1. Influenza: Including H1N1
Mission CISD

2. What is Influenza?
An Airborne virus that is transmitted through respiratory secretions and briefly on objects

3. Types of Influenza Many types Seasonal Flu- Can be different each year
H5N1- Avian Flu
Novel H1N1- Swine Flu

4. Why is Flu Significant? Not just another virus!
There are about 36,000 deaths in the US each year from Seasonal Flu
More than 200,000 hospitalizations nationwide each year
Source Centers for Disease Control and Prevention

5. What about The Swine Flu?
The novel H1N1 virus was discovered in April 2009
While symptoms have been mild, it has presented itself differently

6. Seasonal Flu in Texas Estimated to be 1.2-4.9 million cases each year
16,000+ hospitalizations per year
2,228 deaths per year
Source: Texas Department of State Health Services

7. H1N1
June 11, 2009 the World Health Organization declared an H1N1 Pandemic
Pandemic declared because of the rapid spread of the illness, not the severity
More than 140 countries worldwide have reported cases

8. H1N1
By June 19, 2009 all 50 states in the US had reported cases of H1N1
The spread did not slow down over the summer
Many summer camps experienced a rapid spread of the virus

9. H1N1 Nationwide 6,506 hospitalizations
436 deaths (as of August 7, 2009)
98 Deaths from influenza among children; 30 of those related to H1N1
Source: Centers for Disease Control and Prevention

10. H1N1 In Texas 5,218 cases state-wide as of July 31st
270 Hospitalizations
28 Deaths
Source: Texas Department of State Health Services

11. H1N1 General Characteristics
Sudden onset of symptoms
Incubation period: ~1-4 days
Infectious period: 5+ days, starting 1 day before symptoms (longer in children)

12. Symptoms High Fever Cough and sometimes chest discomfort
Congestion/Runny nose
Body Aches
Fatigue
Headache
Sore Throat
Vomiting and Diarrhea (more common with H1N1)

13. Treatment Symptomatic
Tamiflu and Relenza are name brands of prescription antiviral medications
Do not cure the flu, but lessen the symptoms
Must be taken within 48 hours of the onset of symptoms
Not commonly used for prophylaxis

14. Antiviral Medications
are NOT a replacement for receiving the vaccine.

15. Prevention HANDWASHING
Hand sanitizer with at least 60% alcohol is effective
Hand sanitizer is not a replacement for handwashing!

16. Prevention Cover coughs and sneezes with a tissue
Cough or sneeze into your upper sleeve
DO NOT Cough into your hands!
Do not share food or beverages
Avoid touching nose, mouth or eyes
Stay home if you are sick
Avoid close contact with ill people
WASH YOUR HANDS

17. Prevention
Take care of yourself; Drink plenty of fluids, get plenty of rest, exercise, eat healthy, manage stress
WASH YOUR HANDS

18. Prevention Get a seasonal flu vaccine as soon as it’s available
WASH YOUR HANDS

19. Prevention- Vaccines
Seasonal flu vaccine expected to be available in September
One vaccine for adults and most children
Children under 9 years of age who have never received a flu vaccine receive 2 vaccines one-month apart
Available as an injection or as a nasal spray (Flumist)

20. Prevention- Vaccines H1N1 Vaccination
Expected to be available Mid-late Oct. 2009
Expected to be 2 vaccines 1 month apart
Injection
Vaccination Priority
Pregnant Women
Household contacts & caregivers for children younger than 6 months
Healthcare & emergency medical personnel
All people 6 months through 24 years of age
Persons 25 through 64 years of age with high risk health conditions

21. Actions to Reduce Spread of Flu
Early identification of students or staff who exhibit influenza-like illness (ILI)
Staying home for at least 24 hours after fever is gone without the use of a fever reducing medicine
Practice good hand hygiene and cough etiquette

22. Non-Pharmaceutical Interventions For School
Infection Control
Hand hygiene
Cough etiquette
Disinfecting commonly touched surfaces
Exclude students /staff that are sick
Social Distancing
Allow adequate spacing between desk in classrooms
Align desk one behind the other NOT facing each other
Suspend activities that include touching or holding hands
Have students eat breakfast and lunch in classroom during significant flu out breaks
Suspend transfer of students to others classes during significant flu outbreaks
Avoid assemblies during significant flu outbreaks

23. What to Expect this year
Seasonal flu and H1N1 FLU
It is not recommended to close schools due to seasonal flu or H1N1
District will determine school closure based on the number of student and staff illnesses and absences.

24. What is Mission CISD doing?
Letter to go out to parents before school starts (English and Spanish)
Protect your Health Cold & Flu fliers given to all employees
Flu Immunization clinics to be held this fall at each campus
District Website has information regarding the Flu

25. What is Mission CISD Doing?
Posters emphasizing hand washing, cough etiquette and basic flu prevention to be visible to all students, parents & staff
Education and daily reinforcement of proper Hand washing
Custodial staff will continue to clean and disinfect campuses daily using approved agents known to kill viruses including H1N1

26. What is Mission CISD doing?
Nursing staff to continue flu surveillance
All students and staff presenting with flu symptoms or a communicable disease will be excluded from school/work.
Transportation will continue cleaning buses daily
Food Service will continue to work hard to keep their areas clean

27. Hand washing Education
Daily reminders to students to wash hands
Wash Those Hands video available in nurses office.
Nurses available to teach how to wash hands.

28. Communication
Please communicate concerns regarding the Flu or other communicable diseases with your nurse
Refer all students/staff with flu like symptoms immediately to the nurse for evaluation
Your school nurse is very educated with regards to the flu and other illnesses. She is a great resource!
MCISD Health Services is in communication with Hidalgo County Health Department and are involved in continuous and ongoing monitoring of the flu in our area

29. More Information to come
Vaccinations & vaccination clinics
Mission CISD will stay on top of H1N1 and seasonal flu and communicate information as necessary

30. Texas Public Health Messages
Practice good hand hygiene
Practice cough/sneeze etiquette
Be prepared to get sick
Stay home when you get sick
Get your seasonal and H1N1vaccinations
No aspirin for kids when they are sick
Get pneumococcal vaccine as recommended.

31. Resources www.Texasflu.org www.flu.gov http://www.cdc.gov/flu/

32. Resources Posters http://www.cdc.gov/germstopper/materials.htm