1. Respond to Influenza in Early Childhood Program Settings West Central Public Health District Epidemiology Prepared September 5 2009 Updated: By: Eileen Usman, MSN, ICNC

2. 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!!!

3. 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

4. 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

5. 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

6. Recommended Actions (continued)  Review and if necessary revise sick leave policies  No Doctor’s Note  Remind To Stay Home if Sick

7. Recommended Actions (continued)  Early physician contact (CALL) for those at risk for serious illness  Hand Hygiene  Respiratory Etiquette

8. Vaccinate Against the Flu Seasonal 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

9. 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.

10. 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

11. Daily Health Checks  Listen  Look  Feel  Smell

12. 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?

13. Look  General Appearance  Breathing  Skin  Eyes, Nose, Ears, Mouth

14. Feel  Gentle Touch Skin Temperature

15. Smell  Unusual or Foul Odor to the child or their body fluids

16. Keep Sick Apart from Well  Challenge- Act Quickly

17. Encourage Sick and Well  Practice Hand Hygiene Respiratory Etiquette

18. Clean Environment  Routine Focus on High Touch Areas Immediately Clean Up Spills

19. HealthCare for High Risk  Encourage those at high risk Call their doctor to report illness and for instructions Others follow CDC home care guidance

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