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