h1n1 update october 2009 patricia lynn meyer, bsn, mph, cic

H1N1 UpdateOctober 2009

Patricia Lynn Meyer, BSN, MPH, CIC

Objectives• Discuss current status of disease• Identify patients at high risk• Identify symptoms of H1N1• Discuss isolation/segregation• Define restriction of visitors and staff with

H1N1 or exposed to H1N1

Spread is via droplets

Current Status• Approximately 48,000 cases in U.S.• 500 adult deaths and 76 pediatric

deaths with 11 pediatric deaths in week 38 (9/20-9/26)

• 99% of influenza A are H1N1• Tamiflu indicated for treatment• H1N1 Vaccine now available

The Big Picture

2009 H1N1 Confirmed and Probable Case Rate in the United States, By Age Group

2009 H1N1 U.S. Hospitalization Rate per 100,000 Population, By Age Group

What Should You Look For?

Seasonal Influenza• Temp (101 or above)• Cough• Sore Throat• Runny Nose• Extreme Tiredness• Muscle Aches• Headaches• Chills

H1N1• Temp (100 or above)• Cough• Sore Throat• Runny Nose• Extreme Tiredness• Muscle Aches• Headaches• Chill• Nausea, vomiting, diarrhea

When to Call the Doctor

Children

• Fast breathing or trouble breathing

• Bluish or grey skin color• Not drinking enough fluids• Severe or ongoing vomiting• Not waking up or interacting• So irritable child does not want

to be held• Symptoms improve then fever

and cough return

Adults

• Difficulty breathing or trouble catching their breath

• Pain or pressure in the chest or abdomen

• Sudden dizziness• Severe or ongoing vomiting• Symptoms improve then

return with fever and cough

Isolation/Segregation• Confine to room• Droplet precautions with

surgical/procedure mask• Good hand hygiene• Extra cleaning/disinfection of high

touch areas• Look for other cases• Keep line list• Notify health department

Care of the H1N1 Resident

• Hydrate• Fever control• Patient safety• Pain medication• Nutrition• Continued assessment

Control Measures

• Educate everyone• Good hand hygiene• Extra cleaning• Social Distancing• Screening for new cases

Employee/Visitor Restriction

• Restrict individuals with symptoms from working or entering your building (CDC-7 days)

• Screen visitors and staff for history of exposure and restrict from work or entry or mask

• Educate regarding policies (written or oral communication)

How Prepared Are You For Infectious Diseases?

Websites Available for Monitoring a Pandemic and for

General Health Information

• cdc.gov•WHO.org•MoDHSS.gov