4. The Human Flu What is it? A respiratory illness carried and spread from person to person. Most people have defense against it; a vaccine is available. Also known as the common or seasonal flu. It is not visible to the human eye. How does it spread? From PERSON to PERSON: Through the air: breathing droplets that have been sneezed or coughed into the air. Through contact: shaking hands with an infected person or touching an unclean surface, and then touching your eyes, nose, or mouth.

5.  Beginning March 2009, cases of human infection with Swine Influenza viruses were first reported in Southern California and Texas.  Other states have reported cases of human infections of swine flu infection. International cases have been reported as well.  CDC and other health agencies are tracking and reporting confirmed case counts.  Navajo Nation and I.H.S. are working together to monitor the situation.

6. U.S. Human Confirmed Cases of H1N1 Virus (As of May 1, 2009, 10:30 AM ET) CA14 NV1 AZ4 KS2 TX26 IN1 MA2 MI1 OH1 NY50 SC10 TOTAL: 112 Cases

7.  It has been confirmed in the United States and in Mexico.  Some of the states it is in are:  California  Texas  Kansas  Ohio  New York  Arizona

8.  Suspected  Onset of respiratory illness  Probable  Positive for a Influenza virus  Confirmed  Laboratory confirmed of S-OIV

9. YES  Spreads the same way as the seasonal flu.  Spreads mainly from:  Person to person through coughing or sneezing.  Touching contaminated surfaces Droplets can travel up to 4 feet

10. Cold vs. Flu Symptoms Symptom ColdFlu Fever Rare High Body Temperature Headache Rare Severe Aches and Pains Slight Usual; often severe Cough Hacking Can become severe Fatigue, Weakness Mild Can last 2-3 weeks Extreme Exhaustion Never Early and Prominent Sneezing Usual Sometimes Chest Discomfort Mild Common Sore Throat Common Sometimes Stuffy Nose Common Sometimes

11.  Difficulty breathing  Discomfort or pressure in abdominal or chest area  Dizziness  Confusion (Disorientation)  Persistent or severe vomiting  For CHILDREN : bluish skin color, refuses liquids, irritable, refused to be held, have a fever with a rash, can’t wake up, lethargic (inactive), or unresponsive.

12.  WASH YOUR HANDS!  Stay in good general health  Get plenty of sleep  Be physically active  Manage your stress  Drink plenty of fluids  Eat nutritious food. Try not to touch surfaces that may be contaminated with the flu virus. Avoid close contact with people who are sick.

13. COVER YOUR SNEEZES. Remember to throw your tissue away after you use it.

14. COVER YOUR COUGH. If you have no tissue, cough or sneeze into your upper sleeve, not into your hands.

15. WASH YOUR HANDS. Wash hands with soap and water. Rinse and dry thoroughly. You can also use an alcohol-based hand sanitizer.

16. AVOID TOUCHING EYES, NOSE, and MOUTH. Wash your hands often to avoid the spread of germs. Germs can easily pass from your hands to your eyes, nose, and mouth.

17. WHEN YOU’RE SICK, AVOID CLOSE CONTACT WITH OTHERS Stay home from school or work when you’re sick. See your doctor if you have other serious health problems. Social gatherings may include song & dance events, church activities, flea markets, casinos, sporting events, etc. Stay away from social gatherings and crowded areas.

18. WIPE COUNTERS. KEEP KITCHEN and BATHROOM CLEAN. Use a water and bleach mixture to kill germs (10 parts water to 1 part bleach). 10 cups water To 1 cup bleach For example…

19. STAY PHYSICALLY FIT. EAT HEALTHY. Keep your immune system strong by eating healthy. Stay physically fit to help prevent sickness.

20.  Countertops  Doorknobs  Keyboards  Telephone/ cell phones  Remote controls  Toys  Runny Nose, cough droplets, etc  Hand towels  Shared items

21. Store a two-week supply of water and food Store a two-week supply of water and food Get an extra supply of prescription drugs if possible Get an extra supply of prescription drugs if possible Have non-prescription drugs and other health supplies on hand Have non-prescription drugs and other health supplies on hand

22. Plan how to care for sick family members Plan how to care for sick family members Help your community prepare Help your community prepare Have a 2-week supply of hay/feed and water for livestock and food for pets Have a 2-week supply of hay/feed and water for livestock and food for pets Stay home if an outbreak starts Stay home if an outbreak starts

23. Include a two-week supply of feed & water Make sure all vaccinations are up-to-date Decrease the parasite load within your livestock by de-worming Report sick birds to the appropriate office Quarantine any new animals for 14 days prior to adding them to your herd Maintain all livestock records Have your list of phone numbers easy to find

24. NO. Properly cook and handle your pork products.

25.  Preparing through emergency exercises  Training staff and providers  Educating the public  Monitoring outbreaks

26. http://www.cdc.gov/flu/swine http://www.cdc.gov/contact http://www.cdc.gov/travel http://swineflu.navajo.org To request a presentation please contact the: Navajo Health Education Program (928) 871 – 6258/6612

27.  Bio-Terrorism Program (928) 871 – 6525  Navajo Health Education Program (928) 871 – 6258/ 6612  Navajo Community Health Representative (928) 871 – 6782  Navajo Veterinary & Livestock Program (928) 871 – 6615