Should classes be suspended under H1N1


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Should classes be suspended under H1N1

  1. 1. S hould class es be suspend ed under H1N1 Yip Sze Nga (09418172) Yeung Cheung Pong (09409459)
  2. 2. Emergence of H1N1 <ul><li>First outbreak occurred in Mexico and North America in March and April 2009 </li></ul><ul><li>As of 16 Nov 2009, </li></ul><ul><ul><li>Over 206 countries reported confirmed cases (Source: WHO) </li></ul></ul><ul><ul><li>the number of confirmed / p robable cases = 3174322 </li></ul></ul><ul><ul><li>the number of fatal cases = 8 , 065 </li></ul></ul><ul><ul><li>(Source: </li></ul></ul>
  3. 3. Situation in Hong Kong <ul><li>As of 11 Nov 09, </li></ul><ul><ul><li>Accumulated confirmed cases = 31,930 </li></ul></ul><ul><ul><li>Accumulated fatal cases = 40 </li></ul></ul><ul><li>Consist about 71% of all circulating influenza viruses in HK </li></ul><ul><li>(Source : </li></ul>
  4. 4. <ul><li>H1N1 has become one of the seasonal influenza </li></ul><ul><li>It is predicted that there may be another outbreak in spring 2010 </li></ul>
  5. 5. Introduction <ul><li>Strategies adopted in different stages </li></ul><ul><li>Effectiveness of class suspension on controlling the H1N1 </li></ul><ul><li>Possible measures for the next outbreak </li></ul><ul><li>Recommendations on the strategies for the next outbreak </li></ul>
  6. 6. Measures adopted at different stages <ul><li>11 June 2009 - St. Paul’s Convent School suspended classes for 14 days </li></ul><ul><li>12 June 2009 – all primary schools, kindergartens, kindergarten cum child care centres and special schools in HK suspended classes for 14 days </li></ul><ul><li>24 June 2009 – continue to suspend classes until summer break </li></ul><ul><li>All secondary schools took early summer break after the exam period </li></ul>
  7. 7. Why suspend classes <ul><li>Refer to cases in other countries, number of primary school students being infected is 2 times of secondary school and adults </li></ul><ul><li>Children aged between 5-9 are more vulnerable to the virus </li></ul><ul><li>Higher rate of complications and deaths </li></ul><ul><li>More hygiene problem and virus can be spread among children easily </li></ul>
  8. 8. Source:
  9. 9. Effectiveness <ul><li>The number of flu cases continue to increase </li></ul><ul><li>The characteristics </li></ul><ul><li>H1N1 and SARS is </li></ul><ul><li>different. Measures </li></ul><ul><li>for SARS may not </li></ul><ul><li>work for H1N1 </li></ul>Source:
  10. 10. Pros and Cons of class suspension
  11. 11. ADVANTAGE S of class suspension <ul><li>May s low down the transmission of disease  reduce the burden of hospital and clinics  grasp more information of the virus </li></ul><ul><li>2. May r educe the worries of parent s </li></ul>
  12. 12. DISA D V A NTAGE S of class suspension <ul><li>During the peak season of H1N1, the effectiveness of class suspension may be low </li></ul><ul><li>Affect study progress . M ay lead to cancel l ation of exam s , chang ing of teaching syllabus </li></ul>
  13. 13. Possible Option
  14. 14. Possible Option s for the next outbreak in spring <ul><li>Close down all the school s in Hong Kong for a specific period of time </li></ul><ul><li>Suspend class es when one case is found in the school </li></ul><ul><li>Suspend class es when it is believed that there is transmission within school </li></ul>
  15. 15. Option ONE - Clos ing down all the school s in Hong Kong for a specific period of time <ul><li>Disadvantage </li></ul><ul><ul><li>The effectiveness is uncertain </li></ul></ul><ul><ul><li>May lead to social panic </li></ul></ul><ul><ul><li>Difficult to set the duration of class suspension </li></ul></ul><ul><ul><li>Student may still get infected if they go to tutorial center s or have group gathering </li></ul></ul><ul><ul><li>E ffect s to society and economy </li></ul></ul><ul><li>Advantage </li></ul><ul><ul><li>Clear instruction. Eas ier to manage. </li></ul></ul><ul><ul><li>Isolate the high risk group </li></ul></ul>
  16. 16. Option TWO - Suspend class es when one case is found in the school <ul><li>Disadvantage </li></ul><ul><ul><li>May need to suspend class es frequently </li></ul></ul><ul><ul><li>Interrupt the order of school administration as well as the soci al order and econom ic </li></ul></ul><ul><li>Advantage </li></ul><ul><ul><li>Do not affect all the student s </li></ul></ul>
  17. 17. Option THREE - Suspend class es when it is believed that there is transmission within school <ul><li>Disadvantage </li></ul><ul><ul><li>D ifficult to decide whether classes should be suspend ed if there is no clear guideline from EDB and CHP </li></ul></ul><ul><li>Advantage </li></ul><ul><ul><li>More scientific findings </li></ul></ul><ul><ul><li>Fewer classes would be suspended as compare to Option 2 </li></ul></ul>
  18. 18. Recommendation <ul><li>Go for Option THREE </li></ul><ul><li>Reason: </li></ul><ul><ul><li>H1N1 vaccine s available  number of students infected may decrease  Option THREE is feasible </li></ul></ul><ul><ul><li>H1N1 has become seasonal flu  measures should not be too strict </li></ul></ul><ul><ul><li>Schools can take this chance to educate and arouse students’ consciousness on hygiene </li></ul></ul>
  19. 19. How to implement <ul><ul><li>Close the school when 3 or more students are found to have flu like symptom </li></ul></ul><ul><ul><li>The infected student should stay at home until fully recovered </li></ul></ul><ul><ul><li>CHP and EDB should give clear guideline and timely advi c e to school s </li></ul></ul><ul><ul><li>Close communication between parents, schools and CHP </li></ul></ul><ul><ul><li>School s should plan for contingency measures for student s during the class suspension period </li></ul></ul><ul><ul><li>Clean and sterilize the campus more frequently </li></ul></ul>
  20. 20. <ul><li>Educating children as well as the community on personal hygiene </li></ul><ul><li>The strategy should be reviewed frequently according to the changing situation of H1N1 </li></ul>
  21. 21. References <ul><li>Apple Daily ( ) </li></ul><ul><li>Centre for Health Protection ( ) </li></ul><ul><li>FluTracker ( ) </li></ul><ul><li>Food and Health Bureau ( ) </li></ul><ul><li>World Health Organization ( ) </li></ul>
  22. 22. Q&A
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