H1N1

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H1N1

• What you Need to Know
• Q A Session
• Ozarks Technical Community College
• Michelle Howard, RN, BSN

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Dont Let the swine flu myths get out of hand!
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What is H1N1?

• History
• Identified in 1930 after research from 1918 Flu
  Pandemic
• Isolated virus from pigs and humans and labeled
  H1N1
• Originally called the swine flu
• Determined to be a sub-unit-- 1st cousin to
  Seasonal Flu (H3N2)

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2009 H1N1

• Now termed Novel Flu
• Spreading worldwide
• Different than seasonal flu
• No antibodies/immunity
• Very unpredictable
• Suspected that it could be worse than years past
• CDC preparing for massive flu outbreak
• Seasonal flu (H3N2) and novel flu (H1N1)

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How Does it Spread?

• Still under investigation as new cases present
• Available data suggests the following
• Person-to-person contact via
• Droplet -airborne transmission
• Coughing, sneezing
• Contaminated surfaces
• Virus lands on surface and then transported to
  eyes or mouth

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When do Symptoms Begin?

• Incubation period is 1-7 days
• From exposure to onset of symptoms is typically
  1-4 days
• The Problem Infected person can spread 1 day
  before and 7 days after getting sick

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What are the Symptoms?

• Range May be Mild to Severe
• Fever
• Some cases may NOT have fever
• Cough
• Sore throat
• Runny/stuffy nose
• Body aches
• Headache
• Chills
• Fatigue
• Vomiting and/or diarrhea

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Who is at Risk?

• All ages are at risk
• However like the 1918 Flu Pandemic, H1N1 seems to
  affect the following
• More younger populations
• Highest risk 6 months- 24 years old
• Those 65 years and older
• At least risk
• Cases of proven immunity

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What are the Complications?

• Complications include
• Exacerbation of any underlying chronic conditions
• Respiratory (asthma, bronchioloitis, pneumonia
  croup)
• Cardiac (myocarditis pericarditis)
• Musculoskeletal (myositis rhabdomyolysis)
• Neurological (encephalopathy, febrile seizures,
  status epilepticus)
• Sepsis

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Who is at highest risk for complications?

• Although more of the younger population may get
  the illness, there are several groups identified
  as high risk for severe complications
• Children less than 5 years of age
• Especially those less than 2 years old
• Elderly older than 65 years of age
• Persons with chronic conditions
• Pregnant women
• Immunosuppressed individuals

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How is H1N1 Tested?

• If your PCP suspects novel influenza
• Nasal swab or aspirate for Influenza A
• Some clinicians may defer testing
• CDC states Not all people with suspected novel
  flu need to have confirmed diagnosis.
• Positive novel flu in community
• Illness is mild

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How is H1N1 Treated?

• Treatment is based on severity of symptoms
• Per CDC guidelines Not all positive cases are
  treated
• High-risk groups or serious ill
• Most cases of H1N1 are NOT treated
• Less risk of side effects from antivirals
• Less chance of antiviral resistance

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How is H1N1 Treated?

• Antivirals are available
• Help lessen symptoms
• Prevent serious complications
• Include the following
• Tamiflu (oseltamivir)
• Relenza (zanamivir)
• Antibiotics
• PCP suspects you have a bacterial infection

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What about Prevention?

• CDC recommends
• Personal responsibility
• Vaccination

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How can I fight against H1N1 ?

• Take Action and Be Responsible!
• Cover your mouth and nose when you sneeze
• Use a tissue or your sleeve
• Wash Your hands with soap and water or use
  alcohol-based hand sanitizer
• Avoid touching your eyes, nose, and mouth
• Avoid close contact with sick people
• Stay home if you are ill
• CDC recommends you stay home for 24 hours after
  you are fever free with no medications

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Use Your Sleeve When you Sneeze!

• http//www.youtube.com/watch?vzXXgRvdq7fg.

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How can I fight against H1N1 ?

• Get the H1N1 Vaccine
• A new 2009 vaccine
• Different than Seasonal Flu vaccine
• Provides protection from H1N1
• Recommended for the following
• Anyone 6 months-24 years old
• Anyone 25-64 years old who are at the highest
  risk for complications
• Pregnant women
• Those in contact with young children
• All healthcare professionals

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H1N1 Vaccine

• This target group makes up 159 million people in
  U.S.
• Will NOT protect against seasonal flu
• Will need additional vaccine
• Manufactured the same as seasonal flu vaccine
• As safe and effective
• Inactivated vaccine or intranasal dose
• Injection form recommended for adults gt 10 years

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H1N1 Vaccine

• Injectable H1N1 may be given at the same time as
  other vaccines including seasonal flu
• Simultaneous dosing of intranasal flu is NOT
  recommended with seasonal flu administration
• Dosing
• One dose if 10 years and older
• Two doses for 6 month-
• 9 years(1 month apart)

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H1N1 Vaccine

• Contraindicated for
• Anyone who has an allergy to eggs
• Anyone with severe allergic reactions to the flu
  or any vaccine in the past
• Anyone with a fever
• Notify the person giving the vaccine if
• You have ever had Guillain Barré Syndrome
• Have had a fever in last 24 hours

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H1N1 Vaccine

• Reactions
• All vaccines pose a risk of reaction
• Mild
• Redness, soreness swelling at injection site
• Headache
• Low-grade fever
• Severe
• Allergic reaction
• The 1976 H1N1 Vaccine was linked to Guillain
  Barré Syndrome. Since then, there has not been a
  clear link.

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What is OTC doing to help?

• OTC is on the frontlines for
• our community
• Concerned for the safety of our
• students
• Campus-wide vaccination campaign
• initiated
• For students
• Faculty, staff and their immediate family

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What is OTC doing to help?

• Vaccination Day is coming
• Stay tuned
• OTC website
• Blackboard
• Email announcement
• Flyers

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• Lets see what you know about H1N1!

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True or False?

• The H1N1 Vaccine can give you the Swine flu.

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• FALSE

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True or False?

• The Stomach Flu and
• influenza(H1N1) are the same virus.

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• FALSE

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True or False?

• The influenza virus is constantly changing, which
  requires a new vaccine to be created every year..

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• TRUE

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True or False?

• Handwashing is the BEST method for decreasing the
  transmission of the swine flu

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• TRUE

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True or False?

• If I get a seasonal flu vaccine, I will not
  need to get the H1N1 vaccine.

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• FALSE