Wednesday, September 23, 2009

H1 N1 Update 9-18-09


H1N1(A) Influenza – South Dakota Department of Health Weekly Backgrounder
Friday, September 18, 2009 – as of 1 p.m. (Central)


The Department of Health provides this weekly backgrounder to update partners about H1N1 influenza preparedness and prevention efforts. It is distributed every Friday and is archived on the web at http://doh.sd.gov/H1N1/.

General Information

H1N1(A) continues to present as moderate illness
Pregnant women, young children, those with chronic health conditions most at risk; elderly less affected, may have immunity due to previous exposure to similar viruses

SD Case Information (updated every Friday at http://doh.sd.gov/H1N1/surveillance.aspx)

2009-2010 flu season reporting period began Aug 31; SD now reporting cumulative flu activity, both seasonal and H1N1, from that date forward this week flu activity in SD increased to “LOCAL”
48 new confirmed influenza cases reported this week (47 A-H1N1 Novel, and 1 A unspecified). 77 total influenza A cases confirmed since Aug 31 (no confirmed B yet)
4 flu-associated hospitalizations reported this week, 5 cumulative for 2009-1010 season
3% of school children absent due to illness (152 reporting schools, encompassing 52,561 children); the more schools that report, the more complete and accurate the data; if your school not reporting, report online at http://doh.sd.gov
0% of confirmed influenza cases in children <30 years old.
No influenza-associated deaths reported in SD

New Guidance & Resources

9/14--H1N1 vaccine safety Q&A - http://www.cdc.gov/h1n1flu/vaccination/vaccine_safety_qa.htm
9/14--H1N1 preparedness for small business -http://www.flu.gov/professional/business/smallbiz.html
9/13--school-based vaccination planning materials & templates - http://www.cdc.gov/h1n1flu/vaccination/slv/
SD H1N1 news releases - http://doh.sd.gov/News/2009.aspx
CDC H1N1 website – http://www.cdc.gov/h1n1flu/

Vaccine Information

9/15--FDA approved four vaccines against 2009 H1N1 flu virus (made by CSL Limited, MedImmune LLC, Novartis Vaccines and Diagnostics Limited, and sanofi pasteur Inc.)
H1N1 vaccine manufactured using same processes as seasonal flu vaccine, under same FDA manufacturing oversight, product quality testing and lot release procedures.
Seasonal and H1N1 flu vaccines both produced in formulations with and without thimerosal, a mercury-containing preservative.

Potential side effects of H1N1 vaccine similar to seasonal flu vaccines. For injected, soreness at injection site most common. Others may include mild fever, body aches, fatigue. For nasal spray, runny nose, nasal congestion most common for all ages; sore throats in adults, and fever in kids 2-6 years old.

SD to receive about 110,000 doses by mid-October, 48,000 doses weekly thereafter
Initial doses targeted to groups at highest risk for H1N1
o Pregnant women
o People who live with or care for infants younger than 6 months
o Children 6 months to 4 years
o Children 5-18 years with chronic health conditions
o Health care and emergency medical services workers (hospitals manage distribution of vaccine to health care workers; ambulance services for EMS)

As more vaccine available, it will be administered beyond priority groups

Federal govt will purchase vaccine, supplies to administer it and distribute to states
Vaccination is voluntary
Vaccine is free but some providers may charge an administration fee
Seasonal flu vaccine should be given as soon as available to appropriate target groups; SD reported 525 hospitalizations for seasonal flu last year and 4 deaths

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