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H1N1 Flu Infection:IMPLICATIONS FOR HOME CARE AND HOSPICE
- Added: October, 08th 2010
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Infection:IMPLICATIONS FOR
HOME CARE AND HOSPICE
Presented By:
Barbara B. Citarella RN, MSN, CHCE, CHS-V
(Certified in Homeland Security)
1
RBC LIMITED
Healthcare & Management Consultants
Staatsburg, NY 12580
(845) 889-8128
rbc@netstep.net
www.rbclimited.com
2
WHO Pandemic Alert Level 5
Human to human spread in at least 2
WHO countries and is a declaration
and/or a strong signal that a pandemic
is imminent
Copyright 2009 RBC Limited
3
1
QUARANTINE
Quarantine refers to the
separation and restriction of
movement of persons who, while
not yet ill, have been exposed to
an infectious agent and therefore
may become infectious.
Copyright 2009 RBC Limited
4
ISOLATION
Isolation refers to the separation
of persons who have a specific
infectious illness from those who
are healthy and the restriction of
their movement to stop the
spread of that illness.
Copyright 2009 RBC Limited
5
What are we seeing here in
US
School closings
Impact on staffing
Impact on patient care
Run on supplies
Copyright 2009 RBC Limited
6
2
Need to be Prudent
Not to panic
Exercise common sense
Pay attention to the information from
variety of sources
Look at our pandemic flu plans
Copyright 2009 RBC Limited
7
NATIONAL STRATEGY FOR
PANDEMIC FLU
Three Components:
Preparedness & Communication
Surveillance & Detection
Response & Containment
Copyright 2009 RBC Limited
8
RESPONSE & CONTAINMENT
Containing geographic areas
Limiting local movement
Providing security to health care
workers
Protecting necessary goods and
supplies
Safety of food supply
Copyright 2009 RBC Limited
9
3
PLAN TO HANDLE
THE PANDEMIC
Use of antiviral medications
Dependent on syndromic
surveillance and restriction of
movement
Currently not enough medication for
everyone
Copyright 2009 RBC Limited
10
Copyright 2009 RBC Limited
11
Copyright 2009 RBC Limited
12
4
S-OIV Outbreak
Not from pigs
Not from eating pork
New virus
Copyright 2009 RBC Limited
13
HOW?
ANT1GENIC DRIFT
ANTIGENIC SHIFT
REASSORTMENT
Copyright 2009 RBC Limited
14
Current Statistics
30 states
AL,AZ,Ca, Colorado, Conn, Del, Florida,
Ill, In, Iowa, Kansas, Ky, Mass, MI,
Missouri, NE, Nev, NH, NM, NY, OH, RI,
SC, Tenn, TX, Utah, VA, WI
Copyright 2009 RBC Limited
15
5
Current Statistics
9 countries Canada, US, Mexico, New
Zealand, UK, Israel, Spain, Austria,
Germany
Copyright 2009 RBC Limited
16
Numbers
226 cases in the United States
One death
Copyright 2009 RBC Limited
17
World Numbers
898 cases in 18 countries
Germany, New Zealand 3
UK 5
Spain 4
Canada 13
Israel 2
Remainder Mexico
Copyright 2009 RBC Limited
18
6
What is it?
New virus
No immunity
Most recent swine flu H1N1
Can be direct from pigs endemic in pigs
Copyright 2009 RBC Limited
19
Symptoms
Fever greater than 100 degrees
Aches
Headache
Nausea
vomiting
Copyright 2009 RBC Limited
20
Copyright 2009 RBC Limited
21
7
How Does It Spread
Currently person to person such as
sneezing and coughing
Touching items with the virus and then
touching their nose, eyes and/or mouth
Copyright 2009 RBC Limited
22
Viral Shedding
Maybe 7 days
Can change as virus evolves and we get
more information
Copyright 2009 RBC Limited
23
Antivirals
Amantadine (Symmetrel)
Rimantadine (Flumadine)
Tamiflu
Relenza
Copyright 2009 RBC Limited
24
8
Antiviral Chemoprophylaxis
Household close contacts at high-risk
for complications of flu of a confirmed
or probable case
HCWs/PHWs who were not using
appropriate PPE during close contact
with a confirmed, probable or suspected
case during the infectious period
Copyright 2009 RBC Limited
25
Confirmed Case
Person with acute febrile respiratory
illness confirmed by
Viral culture, RT-PCR
Copyright 2009 RBC Limited
26
Probable Case
Person with acute febrile respiratory
ilness positive for influenza A but
negative for H1 and H3
Copyright 2009 RBC Limited
27
9
Suspected Case
Person with acute febrile respiratory
illness with onset within 7 days of close
contact with someone who is confirmed
Has onset within 7 days of travel to a
community where there are confirmed
cases
Resides in a community with confirmed
cases
Copyright 2009 RBC Limited
28
Who is at Risk?
Same as for seasonal flu
COPD
Cardiac, DM, renal or hepatic
HIV
Immunosuppressed
pregnant
Copyright 2009 RBC Limited
29
Who is at Risk?
Children under 5
People over 50 yrs of age
Compromised respiratory conditions
Copyright 2009 RBC Limited
30
10
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