H1N1 Influenza Virus

1. H1N1 Influenza Virus UCOP May 2009 Safety Meeting The May 2009 UCOP Safety Meeting topic is the H1N1 Influenza Virus.The May 2009 UCOP Safety Meeting topic is the H1N1 Influenza Virus.

2. UCOP May 2009 Safety Meeting What is the H1N1 Influenza Virus? New Strain of Influenza Virus First Detected in April 2009 in the U.S. Originally Called �Swine Flu� Initial Tests Showed Many Genes Similar to Influenza Virus the Occurs in Pigs Further Studies - New Virus is Very Different from Viruses in North American Pigs H1N1 (referred to as �swine flu� early on) is a new influenza virus causing illness in people. This new virus was first detected in humans in the United States in April 2009. The H1N1 virus was originally referred to as �swine flu� because laboratory testing showed that many of the genes in this new virus were very similar to influenza viruses that normally occur in pigs in North America. However further studies has shown that this new virus is very different from what normally circulates in North American pigs. H1N1 (referred to as �swine flu� early on) is a new influenza virus causing illness in people. This new virus was first detected in humans in the United States in April 2009. The H1N1 virus was originally referred to as �swine flu� because laboratory testing showed that many of the genes in this new virus were very similar to influenza viruses that normally occur in pigs in North America. However further studies has shown that this new virus is very different from what normally circulates in North American pigs.

3. UCOP May 2009 Safety Meeting Current H1N1 Flu Outbreak In the U.S., as of May 18 2009: 5123 Confirmed/Probable Cases 5 Fatalities Texas�3, Washington-1, Arizona-1 553 Confirmed/Probable Cases in California April 26, 2009 � U.S. Dept. of Homeland Security Declared a Public Health Emergency April 28, 2009 � Governor Schwarzenegger Declared a State of Emergency in California As of May 18, 2009 in the United States there have been 5123 confirmed/suspected cases of H1N1 in 48 states with 5 fatalities, 3 in Texas, 1 in the state of Washington, and 1 in Arizona. In California there have been 553 confirmed/suspected cases. On April 26, 2009 - Secretary of the U.S. Department Homeland Security, Janet Napolitano, declared a public health emergency. On April 28, 2009 - Governor Schwarzenegger declared a State of Emergency in CaliforniaAs of May 18, 2009 in the United States there have been 5123 confirmed/suspected cases of H1N1 in 48 states with 5 fatalities, 3 in Texas, 1 in the state of Washington, and 1 in Arizona. In California there have been 553 confirmed/suspected cases. On April 26, 2009 - Secretary of the U.S. Department Homeland Security, Janet Napolitano, declared a public health emergency. On April 28, 2009 - Governor Schwarzenegger declared a State of Emergency in California

4. UCOP May 2009 Safety Meeting U.S. Public Health Emergency Declaration of Public Health Emergency Funds Released to Support Public Health Response Centers for Disease Control (CDC) - Help States Respond to Outbreak: Issue Guidance Documents Release 1/4 of Strategic National Stockpile Anti-Viral Drugs, Respirators, & Protective Equipment Laboratory Testing � H1N1 Influenza Virus is Susceptible to Prescription Antiviral Drugs Oseltamivir (Tamiflu �) & Zanamivir (Relenza �) Public Health Declaration - Allows funds to be released to support the public health response. Centers for Disease Control (CDC) � Support the States to respond to the Outbreak: Issue guidance documents Release one-quarter of the Strategic National Stockpile (SNS) - antiviral drugs, personal protective equipment, and respiratory protection devices Laboratory testing has found the H1N1 influenza virus susceptible to the prescription antiviral drugs Oseltamivir (Tamiflu �) & Zanamivir (Relenza �). Public Health Declaration - Allows funds to be released to support the public health response. Centers for Disease Control (CDC) � Support the States to respond to the Outbreak: Issue guidance documents Release one-quarter of the Strategic National Stockpile (SNS) - antiviral drugs, personal protective equipment, and respiratory protection devices Laboratory testing has found the H1N1 influenza virus susceptible to the prescription antiviral drugs Oseltamivir (Tamiflu �) & Zanamivir (Relenza �).

5. UCOP May 2009 Safety Meeting 1918 Pandemic Flu (Spanish Flu) 1918 Influenza Flu Outbreak Estimated 70 to 100 Million Deaths Worldwide First Wave � Beginning March 1918 Mild Seasonal Flu Virus Second Deadly Wave � Summer/Fall of 1918 Virus Mutated to a More Deadly Strain Majority of the Fatalities � In the Second Wave Primarily in the 20 to 40 Year Old Age Range Current H1N1 Outbreak May Return in the Fall Need to Prepare Spanish Flu Pandemic of 1918: Between 1918 and 1919 there was an outbreak of the Influenza A virus, which is common know as the Spanish flu. It is estimated that the Spanish flu resulted in 70 to 100 million deaths worldwide. - The Spanish flu pandemic began in March 1918 and was initially considered similar to a mild seasonal flu in which the at risk persons were primarily the young and the elderly. - The second wave of the Spanish flu pandemic took place in the summer and fall of 1918. During the second wave, the Influenza virus mutated to a more deadly strain. The second wave resulted in the majority of the Spanish flu deaths. Surprisingly, the primary age range for the Spanish flu victims was in the 20 to 40 year old range. It is believed that persons over the age of 40 may have developed partial immunity from the Russian flu pandemic in 1889. - If we compare past history of pandemic flu outbreaks, it is entirely possible that the current H1N1 flu outbreak may return this fall. The University of California and its employees must prepare for a return of a possible mutated H1N1 virus in the upcoming months.Spanish Flu Pandemic of 1918: Between 1918 and 1919 there was an outbreak of the Influenza A virus, which is common know as the Spanish flu. It is estimated that the Spanish flu resulted in 70 to 100 million deaths worldwide. - The Spanish flu pandemic began in March 1918 and was initially considered similar to a mild seasonal flu in which the at risk persons were primarily the young and the elderly. - The second wave of the Spanish flu pandemic took place in the summer and fall of 1918. During the second wave, the Influenza virus mutated to a more deadly strain. The second wave resulted in the majority of the Spanish flu deaths. Surprisingly, the primary age range for the Spanish flu victims was in the 20 to 40 year old range. It is believed that persons over the age of 40 may have developed partial immunity from the Russian flu pandemic in 1889. - If we compare past history of pandemic flu outbreaks, it is entirely possible that the current H1N1 flu outbreak may return this fall. The University of California and its employees must prepare for a return of a possible mutated H1N1 virus in the upcoming months.

6. UCOP May 2009 Safety Meeting University of California Pandemic Flu Response UCOP Activated Its Emergency Operation Center (EOC) from April 30 � May 8, 2009 to Coordinate the UC Systemwide Response Each UC Campus Has: Developed a Pandemic Flu Response Plan Conducted a Pandemic Flu Table Top Exercise at the 2007 UC Risk Summit Coordinated with Local Health Officers UC Medical Centers � One of the Primary Resource Centers for their Local Community What is UC�s Pandemic Flu Response? UCOP - UCOP activated its Emergency Operation Center (EOC) from April 30 to May 8, 2009 to coordinate UC�s systemwide response. During the EOC activation, EOC personnel will met daily to share and update information affecting the University of California system. Each UC Campus - Has developed a Pandemic Flu Response Plan. The UC Campuses conducted a Pandemic Flu Table Top exercise at the 2007 UC Risk Summit to practice the implementation of their Pandemic Flu Response Plan. Each Campus has also coordinated their response with their local County Public Health Officers. UC Medical Centers - Will become one of the Primary Resource Centers which the local community would look towards for support and information.What is UC�s Pandemic Flu Response? UCOP - UCOP activated its Emergency Operation Center (EOC) from April 30 to May 8, 2009 to coordinate UC�s systemwide response. During the EOC activation, EOC personnel will met daily to share and update information affecting the University of California system. Each UC Campus - Has developed a Pandemic Flu Response Plan. The UC Campuses conducted a Pandemic Flu Table Top exercise at the 2007 UC Risk Summit to practice the implementation of their Pandemic Flu Response Plan. Each Campus has also coordinated their response with their local County Public Health Officers. UC Medical Centers - Will become one of the Primary Resource Centers which the local community would look towards for support and information.

7. UCOP May 2009 Safety Meeting UCOP Information on H1N1 Questions on H1N1 Influenza? For UCOP Employees: Send an e-mail to EOC@ucop.edu From Media or Other External Source Direct Them to the UCOP Communications Office at Communications@ucop.edu Periodic Health Alerts Distributed As New Information Becomes Available Information on H1N1: Questions on the H1N1 Influenza: ? From UCOP employees - Send an e-mail to the UCOP Emergency Operations Center (EOC) at EOC@ucop.edu ? From the Media or other external sources � Refer inquiries to the UCOP Communications Office at Communications@ucop.edu. Health Alerts will be distributed periodically to update UCOP employees when new information becomes available.Information on H1N1: Questions on the H1N1 Influenza: ? From UCOP employees - Send an e-mail to the UCOP Emergency Operations Center (EOC) at EOC@ucop.edu ? From the Media or other external sources � Refer inquiries to the UCOP Communications Office at Communications@ucop.edu. Health Alerts will be distributed periodically to update UCOP employees when new information becomes available.

8. UCOP May 2009 Safety Meeting UCOP Emergency Operations Webpage UCOP Webpage, Under �Headlines� or http://www.ucop.edu/riskmgt/emergprep/eonews Information on H1N1 Flu, including Recent Announcements Travel Advisories Useful Links UCOP Health Alerts Government Agency Webpage Links To facilitate the distribution of information, a UCOP Emergency Operations webpage has been established. The new webpage can be found on the UCOP main webpage under �Headlines� or you can go to the webpage link on this slide. On the Emergency Operations webpage you can find information on the H1N1 virus, including recent announcements, travel advisories, and additional links such as recent UCOP Health Alerts and links to various government agency webpages.To facilitate the distribution of information, a UCOP Emergency Operations webpage has been established. The new webpage can be found on the UCOP main webpage under �Headlines� or you can go to the webpage link on this slide. On the Emergency Operations webpage you can find information on the H1N1 virus, including recent announcements, travel advisories, and additional links such as recent UCOP Health Alerts and links to various government agency webpages.

9. UCOP May 2009 Safety Meeting Preventive Measures at UCOP Wall Mounted Hand Sanitizer Units Near Elevator Lobby Areas Prepared to Adjust the Building Ventilation for More Outside Air (as Needed) at UC-Owned Buildings Redirected Housekeeping Resources to Increase the Wiping Down of Common Surfaces Door Handles, Bathrooms, Tables, Elevators, etc. UCOP has Request Similar Measures Be Take By the Landlord at UCOP Leased Locations What additional preventive measures have we taken at UCOP to prevent the spread of H1N1 viruses? Hand Sanitizers � UCOP has installed �hands free� hand sanitizer units which are installed in or near the elevator lobby areas. These units have been installed at all major UCOP locations. Building Ventilation � As needed, UCOP is prepared to adjust the building ventilation for more outside air at all UC-owned buildings. Cleaning of Surfaces � Housekeeping resources has be redirected to increase the cleaning and wiping down of common surfaces, such as door handles, bathrooms, tables, elevators, etc. Leased Facilities � UCOP has requested the landlord of UC leased facilities to take similar measures to protect UCOP employees.What additional preventive measures have we taken at UCOP to prevent the spread of H1N1 viruses? Hand Sanitizers � UCOP has installed �hands free� hand sanitizer units which are installed in or near the elevator lobby areas. These units have been installed at all major UCOP locations. Building Ventilation � As needed, UCOP is prepared to adjust the building ventilation for more outside air at all UC-owned buildings. Cleaning of Surfaces � Housekeeping resources has be redirected to increase the cleaning and wiping down of common surfaces, such as door handles, bathrooms, tables, elevators, etc. Leased Facilities � UCOP has requested the landlord of UC leased facilities to take similar measures to protect UCOP employees.

10. UCOP May 2009 Safety Meeting Spread of Infection Infected Person Can Infect Others: Beginning 1 Day Before Symptoms Develop Up to 7 Days or More After Becoming Sick Younger Children � May Be Contagious for Longer Periods How can someone with the H1N1 flu infect someone else? Infected persons may be able to infect others beginning 1 day before symptoms develop and up to 7 or more days after becoming sick. That means you may be able to pass on the H1N1 virus to someone before you know you are sick, as well as while you are sick. Children, especially younger children, might potentially be contagious for longer periods. How can someone with the H1N1 flu infect someone else? Infected persons may be able to infect others beginning 1 day before symptoms develop and up to 7 or more days after becoming sick. That means you may be able to pass on the H1N1 virus to someone before you know you are sick, as well as while you are sick. Children, especially younger children, might potentially be contagious for longer periods.

11. UCOP May 2009 Safety Meeting Routes of Exposure to Spread the Infection Primary Exposure Route � Person to Person Inhalation of Airborne Droplets from Infected Person Coughing or Sneezing Secondary Route of Exposure -Viruses on Surfaces Can Live on Surfaces for 2 Hours or More Person Touching Contaminated Tables, Doorknobs, Desks, Then Touching Face, Eyes, Nose, or Mouth Primary Exposure Route � Person to Person The primary route of exposure is when a person is near someone who is infected and the infected person coughs or sneezes. The cough or sneeze would result in airborne droplets which contain the H1N1 virus and the nearby person would then inhale the airborne droplets into their respiratory system. The Secondary Route of Exposure - Viruses on SurfacesIf an infected person coughs or sneezes into his or her hand and touches a surface, the surface can become contaminated with the H1N1 virus. These viruses can live 2 hours or longer on surfaces like tables, doorknobs, and desks. A person can then pick up the virus if they touch the contaminated surface and then touch their face, eyes, nose, or mouth. Primary Exposure Route � Person to Person The primary route of exposure is when a person is near someone who is infected and the infected person coughs or sneezes. The cough or sneeze would result in airborne droplets which contain the H1N1 virus and the nearby person would then inhale the airborne droplets into their respiratory system. The Secondary Route of Exposure - Viruses on SurfacesIf an infected person coughs or sneezes into his or her hand and touches a surface, the surface can become contaminated with the H1N1 virus. These viruses can live 2 hours or longer on surfaces like tables, doorknobs, and desks. A person can then pick up the virus if they touch the contaminated surface and then touch their face, eyes, nose, or mouth.

12. UCOP May 2009 Safety Meeting Prevention Measures Cough/Sneeze - Cover Nose/Mouth with Tissue or Sneeze into the Sleeve Dispose Used Tissues in the Trash Wash Hand with Soap & Water (At Least 20 Seconds) or Use Alcohol-Based Hand Sanitizers Avoid Touching Eyes, Nose, or Mouth Avoid Contact with Sick People If Sick, Stay at Home Away from Work or School and Limit Contact with Others What actions can people take to stay healthy? Cover your nose and mouth with a tissue when you cough or sneeze or sneeze into your sleeve. Throw the tissue in the trash after you use it. Wash your hands often with soap and water for at least 20 seconds, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective. Avoid touching your eyes, nose or mouth. Try to avoid close contact with sick people. H1N1 Influenza Flu is spread primarily through person-to-person contact, coughing or sneezing by infected persons. If you get sick, stay home away from work or school and limit contact with others to keep from infecting them. What actions can people take to stay healthy? Cover your nose and mouth with a tissue when you cough or sneeze or sneeze into your sleeve. Throw the tissue in the trash after you use it. Wash your hands often with soap and water for at least 20 seconds, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective. Avoid touching your eyes, nose or mouth. Try to avoid close contact with sick people. H1N1 Influenza Flu is spread primarily through person-to-person contact, coughing or sneezing by infected persons. If you get sick, stay home away from work or school and limit contact with others to keep from infecting them.

13. UCOP May 2009 Safety Meeting H1N1 Flu Symptoms Symptoms Fever Body Aches Runny Nose Sore Throat Nausea Vomiting or Diarrhea If Concerned About Symptoms � Contact Your Health Care Provider What should I do if I get sick? If you live in areas where H1N1 influenza flu cases have been identified and become ill with influenza-like symptoms, including fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea, you may want to contact your health care provider, particularly if you are worried about your symptoms. Your health care provider will determine whether H1N1 influenza flu testing or treatment is needed.What should I do if I get sick? If you live in areas where H1N1 influenza flu cases have been identified and become ill with influenza-like symptoms, including fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea, you may want to contact your health care provider, particularly if you are worried about your symptoms. Your health care provider will determine whether H1N1 influenza flu testing or treatment is needed.

14. UCOP May 2009 Safety Meeting Emergency Warning Symptoms Adults Difficulty breathing or shortness of breath Pain or pressure in chest or abdomen Sudden dizziness Confusion Severe or persistent vomiting Children Fast breathing or trouble breathing Bluish skin color Not drinking enough fluids Not waking up or not interacting Being so irritable that child does not want to be held Flu-like symptoms improve but then return with fever and worse cough Fever with a rash Emergency warning signs that need urgent medical attention. For Adults: Difficulty breathing or shortness of breath Pain or pressure in the chest or abdomen Sudden dizziness Confusion Severe or persistent vomiting For Children: Fast breathing or trouble breathing Bluish skin color Not drinking enough fluids Not waking up or not interacting Being so irritable the child does not want to be held Flu-like symptoms improve but then return with fever and worse cough Fever with a rash Emergency warning signs that need urgent medical attention. For Adults: Difficulty breathing or shortness of breath Pain or pressure in the chest or abdomen Sudden dizziness Confusion Severe or persistent vomiting For Children: Fast breathing or trouble breathing Bluish skin color Not drinking enough fluids Not waking up or not interacting Being so irritable the child does not want to be held Flu-like symptoms improve but then return with fever and worse cough Fever with a rash

15. UCOP May 2009 Safety Meeting Travel Conditions Constantly Change UCOP Travel Advisory Website: www.ucop.edu/riskmgt/emergprep/eonews/advisory.html Information About UC Travel Insurance Link to the CDC Travel Advisory Website Travel: Conditions are constantly changing. If you are traveling, you should check the UCOP travel advisory website at the above link for the latest updates. The UCOP Travel website will provide you information about UC travel insurance coverage and will also link you to the CDC travel advisory website. Travel: Conditions are constantly changing. If you are traveling, you should check the UCOP travel advisory website at the above link for the latest updates. The UCOP Travel website will provide you information about UC travel insurance coverage and will also link you to the CDC travel advisory website.

16. UCOP May 2009 Safety Meeting Eating or Preparing Pork H1N1 Influenza Virus � Not Spread By Food Cannot Get the H1N1 Influenza From Eating Pork or Pork Products Eating Properly Handled and Prepared Pork Products is Safe Can you get H1N1 influenza from eating or preparing pork? The H1N1 influenza viruses are not spread by food. You cannot catch the H1N1 influenza from eating pork or pork products. Eating properly handled and cooked pork products is safe. Can you get H1N1 influenza from eating or preparing pork? The H1N1 influenza viruses are not spread by food. You cannot catch the H1N1 influenza from eating pork or pork products. Eating properly handled and cooked pork products is safe.

17. UCOP May 2009 Safety Meeting In Summary Best Precautions Stay Healthy & Get Plenty of Rest Wash Your Hands Frequently Avoid Contact with Persons Who Are Sick If Sick, Stay at Home, Away from Work/School The H1N1 Influenza Virus May Return in the Fall The University of California and All Employees Must Prepare for Its Possible Return as a Mutated Virus In Summary: The best precautions are to stay healthy and get plenty of rest. Wash you hands frequently, especially after touching surfaces such as door handles, tables, elevator buttons, etc. Avoid contact with persons who are sick. If you are sick, stay at home, away from work and/or school. Based on past history of pandemic Influenza viruses, the H1N1 Influenza flu virus may return in the fall as a mutated virus. The University of California and all its employees must prepare for a possible return of a second wave of the H1N1 virus.In Summary: The best precautions are to stay healthy and get plenty of rest. Wash you hands frequently, especially after touching surfaces such as door handles, tables, elevator buttons, etc. Avoid contact with persons who are sick. If you are sick, stay at home, away from work and/or school. Based on past history of pandemic Influenza viruses, the H1N1 Influenza flu virus may return in the fall as a mutated virus. The University of California and all its employees must prepare for a possible return of a second wave of the H1N1 virus.