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Swine or H1N1 Flu. 3/12/2014. Home Care Association of NYS. 1. Background. Swine Influenza (H1N1). First Remember, Keep Things in Perspective:.

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swine or h1n1 flu

Swine or H1N1 Flu


Home Care Association of NYS




Swine Influenza (H1N1)

first remember keep things in perspective
FirstRemember, Keep Things in Perspective:

Influenza is a normal part of our lives but is always potentially dangerous, especially to the young, the elderly, or people with compromised immune systems

The more common Influenza (the flu) is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, and at times can lead to death

There are currently three strains of influenza circulating in NYS (two seasonal)

Every year in the United States, on average 5% to 20% of the population gets the flu

This outbreak, so far, appears to be a mild strain

Home Care Association of NYS


what is swine influenza
What is Swine Influenza?

Swine Influenza (formally H1N1) is a respiratory disease of pigs caused by type A influenza virus that regularly causes outbreaks of influenza in pigs.

Swine flu viruses cause high levels of illness and low death rates in pigs. Swine influenza viruses may circulate among swine throughout the year, but most outbreaks occur during the late fall and winter months similar to outbreaks in humans.

The classical swine flu virus (an influenza type A H1N1 virus) was first isolated from a pig in 1930.


Home Care Association of NYS


The 2009 flu outbreak in humans is due to a new strain of influenza

The origins of this new strain are unknown, and the World Organization for Animal Health (OIE) reports that this strain has not been isolated in swine

It passes with apparent ease from human to human, an ability attributed to an as-yet unidentified mutation

The strain in most cases causes only mild symptoms and the infected person makes a full recovery without requiring medical attention and without the use of antiviral medicines

The World Health Organization has stated that symptoms may even be less severe than seasonal influenza symptoms.


Home Care Association of NYS


how serious is it
How serious is it?

At this time it appears this strain is a mild virus

It may mutate eventually and become more serious

NYSDOH recommends treating this like seasonal influenza


Home Care Association of NYS


will my regular flu shot help
Will my regular flu shot help?

No, this is a different strain and influenza vaccine will not help

However, there are currently two seasonal strains of influenza circulating and NYSDOH is recommending, to help avoid confusion, that you receive a vaccination for those if you have not yet been immunized


Home Care Association of NYS


how do you catch swine flu
How do you catch Swine Flu?


  • The same way you would catch any other cold or flu virus – transmission appears to be same as seasonal flu
    • When an infected person coughs or sneezes around another person
    • Touching something with the flu virus on it then touching your mouth, nose, or eyes.
    • An infected person can pass the virus to another before any symptoms develop and after symptoms subside

Home Care Association of NYS


symptoms of swine flu
Symptoms of Swine Flu


Very similar to regular flu

Typically happens after regular flu season is over

Upper respiratory symptoms, may have nausea, vomiting, diarrhea

Some incidents of sudden dizziness

If feverish or have other flu-like symptoms, call your doctor or occupational health nurse! Try to avoid the emergency room or doctor’s office.

Home Care Association of NYS


can people catch swine flu from eating pork
Can people catch swine flu from eating pork?

No. Swine influenza viruses are not transmitted by food.

You can not get swine influenza from eating pork or pork products.

Eating properly handled and cooked pork and pork products is safe.

Cooking pork to an internal temperature of 160°F kills the swine flu virus as it does other bacteria and viruses


Home Care Association of NYS


primary prevention policies needed by providers
Primary Prevention Policies Needed by Providers

Screening for symptoms

Employees should not travel or work if ill: temp greater than 100 degrees combined with recent onset of cough, sore throat, nasal congestion

Have policies for primary prevention methods

Sick leave policies so ill employees can stay home


Home Care Association of NYS


preventing spread of h1n1 flu

Preventing Spread of H1N1 Flu

Hand washing with soap and water or alcohol-based hand cleaner

Avoid touching your mouth, eyes and nose as much as possible

Use cough etiquette

If you are sick, stay home and avoid close contact to others

Avoid crowds


Home Care Association of NYS


what about travelers returning from mexico
What about travelers returning from Mexico?

Monitor for signs of flu

Incubation period is 1-7 days

Treat accordingly


Home Care Association of NYS


what does pandemic mean
What Does Pandemic Mean?

A pandemic is a global disease outbreak.

An influenza pandemic occurs when a new influenza A virus emerges for which there is little or no immunity in the human population, begins to cause serious illness and then spreads easily person-to-person worldwide.

We are currently in Pandemic Phase 5


Home Care Association of NYS


pandemic phases
Pandemic Phases

Phase 5 is characterized by human-to-human spread of the virus into at least two countries in one WHO region. While most countries will not be affected at this stage, the declaration of Phase 5 is a strong signal that a pandemic is imminent and that the time to finalize the organization, communication, and implementation of the planned mitigation measures is short


Home Care Association of NYS


how long can viruses live on surfaces
How long can viruses live on surfaces?


Some viruses and bacteria can live two hours or longer on surfaces such as ATMs, doorknobs, money, computer keyboards, etc.

Find out about infection control measures for laptops, bags, or anything you carry with you.

Keep your waterless hand sanitizer with you at all times.

Home Care Association of NYS


how long are people contagious
How long are people contagious?


  • 7 days after symptoms start
  • Children are considered to be contagious longer than adults – possibly up to 14 days
  • Tamiflu can reduce symptoms – refer to NYSDOH guidance/advisory

Home Care Association of NYS


home care visits
Home Care Visits

Call ahead to screen for symptoms if possible

Carry PPE – fit tested N95 if available or tight fitting surgical masks; keep sealed until needed

Monitor patients

Communicate with other providers serving same patients

Family and patient education

Hand hygiene

Cases should be reported to Local Health Department


Home Care Association of NYS


enhanced ppe
Enhanced PPE

Despite saying this is transmitted through droplets, NYSDOH recommends enhanced PPE for symptomatic home care patients until more is known about transmission

No evidence of long distance transmission

In presence of Febrile Respiratory illness only


Home Care Association of NYS


transport to hospital
Transport to Hospital

Should be based on severity of patient-specific illness per physician recommendation

Patient should wear mask during transport

Notify EMS of reason for transport


Home Care Association of NYS


what you can do
What you can do

• Stay informed

• Take everyday actions to stay healthy

• Use cough etiquette

• Wash your hands often with soap and water or alcohol-based hands cleaners

• Avoid touching your eyes, nose or mouth.

• Stay home if you get sick. Call your supervisor or occupational health office if you are exhibiting flu like symptoms


Home Care Association of NYS


what you can do22
What you can do

Follow public health advice regarding school closures, avoiding crowds and other social distancing measures.

• Develop a family emergency plan as a precaution. This should include storing a supply of food, medicines, facemasks,

alcohol-based hand rubs and other essential supplies.


Home Care Association of NYS


what should you do if you become sick
What should you do if you become sick?

If you live in areas where swine influenza cases have been identified and become ill with influenza-like symptoms, including fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea, contact your health care provider or occupational health nurse

Your health care provider will determine whether influenza testing or treatment is needed

If you are sick, you should stay home and avoid contact with other people as much as possible to keep from spreading your illness to others


Home Care Association of NYS




CDC: http://www.cdc.gov/swineflu/

NYSDOH: http://www.health.state.ny.us/

HCA’s Home Care Prepare: www.homecareprepare.org

Email with infection control questions: icp@health.state.ny.us

Email with general questions: swineflu@health.state.ny.us


Home Care Association of NYS



There are many cases of suspected, probable and confirmed flu in NYS, but most related to one cluster in Queens

Monitor all patients for symptoms of swine flu – call ahead to check for symptoms if possible

Facilitate communication or transport to their physician for evaluation if suspected

Oversee their treatment at home since they won’t be eligible for admission to a hospital and will be in quarantine


Home Care Association of NYS


your assignment

Your Assignment

List things that you need to educate staff about to prevent infection of staff members or others

Plan process of care for one patient who is identified with Swine flu, including frequency of visits, what to monitor for, and who you would report which things to

Develop strategies for educating aides who will be caring for patients with H1N1


Home Care Association of NYS


your assignment28
Your assignment

Review your role in your agency’s emergency plan, including the pandemic plan

Discuss appropriate infection control standards based on information available at this time.


Home Care Association of NYS