Tammra L. Morrison, RN Communicable Disease Coordinator Christopher J. Smith, RS, MPA Director of Environmental Health

Map: International Co-circulation of 2009 H1N1 and Seasonal Influenza (As of October 9, 2009; posted October 9, 2009, 3:00 PM ET)

NC Flu Severity 267 Hospitalizations Lab Confirmed H1N1 #’s are lower than actual cases 14 Deaths 2 since 10/3 60, MHeart attack 37, MSubstance abuse, asthma 38, FEpilepsy, pregnant 67, Mleukemia 60, MCOPD, smoker 62, FCOPD, smoker 55, Mnone 70, Fobesity

Recommended Interventions Exclusion from Work or School Individuals with ILI should remain home for at least 24 hours after they are free of fever or feverishness without the use of fever-reducing medications Can shed virus for more than 24 hours after fever goes away 3 to 5 day exclusion period required in most cases Stay home until the end of this period Avoid contact with others Upon returning to work or school continue to follow Hand hygiene Respiratory etiquette

Recommended Interventions Continued Exclusion recommended regardless of antiviral drug use Decisions about extending period should be made at community level, in conjunction with local and state health officials

Recommended Interventions (Continued) Routine Cleaning Viruses may spread when persons touch respiratory droplets on hard services and objects then touch their mouth, nose, or eyes Not necessary to disinfect beyond routine cleaning Regularly clean areas and items likely to have frequent hand contract Clean when visibly soiled Use detergent-based cleaners or EPA-registered disinfectants

Mass Vaccination and Other Pharmaceutical Interventions Thanks to: Amanda Fuller, SNS Coordinator Beth Rowe-West, Immunization Branch Head

Vaccine Availability Injectable and nasal spray Children under 10 – 2 doses, 10 and older 1 dose It will NOT protect you from seasonal flu Seasonal vaccine will NOT protect against H1N1 Get BOTH your vaccines!

Advisory Committee On Immunization Practices (ACIP) Priority Groups suggested Pregnant Women Household and caregiver contacts of children < 6 mos Health Care Workers, Emergency Medical Services Personnel, and Children 6 mos through 24 years Persons with high risk medical conditions

Public Information Flyers Website Phone recording Newspaper has run multiple articles Local Emergency Planning Committee Multiple Speaking Engagements

Droplets: Coughing, sneezing or exhaling Indirect Contact: Contact with a contaminated object

What You Can Do Cover nose & mouth with tissue when cough/sneeze, throw tissue away Wash hands often with soap & water Avoid touching eyes, nose, & mouth Avoid close contact with sick people If sick, stay home and limit contact with others Get Vaccinated for both seasonal and H1N1 Flu

(252)