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Whats Up With The Flu

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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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  87. 87. !! 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<=! ! 3 pediatric deaths -H1N1 Z,;1?<!;?,;.?,8N!/,;<,=>,?!"_7!"##&K! ! ! ! ! "##$%"##&!'()*+,(-.!/,.01(!2!3,,4!567!,(89(:!/,;<,=>,?!@&7!"##&!!!!!!!!!!! 1
  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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