Childcare providers flu presentation

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Childcare providers flu presentation

  1. 1. COMMUNITY PREPAREDNESS:2010-2011 Influenza SeasonChild Care and Early Childhood Programs Zubair Saeed, MD Fairfax County Health Department
  2. 2. Why Childcare Providers Should beConcerned about the Flu Children under 5 years of age are at higher risk for complications from flu Infants younger than 6 months are very vulnerable This fall we expect seasonal and 2009 H1N1 influenza flu to affect our community at the same time
  3. 3. Influenza “flu” A contagious respiratory illness caused by influenza viruses Symptoms – fever, cough, sore throat, runny nose, headache, body aches, chills, tiredness, diarrhea, vomiting How to Recognize Fever  Temperature measured by mouth equal to or greater than 100°F  Signs: warm feel, flushed appearance, sweating, shivering
  4. 4. 2009 H1N1 influenza Illness caused by a new influenza virus first detected in people in the United States in April 2009 This virus spreads from person-to- person worldwide in much the same way that regular seasonal flu viruses spread Like seasonal flu, illness with H1N1 virus has ranged from mild to severe
  5. 5. 2009 H1N1 flu or Seasonal flu? It is not possible to tell if someone who is sick with influenza-like illness has H1N1 flu or seasonal flu without testing Some children will not be able to tell you about their symptoms so it is important to watch carefully for signs and symptoms of flu or unusual behavior that may be a sign that the child is sick
  6. 6. Influenza or Common Cold? Influenza  Cold  Fever  Rarely have fever  Symptoms severe  Symptoms mild  Sudden onset  Gradual onset  Rarely have runny  Usually have runny nose and watery eyes nose and watery eyes
  7. 7. Preventing the Spread of Flu in ChildCare Settings: Current Severity Get flu shots as soon as possible Stay home when sick Check for flu symptoms daily Separate children and staff with flu symptoms from others right away until they can be sent home Teach everyone to follow good hygiene habits Clean often Seek treatment early for flu symptoms Consider closing child care program
  8. 8. Recommended Strategies:Get flu shots as soon as possible Best way to protect against the flu is to get vaccinated This flu season there will be one vaccine available – covers H3N2, H1N1, and influenza B. Encourage staff to get vaccinated Encourage parents to get their children vaccinated
  9. 9. Influenza Vaccines Distribution through normal channels – primary care offices, pharmacies, health department clinics, etc. Recommended groups should receive as soon as available  Children 6 months – 18 years  Persons > 50 years  Pregnant women  Persons with underlying medical conditions  Residents of nursing homes and LTC facilities  Health care personnel  Household contacts and caregivers of persons at higher risk for severe complications from flu
  10. 10. Influenza Vaccines If under 9 years old and receiving flu vaccine for the first time then two doses will be given 28 days apart. Nasal spray vaccine available only to non pregnant healthy individuals between 2 – 49 years of age. Seek doctor’s advice if there is a history of severe egg allergies and/or previous reaction to vaccines.
  11. 11. Recommended Strategies:Stay home when sick Staff and children with flu-like illness should stay home until fever free for at least 24 hours without the use of fever-reducing medications  3 – 5 days for most people  Avoid close contact with others, except when necessary to seek medical care  A note from a doctor’s office or health care provider should not be required to return to the program
  12. 12. Recommended Strategies:Check for flu symptoms daily Observe each child for signs or symptoms of illness and changes in behavior (crankiness, unusual crying, decreased appetite, or lack of interest in playing) Ask parents whether child has had flu symptoms or recently visited a health care provider If staff or child appears sick, take a temperature
  13. 13. Recommended Strategies:Separate Ill Children and Staff Move children and staff who become sick to a separate, supervised space which separates them from others by at least 6 feet until they can be sent home Limit the number of staff who take care of the sick Provide a surgical mask to staff to wear if they can tolerate it If available, staff who provide care for children with flu symptoms should wear an N95 respirator
  14. 14. Recommended Strategies:Follow Good Hygiene Habits Wash hands often with soap and water  Provide enough time for all children and staff to wash their hands whenever needed  Have soap, running water, paper towels, and a trash can that is easy to reach  Wash the hands of children who cannot yet wash themselves and closely monitor children who have not yet mastered proper hand washing
  15. 15. Recommended Strategies:Follow Good Hygiene Habits Alcohol-based hand cleaners also effective and can be used when soap and water are not available (example during field trip)  If used they should be kept in a location that children cannot reach, but adults can access easily Do not share cups or eating utensils Educate and remind staff and children to cover nose and mouth to cough or sneeze Discard tissue after use into trash can
  16. 16. Recommended Strategies:Routine Cleaning Areas and items that are visibly soiled should be cleaned immediately Routinely clean surfaces and items that are frequently touched with hands, mouths or come in contact with bodily fluids – for example toys and play areas Use cleaning agents usually used Not necessary to disinfect beyond routine cleaning
  17. 17. Recommended Strategies:Early Treatment Encourage parents and staff to talk with their health care provider to see if they or their children are at higher risk of becoming very sick with flu Medical care should be sought immediately if 1. Considered high risk for flu complications 2. Concerned about illness, or 3. Severe symptoms develop Early treatment with flu antiviral medicines can decrease the risk of severe flu illness
  18. 18. Recommended Strategies:Consider closing child care program In an effort to decrease the spread of flu among children less than 5 years, selective program closures may be considered if  A large number of children and staff become sick with flu symptoms  Flu transmission is high in the community Call the Health Department if you have questions or need guidance in deciding if your program should be closed temporarily
  19. 19. Preventing the Spread of Flu in ChildCare Settings: Increased Severity Health Department will communicate changes in severity with the Office For Children and provide guidance if additional interventions needed  High-risk children and staff members stay home  Children with ill household members stay home for 5 days  Increase distance between children – example dividing classes into smaller groups and keeping them with a consistent provider  Extend the period for ill persons to stay home  Closing of program
  20. 20. Preparing Your Program Update contact information for parents so that they can easily be contacted if they need to pick up their sick child Find out which of the children in your care has an underlying health condition that puts them at high risk of flu complications Develop contingency plans to cover key positions when staff are sick or caring for family members at home
  21. 21. Preparing Your Program Set up a separate space for care of sick children or staff which will separate them from others by at least 6 feet until they can be sent home Display and distribute educational materials to encourage hand washing and cough etiquette Encourage parents to plan for alternate child care
  22. 22. Guidance for General CommunitySettings All persons for whom vaccine is recommended should get vaccinated once vaccine is available Cover coughs and sneezes with a tissue and throw tissue in the trash after use Wash hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective Avoid touching your eyes, nose and mouth Avoid close contact (about 6 feet) with sick people, including anyone in the household who is sick Stay home when sick for at least 24 hours after fever is gone
  23. 23. Are you prepared? CommunityPreparedness Begins with YOU Do you have an emergency plan?  Make a family plan  Prepare your home  Stay informed Help stop the spread of germs  Wash hands often  Cover coughs and sneezes  Stay home when sick
  24. 24. Fairfax County’s Hand Washing Campaign “Your Health is in Your Hands: WASH”

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