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H1N1 INFLUENZA INFORMATION AND RESOURCES

H1N1 INFLUENZA INFORMATION AND RESOURCES. H1N1. H1N1 flu is a new influenza virus causing illness in people. It has two genes from flu viruses that normally circulate in pigs in Europe and Asia, plus avian genes and human genes. Scientists call this a “quadruple reassortant” virus.

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H1N1 INFLUENZA INFORMATION AND RESOURCES

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  1. H1N1 INFLUENZA INFORMATION AND RESOURCES

  2. H1N1 • H1N1 flu is a new influenza virus causing illness in people. It has two genes from flu viruses that normally circulate in pigs in Europe and Asia, plus avian genes and human genes. Scientists call this a “quadruple reassortant” virus.

  3. SEASONAL FLU SYMPTOMS • Seasonal Flu: • All types of flu can cause: • Fever • Coughing and/or sore throat • Runny or stuffy nose • Headaches and/or body aches • Chills • Fatigue

  4. H1N1 FLU SYMPTOMS • Same as seasonal flu, but symptoms may be more severe: • Fever • Coughing and/or sore throat • Runny or stuffy nose • Headaches and/or body aches • Chills • Fatigue • In addition to the above symptoms, a number of H1N1 flu cases reported: • Vomiting • Diarrhea

  5. PREVENTIVE MEASURES • Get Vaccinated • Vaccination is the best protection against contracting the flu. You need two vaccines to be fully protected this year. The seasonal flu vaccine is different from the H1N1 (Swine) flu vaccine. The Center for Disease Control (CDC) is encouraging people to get both vaccinations. Get both vaccinations as soon as possible.

  6. PREVENTIVE MEASURES Take these everyday steps to protect your health: • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. • Avoid touching your eyes, nose or mouth. Germs spread this way. • Try to avoid close contact with sick people. • Stay home if you are sick until at least 24 hours after you no longer have a fever (100°F or 37.8°C) or signs of a fever (without the use of a fever-reducing medicine, such as acetaminophen). • Follow public health advice regarding school closures, avoiding crowds and other social distancing measures. • If you have severe illness or you are at high risk for flu complications, contact your health care provider or seek medical care.

  7. IF YOU BECOME ILL • If you live in areas where people have been identified with novel H1N1 flu and become ill with influenza-like symptoms: • Stay home, except tp get medical care, at least 24 hours after your fever is gone. • Avoid contact with other people.

  8. IF YOU BECOME ILL • If you become ill and experience any of the following warning signs, seek emergency medical care. • 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 • 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

  9. MEDICINES USED TO TREAT H1N1 • Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that can be used for prevention or treatment of flu viruses.

  10. ANTIVIRIALS • There are two types of antivirals that may be effective against the H1N1 flu: • Oseltamivir (TAMIFLU®) • Zanamivir (RELENZA®) • In addition: • PERAMIVIR IV has been authorized to treat certain patients.

  11. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • DoD • 2009-2010 Global Influenza Surveillance Questionnaire – Air Force • http://chppm-www.apgea.army.mil/flu/FluSurveillanceQ2009-2010_Final.pdf • AKO: H1N1 (Swine Influenza) Information Center • https://www.us.army.mil/suite/portal.do?$p=610490 • Algorithm for Testing and Treatment of Suspected H1N1 Influenza - 29 Jun 2009 • http://www.chppmeur.healthcare.hqusareur.army.mil/sites/pi/h1n1/ATTACHMENT8-Algorithm_for_Testing_and_Treatment_of_Suspected_H1N1_Influenza.pdf • ERMC H1N1 Flu Health Advisory - 12 Jun 2009 • http://www.chppmeur.healthcare.hqusareur.army.mil/sites/pi/h1n1/ERMC_H1N1_Flu_Health_Advisory.pdf • ERMC Provider Tool for Diagnosis, Treatment, and Prevention of H1N1 Flu - 29 Jun 2009 • http://www.chppmeur.healthcare.hqusareur.army.mil/sites/pi/h1n1/ATTACHMENT6-ERMC_Provider_Tool_for_Diagnosis_Treatment_and_Prevention_of_H1N1_Flu.pdf • H1N1 Surveillance Questionnaire – Army • http://chppm-www.apgea.army.mil/documents/H1N1/H1N1SurveillanceForm-WCHANGES.pdf • MEMORANDUM: Department of Defense Pandemic Vaccine Guidance for Novel Influenza A (HINI), 30 September 2009 • http://www.vaccines.mil/documents/1291DoD_H1N1_Policy_Sep2009.pdf

  12. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • DoD (Continued) • Military Health System H1N1 Flu Outbreak page • http://www.health.mil/swineflu • Military Treatment Facility Locator • http://www.tricare.mil/mtf/ • Pandemic Influenza: Clinical and Public Health Guidelines for the MHS (03 Jun 2009) • http://fhp.osd.mil/aiWatchboard/pdf/PI%20Clinical%20and%20Public%20Health%20Guidelines%20for%20the%20MHS%202%20JUNE%202009.pdf • Pandemic Influenza Watchboard • http://fhp.osd.mil/aiWatchboard/ • Preventive Medicine H1N1 Line Listing • http://chppm-www.apgea.army.mil/documents/H1N1/PreventiveMedicineLineListing.xls • USACHPPM Guidance for US Army MEDDACS • http://chppm-www.apgea.army.mil/documents/H1N1/H1N1FluAApr09.pdf • USACHPPM Risk Communication Tips • http://chppm-www.apgea.army.mil/documents/H1N1/H1N1FlubasicHRguidance.pdf • USD(P&R) Public Health Emergency Management of the 2009 H1N1 Flu 11 May 2009 (13 May 2009) • http://fhp.osd.mil/aiWatchboard/pdf/H1N1%20Memo(Final).pdf

  13. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • General/Family Members • CDC Interim Guidance for Novel H1N1 Flu (Swine Flu): Taking Care of a Sick Person in Your Home • http://www.cdc.gov/h1n1flu/guidance_homecare.htm • CDC Interim Recommendations for Facemask and Respirator Use to Reduce Novel Influenza A (H1N1) Virus Transmission • http://www.cdc.gov/h1n1flu/masks.htm • CDC Recommendations for the Amount of Time Persons with Influenza-Like Illness Should be Away from Others • http://www.cdc.gov/h1n1flu/guidance/exclusion.htm • 2009-10 ACIP Recommendations • http://www.cdc.gov/flu/professionals/antivirals/agents.htm • Q&A: Antiviral Drugs, 2009-2010 Flu Season • http://www.cdc.gov/flu/protect/antiviral • Community Strategy for Pandemic Influenza Mitigation • http://www.pandemicflu.gov/plan/community/community_mitigation.pdf • Department of Health and Human Services - Pandemic Influenza Plan • http://www.hhs.gov/pandemicflu/plan/

  14. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • General/Family Members (Continued) • Department of State - Travel.State.gov - H1N1 Influenza • http://www.travel.state.gov/travel/cis_pa_tw/pa/pa_4493.html • EID Prospects for Universal Influenza Virus Vaccine • http://www.cdc.gov/ncidod/EID/vol12no04/05-1020.htm • Human Capital Planning for Pandemic Influenza • http://www.opm.gov/pandemic/OPM-Pandemic_AllIssuances.pdf • OSHA: Guidance on Preparing Workplaces for an Influenza Pandemic • http://www.osha.gov/Publications/influenza_pandemic.html • ReadyArmy.mil • http://www.ready.army.mil/ • TRICARE Military Treatment Facilities Locator • http://www.tricare.mil/mtf/

  15. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • Clinicians • CDC Antiviral Agents for Seasonal Influenza: Information for Health Professionals • http://www.cdc.gov/flu/professionals/antivirals/ • CDC H1N1 Flu Clinical and Public Health Guidance • http://www.cdc.gov/H1N1flu/guidance/ • CDC Interim Guidance for Infection Control for Care of Patients with Confirmed or Suspected Novel Influenza A (H1N1) Virus Infection in a Healthcare Setting • http://www.cdc.gov/h1n1flu/guidelines_infection_control.htm • CDC Vaccination Resources • http://www.cdc.gov/flu/professionals/vaccination/index.htm • HHS Antiviral Drug Distribution and Use • http://www.hhs.gov/pandemicflu/plan/sup7.html

  16. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • Clinicians (Continued) • HHS Clinical Guidelines • http://www.hhs.gov/pandemicflu/plan/sup5.html • HHS Infection Control • http://www.hhs.gov/pandemicflu/plan/sup4.html • HHS Interim Guidance on Planning for the Use of Surgical Masks and Respirators in Health Care Settings during an Influenza Pandemic • http://www.flu.gov/professional/hospital/maskguidancehc.html • OSHA Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers • http://www.osha.gov/Publications/OSHA_pandemic_health.pdf

  17. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • External Sources • IOM: Reusability of Facemasks During an Influenza Pandemic: Facing the Flu • http://www.nap.edu/catalog.php?record_id=11637 • WHO recommendations on the use of rapid testing for influenza diagnosis • http://www.who.int/csr/disease/avian_influenza/guidelines/RapidTestInfluenza_web.pdf

  18. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • Additional Information on H1N1 Flu • Army Medicine H1N1 Information • http://www.armymedicine.army.mil/news/releases/20090604h1n1flu.cfm • Army Medicine Web Site • http://www.armymedicine.army.mil/ • Army Surgeon General Blog, H1N1 Flu Update • https://blog.amedd.army.mil/tsg/?page=PostViewSingle&postId=102 • CDC 2009 H1N1 Flu Information • http://www.cdc.gov/h1n1flu/ • CDC 2009 H1N1 Influenza Vaccine Information • http://www.cdc.gov/h1n1flu/vaccination/public/vaccination_qa_pub.htm • CDC Information for Travelers • http://wwwn.cdc.gov/travel/ • DoD H1N1 Flu Information • http://preview.defenselink.mil/home/features/2009/0509_h1n1/

  19. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • Additional Information on H1N1 Flu (Continued) • Health Affairs H1N1 Flu Page • http://preview.defenselink.mil/home/features/2009/0509_h1n1/ • MHS H1N1 Flu Outbreak Info • http://www.health.mil/Pages/Page.aspx?ID=37 • MILVAX H1N1 Influenza Vaccine Information • http://www.vaccines.mil/default.aspx?cnt=disease/minidv&dID=60 • The Surgeon General's Blog - H1N1 Flu Update • https://blog.amedd.army.mil/tsg/ • U.S. Army Medical Department Office of the Surgeon General • http://www.armymedicine.army.mil/ • USACHPPM Risk Communication “Tips” for Army Preventive Medicine/Medical Staff Related to H1N1 Flu • http://chppm-www.apgea.army.mil/documents/H1N1/H1N1FlubasicHRguidance.pdf • Walter Reed Army Medical Center 2009 Flu Information • http://www.wramc.amedd.army.mil/swineflu/pages/default.aspx

  20. H1N1 INFLUENZA GUIDANCE, RECOMMENDATIONS AND POLICIES • External Resources • ASTHO: State H1N1 Flu Travel Advisories and Translated Materials • http://www.astho.org/page.aspx?id=602&terms=%22flu • CIDRAP News: H1N1 Flu • http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/index.html • FluNet Statistics • http://gamapserver.who.int/GlobalAtlas/home.asp • WHO Pandemic (H1N1) 2009 • http://www.who.int/csr/disease/swineflu/en/index.html

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