1. H1N1 / Swine Flu Dr. Steve Shelton H1N1 Medical Director Palmetto Health Dr. Steve Shelton H1N1 Medical Director Palmetto Health

3. H1N1 Genes

4. Swine Flu Symptoms Fever Cough Body aches Fatigue Runny or stuffy nose Sore throat Headache Chills Diarrhea Vomiting

6. Prevention Get seasonal and H1N1 flu vaccines

7. H1N1 Vaccine Priority Pregnant women Household and caregiver contacts of less than 6 months olds. 6 months to 24 years old 25 to 64 years with chronic medical conditions Healthcare and EMS

8. H1N1 Vaccine Secondary Group All persons 25 to 64 years old Final Group Older than 64 years old

9. H1N1 Vaccine Nasal (FluMist) –2 – 49 years old –Not pregnant –No chronic medical conditions Shot

10. Vaccine Safety

11. Prevention Cover your nose and mouth when you cough or sneeze Wash your hands often with soap and water or alcohol-based hand cleaners Avoid touching your eyes, nose or mouth Avoid close contact with sick people

14. Medical Care Most cases of flu do not require seeing a healthcare provider Contact your healthcare provider if: –Severe illness –High Risk for complications No routine testing Treat High Risk patients only

15. High Risk for Complications Younger than five years old 65 years and older Pregnant women Any age with chronic medical conditions (except hypertension)

16. Treatment Drink plenty of liquids to stay hydrated Keep away from others STAY HOME for at least 24 hours after your fever is gone

17. Emergency Care - Children Fast breathing or trouble breathing Bluish or gray skin color Not drinking enough fluids Severe or persistent vomiting Not waking up or not interacting Being so irritable that the child does not want to be held Flu-like symptoms improve but then return with fever and worse cough

18. Emergency Care - Adults Difficulty breathing or shortness of breath Pain or pressure in the chest or abdomen Sudden dizziness Confusion Severe or persistent vomiting Flu-like symptoms improve but then return with fever and worse cough

21. Hospital Preparedness Outpatient Surge –Emergency Departments –Clinics –Flu Clinic Inpatient Surge –Semi-private rooms –Hallways –Alternative care sites

22. Continuity Of Operations Plan 40% absenteeism Identify critical tasks Cross train staff Check with suppliers

23. Flu Prevention Essentials Get your seasonal and swine flu vaccinations Cover your cough or sneeze Wash your hands frequently Stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities

24. ? ?