1. Information from T. Friedman, M.D. & E. Frykman, M.D. H1N1 Swine Flu Update

2. Information from T. Friedman, M.D. & E. Frykman, M.D. This not how you get swine flu.

3. Information from T. Friedman, M.D. & E. Frykman, M.D. H1N1 Swine Flu Here is What We Know. Flu season runs from September to May. The virus is unpredictable. The virus can mutate but for now it is genetically stable. The seasonal flu is totally different from the H1N1 flu. You should get a vaccination for each flu.

4. Information from T. Friedman, M.D. & E. Frykman, M.D. The Vaccine The vaccine is an excellent match to the virus H1N1. The vaccine is protective, safe, and only 1 in 100,000 to 1 in 1,000,000,000 may have an adverse reaction. If the virus mutates to a more deadly form then those vaccinated will be protected. Children under 10 will get a 2 nd dose 3 to 4 weeks after the first dose.

5. Information from T. Friedman, M.D. & E. Frykman, M.D. Who Should Get the Vaccine First 1 of 2 Pregnant females. People who live with or provide care for infants younger than 6 months (e.g., parents, siblings, and day care providers), “Cocooning those less than 6 months from the flu is a strategy”. Healthcare and Emergency Services personnel “I would recommend all city essential services be offered the vaccine”.

6. Information from T. Friedman, M.D. & E. Frykman, M.D. Who Should Get the Vaccine First 2 of 2 All people 6 months to 24 years old. Persons 25 to 64 with medical conditions such as any lung disease, Heart condition, cancer, diabetes etc.

7. Information from T. Friedman, M.D. & E. Frykman, M.D.

8. Prevention and treatment of H1N1 1 of 2 Get vaccinated! Stay at home if your are sick. You can be contagious 24 hours before signs of symptoms appear and up to 24 - 48 hours after your fever breaks. Wash your hands frequently especially if you handshake.

9. Information from T. Friedman, M.D. & E. Frykman, M.D. Prevention and Treatment of H1N1 2 of 2 Cover your mouth when you cough or sneeze, cough or sneeze into a tissue and dispose of in the trash, and wash your hands if you handshake whether you are sick or not. Cough or sneeze into your elbow joint area. If you are sick and coughing wear a mask to reduce the spread of the virus.

10. Information from T. Friedman, M.D. & E. Frykman, M.D. Thoughts Posed by Eric Frykman, MD What if 30% - 40% of your workforce goes down with the H1N1 flu? How many disposal respirators do you have? Some are one time use and others have a specific time limitation (6 hours) you can wear them before you dispose of them. What do you have in-place to reduce the transmission of the flu?

11. Information from T. Friedman, M.D. & E. Frykman, M.D. Information Sources Thomas Friedman, M.D. Director of Center for Disease Control (CDC) CDC Pandemic web site. http://www.cdc.gov/h1n1flu Eric Frykman, M.D. Riverside County Health Officer Director, Community Health Agency http://www.rivcoph.org