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Swine Flu/H1N1 and New Guidelines for Visitors

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H1N1 (Swine) Flu Update
11/12/2009
H1N1 Flu Self-Evaluation

Stop FLU From Spreading!
Please DO NOT VISIT if you feel sick.

Wash your hands:

  • With soap and water or an alcohol-based hand rub.
  • Before entering patient rooms.
  • After exiting patient rooms.
  • After using the bathroom.
  • After you cough or sneeze.
  • Before you eat.
  • Before you touch your eyes, mouth or nose.

Learn how to wash your hands the right way.

If you must visit:
Wear a mask and use tissues to cover your cough.
Both are available at the information desk.
If you have any questions:
Ask for help at the information desk before visiting. If you have any doubt about whether or not you are likely to spread contagious germs, please ask for help before visiting a patient.

Marci Drees, M.D., Christiana Care's Hospital Epidemiologist, answers common questions about seasonal flu and H1N1 (Swine) flu.

We're ready for the H1N1 flu-are you?

NEW VISITOR GUIDELINES

During the H1N1 flu pandemic, our first priority is the safety and care of our patients, visitors and employees. We're working closely with government officials to be sure we're ready. Use this information to make sure you are ready, too.

Two Kinds of Flu = Two Vaccinations
Who should get the H1N1 vaccination
How to get the N1H1 vaccination if you are not in a high-risk group
Where to get vaccinated for the regular flu and the H1N1 Flu
What the H1N1 vaccination is like
How to avoid getting the flu
How to know if you have the flu
Who should be tested for H1N1 flu
What to do if you think you have the H1N1 flu
When to seek emergency medical care
Who should take Tamiflu?
Back to Work or School

Two Kinds of Flu = Two Vaccinations

H1N1 flu is different from the regular seasonal flu. This year people who could get very sick or die if they catch a flu must get two vaccinations. They need one for the regular flu and one for the H1N1 flu.

Who should get the H1N1 vaccination

People who could get very sick or die if they catch the flu should get the H1N1 flu vaccination. They are:

  • Pregnant women.
  • People who live with or care for children younger than six months of age.
  • People who work in healthcare and emergency medical services.
  • People who are between six years old and 24 years old.
  • People who are 25 - 64 years old who at are higher risk because they have chronic diseases or compromised immune systems.

How to get the H1N1 vaccination if you are not in a high-risk group

Once people who could get very sick or die if they get the flu are vaccinated, healthcare providers should also begin vaccinating everyone from the ages of 25 through 64 years. Current studies indicate that the risk for infection for people older than 65 is less than the risk for younger age groups. However, once vaccine demand among younger age groups has been met, programs and providers should offer vaccination to people 65 or older.

Where to get vaccinated for the regular flu and the H1N1 Flu

To find out where you can get the regular flu vaccination and/or the H1N1 flu vaccination, use the map of the United States on this page for the most up-to-date information:
www.flu.gov.

What the H1N1 vaccination is like

The H1N1 vaccine comes in two forms, either a shot or a nose spray. Some people should not take the nose-spray form. A health care professional will know which form is right for you.

How to avoid getting the flu

  • Practice normal daily hygiene.
  • Wash your hands frequently, and be sure you are washing then correctly, particularly after you cough or sneeze.
  • Cover your coughs and sneezes.
  • Throw out tissue immediately after use.
  • Do not share towels, glasses, food or toothbrushes or have other close contact with an infected person.
  • Get vaccinated for the seasonal flu (available now). See your health care provider to find out how.
  • Get vaccinated for H1N1 flu when the vaccine is available. Visit CDC's H1N1 site to stay up to date on vaccine availability and recommendations.

How to know if you have the flu

The symptoms of the H1N1 flu are very similar to the symptoms of the regular seasonal flu. These include:

  • Fever, usually more than 100 degrees Fahrenheit.
  • Cough.
  • Sore throat.
  • Muscle aches.
  • Headache.
  • Chills.
  • Fatigue.
  • Diarrhea (less common).

The flu usually feels very different from the common cold, which typically causes a lot of runny nose, sneezing but not much fever, chills, body aches or severe fatigue.

Who should be tested for H1N1 flu

You should be tested for H1N1 flu only if you have severe symptoms, or you have an underlying medical conditions that puts you at higher risk.

What to do if you think you have the seasonal flu or H1N1 flu

Doctors say home is the best place to recover from the flu. You can help to stop flu from spreading if you refrain from visiting the doctor's office or the hospital-or anyplace where you will come into contact with other people-unless your symptoms call for urgent care.

How to properly take care of yourself if you have the flu:

  • Take over-the-counter medication for symptom relief and as needed for fever and pain.
  • Drink clear fluids (water, broth, sports drinks, electrolyte beverages for infants).
  • Children under 4 should not be given over-the-counter medicine without approval of your doctor or other health care provider.
  • Stay home for at least 24-hours after fever is gone.
  • Wash your hands frequently!
  • Cover your cough with a tissue or cough into your elbow.

When to seek emergency medical care

If you have flu-like symptoms and are in a high-risk group (pregnant, less than 5 years old or have a chronic disease) contact your doctor. For everyone else, if you experience any of the following, then you should seek emergency medical care:

Children 5 and older

  • Fast breathing or trouble breathing.
  • Bluish or gray skin color.
  • Not drinking enough fluids.
  • Severe vomiting.
  • Not waking up or not interacting.
  • Too irritable to even be held.
  • Flu-like symptoms improve but then return with fever and worse cough.

Adults

  • Trouble breathing or shortness of breath.
  • Severe pain or pressure in chest or stomach.
  • Sudden dizziness.
  • Confusion.
  • Severe or persistent vomiting.
  • Flu-like symptoms improve but then return with fever and worse cough.

Who should take Tamiflu?

Tamiflu is a drug that can shorten the duration of the flu. It is approved for people older than 12 months. For most people, Tamiflu will only shorten their illness by about one day, even if they begin taking it promptly. If you have mild to moderate flu symptoms, you don't need it. After you are evaluated by a medical professional, you might receive medications like Tamiflu based on the severity of your illness or your underlying medical conditions.

Back to Work or School Note

The CDC has requested that employers and schools not require notes during this flu season due to the added burden a pandemic places on medical practices. With that in mind, linked above is a letter that can be used by Christiana Care patients which references the CDC guidelines and can be used in lieu of a personalized note for patients who need a doctor's note to return to work or school.