Health Alerts > 4/30/09 - Update
Date: April 30, 2009
Updates No cases in Allen County at this time
Global:
The Who has raised the pandemic level to 5 – widespread human infection.
From today, WHO will refer to the new influenza virus as influenza A(H1N1).
National:
New guidance for first responders has been issued: http://www.cdc.gov/swineflu/guidance_ems.htm
New guidance for case definition: (http://www.cdc.gov/swineflu/casedef_swineflu.htm)
Case Definitions for Infection with Swine-origin Influenza A (H1N1) Virus (S-OIV)
A confirmed case of S-OIV infection is defined as a person with an acute febrile respiratory illness with laboratory confirmed S-OIV infection at CDC by one or more of the following tests:
o real-time RT-PCR
o viral culture
A probable case of S-OIV infection is defined as a person with an acute febrile respiratory illness who is positive for influenza A, but negative for H1 and H3 by influenza RT-PCR
A suspected case of S-OIV infection is defined as a person with acute febrile respiratory illness with onset within 7 days of close contact with a person who is a confirmed case of S-OIV infection, or within 7 days of travel to community either within the United States or internationally where there are one or more confirmed cases of S-OIV infection, or resides in a community where there are one or more confirmed cases of S-OIV infection.
Acute febrile respiratory illness is defined as a measured temperature 100 degrees Fahrenheit and recent onset of at least one of the following: rhinorrhea or nasal congestion, sore throat, or cough
Pregnant women: Pregnant women who have suspected (S-OIV) infection should be tested. Oseltamivir and zanamivir treatment and chemoprophylaxis regimens recommended for pregnant women are the same as those recommended for adults who have seasonal influenza.
State/Local
Please use attached diagnostic flow chart for testing as resources are limited.
I will share how SNS stockpiles of anti-virals are to be used when guidance is finalized.
Schools: no need for closure at this time as we have not had a case of the S-OIV H1N1 in our community and there is not recommendation for closing from the ISDH.
Exclusion from work or school: If a family has traveled to Mexico and one person in a family is symptomatic other family members would not be excluded from school or work etc. Unless they are symptomatic then they would be excluded. ust watch for signs and symptoms from non ill persons.
ISDH has established a call center and website for providers: 866-233-1237 http://www.in.gov/isdh/24572.htm
I have attached a template for a pandemic plan for medical offices if interested.
Thanks, Deb McMahan, MD
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