Tammra L. Morrison, RN Communicable Disease Coordinator Christopher J. Smith, RS, MPA Director of Environmental Health Rodney Dancy Community Preparedness Coordinator

International H1N1 Presence cdc.gov

NC Flu Severity (August 11, 2009) 156 Hospitalizations 9 Deaths Latest 8/12/09 Hoke Co. US deaths = , MHeart attack 37, MSubstance abuse, asthma 38, FEpilepsy, pregnant 67, Mleukemia 60, MCOPD, smoker 62, FCOPD, smoker 55, Mnone 70, Fobesity Table: Dr. Jeff Engel, State Health Director, NC Division of Public Health, July 2009

H1N1 Associated Deaths by Age Group

H1N1 Confirmed and Probable Case Rate

H1N1 Hospitalizations by Age Group

Influenza Surveillance Report

Wilson County Picture 16 Confirmed Cases 0 Pending No Hospitalized Cases 1 Death

Public Information Flyers Website in process of updating Phone recording Newspaper has run multiple articles Local Emergency Planning Committee Multiple Speaking Engagements

Current and Future Activities Continued monitoring Continued updates for providers, LEPC, and the public Preparation for upcoming flu season

Recommended Interventions Exclusion from Work or School Individuals with ILI should remain home for at least 24 hours after they are free of fever or feverishness without the use of fever-reducing medications Can shed virus for more than 24 hours after fever goes away 3 to 5 day exclusion period required in most cases Stay home until the end of this period Avoid contact with others Upon returning to work or school continue to follow Hand hygiene Respiratory etiquette Dr. Jeff Engel, State Health Director, NC Division of Public Health, July 2009

Recommended Interventions (Continued) Exclusion (Continued) Exclusion recommended regardless of antiviral drug use Decisions about extending period should be made at community level, in conjunction with local and state health officials Dr Jeff Engel, State Health Director, NC Division of Public Health, July 2009

Recommended Interventions (Continued) Routine Cleaning Viruses may spread when persons touch respiratory droplets on hard services and objects then touch their mouth, nose, or eyes Not necessary to disinfect beyond routine cleaning Regularly clean areas and items likely to have frequent hand contract Clean when visibly soiled Use detergent-based cleaners or EPA-registered disinfectants Dr. Jeff Engel, State Health Director, NC Division of Public Health, July 2009

Mass Vaccination and Other Pharmaceutical Interventions Thanks to: Amanda Fuller, SNS Coordinator Beth Rowe-West, Immunization Branch Head

Antiviral Treatment is recommended for: All hospitalized patients with confirmed, probable or suspected novel influenza (H1N1) Patients who are at higher risk for seasonal influenza complications

Vaccine The official decision to vaccinate for H1N1 has NOT been made vaccine safety and effectiveness Impact/epidemiology of influenza illness, especially in Southern Hemisphere

Vaccine 5 US Manufacturers Novartis GlaxoSmithKline Sanofi Pasteur CSL Biotherapies MedImmune

Vaccine Injectable and nasal spray 85% will be filled/finished in a 5mL vial/10 doses per vial MDV will contain thimerosal 2 doses per person Will be a separate vaccine from seasonal flu Providers may charge administration fee Fee to be set by CDC – unknown amount at this time

Trial Locations Baylor College of Medicine, Houston Children’s Hospital Medical Center, Cincinnati Emory University, Atlanta Group Health Cooperative, Seattle Saint Louis University, St. Louis University of Iowa, Iowa City University of Maryland School of Medicine, Baltimore Vanderbilt University, Nashville Duke University, Durham

Advisory Committee On Immunization Practices (ACIP) Priority Groups suggested Pregnant Women Household and caregiver contacts of children < 6 mos Health Care Workers, Emergency Medical Services Personnel, and Children 6 mos through 24 years Persons with high risk medical conditions School-based vaccination in planning The State will provide guidance on what to do if short supply

What You Can Do Cover nose & mouth with tissue when cough/sneeze, throw tissue away Wash hands often with soap & water Avoid touching eyes, nose, & mouth Try to avoid close contact with sick people If sick, stay home and limit contact with others

Questions?? Contact Wilson County Health Department if you have further questions