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Spread the Word-Not the flu November 2nd 2009 OMSI Science Pub Gary Oxman, MD, MPH Paul Lewis, MD Tri-county Health Officer Group Clackamas, Multnomah, Washington Counties
Desired Outcomes for Session Participants will… ,[object Object],[object Object],[object Object],[object Object],[object Object]
H1N1 Preparedness & Response A Framework for Action Read this book!* * Available in Paperback
The Unthinkable  - B asics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Unthinkable -  Basics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Unthinkable Take away points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Influenza Basics
Influenza
Influenza Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Influenza Types & Definitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Biology of Pandemics
Influenza Virus
Changes in the Flu Virus ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Earthquake fault, New Zeeland Health Emergency Management, NZ Changes in the Virus
Genesis of New Influenza A Virus Subtypes with Pandemic Potential Gerberding, J. L. et al. N Engl J Med 2004;350:1236-1247
NIH Web conf
Pandemic H1N1 Genetic History www.sciencexpress.org / 22 May 2009 / Page 4/ 10.1126/science.1176225
Current Situation
Likely Origin Winter 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],Current Flu Situation
 
Hospitalizations by  Age Group, Oregon* *data as of 10/09/09
US Pandemic Severity Scale Anticipated range of H1N1 severity during 2009-2010
How bad is it ? ,[object Object],[object Object],[object Object],[object Object],400,000- 600,000 Sick 1,400,000- 1,600,000 Well 200 - 300 Severely ill or dead
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],About 2/3 of severe H1N1 illness and hospitalization impacts people with risk factors:
H1N1: Some Take-home Points ,[object Object],[object Object],[object Object],[object Object]
Public Health & Medical Response
Goals of Pandemic Response ,[object Object],[object Object]
Public Health Response Strategies ,[object Object],[object Object],[object Object]
Preventing Illness Through Appropriate Behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ACIP H1N1 2009 Vaccine Recommendations (not in order of priority) ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5810a1.htm ~ 50% Of USA
 
PH Strategy: Access to  Medical Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Temporary healthcare reform Access to care during a pandemic
Supporting PH Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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OMSI Science Pub - H1N1 Flu

Editor's Notes

  1. Contagious respiratory illness Caused by influenza viruses (A and B) Can cause mild to severe illness Spreads from person to person Droplets – important Contact – important Through the air - much less important Prevention: Wash your hands Cover your cough Stay home when you’re sick Vaccination
  2. Over the years the slowly shifting sands move great amounts of material and even reshape the entire landscape. The changes are inexorable but not instantaneously dramatic
  3. In a pandemic shift, like an earthquake, the change occurs in an instant with dramatic results. The shifting sands and earthquake are metaphors for annual and pandemic influenza. The pandemic earthquake is more dramatic but the annual toll of influenza is of similar or greater magnitude but is spread over a longer period of time
  4. www.cdc.gov/H1N1FLU/surveillanceqa.htm
  5. July, 2009-CDC ‘ H1N1 is a new virus, . . . illness may be more severe and widespread as a result.’ July, 2009 (Australian Gov) “ disease is mild in most cases, severe in some and moderate overall’ –
  6. We have a prevention opportunity Getting vaccinated is the single most effective thing you can do to prevent the flu Vaccine production is moving at a slower pace then originally anticipated Local decision-makers are making week to week decisions on how best to utilize this resource to prevent illness in high-risk groups