Pandemic Influenza

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Pandemic Influenza

• Indiana State Department of Health

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What is Influenza?

• Influenza is caused by a virus, not a bacteria
• It results in lung congestion, coughing, and
  potentially pneumonia
• Antibiotics will not help

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Pandemic Influenza

• Pandemic means world wide
• Starts with a new virus (disease)never before
  been in humans
• Causes serious, life threatening illness
• Easily spreads from human to human

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What is the Difference?

• Bird flu is in wild and farm birds
  (It is not here now!)
• Seasonal flu is a milder virus in humans with
  some immunity
• Pandemic flu is a serious virus in humans with no
  immunity
• Stomach flu is not influenza

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Impact of Pandemic Influenza

• Spreads rapidly throughout the
  world
• Many will be ill
• Many will die
• Significant burden on medical system
• Social and economic disruption

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Local Impact

• Attack rate predicted to be 15 to 35 of the
  population
• 28000 people in Jennings County
• 4200 to 9800 of us may become ill

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Not Seasonal!

• Unlike typical influenza every
  winter, pandemic Influenza is not seasonal
• Pandemics can develop during fall, winter, spring
  and even summer
• ISDH now conducts year-round
• influenza surveillance

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Onset and Course

• Incubation period 1 to 4 days
• Infectious period 1-2 days before symptoms
  through one week after onset
• Duration
• About 7 days for typical influenza
• Probably longer with a pandemic strain

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Signs and Symptoms

• Fever
• Cough
• Sore Throat
• Muscle Aches

• Complications
• Pneumonia
• Acute Respiratory Distress

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Preventive Measures

• Hand washing is critical!
• Stay healthy
• Stop smoking
• Respiratory etiquette
• cover mouth/nose when sneezing/coughing
• discard used tissues (then wash your hands!)
• cough into your elbow if you have no tissue
• dont use handkerchiefs
• stay home if ill

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Isolation and Quarantine

• Isolation is keeping people who are ill away from
  people who are well
• Quarantine is keeping people who have been
  exposed away from people who are well
• State and Local Health Officers have legal
  authority
• May not be useful in a pandemic

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Community Impact

• Widespread pandemic will likely occur
  everywhere almost simultaneously
• Long-term successive waves may last a year or
  more
• Local response critical probably not going to
  be much state or federal support
• Essential services will have to be maintained
  with as much as 1/3 of the workforce out sick

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Impact Estimates for U.S. Pandemic

Source www.pandemicflu.gov/plan/pandplan.html
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Challenges

• Limited vaccines and medication
• Hospitals overwhelmed with patients
• Major logistical issues for emergency response
• Public Health and private health care delivery
  will work closely together

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What Can You Do?

• Get accurate information
• Develop a plan with your family
• Consult with your doctor
• Check with your employer
• Stay home if you are ill

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Accurate Information

• Local Health Department
• Local Hospital
• www.pandemicflu.gov
• www.in.gov/isdh
• www.cdc.gov/flu/avian/
• www.who/int/csr/disease/avianinfluenza/en/

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Family Plan

• Food, water, and medications
• Diapers and formula for babies
• Check on elderly and homebound neighbors
• School assignments and games for children
• Pet supplies

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Medical Needs

• Chronic disease management
• Special medications
• Ongoing treatments
• Talk with your physician now to prepare

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What About Work?

• What are your companys plans for the pandemic?
• Do you have enough sick time?
• Can you work from home?
• What happens if you business has to close?

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Stay Home

• If you are ill or have ill family members
• If you are especially vulnerable to infections
• Do not attend large group gatherings

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Questions?