AH1N1 Information sheet for the PSHS Community

2.  ILI – influenza-like illness
 Similar to the symptoms of regular flu such as:
• Fever
• Headache
• Fatigue
• Muscle or joint pains
• Lack of appetite
• Runny nose
• Sore throat
• Cough
 Vomiting
 Diarrhea

3.  High-risk
 Children younger than 5 yrs old
 Adults 50 years of age and older
 Chronic pulmonary (including asthma), cardiovascular
(except hypertension), renal, hepatic, hematological
(including sickle cell disease), neurologic, neuromuscular, or
metabolic disorders (including diabetes mellitus);
 Immunosuppression, including that caused by medications
or by HIV;
 Pregnant women;
 Persons younger than 19 years of age who are receiving
long-term aspirin therapy;
 Residents of nursing homes and other chronic-care facilities.

4.  June 1-5 Enrollment and Orientation
 Stats showed that we had 80 who traveled abroad
 Problem: Some were not willing to declare their travel and
in spite of advise to stay home students still came to meet
friends
 Response: Move opening of classes to June15 instead of
June 8 to implement 10 day quarantine

5.  June 15-26 First 2 weeks of classes
 Several 2nd year students were experiencing ILI
 Problem: Suspected index case did not want to have swab
test, when forced Lung Center sent student home and rest,
was told no need for test.
 Response: School Physician had random thermal scanning
and started sending students home if they had ILI
symptoms.
 New Problem: Students who were sick went to school,
avoided physician so they will not be sent home.
 2 days suspension because of typhoon, DOH advise not to
panic since it might be the onset of seasonal flu.

6.  June 30- July 7 Clustering observed
 Total of 94 students were absent from June30-July 7
 Clustering of absences, some classes had 4-11 students
who were absent because of ILI
 Those who were advised to have throat swab came back
with medical certificate from their physician that they had
regular ILI, have recovered and are fit to go back to school.
No swab test, no confirmed case.
 Response: Based on DOH guidelines this is Level 2 and we
can suspend classes to decontaminate school and control
viral infection. However, 10 days was not advised since we
had no confirmed case.
 Classes was suspended for 3 days giving us 5 days to
cleanup and students to recover.

7.  July 11-12, 2009 Rumors of Case 1
 Teachers were informed through text messages that a
student was confirmed to have A(H1N1).
 I tried to contact the student and parents but no reply. A
teacher said she was able to confirm it with parents late in
the afternoon of Sunday.
 Dilemma: In the media, DOH has been saying no need for
general suspension of classes, selective suspension can be
applied. According to chart only a few students in section of
case 1 are sick.
 Response: Resume classes so we can assess students’
present medical condition. Ban all those who have ILI both
in the classroom and in the dorm. This is selective
suspension.

8.  July 13, 2009 Classes Resume
 There were 23-25 students with ILI symptoms who still
went to school. They were immediately sent home. Parents
of these students got angry and shouted at the school
physician.
 65 did not report to school
 15 teachers were sick over the weekend and 9 were not
able to report for work.
 Case 1 brought documents but it only showed that he had
acute bronchitis. Same document shown to school
physician on July 6, thus he was allowed to attend classes
on July 6 and 7. Actual lab report faxed by parent later.

9.  July 13, 2009 Classes Resume
 Sodium, section of case 1, confined to room 302. Case 1
was able to enter school building undetected since he had
no fever, cough or colds. Upon discovery was sent to the
clinic.
 Main Campus wanted to suspend classes for another 10
days but DOH and OED initially did not want us to suspend
classes but to isolate cases.
 Case 1 resides in BRH Main which has 126 occupants.
 Case 2 was discovered late in the afternoon. She had her
results on July 7 but did not report it to anyone that week.
She is from Charm and resides in GRH Main which has 60
occupants.

10.  Against the advice of DOH and the OED the
PSHS Main Campus suspended classes for 10
days for the ff. reasons:
◦ There are students (and parents) who insist on
going to class even if they were told not to.
◦ Some students do not volunteer full information re
their medical condition
◦ Dorms have limited isolation rooms.
◦ Setup of classes makes it impossible to contain
students in one area.

11.  Another student tested positive today. The
student is from Muon BRH Main.
 2 other students are being tested today. One
from Cesium and another from Tau

12.  During the suspension
◦ Another cleanup, decontamination.
◦ Students must be monitored daily. Teachers will call
everyday to ensure students are in their homes.
(strategy used by DLSU, ADMU)
◦ Identify high-risk students and monitor them for ILI
◦ Any high-risk student who contracts ILI must call
the school. We will contact DOH for medication
and/or throat swabbing.

13.  After the suspension
◦ Those who are sick will be sent home immediately.
◦ If clustering is observed, DOH will conduct random
throat swabbing. If test is positive then tamiflu will
be given.

14.  See school physician, she will refer you to
accredited hospital
 School will inform DOH
 DOH will inform hospital and will shoulder
expenses

15.  No available vaccine from DOH
 Do not take tamiflu for ILI unless prescribed
by doctor or the DOH, this can lead to
resistance to the drug
 Usual prescription is 2 tablets a day for 5
days.
 Younger patients (below 15) can be once a
day.

16.  High risk patients should wear masks
 Those with contact with people with ILI
should wear masks.
 Food service people should wear masks
 Adults to wear masks to encourage students
to do the same.
 Everyone will wear masks for 1 week.

17.  No periodic exam for 1st qtr.
 Grade in 2nd qtr will include requirements
from the 1st qtr.
 Individualized but integrated requirements
◦ Minimize group work so if 1 is absent group not
affected; lessens reason to meet as grp
◦ Integrated – are there similar/related topics covered
in other subjects

18.  Keep yourself and your child healthy.
 Be informed and share the correct
information with other parents.
 Help in the daily monitoring of students
 Coordinate with school officials, batch and
section advisers.