Whats Up With The Flu

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  • This presentation is intended to inform you of information on the seasonal flu and the H1N1. It is intended to decrease fears and provide answer to any questions you may have as well.
  • In our northern hemisphere, winter is flu season though timing can vary. During past 26 flu seasons months with the heaviest activity occurred in November 1 season, December 4 seasons, Jan 5 seasons, Feb 12 seasons, March 4 seasons
  • Good Handwashing. Sneeze into your sleeve.
  • This may be longer in people with weakened immune systems and children where sx may be longer. Time to get sick is 1-4 days.
  • Asthma, COPD,
    Sickle Cell
  • Asthma, COPD,
    Sickle Cell
  • Asthma, COPD,
    Sickle Cell
  • Asthma, COPD,
    Sickle Cell
  • Asthma, COPD,
    Sickle Cell
  • Asthma, COPD,
    Sickle Cell
  • Asthma, COPD,
    Sickle Cell
  • Asthma, COPD,
    Sickle Cell
  • These infections are treated with antibiotics.
  • These infections are treated with antibiotics.
  • These infections are treated with antibiotics.
  • These infections are treated with antibiotics.
  • These infections are treated with antibiotics.
  • Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
    Quadruple reassortant gene
  • Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
    Quadruple reassortant gene
  • Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
    Quadruple reassortant gene
  • Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
    Quadruple reassortant gene
  • Many of the genes originally thought similar to those in pigs of North America, however they are actually those of what circulate in pigs of Europe and Asia.
    Quadruple reassortant gene
  • May go out to health care provider or Health Services.
    Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
  • May go out to health care provider or Health Services.
    Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
  • May go out to health care provider or Health Services.
    Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
  • May go out to health care provider or Health Services.
    Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
  • May go out to health care provider or Health Services.
    Anti-viral medication if you are within 48 hours of onset of symptoms and if high risk for complications. Good hygiene hand washing/sneezing.
  • Go to Health Services/ER
  • Go to Health Services/ER
  • Go to Health Services/ER
  • Go to Health Services/ER
  • Go to Health Services/ER
  • Go to Health Services/ER
  • Go to Health Services/ER
  • Only if you feel more comfortable. Remember, you have been exposed. Family member or Roommate contagious 1 day prior to symptom onset. Exposure does not mean you will get the flu!
  • We have not performed any rapid flu testing in Health Services.
  • We have not performed any rapid flu testing in Health Services.
  • Dosage is 75mg po BID x 5 days Tamiflu
  • 3.5 days, may have been more cases as students did not all come to Health Services as reported by other students. Employees
  • We have treated some students for complications such as ear infections, and mild upper respiratory infections with antibiotics. We have not sent any students to the hospital.
  • Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
  • Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
  • Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
  • Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
  • Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
  • Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
  • Flu algorithm from the time suspected H1Ni person walks into health services. Follow CDC guidelines, standards of care. Send employees home- fevers no work. Students with fevers, no class. Students options to go home or stay on campus. Contact roommates. Contact Aramark for vouchers. List of students with ILI goes to Dean Zern with students permission. Also we are in daily contact with CDC, DPH monitoring. Meetings to notify college authorities of the most up to date information. However information is changing on a daily basis.
  • Shipment is pending. We will notify campus on our website and via email. Seasonal flu vaccination does not protect against H1N1. It is recommended along side. It can be given at the same time.
  • Shipment is pending. We will notify campus on our website and via email. Seasonal flu vaccination does not protect against H1N1. It is recommended along side. It can be given at the same time.
  • Whats Up With The Flu

    1. 1. What’s Up With The Flu? The Facts, Not the Hype Western New England College Health Services Centers For Disease Control and Prevention Massachusetts Department of Public Health Lauren A. Dansereau MS RN ANP
    2. 2. Influenza(Flu) Virus Influenza is a contagious respiratory illness which can cause mild to severe illness and in some cases death.
    3. 3. Each Year in the United States 5-20% get flu.
    4. 4. Each Year in the United States 5-20% get flu. 36,000 people die from flu related complications.
    5. 5. Each Year in the United States 5-20% get flu. 36,000 people die from flu related complications. 200,000 are hospitalized with complications.
    6. 6. How Flu Is Spread Respiratory secretions Cough or sneeze. Hand to mouth eyes or nose.
    7. 7. How Flu Is Spread Respiratory secretions Cough or sneeze. Hand to mouth eyes or nose.
    8. 8. When is One Contagious to Others? 1 day before and, 5-7days after the start of symptoms
    9. 9. High Risk Groups
    10. 10. High Risk Groups Age >65
    11. 11. High Risk Groups Age >65 Children<5, especially <2
    12. 12. High Risk Groups Age >65 Children<5, especially <2 Pregnant women
    13. 13. High Risk Groups Age >65 Children<5, especially <2 Pregnant women Chronic lung diseases
    14. 14. High Risk Groups Age >65 Children<5, especially <2 Pregnant women Chronic lung diseases Cancer, diabetes, heart disease
    15. 15. High Risk Groups Age >65 Children<5, especially <2 Pregnant women Chronic lung diseases Cancer, diabetes, heart disease Kidney, liver disease, blood disorders
    16. 16. High Risk Groups Age >65 Children<5, especially <2 Pregnant women Chronic lung diseases Cancer, diabetes, heart disease Kidney, liver disease, blood disorders Neuromuscular, neurological disorders
    17. 17. High Risk Groups Age >65 Children<5, especially <2 Pregnant women Chronic lung diseases Cancer, diabetes, heart disease Kidney, liver disease, blood disorders Neuromuscular, neurological disorders Weakened immune systems (HIV)
    18. 18. Complications of flu
    19. 19. Complications of flu Bacterial Pneumonia
    20. 20. Complications of flu Bacterial Pneumonia Sinus Infection
    21. 21. Complications of flu Bacterial Pneumonia Sinus Infection Ear Infection
    22. 22. Complications of flu Bacterial Pneumonia Sinus Infection Ear Infection Dehydration
    23. 23. Complications of flu Bacterial Pneumonia Sinus Infection Ear Infection Dehydration Worsening of existing medical conditions
    24. 24. Symptoms
    25. 25. Symptoms Fever (often high, 2-5 days)
    26. 26. Symptoms Fever (often high, 2-5 days) Headache
    27. 27. Symptoms Fever (often high, 2-5 days) Headache Fatigue
    28. 28. Symptoms Fever (often high, 2-5 days) Headache Fatigue Cough
    29. 29. Symptoms Fever (often high, 2-5 days) Headache Fatigue Cough Nasal congestion
    30. 30. Symptoms Fever (often high, 2-5 days) Headache Fatigue Cough Nasal congestion Muscle aches
    31. 31. Symptoms Fever (often high, 2-5 days) Headache Fatigue Cough Nasal congestion Muscle aches In some cases nausea, vomiting and diarrhea
    32. 32. H1N1(Swine Flu)
    33. 33. H1N1(Swine Flu)
    34. 34. H1N1(Swine Flu) Novel Flu Influenza A (H1N1)
    35. 35. H1N1(Swine Flu) Novel Flu Influenza A (H1N1) A new flu virus strain
    36. 36. H1N1(Swine Flu) Novel Flu Influenza A (H1N1) A new flu virus strain Type A
    37. 37. H1N1(Swine Flu) Novel Flu Influenza A (H1N1) A new flu virus strain Type A Thought initially to be swine but actually is 2 swine, 1bird & 1human gene
    38. 38. Cause for concern
    39. 39. Cause for concern March/April 2009 first illnesses US and Mexico
    40. 40. Cause for concern March/April 2009 first illnesses US and Mexico April 15, 2009 confirmed patient US H1N1
    41. 41. Cause for concern March/April 2009 first illnesses US and Mexico April 15, 2009 confirmed patient US H1N1 April 26, 2009 US declared health emergency, activated national pandemic plan
    42. 42. Cause for concern March/April 2009 first illnesses US and Mexico April 15, 2009 confirmed patient US H1N1 April 26, 2009 US declared health emergency, activated national pandemic plan June 11, 2009 World Health Organization signaled pandemic
    43. 43. Cause for concern March/April 2009 first illnesses US and Mexico April 15, 2009 confirmed patient US H1N1 April 26, 2009 US declared health emergency, activated national pandemic plan June 11, 2009 World Health Organization signaled pandemic June 19, 2009 all 50 states and islands confirmed cases H1N1
    44. 44. Cause for concern March/April 2009 first illnesses US and Mexico April 15, 2009 confirmed patient US H1N1 April 26, 2009 US declared health emergency, activated national pandemic plan June 11, 2009 World Health Organization signaled pandemic June 19, 2009 all 50 states and islands confirmed cases H1N1 Currently over 70 countries have reported cases
    45. 45. Clinical Features
    46. 46. Clinical Features Median age hospitalized-age 20
    47. 47. Clinical Features Median age hospitalized-age 20 Greatest # hospitalized- age <4
    48. 48. Clinical Features Median age hospitalized-age 20 Greatest # hospitalized- age <4 Mean age of persons who died-age 37
    49. 49. Clinical Features Median age hospitalized-age 20 Greatest # hospitalized- age <4 Mean age of persons who died-age 37 Persons with medical risk factors had more severe infections
    50. 50. Clinical Features Median age hospitalized-age 20 Greatest # hospitalized- age <4 Mean age of persons who died-age 37 Persons with medical risk factors had more severe infections Pregnancy greater incidence of death
    51. 51. Clinical Features Median age hospitalized-age 20 Greatest # hospitalized- age <4 Mean age of persons who died-age 37 Persons with medical risk factors had more severe infections Pregnancy greater incidence of death Seasonal flu: 60% hospitalizations and 90% deaths are age> 65
    52. 52. While the US continues to report the most cases worldwide, most people recover without any medical treatment (CDC)
    53. 53. Treatment
    54. 54. Treatment Stay home for 24 hours after fever is gone without fever reducing medication.
    55. 55. Treatment Stay home for 24 hours after fever is gone without fever reducing medication. Rest
    56. 56. Treatment Stay home for 24 hours after fever is gone without fever reducing medication. Rest Fluids
    57. 57. Treatment Stay home for 24 hours after fever is gone without fever reducing medication. Rest Fluids Over the counter flu/cough remedies
    58. 58. Treatment Stay home for 24 hours after fever is gone without fever reducing medication. Rest Fluids Over the counter flu/cough remedies Avoid contact with others
    59. 59. Emergency Signs
    60. 60. Emergency Signs
    61. 61. Emergency Signs Chest pains
    62. 62. Emergency Signs Chest pains Difficulty Breathing
    63. 63. Emergency Signs Chest pains Difficulty Breathing Purple or Blue Lips
    64. 64. Emergency Signs Chest pains Difficulty Breathing Purple or Blue Lips Vomiting and Unable to keep liquids down
    65. 65. Emergency Signs Chest pains Difficulty Breathing Purple or Blue Lips Vomiting and Unable to keep liquids down Signs of dehydration (dizziness, absence of urination)
    66. 66. Emergency Signs Chest pains Difficulty Breathing Purple or Blue Lips Vomiting and Unable to keep liquids down Signs of dehydration (dizziness, absence of urination) Seizures,confusion, altered mental status
    67. 67. When Family, Roommate Has Flu Keep distance If possible, have person self isolate (separate room, bathroom) Frequent hand washing Wear face mask if you are high risk and within 6 feet Antiviral only if you are high risk
    68. 68. H1N1 Testing
    69. 69. H1N1 Testing CDC/MDPH recommends H1N1 viral testing only for: Severe respiratory illness and/or highest risk of complications. In cases of mild illness, diagnosis is made by symptoms
    70. 70. H1N1 Testing CDC/MDPH recommends H1N1 viral testing only for: Severe respiratory illness and/or highest risk of complications. In cases of mild illness, diagnosis is made by symptoms ***Rapid flu tests have been shown to be up to 70% inaccurate
    71. 71. Antiviral Therapy
    72. 72. Antiviral Therapy Antiviral medication- decreases viruses ability to replicate
    73. 73. Antiviral Therapy Antiviral medication- decreases viruses ability to replicate Recommended in persons with flu symptoms who are: High risk for complications Hospitalized with flu/ emergency Age <15 on aspirin therapy Allergic to flu shot
    74. 74. Antiviral Therapy Tamiflu(Oseltamivir) or Relenza( Zanamivir) Start within 2 days of symptoms Shorten illness 1-2 days Prevent complications
    75. 75. Western New England College Aug1-Sept11- 450 patients 36 patients with Influenza Like Illness (ILI) Sept14-18- 289 patients 8 with (ILI) Sept. 21-25- 227 patients 6 with (ILI)
    76. 76. Western New England College Aug1-Sept11- 450 patients 36 patients with Influenza Like Illness (ILI) Sept14-18- 289 patients 8 with (ILI) Sept. 21-25- 227 patients 6 with (ILI) Only a handful over age 20
    77. 77. Of students we have spoken to most have reported symptoms resolving after 4-5 days.
    78. 78. Surrounding Colleges 9/28/09- AIC and Springfield College report they have not seen increased visits due to ILI. UMASS- “starting to see it”. American College of Health Association (267 Colleges polled) week of Sept. 12-18 7,696 cases 10 hospitalizations. September 5-11 6,432 cases 16 hospitalizations. 1 death at a NewYork university, and 1 at Ohio college
    79. 79. CDC Report
    80. 80. CDC Report Week ending Sept 19, 2009 -Influenza activity increased in the U.S.
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    85. 85. !! 398,0;?,.8!9()*+,(-.!.C<9D9<E!M.0!?,;1?<,8!>E!"O!0<.<,0!GF*.>.=.7!F*.04.7!F?9-1(.7! F?4.(0.07!P.*9)1?(9.7!P1*1?.817!L,*.M.?,7!Q*1?98.7!R,1?:9.7!'**9(1907!S.(0.07!S,(<+C4E7! T1+909.(.7!U.?E*.(87!U9((,01<.7!U9009009;;97!I,D.8.7!I,M!U,V9C17!I1?<B!P.?1*9(.7! W4*.B1=.7!X,((0E*D.(9.7!/1+<B!P.?1*9(.7!A,V.07!A,((,00,,7!Y9?:9(9.7!.(8!3.0B9(:<1(JK! !! Z,:91(.*!9()*+,(-.!.C<9D9<E!M.0!?,;1?<,8!>E!@@!0<.<,0!G'(89.(.7!'1M.7!U.9(,7!U1(<.(.7! CDC Report I,>?.04.7!I,M!H.=;0B9?,7!I,M![,?0,E7!WB917!/1+<B!L.41<.7!3,0<!Y9?:9(9.7!.(8! 390C1(09(JK! !! T1C.*!9()*+,(-.!.C<9D9<E!M.0!?,;1?<,8!>E!<B,!L90<?9C<!1)!P1*+=>9.7!X+,?<1!Z9C17!.(8!@"!0<.<,0 GP1((,C<9C+<7!H.M.997!'8.B17!U.00.CB+0,<<07!U9CB9:.(7!U9001+?97!I,M!1?47!I1?<B!L.41<.7! W?,:1(7!ZB18,!'0*.(87!]<.B7!.(8!3E1=9(:JK! !! /;1?.89C!.C<9D9<E!M.0!?,;1?<,8!>E!R+.=!.(8!1(,!0<.<,!GY,?=1(<JK! !! AB,!]K/K!Y9?:9(!'0*.(80!898!(1<!?,;1?<K! Week ending Sept 19, 2009 -Influenza activity increased in the U.S. 26 states now reporting widespread influenza activity. 2,326 reported flu cases 99% of all sub-typed A influenza reported were influenza A (HIN1) Virus F!8,0C?9;<91(!1)!0+?D,9**.(C,!=,<B180!90!.D.9*.>*,!.<N!B<<;N^^MMMKC8CK:1D^)*+^M,,4*E^)*+.C<9D9<EKB<=! ! Z,;1?<!;?,;.?,8N!/,;<,=>,?!"_7!"##&K! ! ! ! ! "##$%"##&!'()*+,(-.!/,.01(!2!3,,4!567!,(89(:!/,;<,=>,?!@&7!"##&!!!!!!!!!!! 1
    86. 86. !! 398,0;?,.8!9()*+,(-.!.C<9D9<E!M.0!?,;1?<,8!>E!"O!0<.<,0!GF*.>.=.7!F*.04.7!F?9-1(.7! F?4.(0.07!P.*9)1?(9.7!P1*1?.817!L,*.M.?,7!Q*1?98.7!R,1?:9.7!'**9(1907!S.(0.07!S,(<+C4E7! T1+909.(.7!U.?E*.(87!U9((,01<.7!U9009009;;97!I,D.8.7!I,M!U,V9C17!I1?<B!P.?1*9(.7! W4*.B1=.7!X,((0E*D.(9.7!/1+<B!P.?1*9(.7!A,V.07!A,((,00,,7!Y9?:9(9.7!.(8!3.0B9(:<1(JK! !! Z,:91(.*!9()*+,(-.!.C<9D9<E!M.0!?,;1?<,8!>E!@@!0<.<,0!G'(89.(.7!'1M.7!U.9(,7!U1(<.(.7! CDC Report I,>?.04.7!I,M!H.=;0B9?,7!I,M![,?0,E7!WB917!/1+<B!L.41<.7!3,0<!Y9?:9(9.7!.(8! 390C1(09(JK! !! T1C.*!9()*+,(-.!.C<9D9<E!M.0!?,;1?<,8!>E!<B,!L90<?9C<!1)!P1*+=>9.7!X+,?<1!Z9C17!.(8!@"!0<.<,0 GP1((,C<9C+<7!H.M.997!'8.B17!U.00.CB+0,<<07!U9CB9:.(7!U9001+?97!I,M!1?47!I1?<B!L.41<.7! W?,:1(7!ZB18,!'0*.(87!]<.B7!.(8!3E1=9(:JK! !! /;1?.89C!.C<9D9<E!M.0!?,;1?<,8!>E!R+.=!.(8!1(,!0<.<,!GY,?=1(<JK! !! AB,!]K/K!Y9?:9(!'0*.(80!898!(1<!?,;1?<K! Week ending Sept 19, 2009 -Influenza activity increased in the U.S. 26 states now reporting widespread influenza activity. 2,326 reported flu cases 99% of all sub-typed A influenza reported were influenza A (HIN1) Virus Outpatient visits increased for influenza like illnesses. F!8,0C?9;<91(!1)!0+?D,9**.(C,!=,<B180!90!.D.9*.>*,!.<N!B<<;N^^MMMKC8CK:1D^)*+^M,,4*E^)*+.C<9D9<EKB<=! ! Z,;1?<!;?,;.?,8N!/,;<,=>,?!"_7!"##&K! ! ! ! ! "##$%"##&!'()*+,(-.!/,.01(!2!3,,4!567!,(89(:!/,;<,=>,?!@&7!"##&!!!!!!!!!!! 1
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    88. 88. Western New England College
    89. 89. Western New England College Health Services
    90. 90. Western New England College Health Services Deans and College Administrators, Academic Advisors
    91. 91. Western New England College Health Services Deans and College Administrators, Academic Advisors Residence Life
    92. 92. Western New England College Health Services Deans and College Administrators, Academic Advisors Residence Life Public Safety
    93. 93. Western New England College Health Services Deans and College Administrators, Academic Advisors Residence Life Public Safety Aramark
    94. 94. Western New England College Health Services Deans and College Administrators, Academic Advisors Residence Life Public Safety Aramark Human Resources
    95. 95. Western New England College Health Services Deans and College Administrators, Academic Advisors Residence Life Public Safety Aramark Human Resources Plans and protocols in place Emergency Preparedness
    96. 96. Vaccination Recommendations (CDC)
    97. 97. Vaccination Recommendations (CDC) Seasonal flu vaccination now/ when available
    98. 98. Vaccination Recommendations (CDC) Seasonal flu vaccination now/ when available H1N1monovalent vaccination recently approved, in production, when available (estimated mid October)
    99. 99. H1N1 Vaccination Recommendations(CDC) Pregnant women Household contacts, caregivers children <6 mo Healthcare and emergency medical personnel All persons ages 6 mo- 24 yrs of age Persons ages 25-64 who have health conditions associated with higher risk of medical complications from influenza *Once demands for these age groups met, ages 65 and older will be vaccinated.
    100. 100. H1N1 Vaccination Recommendations(CDC) Pregnant women Household contacts, caregivers children <6 mo Healthcare and emergency medical personnel All persons ages 6 mo- 24 yrs of age Persons ages 25-64 who have health conditions associated with higher risk of medical complications from influenza *Once demands for these age groups met, ages 65 and older will be vaccinated.
    101. 101. How to Stay Healthy
    102. 102. How to Stay Healthy Hand washing
    103. 103. How to Stay Healthy Hand washing Vaccination
    104. 104. How to Stay Healthy Hand washing Vaccination Avoid touching hands to eyes, nose and mouth
    105. 105. How to Stay Healthy Hand washing Vaccination Avoid touching hands to eyes, nose and mouth Stay at home with flu like symptoms for 24 hours after fever without medication
    106. 106. How to Stay Healthy Hand washing Vaccination Avoid touching hands to eyes, nose and mouth Stay at home with flu like symptoms for 24 hours after fever without medication Stay informed, keep up to date with Health Services web site for WNEC, local and national information

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