H1N1 Vaccination Promotion Grantee Training March 1, 2010 – July 30, 2010 West: May 12, 2010, 9-12 Central: May12, 2010, 2-5 East: May 14, 2010, 9-12

This Training Is: An overview of the differences between the common cold, seasonal flu, and (pandemic) H1N1 flu. To help grantees learn how to protect themselves, their family, and their community from getting H1N1 flu. For people with little or no medical background.

This Training Is Not: An in-depth look at the science of viruses. To prepare grantees to give medical advice or to provide medical care for neighbors. An in-depth session on contract administration.

Training Objectives By end of this training, participants should be able to: 1. Explain why H1N1 flu is still an important issue. 2. Explain what H1N1 flu is and how it is spread. 3. Explain the differences between the common cold, seasonal flu, and (pandemic) H1N1 flu.

Training Objectives (cont’d) 4. Demonstrate at least four ways people can help protect themselves, their families, and their neighbors from getting H1N1flu. 5. Identify at least 5 sites where people can get free H1N1 flu vaccinations.

Training Objectives (cont’d) 6. List at least 2 outreach and education activities to promote H1N1 vaccination among their target group(s). 7. Understand basic program administration issues related to the H1N1 contract with Contra Costa Health Services.

Why H1N1 and Why Now? During fall 2009 and winter 2010, many people throughout the world became sick with H1N1 flu. The CDC estimates that about 60 million people in the U.S. had H1N1 flu and about 13,000 died from the disease.

Why H1N1 and Why Now? (cont’d) It is assumed that there were thousands of cases of H1N1 flu in Contra Costa County. Fortunately, most people with H1N1 flu had minor illness and recovered.

Why H1N1 and Why Now? (cont’d) In Contra Costa, 341 people were hospitalized and 15 people died from H1N1. In California there were 8,959 H1N1 hospitalizations and 579 deaths.

Why H1N1 and Why Now? (cont’d) Getting vaccinated against H1N1 flu is the best protection. But many people have still not been vaccinated against H1N1. Free H1N1 vaccine is still available.

Why H1N1 and Why Now? (cont’d) The CDC has made these funds available to complete the H1N1 vaccination efforts begun in the fall. The goal is to reach vulnerable, unvaccinated populations between March 1, 2010 – July 30, 2010.

H1N1 Vaccination Promotion Goal To conduct outreach, education, and communication strategies to stimulate demand for H1N1 vaccination services among priority vulnerable, under- vaccinated, and hard-to-reach populations.

CCHS’ Priority Populations  Limited access to healthcare:  uninsured or under-insured  very low income  undocumented  Homeless, shelter-dependent  Developmentally disabled  Medically fragile  Linguistically or culturally isolated

CCHS’ Priority Populations (cont’d)  Lesbian, gay, bisexual, transgender, questioning (LGBTQ)  Chemically dependent  Mental illness/mental disabilities  Children under age 10 needing second doses of H1N1 vaccine  Unvaccinated child care workers

CCHS’ Priority Populations (cont’d)  Populations with traditionally low vaccination rates:  African-Americans  Families that are philosophically opposed to vaccines  Unvaccinated parents and caregivers of infants  Unvaccinated health care workers

What is Influenza (Flu)? Flu is a respiratory disease of the lungs. It is caused by a virus. It is spread easily from person to person when the respiratory droplets from an infected person are inhaled or come into contact with the eyes, nose or mouth of another person. The respiratory droplets are spread through coughing, sneezing, or talking.

What Is H1N1 flu? It is a new flu virus. It causes illness in people because there is little to no immunity. It spreads easily from person to person. It is found throughout the world. It was declared a pandemic flu in June 2009.

General Overview of Pandemic Flu Flu pandemics are naturally occurring events. They occur about every 30 or 40 years. They can range from mild to severe.

Why Were People So Concerned About H1N1 Pandemic Flu? There were 3 pandemics in the last century 500,000 deaths USA 70,000 deaths USA 34,000 deaths USA 1918 “Spanish Flu” 1957 “Asian Flu” 1968 “Hong Kong Flu” million deaths worldwide 1 million deaths worldwide

Why Were People So Concerned About H1N1 Pandemic Flu? (Cont’d) They ranged from a: Mild pandemic that sickened and killed about the same number of people as seasonal flu.* To a severe pandemic that sickened and killed many people. *(Seasonal flu kills about 36,000 people in the U.S. each year)

Pandemic Flu in This Century H1N1 Flu * Early on It Was Called Swine Flu*

This video you are about to see documents the real impacts of a severe pandemic flu in the U.S. in The video ends by showing what could happen in the U.S. if a severe pandemic were to happen today. Video: “Hospitals All Full-Up”

Pandemic Severity A pandemic flu can be mild. -This means about the same number of people die from pandemic flu as from seasonal flu. -About 36,000 people in the U.S. die from seasonal flu each year.

Pandemic Severity (Cont’d): A pandemic flu can be moderate. A pandemic flu can be severe. -This means many people die of pandemic flu. -For example, during the 1918 pandemic flu about 500,000 people died in the U.S.

Pandemic Severity Can Be Described Like Hurricanes

How Long A Pandemic Lasts A pandemic may last up to two years. During a pandemic, illness will come in waves.

How Long A Pandemic Lasts (Cont’d) A pandemic wave is when many people in a community get the flu around the same time. Then the flu seems to disappear. Several weeks or months later the flu comes back, making people sick who didn’t get the flu the first time around.

Waves of illness may last 6-8 weeks in a community. How Long A Pandemic Lasts (Cont’d)

How a Pandemic Can Spread It can spread easily from person to person when a sick person… Coughs Sneezes Talks …usually within 6 feet of another person.

The respiratory droplets from the cough or sneeze of the sick person come into contact with the eyes, nose, or mouth (mucous membranes) of a healthy person or are inhaled. How a Pandemic Can Spread (cont’d)

The common cold versus the flu

How many of you have ever had a cold? How many of you have ever had the flu? How can you tell the difference?

The Common Cold vs. The Flu Cold Flu Onset Gradual Sudden Symptoms Cough Stuffy head Fever and cough or fever and sore throat Treatment of Symptoms Decongestants Cough medicine Fever reducers Decongestants Cough medicine Fever reducers

The Common Cold vs. The Flu (Cont’d): ColdFlu Antivirals Not effective Possibly effective Prevention Vaccines not effective Flu vaccine How Long Illness Lasts Feel better after a few days Can be sick for a week or more Can be life- threatening Visual 1.46

Seasonal flu versus H1N1 (pandemic) flu How they are different

Seasonal Flu Versus H1N1 Flu Seasonal flu viruses change somewhat from year to year People who have had the flu in the past usually have some immunity to seasonal flu viruses

Seasonal Flu Versus H1N1 Flu (Cont’d) H1N1 flu is a new flu virus. It is very different from seasonal flu viruses Most people have little or no immunity to H1N1 flu

Seasonal Flu Versus H1N1 Flu (Cont’d) Seasonal FluH1N1 Flu Occurs yearly mostly during winter months New flu - occurred in late spring and summer, came in waves

Seasonal Flu Versus H1N1 Flu (Cont’d) Seasonal FluH1N1 Flu More than 90% of the deaths are among people age 65 or older Most deaths were among those ages Usually the very young and the very old at risk for serious complications People with chronic diseases are at risk for serious complications

How Seasonal Flu and H1N1 Flu Are Similar Seasonal FluH1N1 Flu Both seasonal and H1N1 flu are: -Respiratory illnesses of the lungs -Easily spread from person to person by sneezing and coughing -Can enter the body through the eyes, nose, or mouth (mucous membranes), or are inhaled

How Seasonal Flu and H1N1 Flu Are Similar: Seasonal FluH1N1 Flu Both the seasonal and pandemic flu viruses can: -Live on surfaces such as doorknobs, toys, telephones, computers, and shopping baskets for up to 1 day

How Seasonal Flu and H1N1 Flu Are Similar (Cont’d): Seasonal FluH1N1 Flu Both seasonal and H1N1 flu have the same symptoms: -Symptoms include fever and cough, or fever and sore throat plus: -Body aches -Chills -Headache -Tiredness -Runny nose

Vaccinate to Prevent the Spread of H1N1 Vaccines are available to protect against getting H1N1flu These vaccines are made just like seasonal flu vaccines They are as safe and effective

Vaccinate to Prevent the Spread of H1N1 (cont’d) They will not prevent “influenza like” illnesses caused by other viruses. They will not prevent seasonal flu. You should encourage seasonal influenza vaccine, to be protected against seasonal flu.

Other Ways to Prevent the Spread of H1N1 The video you are now going to see will introduce ways to protect yourself, your family, and your neighbors by: -Showing good hand washing skills -Demonstrating how to cough or sneeze into sleeves or a tissue -Encouraging people to stay home when sick -Avoiding being around others who are sick

Video: Healthy Habits Visual 1.69

Hand Washing According to the CDC and the World Health Organization: -Hand washing is the single most important way of preventing the spread of disease. -Washing with water is not enough. Proper hand washing requires both soap and water.

Video: Put Your Hands Together

Activities to help people protect themselves, their families, and their neighbors from getting H1N1flu.

How to Use an Alcohol Based Hand Sanitizer (containing at least 60% alcohol) If Hands Are Not Visibly Soiled Visual 1.80

A 76 year old grandmother, who does not drive, takes care of her 6-month old grandson and four year old granddaughter during the day. She has not gotten the H1N1 flu shot because she is fearful of all vaccines. Her six-month old grandson has not been vaccinated. The four- year old has had the first H1N1 vaccination but not the second. 1. How might you approach her about the H1N1 vaccine? What would you say? 2. What kind of information might she need? What could you provide her? Scenario #1

You are conducting H1N1 vaccination outreach and education to unvaccinated transient youth at a Community Health Fair. 1. What education strategies might work best for this population? 2. What activities could you use? 3. Where would you refer them to get the H1N1 vaccine? Scenario #2

Additional Information National Resource Center on Advancing Emergency Preparedness for Culturally Diverse Communities, developed by the Drexel University School of Public Health’s Center for Health Website: Centers for Disease Control Website: and

Additional Information Resources for people who are Deaf and Hard of Hearing Videos from DeafMD.org

Questions? Thank You! ? ? ? ? ? ? ? ? ? ?