Respond to Influenzain Early Childhood Program Settings

West Central Public HealthDistrict Epidemiology

Prepared September 5 2009 Updated:By: Eileen Usman, MSN, ICNC

Who are Included as Early Childhood Program Providers?

Center Based Programs

Home Based Programs Head Start Programs Other Early Childhood

Programs providing care for children in Group Settings

Older Children Count Too!!!

Who Are More At Risk for Serious Illness from the Flu?

Children Less than 5 years

Children With Chronic Illness

Adults with Chronic Illness

Pregnant Persons

What You Can Do if the 2009-2010 Flu Illnesses Do Not Increase in Severity!

Early Seasonal Influenza Vaccinations- Staff and Students

Infection Control

You will not keep all the children “Flu Free” but it will help to keep some healthy

Recommended Actions Examine and update current

crises or pandemic plans and procedures.

Develop contingency plan to cover key positions when staff are absent from work

Update contact information for families and staff

Share plans with families, staff and the community

Recommended Actions (continued)

Review and if necessary revise sick leave policies

No Doctor’s Note Remind To Stay Home

if Sick

Recommended Actions (continued)

Early physician contact (CALL) for those at risk for serious illness

Hand HygieneRespiratory

Etiquette

Vaccinate Against the FluSeasonal and 2009 H1N1

Seasonal Flu- Now Available

H1N1- In clinical trials and expected to

be available later this fall. First on a voluntary basis to 5

Primary Risk Groups then Others

Stay Home When Sick!!

While you are SICK AND For 24 more hours after free of fever

(100 F) without the use of fever reducing medications. Healthcare Setting Workers are

excluded for 7 days or until they are well if longer.

Symptoms - All or Some

Fever Cough Sore Throat Runny or Stuffy Nose Body Aches Headache Chills Fatigue Sometimes: Vomiting and Diarrhea

Usually lasts 2 to 4 days = Exclusion of 3 to 5 days after symptoms start

Staying home is still necessary even if you had antivirals like Tamiflu

Daily Health Checks

ListenLookFeelSmell

Listen

How are you and he/she today?

How did he/she sleep? How is his/her appetite this

morning? If Child can talk

Is he/she hoarse or wheezing?

Look General Appearance Breathing Skin Eyes, Nose, Ears,

Mouth

Feel Gentle Touch Skin

Temperature

Smell Unusual or Foul Odor to the

child or their body fluids

Keep Sick Apart from Well

Challenge- Act Quickly

Encourage Sick and Well

Practice Hand Hygiene Respiratory Etiquette

Clean Environment

Routine Focus on High Touch

Areas Immediately Clean Up

Spills

HealthCare for High Risk

Encourage those at high risk Call their doctor to report illness

and for instructions Others follow CDC home care

guidance

Resources www.cdc.gov/h1n1flu/childcare/guidance www.cdc.gov/h1n1flu/vaccination http://nrckids.org www.cdc.gov/cleanhands www.cdc.gov/flu/protect/covercough.htm