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Guidance for Schools 2009-2010

Pathfinder

Editor, Senior Moderator
DHH Issues Back-to-School Guidelines for Flu Prevention
For Release On: August 10, 2009

Baton Rouge: With the school year now underway throughout most of the state, health officials are urging students and parents to add one more item to the back-to-school checklist: a plan to avoid getting and spreading the flu and for what to do if someone in your family does get it.
"We fully expect to see widespread seasonal and H1N1 flu activity, so families should plan for what to do when it happens," said Louisiana Department of Health and Hospitals Secretary Alan Levine. "Fortunately, the prevention and treatment tips for both strains of the flu are the same. With aggressive attention to prevention and treatment, we can help reduce the health impact of flu and minimize unnecessary interruptions in our schools, work places and communities."

People should try to stay healthy by using these hygiene tips:

Cover your nose and mouth with a tissue when you cough or sneeze, and throw away the tissue after you use it. Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.

Avoid close contact with sick people.

"Even though we are outside of our ‘normal’ flu season, the flu is still circulating and both seasonal flu and H1N1 will continue to spread throughout the year," said State Health Officer Dr. Jimmy Guidry. "If there are two tips I can give Louisiana citizens, whether they’re students, parents or teachers, it’s to get a seasonal flu vaccine when the vaccine becomes available, and stay home when you are sick."

A seasonal flu vaccination can help reduce the need for expensive and time- consuming medical treatment later by protecting people from coming down with the flu in the first place. This is especially important for people at high risk of complications from influenza, including children under five years old; adults 65 years of age and older; pregnant women; and people with existing respiratory, pulmonary and certain other underlying medical conditions, such as asthma, diabetes and heart disease.

"Because the new H1N1 flu vaccine won’t be available until at least December, it is important for students and school workers, especially very young children and their caregivers, to get a seasonal flu shot, to help avoid getting seasonal flu this year," Dr. Guidry said. "When the new H1N1 vaccine becomes available, people can go back to get that one, too."

To limit the spread of the virus as much as possible, parents, teachers and students need to be able to identify the symptoms of influenza-like illness, like fever with a cough or sore throat. Students who appear to have these symptoms at school should be isolated promptly, and sent home as soon as possible. Symptomatic faculty and staff should be removed from contact with others and also allowed to go home.

To help ensure they do not pass the virus on to others, patients should not return to work or school—or anywhere else, such as group childcare, shopping centers, sporting events or other public and community events-- until they have been symptom-free without fever-reducing medication for at least 24 hours.

At this time, the U.S. Centers for Disease Control and Prevention is NOT recommending school closures or dismissals if there are confirmed or suspected cases of the flu, so flu identification and patient isolation are key steps in preventing spread of flu.

The good news for parents and school workers is that the vast majority of symptoms associated with flu-like illnesses can be treated at home. The recommended treatment for the flu in patients without additional complications is rest, plenty of fluids and fever-reducing medicines. (Aspirin or products with aspirin should never be given to anyone under 18 due to the risk of Reye syndrome.)

If a patient’s symptoms are severe or he or she experiences complications, the patient should CALL his or her health care provider to see if an appointment is necessary.

People at high risk for complications from influenza also should call their doctors if they experience flu-like symptoms. Rather than go to a doctor’s office, these people should talk to their doctor to determine the best medical intervention or course of treatment.

Since the H1N1 outbreak in the spring, DHH has been working closely with the Department of Education to develop and disseminate pandemic flu plans to school systems, and to share flu prevention methods, good hygiene techniques and general flu messages for schools.

For the latest information on the H1N1 virus, visit www.FluLa.com.

The Louisiana Department of Health and Hospitals strives to protect and promote health statewide and to ensure access to medical, preventive and rehabilitative services for all state citizens. To learn more about DHH, visit http://www.dhh.louisiana.gov.


http://wwwprd.doa.louisiana.gov/LaN...ease_Display.cfm?PressReleaseID=2162&Rec_ID=0
 
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Re: Louisiana DHH Issues Back-to-School Guidelines for Flu Prevention

Re: Louisiana DHH Issues Back-to-School Guidelines for Flu Prevention

Do we have some suggestions or guidelines on how the sick students who stay home can keep up school work? Some students may be sick for more than a week. Similar questions apply for the employees of the school.
If there are protections in place for people who stay home, they are more likely to do so. If they are further penalized for staying home then they are more likely to circumvent the recommendations.
JT
 
Re: Louisiana DHH Issues Back-to-School Guidelines for Flu Prevention

Re: Louisiana DHH Issues Back-to-School Guidelines for Flu Prevention

Do we have some suggestions or guidelines
I hope to find something along this line... The Canada Buddy System (article from CIDRAP below).
Maybe the schools and businesses need to identify for everyone a buddy who can assist those who are sick to stay home.

Buddy up to help 'vulnerable' during flu pandemic
http://www.nationalpost.com/m/story.html?id=1870330&s=Home
Canada's public health agency is urging Canadians to identify a "flu buddy" willing to help care for them should they get sick with human swine flu this fall.
The Public Health Agency of Canada told Canwest News Service that Canadians should "talk with family, friends and neighbours and figure out how you might help each other during the H1N1 pandemic."
"Identify elderly or vulnerable relatives, friends and neighbours who may need your help," the agency said in a statement to Canwest.
"During a pandemic outbreak, keep an eye on these people, especially those living alone and phone them if you suspect they might be ill...."
 
Re: Louisiana DHH Issues Back-to-School Guidelines for Flu Prevention

Re: Louisiana DHH Issues Back-to-School Guidelines for Flu Prevention

States and school districts should reference and follow the entire guidelines set out by the CDC. I list it below and pick up on the areas that discuss more fully the issues associated with school policies on mitigationg the risk of infections. Still we need to see some examples of continuity of learning and supported child care.
[
URL="http://www.cdc.gov/h1n1flu/schools/schoolguidance.htm"]http://www.cdc.gov/h1n1flu/schools/schoolguidance.htm[/URL]

CDC Guidance for State and Local Public Health Officials and School Administrators for School (K-12) Responses to Influenza during the 2009-2010 School Year
Deciding on a course of action
CDC and its partners will continuously look for changes in the severity of influenza-like illness and will share what is learned with state and local agencies. However, states and local communities can expect to see a lot of differences in disease burden across the country.
Every state and community has to balance a variety of objectives to determine their best course of action to help decrease the spread of influenza. Decision-makers should explicitly identify and communicate their objectives which might be one or more of the following: (a) protecting overall public health by reducing community transmission; (b) reducing transmission in students and school staff; and (c) protecting people with high-risk conditions.
Some strategies can have negative consequences in addition to their potential benefits. In the particular case of school dismissals, decision-makers also must consider and balance additional factors: (a) how to ensure students continue to learn; (2) how to provide an emotionally and physically safe place for students; and (3) how to reduce demands on local health care services. The following questions can help begin discussions and lead to decisions at the state and local levels.
Decision-Makers and Stakeholders
Are all of the right decision-makers and stakeholders involved?
? State and/or local health officials
? State and/or local education officials
? State and/or local homeland security officials
? State and/or local governing officials (e.g., governors, mayors)
? Parent and student representatives
? Representatives of local businesses, the faith community, school-employee unions, and community organizations
? Teachers
? Health care providers and hospitals
? School nurses
? School food service directors
? Vendors that supply schools
Information Collection and Sharing
Can local or state health officials determine and share information about the following?? Outpatient visits for influenza-like illness
? Hospitalizations for influenza-like illness
? Trends in the numbers of hospitalizations or deaths
? Percent hospitalized patients who require admission to intensive care units (ICU)
? Deaths from influenza
? Groups being disproportionately affected
? Ability of local health care providers and emergency departments to meet increased demand
? Availability of hospital bed, ICU space, and ventilators for influenza patients
? Availability of hospital staff
? Availability of antiviral medications
Can local education agencies or schools determine and share information about the following?
? School absenteeism rates
? Number of visits to school health offices daily
? Number of students with influenza-like illness sent home during the school day
Feasibility
Do you have the resources to implement the strategies being considered?
? Funds
? Personnel
? Equipment
? Space
? Time
? Legal authority or policy requirements
Acceptability
Have you determined how to address the following challenges to implementing the strategies?
? Public concern about influenza
? Lack of public support for the intervention
? People who do not feel empowered to protect themselves
? Secondary effects of strategies (for example, dismissing schools could impact child nutrition, job security, financial support, health service access, and educational progress)
 
Re: Guidance for Schools 2009-2010

"we need to see some examples of continuity of learning and supported child care"

Absolutely.These guidelines are preparing us for the "best" case scenario when we all know how unpredictable this pandemic is.


"With children going back to school and another flu season on the horizon, parents should talk with their children's school or daycare about what measures the school is taking to plan for a potential flu outbreak," said Suzy DeFrancis, Chief Public Affairs Officer for the American Red Cross. "The spring H1N1 outbreak was a clear signal that everyone needs to prepare -- and that parents and schools should have plans in case the virus returns in the fall."
As part of a family's overall emergency planning, the Red Cross urges parents to seek out information proactively from schools regarding plans for the H1N1"

http://www.news-medical.net/news/20...from-schools-according-to-Red-Cross-poll.aspx
 
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Re: Guidance for Schools 2009-2010

School Health Officials
Prep for H1N1

Excerpt

"Both state and local school health officials are now on the offense and are advising Georgians to take an active role in helping them head off a pandemic.

State health officials are asking parents to talk to their employers now about ways to stay healthy and asking employers to be lenient about granting sick days.

Commissioner of the state department of community health, Dr. Rhonda Medows said sick children should not return to school until they've been fever-free for at least 24 hours.

"There are going to be more children with cold and flu-like symptoms, that's a given, so we think folks need to go ahead and prepare for that eventuality," said Dr. Medows"Both state and local school health officials are now on the offense and are advising Georgians to take an active role in helping them head off a pandemic.

http://www.myfoxatlanta.com/dpp/news/School_Health_Officials_Prep_for_H1N1_081009
 
Re: Guidance for Schools 2009-2010

#7: pdf guidelines


Elaborating, providing the neccessary, and educate the needed things, as espected from the wroted guide, in a 1 month period, is IMO an mission impossible.

Maybe to engage Tom Cruise ...
 
Re: Guidance for Schools 2009-2010

#7: pdf guidelines


Elaborating, providing the neccessary, and educate the needed things, as espected from the wroted guide, in a 1 month period, is IMO an mission impossible.

Maybe to engage Tom Cruise ...


Public schools started on August 7 here. The DHH guidelines were released on August 10.

If Tom Cruise is not available, maybe we could ask... Brad Pitt? ;)
 
Re: Guidance for Schools 2009-2010

What students can do to minimize the spread of the flu

Students, from kindergarten age through college, can take some simple precautions to both minimize the spread of flu germs and keep themselves healthy. The following are a few suggestions to add to the back to school preparations of the next few weeks.


Stay healthy. Get a good night's sleep, eat a healthy breakfast and drink plenty of water so it is easier for the body to fight off the flu when exposed.


Keep hands clean. Remind children to use soap and sing the ?ABC Song? while washing their hands.


Carry hand sanitizer. Keep a small bottle of hand sanitizer available for when soap is not. Use a good amount, about the size of a quarter, and remember to spread it to both sides of the hands.


Be mindful about eating food, especially in the classroom. Food residue on hands and desk tops can quickly become sources for germs. Besides keeping hands clean, keep food on a wrapper, plate or tray and do not eat directly off of the table or desk.


Carry a small package of tissues. These can be useful for placing under food and sneezing into besides blowing a runny nose.


Sneeze into a tissue or arm. Sneezing into hands has more potential to spread flu germs to many surfaces than using a tissue or arm.


If ill, stay home. Schools are advised not to close for a case or two, but if a student is sick then choosing to stay home will minimize the spread of the illness. It will also provide valuable rest needed to both recover and to be able to concentrate better while at school.



http://www.examiner.com/x-15026-Man...ents-can-do-to-minimize-the-spread-of-the-flu
 
Re: Guidance for Schools 2009-2010

Public schools started on August 7 here. The DHH guidelines were released on August 10.

If Tom Cruise is not available, maybe we could ask... Brad Pitt? ;)

:D

"August 7" ...
:( 'boy, that's realy bad :yinyang:

Seems this goes Murphy way ...
 
Re: Guidance for Schools 2009-2010

North Dakota

"Last spring when swine flu hit schools, administrators did what they thought was best, and shut their doors.

This fall, the plan is a little different.

Solheim Elementary School may be empty right now. But in less than two weeks these halls will be crowded with more than 500 kids, some of which may have swine flu. But even if a student or two is infected with the H1N1 virus this school year, that doesn`t mean the schools will close.

"Now this emphasis this fall will be on keeping schools open," says Kirby Kruger, the state epidemiologist.

"Having one child with swine flu really is not a problem, it`s not a reason to get concerned," says Paul Johnson, the superintendent of Bismarck Public Schools. "I think where you`d probably have a concern suppose there was two, three kids in a classroom."

It turns out the virus isn`t always as severe as previously thought. Schools can`t afford to close every time they`re hit with an H1N1 infection, and doing so could cost a child their education. Especially at the rate the virus is spreading. In North Dakota 66 cases have been confirmed, but the health department estimates thousands have been infected and don`t realize it.

In schools, it`s likely kids will be infected and not realize it too, so the Bismarck School District says its safety director will be ordering custodians to wipe down frequently-touched surfaces more often.

And parents will be asked, and at times ordered, to keep their kids home when they`re sick.

"We`re going to have to be a little firmer on that this year then in the past," says Johnson. "So kids that have got a fever, they`ve got to stay home."

The North Dakota Department of Health says the steps will help not in stopping the spread of swine flu, but in lessening the impact it has on our state."

http://www.kqcd.com/News_Stories.asp?news=32947
 
Re: Guidance for Schools 2009-2010

Wisconsin

School nurses on front lines in war on swine flu

As millions of children in the USA return to classrooms over the next few weeks, parents, teachers and health officials will watch anxiously to see how soon and how hard schools are hit with new outbreaks of swine flu, or H1N1.
And no one will be watching more closely than the nation's school nurses.

"It's going to be an interesting year," says Sandi Delack, president of the National Association of School Nurses. If and when hordes of feverish, coughing kids start showing up in school clinics or calling in sick, school nurses may well be the first to notice ? and to sound alarms.

"We'll be looking at absentee rates, watching for symptoms and clusters," says Kathleen Murphy, a registered nurse who coordinates health services and supervises 93 nurses in Milwaukee's public schools, some of which open today. The Milwaukee nurses are armed with new flu-symptom tracking sheets they'll use to update area health officials.

Two Wisconsin teens have died from H1N1, Murphy says. Nationwide, the largest numbers of confirmed and probable cases have occurred in people ages 5 to 24, says the federal Centers for Disease Control and Prevention. No one knows how widespread fall and winter outbreaks will be or whether the new flu will be any more severe than regular seasonal flu. But school-age children are on the government's priority list for H1N1 vaccines and may even be vaccinated in schools.

In San Joaquin County, Calif., "we are very busy preparing for this," says Sheri Coburn, a registered nurse who directs health services for schools there. Officials in her area have agreed, she says, to move teams of school nurses from county to county, if needed, to staff vaccination clinics.

Nurses also say they are busy thinking of new, louder ways to preach prevention.

In San Joaquin, teachers will get notes in their paychecks reminding them to wash their hands often and stay home when they are sick, Coburn says. Murphy says her district already has sent notes to parents urging, "Don't be scared, be prepared." And all over the country, nurses will be showing up at year-opening PTA meetings and school assemblies to talk about hand-washing, cough-covering and keeping sick children at home, Delack says.


http://www.usatoday.com/news/health/painter/2009-08-02-yourhealth03_N.htm
 
Re: Guidance for Schools 2009-2010

#12:
""Having one child with swine flu really is not a problem, it`s not a reason to get concerned," says Paul Johnson, the superintendent of Bismarck Public Schools. "I think where you`d probably have a concern suppose there was two, three kids in a classroom.""



Especialy if the one came back to school by sheding it for 3 weeks after ...

http://www.flutrackers.com/forum/showthread.php?t=120846
 
Re: Guidance for Schools 2009-2010

Minnesota,

Officials: Plan Now For H1N1 School Absences ST. PAUL


Assistant Commissioner John Linc Stine says if the flu hits hard, sick students are probably going to be told to stay home longer than during a normal flu season.

The state Health Department is recommending that families have a plan for what they are going to do if a child gets the swine flu this fall and has to stay home from school for a week or more.

Assistant Commissioner John Linc Stine says if the flu hits hard, sick students are probably going to be told to stay home longer than during a normal flu season.

That means families should start planning now, either by arranging for alternate child care or by making arrangements with the parents' employers.

Stine noted the swine flu is unlike the typical seasonal flu. For one thing, healthy young people are prone to catching it, which makes it a particularly big threat to schools.


http://wcco.com/local/swine.flu.shots.2.1111641.html
 
Re: Guidance for Schools 2009-2010

A personal advice:

Parents, if your child get infected at school by H1N1, consult your doctor in the first 48 hours of symptoms. The antiviral Tamiflu makes the sickness last a shorter time and be less severe. It is important to start taking it in the first 48 hours of symptoms.


"The symptoms of novel H1N1 flu virus in people are similar to the symptoms of seasonal flu and include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. A significant number of people who have been infected with novel H1N1 flu virus also have reported diarrhea and vomiting. "

http://www.cdc.gov/h1n1flu/sick.htm



"How does Tamiflu work?

Viruses cannot reproduce on their own. To reproduce, a virus latches onto a living cell inside some organism, inserts its genetic material into that "host" cell, and takes over the cell's reproductive "machinery." The virus makes copies of itself - maybe hundreds. (Sooner or later, this kills the infected cell - causing disease.) All of those new viruses break out of the host cell and start the process over, attacking other cells.

But what if the new viruses can't get out? This is where Tamiflu comes in. Tamiflu traps the new viruses inside the host cell. Eventually, the viruses die.

If you want to really get scientific: Two proteins on the surface of the virus enable it to enter and exit the host cell. The first protein, hemagluttinin, lets the virus attach to the cell and inject genetic material inside. The second protein, neuraminidase, then opens the cell membrane to let the new viruses out. Tamiflu inhibits the work of neuraminidase; that's why you hear Tamiflu called a "neuraminidase inhibitor." Another tidbit: Hemagluttinin is the "H" and Neuraminidase is the "N" used in naming virus subtypes -


http://reports.typepad.com/pandemic_plan/2006/03/what_is_tamiflu.html
 
Re: Guidance for Schools 2009-2010

Sorry to all,

But my accessibility is limited, so I have not read what is preceding, I just respond to the title (I do my best)

I still have three children studying,

One at the University (Twitter)

Two in Elementary School.

For the young ones, I let them go one week at the time, I am well plugded in my region (daily number of medical visit, hospital status, Communications Impacts, etc..

Of course if things turns bad, I will pull them out, the youger son will get out of University.

The Older one will come in our Bunker.

I work from home on the computer so the money get deposited. Things are easier for me.

But for parents, working outside and rush for the breakfeast and at night times, sorry Gentlemans, but these are mostly women...

You will have a choice to make and you already know what it will be.

No Rush, Timing is the Essence.

If its too hot, get them around you in das bunker.

Tranquil Consciousness

Snowy
 
Re: Guidance for Schools 2009-2010

From the Georgia forum
A window 3 weeks into the future for us in Florida
Will we learn?

http://www.flutrackers.com/forum/showthread.php?t=121869
Windwaker
Senior User


Schools send sick kids home
Posted: Aug 18, 2009 4:07 PM CDT

Updated: Aug 18, 2009 4:18 PM CDT


Schools deal with flu symptoms



Thomasville, GA (WALB) - Everyday, dozens of school kids all over south Georgia are heading home early with flu-like symptoms. In Thomas County over 100 were sent home Tuesday.

And it looks as though it's going to get worse before it gets better. The problem now is kids are flooding emergency rooms, doctors offices, and drug stores.

Nurses are taking every precaution, and sending kids home with even the slightest flu symptom. And telling them not to come back until 24 hours after a fever is gone, without using fever reducing medicine.

Thomas County kids started classes three weeks ago. Now everyday, dozens of kids are sent home with H1N1 flu symptoms. "Our volume picked up about a week and a half ago. And it has steadily accelerated with yesterday being one of the busiest days we've had here in a couple of years," said Carol Ann Redfearn of Archbold Urgent Care.

Archbold Urgent Care saw 80 patients Monday, most of them school-aged. Because when kids are sent home from school, they make an immediate stop at the doctor's office.

The Pediatric Center they saw 150 kids with flu like symptoms. In order to take care of the large number of kids, they brought on an extra doctor and even stayed until 6PM, an hour after they close. But health officials say heading straight to a doctor often does more harm than good.

"You're exposing others to your virus, and exposing yourself to other harmful viruses. So Unless you are a high risk patient or have symptoms that include difficulty breathing or vomiting, it's best to stay home," said Redfearn.

"We've had a lot of children come in with swine flu, to fill prescriptions," said Jeff Cox of Murphy Drugs.

A lot of doctors are filling out prescriptions for Tamiflu Drug stores are crowded, too. Murphy Drugs even ran out of the liquid form of Tamiflu last Friday.

But again, health officials say the average person doesn't need Tamiflu. Only patients who are in the high risk category. "If you're sick you need to stay home and if you have a fever take Tylenol and stay well hydrated and stay away from people who are not in good health," said Redfearn.

High risk patients include people who are pregnant, have asthma or diabetes, have poor immune systems or have a chronic illness.

Again health officials are stressing home care for people with flu symptoms unless you are high risk OR have difficulty breathing, are vomiting, OR if flu-like symptoms go away, and then return again with a high fever or worse cough.

Also, you can fight the flu by hand washing constantly, and avoiding touching your eyes, nose, and mouth.

The emergency room in Thomasville has also been crowded with patients with flu-like symptoms. Archbold's ER saw about 25 flu patients Monday, and most of them didn't need emergency care.



http://www.walb.com/global/story.asp?s=10951270
__________________
One who is concerned with the interests and welfare of humans.
 
Re: Guidance for Schools 2009-2010

Other links within Flutrackers


Pandemic Flu School Action Kit - printable binder
http://www.flutrackers.com/forum/showthread.php?t=13137
Note this link is geared towards avian influenza but the processes will be the same.

I am looking for resources to help parents KEEP children who are sick at home.
I have to note with irony and sadness that I work for a state agency responsible for the welfare of the mentally ill and for families and children.
Yet due to the budget crisis and increasing work load the entity is increasingly punitive to those employees who call off for unscheduled sick leave. I assume that other employers are also getting more desperate to avoid paying for sick leave. Yet if the parents leave a sick child at home alone then they may be open to neglect charges.

A dilemma that needs more attention.

Thornton MD
 
Re: Guidance for Schools 2009-2010

Lili from the French Forum post what the Education Minister of France has said yesterday.

There will be two TV Networks used for continuity of Education, the Internet will be used and the phone with the teachers.

And they will proceed by small modules one after the other, this is the best solution I found yet in all the Nations I am watching

Cf to
http://www.flutrackers.com/forum/showthread.php?t=120941

Snowy
 
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