Tag Archives: Influenza

MORE “BACK TO SCHOOL” BASICS

This time of year is always a busy one for teachers, administrators, and staff, as they get everything ready for the first day of school.  This school year, however, presents a problem they had not contended with until last spring: how to prevent their students from contacting the H1N1 virus at school.  The federal government issued guidelines for schools, and plans to do the same soon for day care facilities, colleges, and employers.

Education Secretary Arne Duncan advocates “prevention, close monitoring, and common sense” in dealing with the dilemma.  Schools should teach health curriculums to students the first two weeks of school.  Hand washing and covering coughs are of the utmost importance.  Many schools are considering furnishing online resources for parents to be able to access materials when their kids miss school.

Ill students and staff should be separated from other students; a room set aside for them should be furnished until they can go home.   They should also be given protective respirators.  N95 masks or N95 Respirators block 95% of very small particles in the air.  These masks should fit properly, be replaced often and thrown away after one use.  They should be placed in a plastic bag before being thrown in the trash, and then the person should wash their hands thoroughly.

Hand sanitizer should be available at the school.  If the schools don’t furnish it, parents could send a bottle with their students to keep in their backpacks or lockers.  Parents play a very important role in protecting their students by keeping them at home if they are showing symptoms of the flu.  If that is the case, they should begin giving them fever reducers such as ibuprofen, acetaminophen, or naproxen, as needed.  Gatorade also helps to keep them hydrated.   It is felt that students do not have to stay home after being ill as long as they were last year.  Suggestions are that they may return following 24 hours of being fever-free.

Everyone should get his/her regular seasonal flu shot, and hopefully, the new vaccine for this particular virus will be ready by mid-October.  It’s going to take a team effort to deal with what’s ahead, but hopefully, the cases will be mild.  Let’s do all we can to keep our kids well.

Source: ABC News

ARE WE REALLY PREPARED?

We know that people are tired about reading about the H1N1 influenza virus, and hopefully, it is losing ground and will not be a worldwide pandemic.  In our articles “Pandemic Influenza”, and “Pandemic Influenza Part II”, we described what a pandemic is and how employers can best be prepared for one.  What about the country as a whole?

As was evidenced by the past threat, there was a negative effect on the stock market, travel industry, and entertainment industry, just to name a few.  In reviewing a message that was written November 10, 2005, by the Working Group on Pandemic Influenza Preparedness, and sent to Senate and House Conferees on H.R. 3010 FY 2006, Labor, Health, and Human Services, Education, and Related Agencies, one would think they were reading something that was written only yesterday.  It closed by stating that the “clock is ticking as the threat is growing”.

In 2005, funding was needed for the Avian Flu (H5N1) or Bird Flu.  Attempts for funding for pandemic outbreaks have been made ever since that year; requests for $870 million in extra funding was cut from a stimulus bill that passed earlier this year.  These funds would have gone a long way toward supporting state and local health departments’ preparedness, the Strategic National Stockpiles, vaccine research and production, gloves, and other required equipment.  Stockpiled vaccines should be equally proportioned to guarantee all states have the needed medicine.  Annual resources should be available to support ongoing state and local preparedness, not just at times of emergencies.

So far, we have not been put to the full test, but sooner or later, it is feared that there will be a strain that will be a full-blown pandemic and really get our attention.  As our workforces are being depleted by layoffs and cutbacks, will there be enough public health officials and healthcare workers to take care of the demands of a true pandemic?  It’s food for thought.

PANDEMIC INFLUENZA

Note:  We originally posted this article on February 19, 2009.  Ironically, we are now in the middle of a Swine Flu virus, that has caused the World Health Organization to raise the pandemic threat level to Phase 5, the second-highest level in the worldwide warning system.

Pandemic Influenza is when a new influenza virus emerges for which there is little or no immunization in the human population- a global disease outbreak, which causes serious illness and spreads person to person worldwide.  Planning for Pandemic Influenza by business and industry is essential to minimize the impact of a pandemic.  It is essential to have a contingency plan.

Employers should develop a Pandemic Preparedness Plan by:

  • Knowing Federal, State, and Local Health Department Pandemic Influenza Plans.
  • Preparing for operations with reduced workforce.
  • Ensuring their suppliers/customers that they will continue to operate.
  • Developing a company policy that does not penalize employees for being sick; thereby encouraging them to stay home when they have symptoms such as fever, runny nose, muscle aches, or upset stomach, rather than exposing other employees.
  • Understanding that their employees may need to take care of other ill family members.
  • Considering enhancement of technology and communications equipment in order to allow employees to work from home.
  • Cross-training employees in order to be prepared for absence of workers.
  • Keeping their employees informed of their preparations in case of a widespread disease, making them feel safe about their work, and able to be off if necessary due to illness.

It is also important that employers educate their employees on coughing etiquette, hygiene, and using personal protective equipment when necessary.  This could mean gloves, goggles, respirators, and other means of preventing the spread of germs.  Hand sanitizer, tissue, and soap should be provided.  Employees should be discouraged from using each others’ computers, phones, and equipment.  Washing hands often is one of the most important ways to keep down the spread of germs.

Another important measure of prevention is the flu vaccine.  Sometimes it takes a few months for the proper vaccine to be developed after there is an outbreak; however, whatever flu vaccine is available should alleviate the severity of the illness.  Note: there is no vaccine for this type of flu; scientists are working round-the-clock to prepare a vaccine to be ready for human testing.  In the United States, thousands of courses of Tamiflu and Relenza, have been sent to states reporting confirmed cases of swine flu.  The government has a stockpile of the courses ready as needed.  These two anti-viral medications are the best known to treat influenza.
OSHA

H1N1 UPDATE – MAY 18, 2009

The World Health Organization Health Assembly began today and will go through Friday, five days less than normally held because health ministers are monitoring H1N1 outbreaks in their own countries. 

As of Sunday, 8,480 persons have been ill from the virus in approximately forty countries.  Seventy-five deaths have resulted so far, most in Mexico.  Chile announced its first case Sunday.  Japan’s Health Minister confirmed more than 120 definite cases today. 

There have been 6 deaths in the United States: 3 in Texas, 1 each in Washington and Arizona. In New York City, a beloved Assistant Principal died last night.  He had had symptoms of the virus for a week before his school was closed last Thursday.  He was hospitalized and placed on a ventilator.  It is suspected that the virus, as well as complications all played a part in his death.

The World Health Organization’s main focus will be combating the outbreak of the virus as well as holding discussions on developing a vaccine.  In Southern Hemisphere countries, the annual flu season will soon begin.  If a new vaccine is to be developed for the H1N1 strain, production for seasonal flu would be switched to production for the H1N1 virus vaccine.

In the U.S., we are not hearing of as many cases, and school closings have slowed down.

However, we must remain alert to the symptoms of many types of flu:

  • High fever
  • Coughing
  • Sneezing
  • Vomiting
  • Diarrhea

If symptoms persist, see your doctor, stay away from others, and wash your hands frequently with soap and water, or alcohol sanitizers.

Source: AP

TOO MUCH HYPE?

Your first answer will probably be “yes”, when being asked whether or not there was too much hype from the media, regarding the H1N1 influenza A virus that caused the World Health Organization to raise the pandemic threat alert to a level 5.  The virus resulted in several deaths in Mexico, and two in the United States.  Thanks to modern-day travel, the virus spread to several other countries, because people who were unaware they were sick and had been in Mexico later became ill, and the rest is history.

This H1N1 influenza A virus has caused a major inconvenience to parents, and students, whose schools were closed, school sporting events were cancelled, and graduation ceremonies postponed or cancelled.  But in the big picture, was it over-hyped by the media, or were they doing their job: warning the public of the honest concerns of the World Health Organization and Centers for Disease Prevention and Control?

This virus remains a mystery to scientists, as it is still spreading, and they realize there could be potential as a killer virus.  Infectious disease specialists worry that persons will ignore the next warnings of a flu pandemic, since this one seemed milder than they feared it would be.  Dr. Robert Daum, University of Chicago infectious disease expert, thinks authorities acted properly when the news first broke.  He also says that since the United States situation is not dire at this time, authorities should “downshift”.

Some scientists worry that H5N1 (bird flu) and H1N1 (swine flu) could combine into a new bug.  H5N1 has not established in pigs; however, it is endemic in parts of Asia and Africa. H1N1 is now being confirmed in South Korea and Hong Kong.  WHO Director-General Margaret Chan warns health officials in Bankok, “do not drop the ball on monitoring H5N1”.

Persons should continue to pay attention to what is happening with this new virus in the coming months.  Some medical experts fear that it may return in the fall.  Regardless of the hassle it caused those who were not sick, think about how bad it could have been if proper warnings had not been given.

Source: AP

H1N1 Influenza A Update – May 4, 2009

Dr. Richard Besser, Acting Director of Centers for Disease Prevention and Control, today appeared on some early morning television shows and reports that he is “precautiously optimistic” about the trends of the virus that are now surfacing.  He is hopeful that this strain is not more serious, as feared, than any ordinary flu.  “We’re not out of the woods, but we aren’t seeing severe cases that we had been concerned about”, Dr. Besser commented.

The Associated Press count is 274 confirmed cases in 35 states in the U.S.  CDC count is 226 confirmed cases in 30 states.  Time lapse in state reporting to the federal agency accounts for the difference.  Totals as of today are:

  • New York – 63
  • Texas – 43
  • California – 29
  • Arizona – 18
  • South Carolina -15
  • Delaware – 10
  • Louisiana, New Jersey, and Massachusetts – 7
  • Colorado – 4
  • Florida, Indiana, Illinois, Nebraska, Ohio, Oregon, Virginia ,Wisconsin – 3
  • Connecticut, Kansas, Michigan – 2
  • Alabama, Iowa, Kentucky, Minnesota, Mississippi, Nevada, New Hampshire, New Mexico, North Carolina, Pennsylvania, Rhode Island, Tennessee, Utah – 1

As of today, May 4, the state of Texas is reporting 13 counties have confirmed cases.  Texas has 254 counties.

Cautionary measures remain the same: cover your mouth when you sneeze or cough, stay out of crowds, and stay at home if you are sick.  Do not attend work or school until your symptoms are gone.  Wash your hands often with soap and water, or alcohol sanitizing gel.

SWINE FLU UPDATE – April 29, 2009

Canada, Australia, New Zealand, Israel, Spain, Britain and Germany are reporting cases of Swine Flu.  Sadly, the United States reported its first death as a result of the illness, a 23-month old toddler from Mexico City.  She had traveled from Mexico to Brownsville, Texas, became ill, and died Monday night in a Houston hospital.  Doctors theorize that Mexico has had more deaths from this type of flu because it has been circulating among its citizens longer.

We must realize that deaths from influenza are not uncommon.  In the United States alone, 36,000 persons die per year from flu-related illnesses.  The concern regarding this new strain, which combines pig, bird, and human viruses is that persons may have limited immunity to it.

Medical and scientific teams are working steadfastly to develop a new vaccine, but it is going to take time to produce initial shots for human safety testing.

At this time, things are very unpredictable.  The last thing we need to do is panic.  The media constantly reports numbers of cases worldwide; however, many of those are suspected cases, and not confirmed ones.  Testing must be done at certain laboratories to actually confirm the type of flu the person has.

So, use common sense.  The advice given by professionals is to wash hands frequently; stay out of crowds as much as possible.  Cover your face when you cough or sneeze, and if you feel you are getting flu-like symptoms, see your physician.  If you become sick, stay at home.  We all must do our part to curb the threat of a potentially serious health problem.

SWINE FLU MYSTERY

On April 26th, Homeland Security Secretary Janet Napolitano wants to assure Americans that health officials are taking appropriate steps to minimize the impact of an outbreak of Swine Flu, by issuing a “declaration of emergency preparedness”.  This follows reports of approximately twenty cases of this type of flu in 5 states: Texas, California, New York, Ohio and Kansas.  As of today, Mexico has reported this same strain of flu has killed eighty-six people and sickened approximately 1,400 people, since April 13.

Public Health experts are puzzled by the differences experienced in the two countries.  In Mexico, several of the victims were between 20 and 40 years old and died of severe pneumonia from this flu-like illness.  It is unusual to be this acute to healthy young adults.  In the U.S., patients ranged from ages 9 to over 50, and thus far, the cases have been mild.  Canada has reported today four confirmed cases of the virus, said to be mild cases.  However, it would seem that throughout the countries involved, persons who have traveled to Mexico are thought to be ones that have carried the virus to their homes.

Swine flu is a respiratory illness in pigs that is caused by a virus; however, it rarely kills very many of them.  Thought to be only affecting those people who work on farms and have direct contact with pigs, this outbreak is different.  According to the Center for Disease Control and Prevention, this is a mix of human virus, bird virus from North America and pig viruses from North America, Europe, and Asia.  The Mexican virus samples match the U.S. virus samples.

It is also the opinion of the CDC that the seasonal flu shot in the United States this year won’t likely protect against the latest swine flu virus.  Ironically, there’s a vaccine for pigs, but not humans.  Twelve million doses of Tamiflu will be moved from U.S. government stockpiles to states that can receive their shares as needed.  World Health Organization Director-General Margaret Chan said the outbreak of the never-before-seen virus has “pandemic potential”, but it is still too early to tell if it would become a pandemic – an epidemic that spreads in humans around the world.  

Symptoms of this virus are almost the same as any other type of flu: fever, cough, fatigue, lack of appetite, and some experiencing vomiting and diarrhea.  Routine precautions to prevent the spread of infectious diseases should be taken: washing hands often, covering nose and mouth when coughing/sneezing, avoiding close contact with sick people.  If you are sick, stay at home and limit contact with others.

Respirators and Face masks have been issued to citizens in Mexico City, in hopes of decreasing the spread of this virus.  Many church services and places of public entertainment have been closed, as well.  By taking immediate action, officials are hoping to catch this disease before it reaches pandemic proportions

Source: Associated Press

PANDEMIC INFLUENZA

Previously, we presented an article on information on getting ready for cold and flu season.  Pandemic Influenza is when a new influenza virus emerges for which there is little or no immunization in the human population; a global disease outbreak, which causes serious illness and spreads person to person worldwide.  Planning for Pandemic Influenza by business and industry is essential to minimize the impact of a pandemic.  It is essential to have a contingency plan.

Employers should develop a Pandemic Preparedness Plan by:

  • Knowing Federal, State, and Local Health Department Pandemic Influenza Plans.
  • Preparing for operations with reduced workforce.
  • Ensuring their suppliers/customers that they will continue to operate.
  • Developing a company policy that does not penalize employees for being sick; thereby encouraging them to stay home when they have symptoms such as fever, runny nose, muscle aches, or upset stomach, rather than exposing other employees.
  • Understanding that their employees may need to take care of other ill family members.
  • Considering enhancement of technology and communications equipment in order to allow employees to work from home.
  • Cross-training employees in order to be prepared for absence of workers.
  • Keeping their employees informed of their preparations in case of a widespread disease, making them feel safe about their work, and able to be off if necessary due to illness.

It is also important that employers educate their employees on coughing etiquette, hygiene, and using personal protective equipment when necessary.  This could mean gloves, goggles, and other means of preventing the spread of germs.  Hand sanitizer, tissue, and soap should be provided.  Employees should be discouraged from using each others’ computers, phones, and equipment.  Washing hands often is one of the most important ways to keep down the spread of germs.

Another important measure of prevention is the flu vaccine.  Sometimes it takes a few months for the proper vaccine to be developed after there is an outbreak; however, whatever flu vaccine is available should alleviate the severity of the illness.

OSHA