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Haywood Co., NC: Boy Scout Camp A/H1N1 cases

Shiloh

Editor, Senior Moderator
This may be the source of the Palm Beach FL cluster

Source: http://www.wspa.com/spa/news/local/...1_virus_confirmed_at_camp_daniel_boone/20134/

Two cases of H1N1 virus confirmed at Camp Daniel Boone

Haywood County Public information
Published: June 12, 2009

Two campers at Camp Daniel Boone in Haywood County have been confirmed to have the H1N1, or swine flu virus, and the Haywood County Health Department is working with camp medical staff to assess several others who are showing symptoms.

Staff at the Boy Scouts of America facility have contacted the parents of campers currently at the camp and informed them of the two positive cases of H1N1. More than 30 spent the night in a camp facility separate from the rest of the general population, reporting temperatures of at least 99 degrees. By morning, the group, which included three staff members, remained separated from the rest of the camp population, but only 4 continued to have a fever.

In addition, camp staff is in the process of notifying troop leaders with seven groups expected to travel to the camp on Saturday, and urging them to take steps to assess the health of their campers before making the trip.

In a prepared statement sent to the incoming troops, the camp stated that it was extremely important for troop leaders to help keep the virus from continually spreading.

?We are advising troop leaders to screen your campers and adults prior to your departure,? the statement read. ?We are asking that if you have a camper or leader who has any flu-like illness to stay home?If you have fellow campers or adults who have been exposed to an ill individual, they must stay at home as well.?

If an individual arrives at the camp with a fever, not only the individual, but the entire troop, will have to remained isolated from the rest of the camp for 7 days, the typical stay at the camp, or be allowed to return home. Troops that have questions about attending camp may call 828-648-0435.

The campers with confirmed cases of H1N1 presented symptoms to the camp nurse on June 9. The Haywood County Health Department administered tests, which came back positive on June 11. Results are pending on another test, and the Health Department tested four more on Friday. Both confirmed cases were from a scout troop in Florida.

Haywood County Health Director Carmine Rocco praised the efforts of the Camp Daniel Boone staff, as well as the leaders of visiting troops, to keep the virus from spreading.

?Since 9 p.m. last night, the camp nurse and troop leaders have been working to take the temperature of every camper, and those who have reported a fever have been isolated from the rest of the group,? Rocco said. ?They are continuing to take the appropriate steps to minimize the chances of spreading the virus. Their meals are being taken to them and they?re watching movies. They are taking this seriously and working to address the problem.?

Rocco reiterated the importance for the scout troops expected in on Saturday to assess the health of their campers and keep them home if they show flu-like symptoms.

?The virus could easily spread on a long bus ride, so campers who aren?t symptomatic at the beginning of the trip could be showing symptoms by the time they arrive,? Rocco said.

These are the first confirmed cases of H1N1 virus in Haywood County. Earlier this week, the World Health Organization declared H1N1 to be at pandemic levels worldwide. H1N1 is a new influenza virus causing illness in people very similar to the symptoms of regular flu, which includes fever, cough, sore throat, body aches, headache, chills and fatigue. A significant number of people who have been infected with this virus also have reported diarrhea and vomiting.

The Center for Disease Control and Prevention has determined the new H1N1 flu virus is contagious and is spreading from human to human. However, it is not known how easily the virus spreads between people. Spread of this virus is thought to be the same as that of seasonal flu. Flu viruses are spread mainly from person to person through coughing or sneezing by people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth, nose or eyes.

To help prevent the spread of flu virus to others in close contact with you, the Haywood County Health Department is asking you to follow these current guidelines:

The person who is sick should:

? Stay at home. Stay home for 7 days after your symptoms begin or until you have been symptom-free for 24 hours, whichever is longer.

? Avoid close contact with others. Limit your contact with others. Avoid close contact such as kissing, sharing toothbrushes or drinks with people who are not sick. Try to stay in one room of the house, as far away from others as possible.

? Cover your mouth and nose. Always cover your mouth and nose when you cough, sneeze, or blow your nose.

? Wash your Hands. Wash your hands often with soap and water, especially after you cough, sneeze, or throw away a used tissue in the trash. It is recommended to wash your hands for 15 to 20 seconds. Alcohol-based hand cleaners are also effective.

? Wear a mask. When you are in close contact with other (within 6 feet) or if it is necessary to leave the house, wear a mask to stop the spread of flu to others.

? Call your health care provider if your symptoms get worse:
- Trouble breathing including shortness of breath for fast breathing
- Bluish skin color
- Pain or pressure in the chest or abdomen
- Sudden dizziness
- Confusion or irritability
- Flu-like symptoms improve, but then return with fever and worse cough
- Refusing to drink fluids

Other persons in the home:

Watch for symptoms. Household and close contacts should watch for symptoms such as fever, sore throat, cough, or runny nose. Contacts who develop symptoms should remain home and follow the step listed above.

Choose One Person to Care for the Sick Person. Limit the number of people caring for the sick person. Wear a mask if you must have close contact. Persons with chronic health problems or pregnant women should not care for the sick person, if at all possible.

Wash Your Hands. Wash your hands with soap and water or an alcohol-based hand gel right after contact with the sick person. Wash your hands after handling dirty laundry and other personal items.

Limit the number of visitors. Sick people should not have visitors while they are ill.

Wipe down Surfaces. Clean surfaces that are frequently touched or shared with a standard household disinfectant. This may include doorknobs, remote controls, bedside tables, and bathroom counters and fixtures.

Persons should only take medicines for influenza if their healthcare providers prescribe them. For people with certain health conditions, a medicine called either oseltamivir (Tamilflu) or zanamivir (Relenza) may be prescribed. All sick persons should rest, drink plenty of liquids, and take over the counter medicines such as acetaminophen or ibuprofen to treat their fever and other symptoms. All children under 18 Years of age should NOT take aspirin or products containing aspirin (e.g. Pepto-Bismol) as this can cause a rare serious illness, Reye Syndrome.

If you become severely ill and experience any of the following warning signs, seek emergency medical care.

In children:

? Fast breathing or trouble breathing

? Bluish or gray skin color

? Not drinking enough fluids

? Not waking up or not interacting

? Being so irritable that the child does not want to be held

? Flu-like symptoms improve but then return with fever and worse cough

? Fever with a rash

In adults:

? Difficulty breathing or shortness of breath

? Pain or pressure in the chest or abdomen

? Sudden dizziness

? Confusion

? Severe or persistent vomiting

In addition to the Haywood County Health Department Flu Line, you can also call the NC Care Line ? (800) 662-7030. For online information about protecting yourself and your family from flu, see http://www.ncdhhs.gov or http://www.epi.state.nc.us/epi/gcdc/flu.html for more about influenza prevention efforts in North Carolina. For additional health information and more about swine flu in the U.S., see http://www.cdc.gov/flu/swine.
 
Re: Haywood Co., NC: Boy Scout Camp A/H1N1 cases

Source: http://www.wyff4.com/news/19737729/detail.html

2 Boy Scouts Contract H1N1, Others Show Symptoms

POSTED: 2:52 pm EDT June 12, 2009
UPDATED: 3:09 pm EDT June 12, 2009

HAYWOOD COUNTY, N.C. -- Two campers at Camp Daniel Boone in Haywood County have been confirmed to have the H1N1 virus, or swine flu virus, and the Haywood County Health Department is working with camp medical staff to assess several others who are showing symptoms.

Staff at the Boy Scouts of America facility have contacted the parents of campers currently at the camp and informed them of the two positive cases of H1N1.

More than 30 scouts spent the night in a camp facility separate from the rest of the general population, reporting temperatures of at least 99 degrees. By morning, the group, which included three staff members, remained separated from the rest of the camp population, but only four continued to have a fever, health officials said.


The camp staff is in the process of notifying troop leaders with seven groups expected to travel to the camp on Saturday, and urging them to take steps to assess the health of their campers before making the trip.

The campers with confirmed cases of H1N1 presented symptoms to the camp nurse on June 9.

The Haywood County Health Department administered tests, which came back positive on June 11.

Results are pending on another test, and the Health Department tested four more on Friday. Both confirmed cases were from a Scout troop in Florida.


These are the first confirmed cases of H1N1 virus in Haywood County. Earlier this week, the World Health Organization declared H1N1 to be at pandemic levels worldwide.

H1N1 is a new influenza virus causing illness in people very similar to the symptoms of regular flu, which includes fever, cough, sore throat, body aches, headache, chills and fatigue. A significant number of people who have been infected with this virus also have reported diarrhea and vomiting.
 
Re: Haywood Co., NC: Boy Scout Camp A/H1N1 cases

From the Camp Daniel Boone website (http://www.campdanielboone.org/)

posted Sunday, June 14, 6:5pm
Fellow Scouters,

This note is to update you on the status of Camp Daniel Boone and clarify some of the decisions made during week one. We had several campers come into the health lodge from one troop on Monday with a fever. They were checked with our standard thermometer using a protective cover. At this time we called the Haywood County Health Department to begin working with them. They visited our facility on Tuesday and took samples to be tested. All scouts with the fever were isolated from the time the fever was detected. Most of these scouts voluntarily went home the next day, those who chose to stay remained in isolation. Thursday evening we received the results with two confirmed cases of H1N1 Flu. We were asked to check every camper that night to limit the possible spread.

We visited the local stores purchasing every thermometer and cover available, then used alcohol wipes as a last resort to sterilize all thermometers. Each unit was issued a thermometer and alcohol or covers. We have since acquired 3 digital infrared thermometers that read temperatures from the forehead. We have not received word from any health department of additional confirmed cases at this time. We are scheduled to update the situation on Monday with the Haywood County Health Department officials who were present in camp during check-in today. We are happy to report that all campers arriving today were screened for fever and all campers appear to be healthy and looking forward to a great week at camp. The campsite that had the prominent number of cases last week has been closed for this week. We expect to reopen it next week.

We will continue to monitor all campers and staff throughout the week. We have taken steps to treat all staff to ensure their health and the health of our campers for future weeks. We anticipate a full season of service to our scouts and scouters this summer as we have for 70 years.
Please continue to post questions and we will do our best to respond as quickly as possible.

Yours in Scouting,

Dan Rogers
Camp Director

------------------------------------------------------

Some comments to the notice posted the day before:

Our one georgia troop is now up to 13 out of 32 having tested positive or showing all signs for Swine Flu. While the camp should be clear of this particular outbreak after they disinfect, you should make sure they've changed some of their notification policies, and are using disposable sheaths on the thermometers, rather than using the same thermometer for every child in camp and just wiping it down with an alcohol swab, which is what they did this past week, that just doesn't cut it here.....One of our parents contacted the CDC today, and they said we should definately inform the Georgia Health Dept Monday morning. The camp should send letters to all families that attended last week, outlining all of the CDC recommendations for preventing the spread of this extremely contagious illness, because this camp outbreak could grow exponentially, if the camp chooses to be closed mouthed about this and not educate their families asap. From the CDC: "contagious a full 7 days from first symptoms - regardless of if they feel better after just a few days"...7 DAYS!

My son called me Wednesday evening telling me he had a fever and a bad cough. He called us Thursday morning to let us know he was still running a fever and wanted to come home. If I had know the Swine Flu was present in the camp, I would have never let my 70 year old father drive me to the camp and hang out on the porch of the med. building with my son and other sick ckildren. Every phone call was made by my child who knew nothing about the flu.

My son was sent back several times after complaining of not feellng well and was told he was just homesick. Finally he was put in isolation with the others. We were never told he had a fever or any of the flu symptoms. Even when he was picked up to go home, we still weren't told of his symptoms. He told us on the way home he had a fever, vomiting, and sore throat. He tested positive with the flu test when he got home. I understand the staff was probably quite overwhelmed with the situation, but at least a generic form with the symptoms he exhibited would have been helpful. The camp needs to work on its protocol for notifying parents. The only message we received was that our son was put in isolation with a stomach ache that could have been from being homesick.

(By John King, Scoutmaster) My troop was at CDB last week and we had 3 boys come down with the flu at camp. I say the flu because none of three were tested there for swine flu. Since that time, on our 15-hour drive home, another 8 boys developed flu symptoms. Now let me back up a little bit on the history. We all arrived at camp healthy on Sunday. On Thursday, we heard through the "grapevine" that swine flu had been in the camp on Monday, and the infected boys were sent home. We were notified at about 10 pm Thursday that the entire camp was being isoloated to their specific campsites and eveyone had to be checked for fevers. Of the 12 boys at our campsite, 2 tested with a fever. The camp nurses took the 2 to the infirmery and the remainder were told to stay at their campsite until morning. We weren't able to notify parents because we had been "quarantined" to the campsite, had no cell phone reception, plus we had nothing more to report to parents other than that their boy had been sent to the infirmery with a fever. Furthur more, one of our campers on a wilderness survival trek was also brought in with a fever, but I was not notified until Friday morning. At the Friday morning coffee the CDB nurse gave us the updates and informed us all were to remain in isolation until they left and (most importantly) that they had notified ALL parents of the isolated kids. Made sense to me they should do it, since the kids are in their care and they are able to accurately report the conditions of the kids. Needless to say the camp's phone was pretty tied up. When we got on the road Saturday and started making some phone calls, I discovered NONE of my parents had been notified by any one. Now I felt about 1 inch tall. Then I received a phone call from my state's health department while we were on the drive home. They had been notified by the State of North Carolina. I received more information from them on what to do and not to do with our campers at that point in time, and what we were potentially looking at ... Why didn't the county where the camp is located provide this type of information to us? Communication is key here. In retrospect, after this experience, I strongly recommend that an improved communication process be established CDB. I also believe permanent soap-and-water wash stations need to be set up at the mess hall entry areas for these kids to wash their hands. Have a staffer stand there and do not let them pass if they are not clean. These kids are coming straight in from playing in the creek or whatever. This week, they set up hand sanitizer stations, but not until Wednesday (two days after the sick kids were sent home). Plus the bathroom they have to use is over 100 yards away from the mess hall. This is my second experience at CDB, we were there 3 years ago, 2 weeks after another fllu outbreak. Precautionary procedures were put in place then, but over time, dropped (i.e., servers on the food lines, hand sanitizer "stations", etc.). I was disappointed to see many of those procedures not in place this time until Wednesday, and by then it was to late for this week's campers. Now our entire goup is quarantined for 7 days and I'm waiting for test results on whether any of our campers has swine flu. Again, I strongly recommend CDB improve their communication procedures for all the campers and leaders who enjoy their facilities.
 
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