09/05/2009: "Swine Flu Is Among Us"

Swine Flu is in San Juan County, and the local Health Department warns the “odds are good that if you have a school age son or daughter, you may receive a call that you need to come pick them up because they have a fever of more than 100F, a sore throat, headache and body aches.”

Those odds may be high for at least three reasons: Not everyone who has contracted A1N1 (Swine Flu) is aware they have it, it is known that some do have it, but may not be self- "quarantined” -one person has admitted they have it and they have a school age child -will they keep the child out of school as a precaution? The age group most likely to be affected is young people - 5 to 17-year-olds; because young people have not developed an immunity to the virus

And then there is the fact that only a physician can officially confirm a case after a lab test has so indicated.

But what is indicated by a lab test? According to SJC Health Department, “Basically Novel Influenza A H1N1 “Swine Flu” is reportable if someone is hospitalized and lab confirmed with Type A influenza; if they are a health care worker that has been confirmed with Influenza A; or a pregnant woman with Influenza A. the “confirmed with Influenza A” means a lab test has been conducted that shows the person has influenza type A, but this test does not distinguish between Novel A H1N1 and other types of Influenza type A. (There are many type A influenza bugs out there.)

The San Juan County Health & Community Services Department warns that now that school is resuming here, odds are good that if you have a school age son or daughter, you may receive a call that you need to come pick them up because they have a fever of more than 100F, a sore throat, headache and body aches.

Put a lot of young people together and the odds go up. It has been reported that within a week after the start of classes at WSU, 2,000 students came down with the swine flu.

Coughs, and touching objects like doorknobs and computer keyboards can spread virus . The more closely grouped people are, the more likely the disease will spread and -in the review of H1N1 flu cases in Washington State.

Even in years without a “novel” virus, seasonal influenza causes approximately 36,000 deaths and 200,000 hospitalizations. In Washington, between April and July of this year, the H1N1 virus was blamed for 14 deaths and 154 hospitalizations. The most frequently affected were infants to 4 year olds, followed by 5-17 year olds. Three-quarters of those hospitalized had some pre-existing condition such as asthma.

There is no indication that the H1N1 strain is more virulent than seasonal flu strains, but because a large population has no built up immunity, more people may be affected.A swine flu vaccine will be available in early October and vaccine against the seasonal flu strain is available now.

The initial priority groups for novel H1N1 vaccination are:
1. Pregnant women
2. People who live with or provide care for infants younger than six months of age
3. Health care and emergency medical service personnel who have direct contact with patients or infectious material
4. Children six months through 4 years old
5. Children 5 through 18 years old who have chronic medical conditions, such as asthma or diabetes, that put them at higher risk for flu-related complications.

As more vaccine becomes available the priority groups will be expanded to include anyone up to 24 years of age and people 25-64 who have medical conditions that place them at high risk.

What to do:
* Use common sense and good hygiene to avoid contact with or spreading the disease:
o Cover your cough
o Wash you hands
o Stay home if you are sick

* Call you health care provider about obtaining antiviral medications if someone in your household who is exposed to influenza is pregnant or has diabetes or asthma

Don’t return to work or school until the fever is gone for 24 hours without any fever-reducing medications.

* Seek Emergency Medical Care if the sick person is at home:
o Has fast breathing or difficulty breathing
o Has bluish or gray color around the lips or skin
o Chest pain
o Is vomiting and unable to keep liquids down
o Is not drinking enough fluids, causing dizziness when standing, absence of urination, or in infants, a lack of tears when they cry
o Has seizures
o Is less responsive than normal or becomes confused
o Is so irritable that the child does not want to be held
o Has flu-like symptoms that improve and then return with a fever or worse cough

Your Health Department urges the public to make a plan for dealing with the need to stay home while you or a member of your family is sick. Pregnant women should talk with their doctor as soon as possible.

SJC Health and Community Services is available to answer any questions at 378-4474.