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ADVISORY FOR
CAREGIVERS
&CONTACTS
Are you a Contact?
Close contact with someone with Influenza-like illness (ILI) may expose you to the Influenza A
(H1N1-2009) virus.




You may also be a contact if you are caring for someone with ILI.

The infected person is infectious 24 hours before the infected person’s symptoms appear and
continues throughout the period that he/she is ill.

Exposure can take place anywhere - at school, work, and even at home.
What should you do if either you or
your child is a contact?
Avoid further close contact with the person who is ill to reduce the chance of being infected.




Monitor your health and watch out for these flu-like symptoms:

• FEVER • SORE THROAT • COUGH • BODY ACHE
• RUNNY NOSE • HEADACHE • TIREDNESS
Children who are contacts should refrain from playing with other children outside or inside
your home as children may continue playing even when they start having flu-like symptoms
and this would put other children at risk.
If you or your child belong to any of the high-risk groups below, you should be extra vigilant and
monitor the health of both you and your child closely. High-risk groups are:
• Children < 5 years
• Pregnant women
• Have underlying medical conditions such as asthma, chronic lung disease, heart
    disease, diabetes or kidney disease
• On dialysis
• On immunosuppressants
• Undergoing cancer treatment
• On long-term aspirin therapy
• Persons aged 65 years and older



What should you do if either you or
your child is unwell?
If you or your child has any symptoms of ILI, wear a surgical mask and see a doctor
immediately:
a) Pregnant women, patients undergoing cancer treatment or dialysis should consult
   their primary specialist.
b) All other persons should go to a Pandemic Preparedness Clinic (PPC), polyclinic or
   their primary care doctor.




For PPC locations, log on to www.moh.gov.sg or www.hpb.gov.sg. You can also sms CLINIC to
70550 (toll-free for M1 and StarHub only).
What additional precautions should
household contacts take?




Observe good personal hygiene. Clean                   Use paper towels for drying hands
your hands with soap and water (or use an              after hand washing or have a
alcohol-based hand rub) frequently, including          dedicated cloth towel for each
after every contact with the infected person.          person in the household.



If you need to communicate with the ill person, ensure that both
you and the infected person wear surgical masks and remain
at a distance of at least two metres from one another.
Dispose used mask in a plastic bag, tie it up and
throw it into a covered rubbish bin. After taking off
your mask, clean your hands with soap and water
(or use an alcohol-based hand rub).

Avoid having meals together with the ill person
as masks would have to be removed during meals.

Maintain good ventilation at home, such as keeping
windows open in toilets, rooms and the kitchen.
What else should you take note of if
you are a caregiver of a person with ILI?
Have only one adult caregiver for the ill person. If you are in a high-risk group, avoid being
the caregiver and make alternative arrangements.




When attending to the ill person, wear a surgical mask at all times. Clean your hands with
soap and water (or use an alcohol-based hand rub) after touching the ill person, their used
tissues or laundry.

Do not give aspirin to children or teenagers who have the flu. This can cause a rare but serious
illness called Reye’s syndrome.


What precautions should you take for
household cleaning, laundry & waste
disposal?
• Tissue papers and other disposable items that have been used by the infected person should
  be thrown in the dustbin. Wash hands with soap and water or use an alcohol-based hand
  rub after disposing those items.
• Surfaces soiled with sputum, phlegm, nose discharge or vomit should be washed or wiped
  with 1:50 diluted household bleach (1 part of bleach to 50 parts of water) immediately. Metallic
  surfaces can be cleaned with 70% alcohol.
• Bed sheets, towels, eating utensils and dishes used by the infected person do not need to be
  washed separately, but they should not be shared without washing thoroughly first.
• Bed sheets and towels can be washed using household fabric washing powder in the
  washing machine on hot setting.
• Do not carry dirty laundry by ‘hugging’ to avoid contaminating yourself.
• Eating utensils should also be washed either in a dishwasher or by hand with water and soap.
Emergency warning signs in adults




 Breathlessness or              Purple or blue                  Severe and
 chest pain.                    discolouration of the lips      persistent vomiting




 Signs of dehydration           Seizures (fits)                 Being less responsive
 such as dizziness when                                         than normal, drowsy or
 standing and absence                                           confused
 of urination


Emergency
warning signs
in children
All the warning signs listed above, plus:

                                                             Lack of tears when          Poor feeding
                                                             crying


Monitor your condition. If your symptoms
worsen and you develop any of the above
emergency warning signs, call 995
immediately for an ambulance to transport
you to the nearest hospital for treatment.


                     For more information, please call HealthLine at 1800 223 1313,
                               visit www.moh.gov.sg or www.hpb.gov.sg
                                                                                                        HPB Pa E 548-09

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A (H1N1)

  • 2. Are you a Contact? Close contact with someone with Influenza-like illness (ILI) may expose you to the Influenza A (H1N1-2009) virus. You may also be a contact if you are caring for someone with ILI. The infected person is infectious 24 hours before the infected person’s symptoms appear and continues throughout the period that he/she is ill. Exposure can take place anywhere - at school, work, and even at home.
  • 3. What should you do if either you or your child is a contact? Avoid further close contact with the person who is ill to reduce the chance of being infected. Monitor your health and watch out for these flu-like symptoms: • FEVER • SORE THROAT • COUGH • BODY ACHE • RUNNY NOSE • HEADACHE • TIREDNESS
  • 4. Children who are contacts should refrain from playing with other children outside or inside your home as children may continue playing even when they start having flu-like symptoms and this would put other children at risk.
  • 5. If you or your child belong to any of the high-risk groups below, you should be extra vigilant and monitor the health of both you and your child closely. High-risk groups are: • Children < 5 years • Pregnant women • Have underlying medical conditions such as asthma, chronic lung disease, heart disease, diabetes or kidney disease • On dialysis • On immunosuppressants • Undergoing cancer treatment • On long-term aspirin therapy • Persons aged 65 years and older What should you do if either you or your child is unwell? If you or your child has any symptoms of ILI, wear a surgical mask and see a doctor immediately: a) Pregnant women, patients undergoing cancer treatment or dialysis should consult their primary specialist. b) All other persons should go to a Pandemic Preparedness Clinic (PPC), polyclinic or their primary care doctor. For PPC locations, log on to www.moh.gov.sg or www.hpb.gov.sg. You can also sms CLINIC to 70550 (toll-free for M1 and StarHub only).
  • 6. What additional precautions should household contacts take? Observe good personal hygiene. Clean Use paper towels for drying hands your hands with soap and water (or use an after hand washing or have a alcohol-based hand rub) frequently, including dedicated cloth towel for each after every contact with the infected person. person in the household. If you need to communicate with the ill person, ensure that both you and the infected person wear surgical masks and remain at a distance of at least two metres from one another. Dispose used mask in a plastic bag, tie it up and throw it into a covered rubbish bin. After taking off your mask, clean your hands with soap and water (or use an alcohol-based hand rub). Avoid having meals together with the ill person as masks would have to be removed during meals. Maintain good ventilation at home, such as keeping windows open in toilets, rooms and the kitchen.
  • 7. What else should you take note of if you are a caregiver of a person with ILI? Have only one adult caregiver for the ill person. If you are in a high-risk group, avoid being the caregiver and make alternative arrangements. When attending to the ill person, wear a surgical mask at all times. Clean your hands with soap and water (or use an alcohol-based hand rub) after touching the ill person, their used tissues or laundry. Do not give aspirin to children or teenagers who have the flu. This can cause a rare but serious illness called Reye’s syndrome. What precautions should you take for household cleaning, laundry & waste disposal? • Tissue papers and other disposable items that have been used by the infected person should be thrown in the dustbin. Wash hands with soap and water or use an alcohol-based hand rub after disposing those items. • Surfaces soiled with sputum, phlegm, nose discharge or vomit should be washed or wiped with 1:50 diluted household bleach (1 part of bleach to 50 parts of water) immediately. Metallic surfaces can be cleaned with 70% alcohol. • Bed sheets, towels, eating utensils and dishes used by the infected person do not need to be washed separately, but they should not be shared without washing thoroughly first. • Bed sheets and towels can be washed using household fabric washing powder in the washing machine on hot setting. • Do not carry dirty laundry by ‘hugging’ to avoid contaminating yourself. • Eating utensils should also be washed either in a dishwasher or by hand with water and soap.
  • 8. Emergency warning signs in adults Breathlessness or Purple or blue Severe and chest pain. discolouration of the lips persistent vomiting Signs of dehydration Seizures (fits) Being less responsive such as dizziness when than normal, drowsy or standing and absence confused of urination Emergency warning signs in children All the warning signs listed above, plus: Lack of tears when Poor feeding crying Monitor your condition. If your symptoms worsen and you develop any of the above emergency warning signs, call 995 immediately for an ambulance to transport you to the nearest hospital for treatment. For more information, please call HealthLine at 1800 223 1313, visit www.moh.gov.sg or www.hpb.gov.sg HPB Pa E 548-09