1. M. A. El-Farrash

3. Recommendations to prevent infection by the H1N1 virus consist of the standard personal precautions against influenza. This includes frequent washing of hands with soap and water or with alcohol-based hand sanitizers, especially after being out in public. H1N1 Infection Control M. A. El-Farrash

4. People should avoid touching their mouth, nose or eyes with their hands unless they have washed their hands. If people do cough, they should either cough into a tissue and throw it in the garbage immediately, cough into their elbow, or, if they cough in their hand, they should wash their hands immediately. M. A. El-Farrash H1N1 Infection Control

5. M. A. El-Farrash

6. Healthcare providers: Be aware of case definitions; procedures for screening, infection control, laboratory testing; and antiviral regimens for H1N1 and other novel influenza viruses. H1N1 Infection Control M. A. El-Farrash

7. In case of aerosol generating procedures (e.g. aspiration of respiratory tract, intubation, resuscitation, bronchoscopy, autopsy) use N-95 masks. Gloves and gown should be used for all patient contact. Eye protection (goggles or face shields) should be put on when being within 1 meter of a suspected patient. Pay careful attention to hand hygiene before and after all patient contact or contact with items potentially contaminated with respiratory secretions. M. A. El-Farrash H1N1 Infection Control

8. Monitor health of health-care workers exposed to H1N1 influenza patients. Antiviral prophylaxis should follow local policy. Health-care workers with symptoms should stay at home. Patient care equipment : dedicate separate equipment to H1N1 patients. If not possible, clean and disinfect before reuse in another patient. H1N1 Infection Control M. A. El-Farrash

9. Suspected patient isolation: Place patient in adequately-ventilated room. If single rooms are not available, cohort patients in wards keeping at least 1 meter distance between beds. Limit numbers of health-care workers/family members/visitors exposed to the H1N1 patient. M. A. El-Farrash H1N1 Infection Control

10. Dishes/eating utensils :Wash using routine procedures with water and detergent. Use rubber gloves. Linen and laundry: Wash with routine procedures, water and detergent; avoid shaking linen/laundry during handling before washing. Use rubber gloves. Environmental cleaning and disinfection : Clean soiled and/or frequently touched surfaces regularly with a disinfectant. e.g. door handles. Treat any waste that could be contaminated with H1N1 virus as infectious clinical waste, e.g. used masks. H1N1 Infection Control M. A. El-Farrash

11. Influenza patients should limit interactions outside the home and should not go to work, school or other public areas. All members of a household with an influenza patient should carefully follow recommendations for hand hygiene (frequent hand washing), particularly after contact with body fluids (respiratory secretions, urine, or feces). M. A. El-Farrash H1N1 Infection Control

12. Household members and other close contacts of an influenza patients should be actively monitored by the local health department for illness. Household members or other close contacts of influenza patients should be vigilant for the development of fever or respiratory symptoms and, if these develop, should seek healthcare evaluation. M. A. El-Farrash H1N1 Infection Control

13. 1. Palm to palm 2. Palm to back3. Finger webs 4. Palms to Knukles +Finger tips 5. Thumb6.Wrist Six Hand Washing Steps M. A. El-Farrash