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NZ - Otago/Southland District Health Board Updates

Sally Furniss

Well-known member
Influenza A (H1N1) Media Update No 15
23 June 2009 at 15.40 hrs

In the last few days there have been a number important changes as the Influenza A (H1N1) virus becomes more established in New Zealand, says Otago and Southland Medical Officer of Health Dr Derek Bell.

?The Ministry of Health has now moved to a ?manage it? phase as community transmission is confirmed in many parts of the country,? he said. This means the emphasis changes from containment, to identifying and looking after those most at risk of serious illness and delaying further spread. Most people who get sick with Influenza A (H1N1) are expected to recover without antiviral medication and many will not need to seek medical care."

?In Otago and Southland we have had no laboratory confirmed cases and general practice surveillance shows that levels of community illness are similar to usual for this time of year,? said Dr Bell. Although General Practice teams say few people are reporting flu-like illness, as influenza numbers increase it is inevitable that some will be due to the new influenza virus. ? ?We will ask those who have influenza to avoid infecting other people by staying away from work, or school and other gatherings until they are well again.?

The following actions are being undertaken in Otago and Southland Community-Based Assessment Centres (CBACs) The District Health boards are preparing to establish Community Based Assessment Centres in case family doctors become overwhelmed with the numbers of patients with influenza-like illness. Experienced health practitioners will provide assessment and management of influenza cases from these centres.

The location of CBACs will be advised should they need to open. Border management

o In-flight announcements providing advice about symptoms and how to access health care if needed will continue on international flights

o Public Health staff will continue to meet international flights at airport health stations to provide information and advice to inbound passengers

o Passenger locator forms are no longer being completed, as contact tracing of confirmed cases stops

General Practice now has the key role in managing novel Influenza A

o Most people will recover at home without the need for medical treatment

o However your family doctor remains the first point of contact if you become sick and need to seek help. Please phone ahead first

o Please remember to keep the hospital emergency departments for emergencies only Telephone advice

o Phone the National toll-free Healthline on 0800 611 116. Otago ? Southland toll-free Healthline

o This will be set up to support family doctors and ensure hospitals can care for patients once the workload in general practice becomes too great

o Experienced health practitioners will be able to provide phone advice and direct people to appropriate care if necessary.

How can you help?
o Most people with non-seasonal influenza ?swine flu? will be able to be cared for at home

o Please think about your preparations for staying home for up to a week while you are sick.

Useful information including the contents for a basic emergency kit can be found inside the back cover of the Yellow Pages in the phone book, or on the Civil Defence web site www.getthru.govt.nz

For further information, please contact: SDHB Communications Officer Jo
Harvey on 027 674 1758.

http://www.otagodhb.govt.nz/Portal.asp
 
Re: NZ - Otago/Southland District Health Board Updates

Newspaper Article:
Swine flu in the South?
Home ? News ? Dunedin
By Edith Schofield on Sat, 27 Jun 2009
News: Dunedin

A school-aged boy may have the first case of swine flu in Otago and Southland.

The pupil is the first "probable" case of swine flu, or influenza A (H1N1), in the region.

Health officials would not divulge if the boy lived in Otago or Southland.

He has a flu-like illness and a strong epidemiological link to a confirmed case or "defined cluster".

Officials are awaiting test results to confirm if he has swine flu.

Otago and Southland are still the only regions in the country with no confirmed cases.

Otago and Southland District Health Board novel influenza A (H1N1) response incident controller Leanne Samuel said 30 staff were working on swine flu across the two regions, alongside two emergency planners and the public health team.

The swine-flu team was planning hospital and community care responses and "getting structures in place to manage H1N1 in our community".

The boards have flu centres ready to open in Dunedin, Queenstown and Invercargill if family doctors become overwhelmed with patients with flu-like illness
http://www.odt.co.nz/news/dunedin/63031/swine-flu-south
 
Re: NZ - Otago/Southland District Health Board Updates

Southland Swine Flu Update #18

Friday, 3 July 2009, 3:15 pm
Press Release: Joint Media Statement

Novel Influenza A (H1N1) 09 Media Update #18 3 July 2009 at 14.30 hrs
Cases of Novel Influenza A H1N1 09 (Swine Flu) have now been detected in communities across Otago and Southland.

Medical Officer of Health Dr Derek Bell said there are a total of 11 confirmed cases from Dunedin, Invercargill, Alexandra, Oamaru and Wanaka. He said that it can be expected that there are unrecognised cases elsewhere across the two regions.

Dr Bell said some schools were also starting to report high absenteeism rates.

?With the start of the school holidays tomorrow and the associated movement of people and families around New Zealand, we can expect to see greater impact of influenza at the start of school term 3.? Dr Bell reiterated the key message for minimising the spread of influenza. ?If people are sick they should stay at home. Other family members and close contacts can continue with their regular activities unless they are also unwell.? At this stage general practices are continuing to manage the workload; however this is being monitored closely to inform the decision on whether Community Based Assessment Centres need to activated across Otago and Southland.

The best way of limiting the spread of both seasonal influenza and Swine Flu include:

* Staying home if you are sick

* Using tissues to cover coughs and sneezes, and disposing of used tissues in plastic bags

* Washing hands scrupulously using soap and water or hand sanitizer

* Staying at least 1 metre away from other people in social situations

* Minimising social contact such as shaking hands, hugging etc Most people will recover at home without the need for medical treatment.

Those suffering from influenza should stay at home until they are totally free of symptoms including sneezing and coughing. Your GP remains your first point of contact if you become sick and need to seek help.

Phone the national toll-free Healthline (0800 611 116) or your healthcare provider for health advice.

People should not hesitate to seek medical advice if they are at higher risk of developing complications or if they become more seriously ill. People who appear to be at higher risk of more severe illness include pregnant women, young children and people with significant health conditions such as chronic heart disease, chronic respiratory conditions (including severe asthma), or reduced immunity.

Things to watch out for are:


if you?ve been unwell for three or four days and are not getting any better or are feeling worse

a high temperature (above 38.3C) that is not responding to attempts to reduce it

* difficulty breathing or shortness of breath

* pain or pressure in the chest or stomach

* if you cough up bloody or green phlegm

* blue skin around the lips and/or blue skin on fingertips

* severe pain in the ear(s)

* severe vomiting

* difficulty waking up or feeling disoriented or confused

* fits or uncontrolled shaking

* if you started to feel better but then get a high fever and start to feel unwell again

* inability to keep fluids down

* other signs of becoming more sick such as children becoming more irritable and not eating and drinking.

For the latest information on Swine Flu, visit www.moh.govt.nz

For information on preparing for emergencies, including managing extended periods at home, see www.getthru.govt.nz
 
Re: NZ - Otago/Southland District Health Board Updates

Temporary Patient Visitor Restrictions

Wednesday, 22 July 2009, 6:04 pm
Press Release: Southland District Health Board Southland Hospital introduces Temporary Patient Visitor Restrictions in Response to Increased Activity
Southland Hospital is putting temporary visitor restrictions in place from today due to increasing patient numbers for both influenza and the usual winter pressures on beds and staff resources.
Patients may now only have one support person/visitor per each visiting session. These restrictions are effective in all wards as well as the Emergency Department until further notice.


Southland District Health Board (DHB) Chief Operating Officer Lexie O’Shea said the restrictions are necessary to allow hospital staff to deal with the increased workload, to reduce the movement of people around the hospital and the opportunities for people to bring influenza-like-illness into the hospital.
“While we are coping with the increased workload it is necessary for us to put these measures in place so that we can get on with doing our job – which is to care for sick patients and protect them from any other viruses in the community.
“Our staff are being proactive in turning away extra visitors and any visitor they believe may be unwell.
“We are asking the public to please comply with these measures and not be offended if they are turned away.”
Posters are displayed around Southland Hospital about the visiting hours as well as posters asking visitors not to visit if they have a fever, cough, runny nose, sneezing, aches, diarrhoea or vomiting.
We are also reminding the public that people who think they have the flu should:
* Stay at home
* Wash their hands frequently with soap and dry them thoroughly
* Cover coughs and sneezes with tissues. Dispose of them in a rubbish bin or plastic bag
* Take fluids, rest, and anti-fever medication
* Contact your GP if they are getting worse – phone first
 
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