September 15, 2009

Health Updates: September 2009-H1N1 flu

Most of the questions we are getting right now seem to focus on the H1N1/Mexico/Swine flu. Here are the common questions and some answers:

What is 2009 H1N1 flu?
2009 H1N1 flu is a new influenza virus causing illness in people. Most people do not have immunity to this virus, so it spreads quickly.

People with the flu spread the virus through coughing or sneez¬ing near others. Sometimes people may become infected by touching something with flu viruses on it and then touching their eyes, mouth, or nose.

Those currently at higher risk of serious flu-related complica¬tions from 2009 H1N1 flu include children younger than five years old, pregnant women, people of any age with certain chronic medical conditions (such as asthma, diabetes, heart disease), adults and children who have a weak immune system, residents of nursing homes and other chronic-care facilities and persons aged 65 years or older. See http://www.cdc.gov/h1n1flu/qa.htm for more information about high risk groups.

What are the signs and symptoms of 2009 H1N1 flu in people?
The symptoms of seasonal and 2009 H1N1 flu virus in people include fever or chills AND cough or sore throat. In addition, symptoms of flu can include runny nose, body aches, headache, tiredness, diarrhea, or vomiting. Like seasonal flu, 2009 H1N1 flu may cause a worsening of underlying chronic medical conditions.

In adults, emergency warning signs that need urgent medical attention include:

* Difficulty breathing or shortness of breath
* Pain or pressure in the chest or abdomen
* Sudden dizziness
* Confusion
* Severe or persistent vomiting
* Flu-like symptoms improve but then return with fever and worse cough

In children, emergency warning signs that need urgent medical attention include:

* Fast breathing or trouble breathing
* Bluish or gray skin color
* Not drinking enough fluids
* Severe or persistent vomiting
* Not waking up or not interacting
* Being so irritable that the child does not want to be held
* Flu-like symptoms improve but then return with fever and worse cough

How long should a person stay out of work/school if they have an influenza-like illness?
Workers who have symptoms of influenza-like illness (see above) should stay home and not come to work until at least 24 hours after their fever has resolved. You should plan now to allow and encourage sick workers to stay home.

What can I do to avoid the H1N1 flu?

1. Stay home if you are sick with influenza-like illness for example, fever or chills AND cough or sore throat.
2. Wash your hands frequently with soap and water for 20 seconds or use an alcohol-based hand sanitizer if soap and water are not available.
3. Avoid touching your nose, mouth and eyes.
4. Cover your coughs and sneezes with a tissue, or cough and sneeze into your upper sleeve. Dispose of tissues in no-touch trash receptacles.
5. Wash your hands or use an alcohol-based hand sanitizer after coughing, sneezing, or blowing your nose.
6. Keep frequently touched common surfaces clean. For example, telephones, computer equipment, etc.
7. Try not to use other workers’ phones, desks, offices, or other work tools and equipment. If necessary, consider cleaning them first with a disinfectant.
8. Maintain a healthy lifestyle; attention to rest, diet, exercise, and relaxation helps maintain physical and emotional health.

For any questions call your doctor.