Avian Influenza Preparing Yourself, Your Family, Your Community

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Avian InfluenzaPreparing Yourself, Your
Family, Your Community

• BILL WETTER, M.S./EMT-P
• MANAGER
• OFFICE OF PREPAREDNESS
• HOMELAND SECURITY UNIT
• LOUISVILLE METRO PUBLIC HEALTH WELLNESS

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Current Situation

• As of 2/06/07 for H5N1 Avian Influenza
• 272 confirmed cases
• 166 deaths
• No Vaccine
• No magic pill
• No cases in U.S.

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WHO Pandemic Stages
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Influenza is a serious illness

• In the U.S.
• Annual deaths 36,000
• Hospitalizations gt200,000
• 5-20 of population affected
• Average annual estimates during the 1990s
• Who is at greatest risk for serious
  complications?
• persons 65 and older
• persons with chronic diseases
• infants
• pregnant women
• nursing home residents

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Seasonal Influenza

• Respiratory infection
• Transmission contact with respiratory secretions
• Coughing
• Sneezing
• Incubation period 1 to 5 days from exposure to
  onset of symptoms
• Communicability 1-2 days before onset of
  symptoms AND 4-5 days after onset of symptoms
• Timing Peak usually occurs December through
  March in North America

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Influenza virus is passed by
Droplets Fomites
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Americas deaths from influenza were greater than
the number of U.S. servicemen killed in any war
Thousands
Civil WWI 1918-19 WWII
Korean Vietnam War
Influenza War War

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Influenza control

• Challenges
• short incubation period for influenza
• clinical illness from influenza infection is non
  specific
• Methods
• Cancelling large gatherings
• School closings
• Daycare closings
• Work-from-home days
• Problems?

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Get Vaccinated

• The flu shot is approved for use in people 6
  months of age and older, including healthy people
  and people with chronic medical conditions.
• About two weeks after vaccination, antibodies
  develop that protect against influenza virus
  infection. Flu vaccines will not protect against
  flu-like illnesses caused by non-influenza
  viruses.
• October or November is the best time to get
  vaccinated, but getting vaccinated in December or
  even later can still be beneficial since most
  influenza activity occurs in January or later in
  most years.

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WASH YOUR HANDS!!!

• Clean your hands after coughing or sneezing
• Wash hands frequently with soap and water
• Use soap and water or an alcohol-based hand
  cleaner

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Cover Your Mouth

• Cover your mouth and nose with a tissue when you
  cough or sneeze
• Put used tissues in a waste basket
• Cough or sneeze into your upper sleeve if you
  don't have a tissue

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Chemoprophylaxis?Magic Pill?

• Antiviral--Tamiflu
• Costs 60-70 for a 5-day course
• Expires in 5 years
• Resistance could develop over time

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Planning and Preparedness

• Interim Pre-pandemic Planning Guidance
• CDC
• www.pandemicflu.gov
• Appendix 4 Guide for Businesses
• Appendix 5 Childcare Programs
• Appendix 6 Elementary Schools
• Appendix 7 Colleges and Universities

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Planning and Preparedness

• we must be prepared to face the first wave of
  the next pandemic without vaccine and without
  sufficient quantities of antiviral medications
• The key is multiple partially effective
  nonpharmaceutical measures

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Planning and Preparedness

• Isolation and treatmentof all persons with
  confirmed or probable pandemic influenza.
• Voluntary home quarantine of members of
  households with confirmed of probable influenza
• Dismissal of studentsand closure of childcare
  programs
• Social Distancingalterations of workplace
  environments

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Planning and Preparedness

• Community Education
• Planning efforts with Community Partners
• Exercises
• Planning meetings
• Tabletop Exercise on School Closing and Social
  Distancing

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Planning and Preparedness

• Issues addressed at Tabletop exercise
• Who has authority?
• CDC recommends
• State declares emergency
• Local Health Dept. enact area health plans
• Public Information Campaign begins
• Health, Schools, Daycare, Universities, Employers

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Be Prepared

• Prepare a stash of easy-to-prepare, nonperishable
  food
• Supply of water
• Have nonprescription drugs and other health
  supplies on hand
• www.ready.gov
• www.pandemicflu.gov
• www.protectyourfamily.ky.gov

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Avian InfluenzaPreparing Yourself, Your
Family, Your Community

• BILL WETTER
• 502-574-6648
• bill.wetter_at_louisvilleky.gov

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Planning and Preparedness
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