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H1N1 Flu Facts
What is H1N1 Influenza?H1N1
influenza (swine flu) is caused by a new virus that recently emerged in
Mexico and the United States, and has spread throughout the world. H1N1
flu can cause severe illness and death in some people. Most of the
recent cases in the United States have been of moderate severity.
How is the H1N1 influenza virus spread?Like
any flu virus, H1N1 is spread mainly through respiratory droplets that
are released when an infected person coughs or sneezes. People in close
proximity to the infected person (about 3 feet) can become infected if
these droplets contact the mouth or nose. Influenza viruses may also
spread when a person touches respiratory droplets on another person or
object, and then touches his/her own mouth or nose.
How long is a person with H1N1 flu contagious?The
contagious period varies, but it is thought to be 3-5 days. The NYC
Department of Health advises people with flu-like illness to stay home
until their symptoms and fever have completely resolved and they have
not had fever for 24 hours without the use of fever reducing
medications. This process usually takes 7-10 days.
Who is at greater risk for complications of H1N1 influenza?Infants,
toddlers, seniors and pregnant women are at increased risk of severe
illness or complications from influenza. So are people with certain
underlying health conditions. If you or a family member meet one of
these criteria, and you develop flu-like illness (fever accompanied by
cough or sore throat), please call your doctor to discuss treatment
with antiviral medicine.In addition to the people listed above those at higher risk of flu complications include:
- People with chronic lung problems such as asthma or emphysema
- People with chronic heart, kidney, liver or blood disorders
- People with neurological disorders that can cause breathing problems
- People with diabetes
- People whose immune systems are weakened due to illness or medication
- People under 18 years of age who are on long-term aspirin therapy
How can I protect myself from H1N1 influenza?The precautions are the same as seasonal flu and many other respiratory infections:
- Avoid close contact with people who have an influenza-like illness.
- If you need to have close contact with someone who has an influenza-like illness...
Wash your hands often with soap and warm water.
If your hands are not visibly soiled, you can use a hand cleaner containing 60% to 95% alcohol.
Avoid touching your nose, mouth or eyes and wash your hands thoroughly before doing so.
- If
your age or health status increases your risk of complications from
flu, and you have been in close contact with someone who has flu-like
illness, call your doctor to see if you should take medication to
prevent influenza.
Should people at risk of complications take medicine to prevent H1N1 flu?Antiviral
medicine can help prevent H1N1 infection in people at high risk of
developing severe illness. The NYC Department of Health does not
recommend preventive treatment except for those people who have known
risk factors (see above) and who are in close contact with people who
have flu-like illness.
What should I do if I develop flu-like illness?If
you develop a fever accompanied by cough or sore throat, you can take
steps to protect yourself and avoid spreading illness to others.
- If
you have severe or worsening symptoms, such as difficulty breathing, go
immediately to a hospital emergency room. If you do not have severe
illness, there is no need to go to a hospital, and nothing will be
gained from it.
- If you are at risk of complications, call your doctor to discuss treatment with antiviral medicine.
- Rest,
drink plenty of fluids and take the medications you would normally take
to treat your symptoms. People under 18 years old should not take
aspirin or products containing aspirin, since aspirin can cause a rare
but serious illness called Reyes Syndrome in young people with flu.
- Avoid
spreading the flu to others by covering your nose and mouth with a
tissue when you cough or sneeze, and washing your hands frequently.
How can I help prevent the spread of H1N1 influenza?
- Stay
at home until your symptoms resolve. Do not return to work or school
until you have been well for 24 hours without the use of fever reducing
medication.
- Cover your mouth and nose with a tissue
whenever you cough or sneeze. If you do not have a tissue, use your
sleeve instead of your bare hand. Throw the used tissue into the
wastebasket. Do not accumulate tissues around you.
- Wash
your hands often with soap and warm water. If your hands are not
visibly soiled, you can use an alcohol based hand cleaner. Don't touch
phones, doorknobs or other shared items before washing your hands. Use
your own towel or disposable towels to dry your hands.
- Stay
in a separate room and limit your contact with others in your home.
Consider wearing a surgical mask when other people are nearby. A
surgical mask can prevent germs from spreading.
- Don't share food, drink or toothbrushes with others in your home.
- Don't share dishes, glasses or eating utensils until they have been washed.
Who should go to the emergency room?Anyone
with severe or worsening illness should go to the emergency room. If
you go to the emergency room, travel by private car or taxi, not by bus
or subway. In adults the signs of severe or worsening illness include:
- Rapid breathing, difficulty breathing or shortness of breath
- Pain or pressure in the chest or abdomen
- Bluish skin color
- Dizziness or confusion
- Increasing fever
- Severe or persistent vomiting
In children, the signs of severe or worsening illness include:
- Increased fever
- Rash
- Rapid or difficult breathing
- Bluish skin color
- Irritability
- Lack of responsiveness (not waking up or not interacting)
- Not drinking enough fluids
If
you call 911 for emergency medical assistance, tell the operator that
you have symptoms of influenza. You should also tell the ambulance crew
and the nurse in the emergency room when you arrive. You may be asked
to sit in a separate area and wear a mask while waiting to be seen.
Who should not go to the emergency room?
- Do not go to the emergency room for mild flu-like illness if you have no underlying medical condition.
- If
you develop mild flu-like illness and you also have an underlying
medical condition, call your doctor to discuss treatment. If
appropriate, the doctor can call a pharmacy with your prescription.
What should I do if someone in my home has the flu?If you are not caring for the person who is sick, limit your contact as much as possible. If you are taking care of the person:
- Make sure the person has plenty of tissues and a wastebasket for disposal.
- Make sure soap and warm water are available for hand-washing.
- Encourage
the person to remain in his/her room while sick. The person should
avoid touching others until 24 hours after the symptoms resolve without
the use of fever reducing medications.
- If possible, choose
one person to be the primary caregiver and have that person bring meals
and other necessities into the person's room. Encourage the person to
wear a surgical mask when around others.
- Wear a mask
yourself when you are within 3 feet of the person, for example when
helping adjust the person's position in bed or helping with feeding or
personal hygiene. Masks can be washed with normal laundry detergent and
tumble-dried in a hot dryer.
- If you handle the sick
person's laundry, wash it with household laundry detergent and tumble
dry it on a hot setting. Avoid holding dirty laundry near your face,
and clean your hands after handling it. It is not necessary to separate
a sick person's laundry from other household laundry.
What other precautions are needed in a home where someone has the flu?
- Limit
visitors if possible. Tell friends and family members that someone is
sick, and ask that they delay visiting until the person has recovered.
- Household
members should monitor themselves closely for flu-like symptoms. If
they get sick with fever and cough, they should stay at home and take
the precautions listed above to avoid infecting others: cover coughs
and sneezes with a tissue, wash hands frequently, and limit direct
contact with others.
If I live with someone who has flu-like illness, can I go to work or school?Yes,
but anyone who starts to feel ill at work or school should return home
right away, and follow the precautions described above for people with
fever and cough.
Is there a vaccine for H1N1 flu?There
is currently no vaccine against H1N1 flu, and vaccination against
seasonal flu does not prevent H1N1 flu. This makes it very important to
take precautions such as covering coughs and washing hands, which can
help prevent any kind of flu.
Source: NYC Department of Health and Mental Hygiene
Additional Information: www.nyc.gov/health, www.flu.gov
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