    • Virus can live
    • 2 – 8 hrs
  42. Avoid Handshakes
  43. Avoid Sharing Pens
  44. Avoid Crowds
  45. Avoid Flying Check for issues in other countries
  46. Avoid Touching
    • No point really
    Not effective against microorganisms
  47. Washing Hands >> Wearing Mask
  48. Of course, a suit like this might work But most of us don’t have one of these in the house
  49. Use Separate Cups Including Bathrooms at home
  50. Keep Tooth Brushes Apart
  51. Minimize contact with sick people
  52. Social Distancing
  53. The Swan Way 3 to 6 feet
  54. Dispose of Tissues
  55. Don’t use handkerchiefs Sherman Billingsley 1900 – 1966
  56. Cover Sneezes & Coughs Even if no one else around
  57. Proper Sneezing
  58. Washing vs. Rubs vs. Wipes
  59. Min 60% Ethanol
  60. Pools
    • 2-5 ppm Chloride enough
  61. Use Sanitize
    • Ok to wash together
  62. Cooking
    • Virus killed by heat at 167 F
  63. Pork is ok to eat
  64. Get Enough Sleep
  65. Avoid Alcohol
  66. Immune System for the Win
    • Eat Fruits & Veggies
    • Take Vitamins
  67. Be Active
  68. But you got to take these shots, you see
  69. For Pigs - Yes
  70. Pick 3 strains Buy eggs Eggs inoculated with virus Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
  71. Grows in eggs Inactivated Harvested Tested for purity, potency & safety Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
  72. 3 vaccine strains blended Packaged Released Shipped Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
  73. Immunization begins Jan Feb May Aug Sep Oct Seasonal Vaccine Timeline July June Apr Mar
  74. Swine Flu Vaccine Timeline Mid-June – Start Mid-Oct – First Vaccines 4 vs. 10 months
  75. For Humans FDA Approved 9/15/09 …and only 1 dose
  76. CDC’s Strategic National Stockpile First Vaccines Shipped Oct 12
  77. 37 Million shipped 11/12/09
  78. Oct-Nov Seasonal Vaccines
  79. Dec-Jan H1N1
  80. Seasonal Flu Timing April # of Cases Oct Jan April Oct
  81. Swine Flu Waves April # of Cases Oct Jan April Oct
  82. New Shots Needed
    • Past flu shots do not help
    • 2 different shots needed
  83. 30-35%
  84. 65-70%
  85. 40-45%
  86. Immunization Goal 90%
  87. We got procedures too, you see
  88. Company Policy Allow flexibility if sick Provide vaccinations Get Rubs, Wipes and Auto Towel Dispensers
  89. Locations of Anti-Bacterials
    • Bathrooms
    • Lunchrooms
    • Control Rooms
    • Offices
    • Guard Houses
  90. What to do ? If you get Sick
  91. Stay Home Let Company Know
  92. Eat Well
  93. Drink Lots of Water
  94. Wash Hands Alot
  95. When OK to Return
    • No fever for
    • 24 hours
  96. If Driver sick
    • Have them stay in cab
    What to do ?
  97. Guard House Main interface with the outside world
  98. What to do ? If Child is sick
  99. Keep Kids Home & Busy
  100. See a Doctor
  101. That’s all I’ve got, so go and fight the good fight.
  102. Wash Your Hands
  103. Talk to your Doctor
  104. Get Flu Shots – all of them
  105. Stay Home if Fever
  106. So be Prepared…
  107. … and don’t go to pieces….
  108. … for him
  109. WHY
  110. BECAUSE
  111. Prevention >> Cure
  112. But let’s not forget - Patient Zero
  113. The End
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