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Parent Information Regarding H1N1 Flu and Helpful Health Tips for Flu Care

Below is some useful information provided by the Los Angeles County Public Health regarding frequently asked questions and an update regarding the new Flu A H1N1.
 
New Flu A H1N1 (Previously called Swine Flu) Update
Noon, Monday, May 4, 2009
 
CURRENT STATUS
There are 11 (eleven) confirmed cases of new flu A H1N1 in the Los Angeles area (six in Los Angeles, five in Long Beach); six probable cases are pending confirmation. We are receiving reports
of overall increases in influenza-like illness. Public Health continues to investigate possible cases, illness clusters, and monitor for severe cases by tracking patient visits and hospitalizations. To date in
the U.S., illness from this new flu has been mostly mild to moderate—similar to seasonal flu. Most new flu illnesses have resolved without complications and without the need to see a doctor or receive
treatment.
 
FREQUENTLY ASKED QUESTIONS
 
Certain people should take extra precaution against colds and flu.
 
Some people can become seriously ill if they get the flu, this includes: pregnant women, infants, the elderly, people with HIV or cancer who may have weakened immune systems, and those with heart or
lung disease. It is very important that these people take extra care to avoid close contact with other people who are sick, and contact their healthcare provider immediately if the do become sick.
 
The pandemic phase level was raised to 5. What does that mean, should I be concerned?
 
Phase 5 describes how clusters of cases have been found in several countries around the world and that the illness is likely to spread. This description does not reflect the current situation in LA County and does not describe the severity of illness. However, this change in phase level does stress the importance of doing your best to reduce the spread of illness in our communities: stay home if you are sick, wash your hands often, cover your coughs, and avoid touching your eyes, nose and mouth.
 
How do I know if I have new flu A H1N1 (previously called swine flu)?
 
The symptoms of this flu are the same as those for regular flu: fever, cough, sore throat, body aches, chills, headache, fatigue. Some cases also have had vomiting and diarrhea.
 
KEY PREVENTION TIPS
Stay home if you are sick
Wash your hands often
Cover your cough
Avoid touching your face
(eyes, nose and mouth)
 
DON’T PRESCRIBE OR REQUEST
TAMIFLU FOR ROUTINE ILLNESSES
I
ncorrect and overuse of antivirals is dangerous and
can lead to antiviral resistance. Remember:
Nearly all cases of new flu in the U.S. have
resolved without complications and without
the need to take tamiflu® (oseltamivir).
Many other illnesses have similar symptoms
as flu (fever, cough, fatigue), but are not flu,
and are not effectively treated with antivirals.
 
How do I keep from getting this new flu?
Prevention recommendations are the same as seasonal flu: wash your hands often, avoid close contact with people who are sick, avoid touching your face (eyes, nose, and mouth).
 
Should I avoid going out and going to events (like Cinco De Mayo celebrations)?
 
No. There is no reason to avoid public gatherings or events. But as always, stay home if you are sick; and practice healthy habits like washing your hands.
 
Should I keep my child out of school?
No. But children that are sick should stay at home until better—not just now, but always.
 
What should I do if I have flu-like symptoms?
Anyone that is sick (fever, cough sore throat) should stay home—not just now, but always! If you are sick, do not return to work or school until 1 or 2 days after symptoms end.
 
How do I care for someone with flu-like illness?
The same as always: provide water or other fluids, and watch to
see if symptoms get worse or do not resolve. Many basic over the-counter medications can reduce fever and make people feel better.
Precautions to limit the spread of flu-like illness when caring for
someone are the same as what you should do for regular colds and flu:
 
Limit contact with the sick person and avoid close contact (kissing, hugging)
Do not share personal hygiene items (toothbrushes, towels)
Wash your hands often
 
Should I buy medicines to treat flu?
Antiviral medications should be taken only under the guidance of a medical doctor since medicines can have side effects, especially if they are not taken correctly. It is important to remember that most
flu-like illness resolves without the need to see a doctor or to take medication (besides basic over-thecounter medicines to reduce fever and make you feel better). It is also important to remember that
many other illnesses cause flu-like symptoms—and if your illness is not caused by the flu, flu antivirals will not make you better. Incorrect and overuse of antivirals is not only dangerous, but can also lead to
further viral resistance.
 
Should I wash surfaces to avoid getting sick with flu?
Germs can spread when a person touches something that’s contaminated with germs and then touches his or her eyes, nose, or mouth. Cleaning common surfaces can help kill germs and reduce
infections, but it’s not practical or possible to clean surfaces continuously—it is impossible to clean everything as well as have it stay clean all the time. The best way to avoid getting the flu does not
include special cleaning procedures beyond normal. But it is especially important to wash your hands and avoid touching your face (eyes, nose, and mouth).
 
KEEP EMERGENCY ROOMS AND HOSPITALS
FREE TO TREAT SERIOUS ILLNESSES!
People with mild illnesses should not go to ERs or
hospitals for treatment.
Most people with flu-like illness will get better without the
need to see a doctor or take special medicines.
 
911 is not for health information!
Keep emergency lines open.
 
DON’T GIVE ASPIRIN TO CHILDREN
FOR FLU SYMPTOMS
Over-the-counter cold and flu medications used
according to package instructions may help
lessen symptoms but will not lessen how
infectious a person is. These medicines might
make feel better, but you can still spread germs.
Don’t use medication that contains aspirin
(acetylsalicylic acid) because it can cause a
rare but serious illness called Reye’s syndrome.
Take medicines without aspirin, such as:
o Acetaminophen (Tylenol®)
o Ibuprofen (Advil®, Motrin®, Nuprin®)
o Naproxen (Aleve®)
Don’t give children younger than age 2 any
over-the-counter cold medications without first
speaking with a doctor. Safest care includes
using a cool-mist humidifier and a suction bulb
to help clear away mucus.
 
What are more serious signs of flu illness?
While to date most new flu cases in the U.S. have been mild to moderate, and in general people with
flu-like illness will get better without complications, seek medical care if you experience any of these
more severe symptoms:
 
For children, watch for:
If flu-like symptoms do not get better after
a few days or become worse
Fast breathing or trouble breathing
Bluish skin color
Dehydration; unable to drink enough
fluids
Not waking up, not interacting; Confusion,
being disoriented
Fever with a rash
 
For adults:
Difficulty breathing or shortness of breath
Pain or pressure in the chest or abdomen
Sudden dizziness
Confusion
Severe or persistent vomiting
 
Can people who have just come from Mexico be allowed to return to school or work?
 
LACDPH does not recommend restricting people from any public events or interaction simply due to recent travel to affected areas,
even Mexico. Thousands of people travel to and from Mexico daily, and quarantine recommendations for these people have not been enacted by local, state or federal agencies. As mentioned during our
press conference (it's on YouTube), we are beyond containment and now focusing on limiting the number of cases. Instead, ALL people should monitor their health. Everyone should avoid all public
activities if they are sick; and not just now, but always.
Instead of singling out people who have traveled to Mexico, focus should be on identifying those with flu-like symptoms (fever, cough, fatigue, etc.). This is a great opportunity for schools and businesses
to stress the importance of staying home when sick, and basic respiratory hygiene practices (wash your hands, cover your cough, etc.).
 
Where can I get more information?
For more information about this illness call: California
Department of Public Health hotline: 888-865-0564
 
Or visit these websites:
Los Angeles County Department of Public Health: publichealth.lacounty.gov
Centers for Disease Control and Prevention (CDC): www.cdc.gov
 
If you need help finding medical care, please call the Los Angeles County Infoline: 2-1-1.
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