powerpoint presentationdhh.louisiana.gov/.../pfpresentations/contr… · ppt file · web view ·...
TRANSCRIPT
Pandemic Pandemic Flu and YouFlu and You
Topics of DiscussionTopics of Discussion
Seasonal Influenza (Flu)Seasonal Influenza (Flu)
Avian FluAvian Flu
Pandemic FluPandemic Flu
Your Role Your Role
ResourcesResources
Illness caused by the influenza virusIllness caused by the influenza virus
Extremely contagious and spreads quickly to others. Extremely contagious and spreads quickly to others.
Symptoms vary from person to person Symptoms vary from person to person
Occurs every year, usually in the fall and winter Occurs every year, usually in the fall and winter killing 36,000 people in U.S.killing 36,000 people in U.S.
What is Seasonal What is Seasonal influenza (flu)?influenza (flu)?
Symptoms of Seasonal Symptoms of Seasonal FluFlu
Sudden onset of:Sudden onset of:
Respiratory Respiratory symptomssymptoms= cough, = cough, sore throat, difficulty sore throat, difficulty breathingbreathing
Fever, headache, Fever, headache, aching muscles, aching muscles, weaknessweakness
The Flu Virus as a The Flu Virus as a ContagionContagion
IncubationIncubation Symptomatic (Sick)Symptomatic (Sick) RecoveringRecovering
Work, etc. Work/Home/Hospital Back to work, etcDay 0 Day 11Day 4 Day 15
DANGER OF INFECTION
Day 2
Infectious (Shedding Virus)Infectious (Shedding Virus)
Home Treatment of the Home Treatment of the FluFlu
Bed restBed rest
Hydration-with eight ounces of Hydration-with eight ounces of fluid every hourfluid every hour
Acetaminophen, ibuprofen, Acetaminophen, ibuprofen, naproxennaproxen
Avoid aspirin when dealing with Avoid aspirin when dealing with childrenchildren
Seeking Medical Seeking Medical Treatment for the FluTreatment for the Flu
Persistent feverPersistent fever
Productive coughProductive cough
Increasing difficulty breathingIncreasing difficulty breathing
Improvement, followed by relapseImprovement, followed by relapse
PreventionPreventionHere are Some Things You can DoHere are Some Things You can Do
Yearly vaccinationsYearly vaccinations
Wash your hands Wash your hands regularlyregularly
Avoid touching eyes, Avoid touching eyes, nose and mouthnose and mouth
Avoid close contact with Avoid close contact with sick peoplesick people
Stay at home when sickStay at home when sick
Cover your coughCover your cough
Protects Yourself
Protects Others
Avian (Bird) FluAvian (Bird) Flu
What is it?What is it? An infection occurring naturally An infection occurring naturally
among birds (example: HSN1)among birds (example: HSN1)
Wild birds are natural carriers- Wild birds are natural carriers- Sometimes without illnessSometimes without illness Can infect domesticated birds- Can infect domesticated birds-
often resulting in illness, culling, often resulting in illness, culling, and death.and death.
Humans can become infected. Humans can become infected. Most cases due to close Most cases due to close contact.contact.
Will H5N1 become the next Will H5N1 become the next pandemic?pandemic?
Avian Flu not yet Pandemic FluAvian Flu not yet Pandemic Flu current outbreaks of H5N1 Avian Flu in current outbreaks of H5N1 Avian Flu in
poultry and birds are the largest ever poultry and birds are the largest ever documenteddocumented
Issue of concern- some cases of H5N1 Issue of concern- some cases of H5N1 virus in other kinds of animals, such as virus in other kinds of animals, such as pigs and tigerspigs and tigers
Some human cases of contractionSome human cases of contraction
Impossible to predict next pandemic Impossible to predict next pandemic flu eventflu event
If not H5N1,then If not H5N1,then anotheranother
Plan Plan nownow! !
Practice Prevention Practice Prevention NOWNOW!!
What is a Pandemic Flu?What is a Pandemic Flu?
Pandemic:Pandemic: an epidemic an epidemic spreading spreading around the around the world affecting world affecting hundreds of thousands hundreds of thousands of people, across many of people, across many countriescountries
Pandemic flu:Pandemic flu: a a pandemic that results pandemic that results from an influenza virus from an influenza virus strain that humans have strain that humans have not been previously not been previously exposed toexposed to
Putting Pandemic Flu into Putting Pandemic Flu into PerspectivePerspective
2001 terrorist attack with anthrax2001 terrorist attack with anthrax killed killed fivefive people people
2002 outbreak of West Nile Virus2002 outbreak of West Nile Virus killed killed 284284 people nationally in six months people nationally in six months
2003 SARS outbreak2003 SARS outbreak killed over killed over 800 800 people world widepeople world wide froze Asian economiesfroze Asian economies frightened millions of people into wearing frightened millions of people into wearing
masks on the streetsmasks on the streets
PandemicSpanish Flu- H1N1-
The most devastatingflu pandemic in recentHistory, killing 40 to
80 million world wide
PandemicAsian Flu- H2N2-First identified in China- Caused roughly 70,000 deaths in the U.S.
PandemicHong Kong Flu- H3N2-
First detected in HongKong, this virus caused
roughly 34,000 deaths in the U.S.
Appearance of a new influenza strain in humans- Russian Flu-H1N1
Appearance of a new influenza strain in
humans-H5N1
Appearance of a new influenza
strain in humans- H9N2
Appearance ofa new influenza strain in humans- H7N2- Evidence of infection in one person following a poultry outbreak in Virginia
H5N1- caused illness in 47 people in Thailand and Vietnam, 34 of whom died
H7N3- is reported for the first time in humans. The strain caused illness in two poultry workers in Canada.
H10N7- is reported for the first time in humans. It caused illness in two infants in Egypt. One child’s father is a poultry merchant.
H7N1- 89 people in the Netherlands, most of whom were poultry workers, became infected with eye infections or flu-like symptoms. A veterinarian who visited one of the affected poultry farms died.
H9N2- Caused illness in one child in Hong Kong
**Seasonal Influenza results in 36,000 deaths in the U.S. every year
Three PandemicsThree Pandemics 1968-Hong Kong Flu1968-Hong Kong Flu
Caused 34,000 deaths in the Caused 34,000 deaths in the United StatesUnited States
1957-Asian Flu1957-Asian Flu 70,000 deaths in the United 70,000 deaths in the United
StatesStates
1918-Spanish Flu1918-Spanish Flu Over 600,000 deaths in the Over 600,000 deaths in the
United States. Up to 100 United States. Up to 100 million world widemillion world wide
Tent Hospitals-1918
More History about More History about Spanish Flu of 1918Spanish Flu of 1918
8-10% of all 8-10% of all young adultsyoung adults may may have been killed.have been killed.
From September 1918-December From September 1918-December 1918-Killed more people than the 1918-Killed more people than the Black Death in the Middle Ages Black Death in the Middle Ages killed in 100 yearskilled in 100 years
Killed more people in 24 weeks Killed more people in 24 weeks than AIDS has killed in 24 years than AIDS has killed in 24 years
Compare 2008 to 1918Compare 2008 to 1918 20082008
Modern travelModern travel Many areas more densely Many areas more densely
populatedpopulated Population exceeds 6 billionPopulation exceeds 6 billion
19181918 World War I (civilian and military World War I (civilian and military
overcrowding)overcrowding) Public information withheldPublic information withheld Population approximately 1.8 billionPopulation approximately 1.8 billion
Lessons from Past Lessons from Past PandemicsPandemics
Occurs unpredictably, not always in winter Occurs unpredictably, not always in winter
Variations in:Variations in: Case fatality rates (number of people diagnosed with Case fatality rates (number of people diagnosed with
a disease that die from that disease)a disease that die from that disease) Severity of illnessSeverity of illness Pattern of illness (ages most severely affected)Pattern of illness (ages most severely affected)
Rapid surge in number of cases over brief Rapid surge in number of cases over brief period of timeperiod of time
Tend to occur in waves- May only be one waveTend to occur in waves- May only be one wave
Becoming a PandemicBecoming a Pandemic For pandemic influenza to occur, three For pandemic influenza to occur, three
conditions must be met: conditions must be met: A new virus which humans are not immune A new virus which humans are not immune
emergesemerges The virus causes severe human illness or death in The virus causes severe human illness or death in
humans humans The virus spreads easily from person to person The virus spreads easily from person to person
worldwideworldwide
H5N1 has H5N1 has twotwo of the three today. of the three today.
H5N1 Virus
Possibility versus Possibility versus ProbabilityProbability
World Health Organization World Health Organization assures us that there will be assures us that there will be another influenza pandemic.another influenza pandemic.
Unknown when it will occur/how Unknown when it will occur/how severe the next pandemic will besevere the next pandemic will be
Unknown what the organism will Unknown what the organism will bebe
World Health Organization
Interpandemic
Larger clusters, localized
Limited spread among humans
Pandemic
Current StatusCurrent Status
WHO Global Influenza Preparedness Plan, 2005. Available at: http://www.who.int/csr/resources/publications/influenza/GIP_2005_5Eweb.pdf
Pandemic alert
Phase 1 Phase 2 Phase 3 Phase 4 Phase 5 Phase 6
New virus in
humans
Little/no spread among humans
Small clusters, localized
Limited spread among humans
Increased and
sustained spread in general human
population
No new virus in humans
Animal viruses low risk
to humans
No new virus in humans
Animal viruses low risk
to humans
Current H5N1 status
Would there be a vaccine?Would there be a vaccine? Because the virus will be Because the virus will be
new, there will be no vaccine new, there will be no vaccine ready to protect against ready to protect against pandemic flupandemic flu
A specific vaccine cannot be A specific vaccine cannot be made until the virus has been made until the virus has been identifiedidentified
Seasonal flu vaccine or past Seasonal flu vaccine or past flu immunization will not flu immunization will not provide protectionprovide protection
Pandemic Influenza ImpactsPandemic Influenza Impacts
EstimatedEstimated Impact in Impact in LouisianaLouisiana 3 Million infected3 Million infected Between 600,000-1.4 Between 600,000-1.4
million clinically illmillion clinically ill Between 300K-700K Between 300K-700K
requiring outpatient carerequiring outpatient care Between 10,000 – 22,500 Between 10,000 – 22,500
hospitalizedhospitalized Between 3,000 – 6,000 Between 3,000 – 6,000
deathsdeaths
Health Care, Business, Health Care, Business, Communities, Government, Communities, Government, SchoolsSchools Significant disruption of infrastructureSignificant disruption of infrastructure
TransportationTransportation SchoolsSchools BusinessesBusinesses Medical care Medical care UtilitiesUtilities Police and fire protectionPolice and fire protection CommunicationsCommunications
Limited to no assistance from State and Federal Limited to no assistance from State and Federal Governments due to nation-wide impactGovernments due to nation-wide impact
Personal/Family PlanningPersonal/Family Planning
Stockpiling up to 30 days of water, food, Stockpiling up to 30 days of water, food, supplies, medicinessupplies, medicines
Social distancingSocial distancing
Practice all the same behaviors to prevent Practice all the same behaviors to prevent seasonal fluseasonal flu
Stay at Home Toolkits.Stay at Home Toolkits.
Public Health Role in Public Health Role in PandemicPandemic
Facilitate planningFacilitate planning Disease tracking & controlDisease tracking & control Communication about public Communication about public
health issueshealth issues Coordinate mass antiviral Coordinate mass antiviral
medication and vaccination medication and vaccination clinicsclinics
Issue isolation and quarantine Issue isolation and quarantine ordersorders
Please RememberPlease Remember
Even though local, state and federal Even though local, state and federal agencies have plans to protect the public, agencies have plans to protect the public, you are responsible for your own safety, you are responsible for your own safety,
even in an emergency!even in an emergency!
What Can You Do Now?What Can You Do Now?
BE:BE: Safe-Prepared-Healthy-Aware-A Safe-Prepared-Healthy-Aware-A VolunteerVolunteer
www.oph.dhh.louisiana.govwww.oph.dhh.louisiana.gov
Stay Informed. Be Stay Informed. Be Prepared.Prepared.
Family Readiness GuideFamily Readiness Guide http://www.dhh.louisiana.gov/offices/publications/
pubs-1/Family%20Readiness%20Guide.pdf
Official Pandemic Flu Web SiteOfficial Pandemic Flu Web Site http://www.pandemicflu.gov/
Centers for Disease Control and PreventionCenters for Disease Control and Prevention
http://www.cdc.gov/flu/pandemicfluhttp://www.cdc.gov/flu/pandemicflu//
Contact InformationContact Information