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State of Rhode Island
Influenza Update
December 2009
Influenza Virus
• Spread
– Aerosolized droplets from coughing or sneezing up to a 6-foot radius
– Hand to face contact (nose, eyes, or mouth) after touching infected
areas
– Virus infectious only up to 2-3 hrs on surfaces
• H1N1 Incubation period
– 1 to 7 days (avg 3-4 days)
• H1N1 symptom duration
– 3 to 7 days but up to 14 days (avg 3-5 days)
• H1N1 contagious
– 1 day before symptoms to 10 days after symptoms
– peak period while febrile
Coughing & Sneezing Cause
Aerosolized Spread
Influenza-Like Illness
• Must-have symptoms
– Fever plus sore throat or
– Fever plus cough
• Other symptoms
– Shortness of breath
– Fatigue
– Headache
– Muscle & joint aches
– Nausea, vomiting, or diarrhea
Main High-Risk Groups for H1N1
Complications
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Respiratory illnesses (Asthma, COPD)
Cardiovascular Disease
Diabetes
Pregnancy
Immuno-compromised individuals
Cerebral Palsy & Muscular Dystrophy
Monitoring the Pandemic
• Monitor ILI cases
– Severity, hospitalizations & deaths
– Track impact on schools & healthcare providers
• Monitor the community presence of H1N1
– School absenteeism reported to HEALTH daily
– Physician office and university clinics
– Emergency room visits and hospitalizations
• Revise recommendations
– If disease severity changes
– Healthcare providers are overwhelmed
– As H1N1 pandemic evolves
Public Health Strategies
• Prevention
– Wash hands, cover cough
– Use alcohol-based hand gels
– Get vaccinated
• Communication
– Briefings, media, website, information line
• Vaccination priorities
– Pregnant women and children first
– Access to all
• Reporting
Goal of Prevention
HEALTH Report
• Seasonal Vaccine:
– Last season HEALTH ordered 245,000
doses and administered 230,000 doses
– This season we ordered 318,000 doses
– Of the 318,000 doses ordered, HEALTH
received only 263,000 doses
– 33,000 more doses distributed this year
– 237,000 doses were injectable
– 26,000 doses were nasal spray
HEALTH Report
• RI received final shipment: 5,000 doses of
injectable and 20,000 of the nasal spray
• Vaccines are on their way to primary-care
doctors to complete their orders
• Providers urged to save injectable for those 65
and older
• Protection for nursing home patients
– Some nursing home patients have been vaccinated
– The high uptake of seasonal flu vaccine among
healthcare workers will help protect patients
HEALTH Report
• H1N1 Vaccine:
– HEALTH orders weekly
– Expect over 500,000 doses by March
2010
• Vaccine plans and uptake
– Pregnant and post-partum women 60%+
uptake
– Vaccine available for 6 months to 5 years
of age – all distributed to providers
HEALTH Report
• Vaccine plans and uptake
– Grades K–12 achieving 75% uptake
– 18 through 24 – starting with colleges in
December
– Healthcare workers & 1st responders
starting in December
– Adults with chronic illness – starting in
January
– General public – starting by late January
Influenza Vaccine Programs
• Work with many local partners including
Healthcare Providers, Medical Reserve
Corps, Wellness Company, Hospitals,
Insurers, RIEMA, local EMAs, Media,
Community Agencies, Schools,
Colleges/Universities and state agencies
• Report weekly to CDC
• Reports posted on www.health.ri.gov
Main Messages
• H1N1 is like seasonal influenza but impacts
kids/young adults at higher rates
• Follow flu prevention recommendations
• Support H1N1 vaccine campaign
• Stay at home until fever-free for 24 hours without
fever-reducing medicine
• Stay home if you are sick
• Be flexible and practical
• Stay informed by visiting www.health.ri.gov or
www.flu.gov
Information Resources
• HEALTH
- www.health.ri.gov
-Twitter: RIDEPTOFHEALTH
-For general questions 222-8022 RI Relay 711
- 8:30 AM - 4:30 PM
- Answered in English and Spanish
- Report outbreaks @ 222-2577 RI Relay 711
•Federal Sources
- www.flu.gov
David R. Gifford, MD, MPH, Director of Health
401-222-2232 RI Relay 711
[email protected]
H1N1 Information
www.health.ri.gov
401-222-8022 RI Relay 711
www.flu.gov