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H1N1 Pandemic Update. Presented by CAPT Mark Delowery, DO, MPH Director, Division of Clinical Services August 11, 2009. H1N1 Pandemic Update. Current influenza cases in U.S. unusually high for summer >43,000 confirmed/Estimated 1-2 million cases Only reporting hospitalizations/deaths
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H1N1 Pandemic Update Presented by CAPT Mark Delowery, DO, MPH Director, Division of Clinical Services August 11, 2009
H1N1 Pandemic Update • Current influenza cases in U.S. unusually high for summer • >43,000 confirmed/Estimated 1-2 million cases • Only reporting hospitalizations/deaths • Children & young adults disproportionately affected • Severely ill more likely to have health issues (co morbidity) • Virus strain not mutating • 3 cases of antiviral resistance • Monitoring Southern Hemisphere H1N1 activity
How is H1N1 spread? • Close contact with infected person (3 - 6ft) • Coughing or sneezing • Kissing or embracing • Sharing eating or drinking utensils • Infectious droplets • Contagious for 7 days • Young children may be contagious longer • Touching contaminated objects • Virus lives several hours • NOT Spread by eating pork
H1N1 Assumptions • Continue through Summer • Surge in September • Seasonal influenza to overlap with H1N1 and allergies • High attack rates • Activity may vary by region
Vaccine Assumptions • Expected in Fall (mid-October) • Limited amounts in beginning • Provide to new target groups (following CDC guidelines): • School age children • Pregnant women • Health care/emergency responders • Child care workers • Disabled young adults • Adults with young children or chronic medical conditions • Two doses (3-4 weeks apart) • Unknown adverse effects • Collaborating with CDC to obtain H1N1 vaccine when available
What Can Change? • Virus mutation • Severity • Transmissibility • Antiviral resistance • Vaccine effectiveness
How do I protect myself? • Cough Etiquette • Cover your nose/mouth • Use then dispose tissue • Use sleeve if no tissue • Hand Hygiene • Wash with soap and water or • Use hand sanitizer • Alcohol-based (>60%)
How do I protect myself? • Stay at home when ill • Avoid close contact with sick people • Avoid touching face with unwashed hands • Limit time in crowds • Get vaccinated • Rest/exercise/diet • Treat medical conditions
FOH Support for H1N1 Preparedness • Pandemic and H1N1 Training and Education Sessions • Posting Informational Updates/FAQs • Review of Agency Pandemic Plans • Identify High Risk Occupations • Providing medical guidance/consultation on H1N1 cases • Respirator Protection Program Preparedness • Online medical clearance • Respirator fit testing and training • Anti-viral Program Preparedness • Medical clearance/Rx • Distribution/dispensing • H1N1 vaccine (if available)