1. Winona H1N1 Control Plan Matt Dillon Patrick Keys Karsten Jepsen Allie Lyman

2. Purpose The purpose of this report is to contain and eliminate the spread of H1N1 within the county of Winona, through implemented plans and through knowledge of H1N1 in individuals.

3. Case Definition Respiratory illness caused by a virus Spread through: – Coughing – Sneezing – Touching a contaminated item

4. Signs and Symptoms Fever (over 100° F) Cough Sore throat Stuffy nose In some cases: – Diarrhea – Vomiting

5. Severe Signs and Symptoms Shortness of breath Pain or pressure in the chest Dehydration Confusion Sever vomiting Seizures or convulsions *Signs and symptoms usually disappear after 1-2 weeks

6. H1N1 - Description Agent : Virus – RNA Method of transmission – Droplet infection – Human-to-human – Occasionally bird/pig-to-human Virulence: 25 per 100,000 cases Infectivity: 1 out 6 people

7. Treatment measures – Rest – Adequate liquid intake – OTC pain medication – Antiviral drug (preferably in first 48 hours) 2009 H1N1 Flu Vaccine – Flu shot – Nasal spray

8. Preventative Measures used to lower Mortality/Morbidity rates -Primary -Secondary -Tertiary

9. Primary The Primary level of prevention is to try and avoid infection of the H1N1 virus all together. These Include having people: -Get Vaccinated if you are at high risk -Clean and sanitize frequently used surfaces -Keep proper hygiene -Avoid close proximity with the sick -Wear protective mask in high risk areas -Try and keep their immune system high

10. Secondary The Secondary level of prevention is to try and detect the infection of the H1N1 virus as fast as possible. This will Include having people: -Screenings for people at high risk -H1N1 detection kits -Be properly informed about symptoms: -Posters at schools and senior centers -Mass E-mails for teachers and health care providers -Coverage in Winona paper

11. Tertiary The Tertiary level of prevention is to try and limit the negative effects after a person is already infected by the H1N1 virus. This will Include having infected people: -Remain as isolated as possible -Take antiviral medication -Boost immune system to recover faster --Wash any materials used during infection

12. Educate Residents Things everyone should know – What H1N1 is – Signs and Symptoms – Preventative Measures – What to do if H1N1 is suspected Communication Channels – Winona Daily News – Post card to every residence – Posters and Pamphlets in medical offices and clinics – Radio, TV, emails within local schools and companies

13. Vaccines: Who? When? Where? School aged Kids: 10,224 kids Vaccination Nights held at schools – Publicize through parent news letters 16 Schools in Winona – Three week process: one school each night – St. Martin and Hope Lutheran will a combined night Winona Health Nurse – WSU students

14. Vaccines: Who? When? Where? Retirement and Elderly Facilities: 9286 people – 5 retirement homes – Senior Friendship Center – 2 days Publicize – Senior Friendship Center – Churches – Winona Daily News Winona Health Nurse – WSU Nursing students

15. Detecting and Diagnosing H1N1 Specify one location for people with flu-like symptoms to see a doctor – Main area: Urgent Care – Other medical facilities Encourage all medical facilities to have H1N1 detection kits – Urgent care will have kits Continue putting literature into the community

16. After Being Diagnosed Encourage diagnosed cases to stay in their homes School aged kids must be symptom free for 48 hours before returning to school Pharmacies should have anti-viral medicine in stock

17. Summary Reach and educate as many people as possible Get high risk people vaccinated Separate suspected/known infected from uninfected Treat as fast as possible

18. References Center for Disease Control and Prevention. (2009, December 22) H1N1 Flu (Swine Flu). Retrieved on May 14, 2010 from http://www.cdc.gov/h1n1flu/general_info.ht m Winona Health. (n.d.) Seasonal and H1N1 Flu Facts. Retrieved on May 14, 2010 from http://www.winonahealth.org/services/seaso nal-h1n1-flu-facts