H1N1 Update Mary Beth Koza, Director Department of Environment, Health & Safety mbkoza@ehs.unc.edu 919-843-5913 02/11/2010
H1N1 Information – The Basics Mild to severe respiratory illness caused by influenza viruses Seasonal flu:5-20% population ill; >200,000 hospitalized; 36,000 deaths Spreads by coughing/sneezing (respiratory droplets); touching surface then mouth, nose Infectious 1 day before symptoms, up to 7 days after becoming ill Symptoms: fever or chills, headache, fatigue, muscle aches, dry cough, sore throat, runny/stuffy nose, N & V, diarrhea
High Risk for Complications Asthma, diabetes and other metabolic disorders immune-suppression from medications (cancer drugs, oral steroids) HIV, or other diseases chronic diseases of the heart (not high blood pressure) neuromuscular, lung, liver, or kidney, pregnant women, adults 65 years and older, children younger than five years old, persons younger than 19 yrs old who are on chronic aspirin therapy, extreme obesity.
If you have flu like Illness Do not go to work or attend classes (stay home ) Stay home until 24 hours after your fever is gone off of drugs that lower fever (except to seek medical care) Avoid contact with others to the extent possible Take acetaminophen (e.g., Tylenol) for fever Drink plenty of fluids
National H1N1 Outlook 155 million vaccine doses produced to date. 120 million doses shipped to 70,000 locations across U.S. 70 million people in the U.S. vaccinated. (23%) Largest group vaccinated - children to 18 years. (37%) Nearly all the current viruses circulating now are H1N1. No seasonal flu in any significant numbers. H1N1 virus not shifting or changing. (same basic strain)
Estimates of U.S. H1N1 Deaths/Hospitalizations April - Dec. 2009 80 million people infected. 246,000 H1N1-related hospitalizations. 11,160 2009 H1N1-related deaths. CDC Estimates of 2009 H1N1 Influenza Cases, Hospitalizations and Deaths in the United States, April – December 12, 2009
Flu associated deaths in North Carolina
Pandemic Emergency Response Team University H1N1 Pandemic Team Academics Communications Human Resources Student Affairs/ Campus Health Athletics Medical Expertise
UNC H1N1 Response Received 18,000 H1N1 vaccine doses (10/09 – 2/10) Held 48 campus open clinics 19 different locations (Eight residence halls) Also available at CHS and UEOHC daily Six more clinics scheduled to support state-wide promotional campaign by the NC Division of Public Health. Vaccinated 10,169 students/employees as of 2/7/10 19 seasonal flu clinics (9/22- 10/23) 5378+ employees vaccinated for seasonal flu
UNC H1N1 Vaccination Program
Pandemic Emergency Response Committee Actions Committee members on conference call every 3 weeks. Continuous contact between EHS, UEOHC and CHS evaluating campus ILI activity and vaccination efforts. Continuous contact with Orange County Health Dept. Continuous surveillance of national H1N1 activity.
What is ahead for H1N1 Many people believe the outbreak is over and I think it is too soon for us to have that complacency," Dr. Anne Schuchat of the U.S. Centers for Disease Control and Prevention told reporters in a telephone briefing. "This pandemic isn't over yet.“ Harvard poll found that 44 percent of Americans believe the H1N1 flu outbreak is over, that 40 percent of parents had gotten the vaccine for their children and 13 percent more planned to.
What is ahead for H1N1 World Health Organization to convene its emergency end of February to examine whether the H1N1 flu pandemic has peaked. Even if the WHO decided the pandemic had peaked, the virus remained active, causing disease and death, and could continue to flare up in some regions, as it had done recently in West Africa.
H1N1 & Seasonal Influenza Websites http://alertcarolina.unc.edu/go/site/1395/ http://ehs.unc.edu/ http://campushealth.unc.edu/ http://cdc.gov/ http://flu.gov/ http://www.ncpublichealth.com/
