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Tuesday, February 09, 2010
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 2009-2010 Flu Season - Novel H1N1 & Seasonal Flu  

NEW!
Open Letter to the American People about the H1N1 Flu Vaccine
NASN has signed onto this open letter from America's top medical professionals about the safety and effectiveness of the H1N1 Flu Vaccine. Read this letter.

From April – November 2009, approximately 200 children under the age of 18 have died in the US from the 2009 H1N1 influenza virus
To increase awareness and educate parents, the CDC developed a podcast titled, 2009 H1N1 Information for Parents who have Children with High-Risk Medical Conditions. This 8 minute podcast serves as a great tool to share with parents who have children in this high risk category! Access the podcast.

A Toolkit for Providers of Children with High Risk Conditions
CDC has developed a toolkit for pediatric and child health care providers on H1N1 and children with high-risk conditions. The toolkit includes an information sheet regarding access to the H1N1 vaccine, a brochure and template letters for parents and caregivers, as well as posters for the office setting. Read more.

Resources for Pediatric and Child Health Care Providers, click here.

Other content on this page:

H1N1 (Swine Flu)


H1N1 (Swine Flu) Widget. Flash Player 9 is required.H1N1 (Swine Flu) Widget. Flash Player 9 is required.



Definitions
What is the difference between seasonal and pandemic influenza? What is that difference between Avian and Swine Flu?

Seasonal influenza
Pandemic influenza
Avian influenza (A1)
Novel H1N1 influenza (Swine Flu)


Guidance for Schools

School Dismissal Monitoring System
From the CDC and the Department of Education
Report school dismissals -
click here

2009 H1N1 Influenza School-Located Vaccination (SLV): Information for Planners
NASN participated in the development or this newly released document from CDC.
http://www.cdc.gov/h1n1flu/vaccination/slv/

Preparing for the Flu - Communication Toolkit for Schools (Grades K-12). Click here.

H1N1 policy guidance for K-12 schools, teachers, administrators, and parents (CDC). Click here
.

School-Located Influenza Immunization School Kit
From the National Association of County & City Health Officials.
http://www.naccho.org/toolbox/tool.cfm?id=1680

Preparing for the Flu: A Communication Toolkit for Institutions of Higher Education
http://www.flu.gov/plan/school/higheredtoolkit.html

The Department of Education has confirmed that FERPA privacy regulations are not to interfere in communications with public health officials per Virginia Tech emergency guidelines: http://www.ed.gov/policy/gen/guid/fpco/brochures/elsec.pdf

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Media and Interviews

H1N1 Media Talking Points (from NASN) - Click here

CDC H1N1 vaccine recommendations press release: http://www.cdc.gov/media/pressrel/2009/r090729b.htm

All You Have to Do is Wash Your Hands - handwashing podcast: http://www2a.cdc.gov/podcasts/player.asp?f=11072

Talking To Kids About H1N1 (Swine) Flu
for parents from NASN Radio -
Click here to listen

Mary Pappas the St. Francis Preparatory Academy school nurse who identified the first cases in the current swine flu outbreak in Queens, NY was interviewed by the New York Times. Seeing Signs of Outbreak, School Nurse Set Response in Motion (April 28, 2009): http://www.nytimes.com/2009/04/27/nyregion/27response.html?hp

Mary Pappas, and Amy Garcia, the Executive Director of NASN were interviewed on NPR. Both emphasized that surveillance for infectious diseases is something all school nurses do (April 28, 2009):
http://www.hereandnow.org

Mary Pappas was interviewed again by the New York Times. School Nurse's Response to Flu Wins Applause (April 29, 2009):
http://www.nytimes.com/2009/04/29/nyregion/29nurse.html?ref=nyregion

NPR interviewed Martha Bergren, NASN Director of Research about privacy and the ability to share student information with public health officials during this public health event (April 29, 2009).
http://www.hereandnow.org/

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Sample Pandemic Plans for Schools

Pandemic Influenza Planning Checklist for daycare through college
From the Centers for Disease Control and Prevention
http://www.pandemicflu.gov/plan/school/index.html

Pandemic Flu School Action Kit
Contra Costa Health Services
http://www.cchealth.org/topics/pandemic_flu/school_action_kit/

Pandemic action plan
Broward County Public Schools
http://www.nassauschoolemergency.org/safety_plans/

Pandemic Flu School Preparedness
Tacoma/Pierce County Health Department
http://www.tpchd.org/page.php?id=288

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National
and State Resources

Know What to do About the Flu
Web cast series from the Department of Health and Human Services. The Web cast on 12/16/09 focused on what health care providers need to know.
http://www.flu.gov/news/knowwhattodo.html

Flu Vaccine Locator
Find out where H1N1 vaccine is available near you. Enter your zip code in the Flu Vaccine Locator.
http://www.flu.gov

CDC Update - November 12, 2009
CDC now estimates that between about 2,500 and 6,000 2009 H1N1-related deaths occurred during the six month period of April through October 17, 2009. The deaths for children under 18 are estimated to be 540. This is in contrast to the previously reported 129 pediatric H1N1deaths confirmed by laboratory findings. While these numbers are an estimate, CDC feels that they present a fuller picture of the burden of 2009 H1N1 disease on the United States.
http://www.cdc.gov/h1n1flu/estimates_2009_h1n1.htm

Additional information for students and staff with diabetes.
From the Centers for Disease Control
http://www.cdc.gov/diabetes/news/docs/swine_flu.htm

Weekly U.S. Map: Influenza Summary and Update
From the Centers for Disease Control and Prevention
http://www.cdc.gov/flu/weekly/usmap.htm

H1N1 policy guidance for K-12 schools, teachers, administrators, and parents (CDC)
http://www.flu.gov/plan/school/schoolguidance.html

One-stop access to U.S. Government swine, avian and pandemic flu information
From the Centers for Disease Control and Prevention
http://www.pandemicflu.gov/

2009 H1N1 Flu
From the Centers for Disease Control and Prevention
http://www.cdc.gov/h1n1flu

Pandemic Preparedness
From the World Health Organization
http://www.who.int/csr/disease/influenza/pandemic/en/index.html

Emergency Planning: Influenza Outbreak
From the U.S. Department of Education
http://www.ed.gov/admins/lead/safety/emergencyplan/pandemic/more.html

SAT test center closings
http://www.collegeboard.com/student/testing/sat/testday/center_closings_alert.html

Guidance for Businesses and Employers to Plan and Respond to the 2009-2010 Influenza Season
From the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, with input from the U.S. Department of Homeland Security.
http://www.flu.gov/plan/workplaceplanning/guidance.html

Emergency Planning: Influenza Outbreak
From the U.S. Department of Education
http://www.ed.gov/admins/lead/safety/emergencyplan/pandemic/more.html

Pandemic Influenza Tabletop Exercise: K-12 School Closure as a Disease Containment Measure
From the Minnesota Department of Health
http://www.health.state.mn.us/divs/idepc/diseases/flu/pandemic/scexercise/index.html

Pandemic Influenza: A Guide to Recent Institute of Medicine IOM Studies and Workshops
http://bit.ly/Zn2lD

"Children and Disasters"
From the
American Academy of Pediatrics
http://www.aap.org/disasters/index.cfm


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Tools for the School Nurse

New Anatomy of a Pandemic
A very informative PBS NewsHour special, Anatomy of a Pandemic, aired 12/14/09. It included interviews with Dr. Anthony Fauci from NIH, Dr. Anne Schuchat from the CDC, and others.
http://www.pbs.org/newshour/pandemic/

Frequently Asked Questions about the Safety of the 2009 H1N1 Influenza Vaccine from the CDC, click here.

For CDC's 2009 Influenza Vaccine Record, click here

Protect your school and yourself from influenza: Get Vaccinated!
CDC recommends seasonal and H1N1 influenza vaccination for all healthcare workers, including school nurses, because of increased risk of exposure to those with influenza, as well as the transmission of the viruses to susceptible others. Despite documented benefits, seasonal influenza vaccine coverage in past seasons among this group has remained low (<50%) nation-wide. Influenza outbreaks in hospitals and long-term care facilities have been associated with low vaccination rates among healthcare workers, while higher vaccination levels are associated with a lower incidence of nosocomial influenza cases - information transferrable to school nurses working in the school setting. The most effective way to protect yourself and your schools from flu is to be vaccinated. It’s up to you!

Risk of Serious Illness Among Healthcare Personnel Associated with 2009 H1N1 Influenza
The National Institute for Occupational Safety and Health (NIOSH) is working with its partners to gather information about deaths and serious illness among healthcare personnel associated with 2009 H1N1 influenza. Reports in the news media have associated at least four nurse deaths with H1N1 influenza. Understanding of the prevalence of serious H1N1 illness and fatalities among nurses is limited due to a lack of occupational data in existing surveillance systems. NIOSH is seeking any information regarding cases of serious 2009 H1N1 illness, hospitalization, or fatality among healthcare personnel, including school nurses (nioshh1n1data@cdc.gov).
For more information, visit http://origin.cdc.gov/niosh/topics/H1N1flu/healthcare-risk.html

Frequently Asked Questions by Students, Families and School Personnel

Healthcare Providers and Facilities - Decision Tree for 2009 H1N1 Vaccination
The purpose of this document is to provide a decision tool for providers and healthcare facilities and would be a tool for those schools considering school-located vaccination.
http://www.cdc.gov/H1N1flu/vaccination/decisiontree.htm

Championing School-Located Influenza Immunization
3.0 CNE Contact Hours-Free to NASN Members
This supplement to the Journal of School Nursing includes an overview of influenza and articles on the role of school nurses and public health departments in school-located influenza immunization.
Supplement: http://www.nasn.org/portals/0/education/championing_school_located_influenza_immunization.pdf
Redeem CNE contact hours: http://www.nasn.org/Default.aspx?tabid=111
Supported by an educational grant from MedImmune.

Additional information for students and staff with diabetes.
From the Centers for Disease Control
http://www.cdc.gov/diabetes/news/docs/swine_flu.htm

School-Located Influenza Immunization School Kit
From the National Association of County & City Health Officials.
http://www.naccho.org/toolbox/tool.cfm?id=1680

Preparing for the Flu - Communication Toolkit for Schools (Grades K-12)
http://www.flu.gov/plan/school/schoolflutoolkit.pdf

Don’t Get Sidelined By the Flu
From NASN. Intended for middle and high school.
http://www.nasn.org/Default.aspx?tabid=316

It’s A SNAP
From School Network for Absenteeism Prevention. Intended for elementary and middle school. Many resources, facts, and links. Partnered with Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, and the Soap and Detergent Association.
http://www.itsasnap.org/index.asp

Henry the Hand
From Henry the Hand Foundation. Intended for elementary. Information, classroom activities, downloadable songs and video. Some activity sheets and posters in international languages.
http://www.henrythehand.com

Scrub Club
From NSF International. Intended for elementary. Webisodes, downloadable materials, and classroom acitivities.
http://www.scrubclub.org

Scrubby Bear
From Buffalo and Orange County Chapters of American Red Cross and Think Bright. Activities, lesson plans and resources.
http://www.thinkbright.org/Families/viewResource.asp?contentid=4199

Why Don't We Do It in our Sleeve?
From Maine Medical Association: Cough hygiene intended for middle school through adult.
http://www.coughsafe.com

Put Your Hands Together - video on handwashing
From the Centers for Disease Control and Prevention
http://www.cdc.gov/CDCTV/HandsTogether/index.html

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Resources for Parents

Talking to Children About the Flu (Novel H1N1): A Parent Resource
NASN has partnered with the National Association of School Psychologists (NASP) and the National Parent Teacher Association (NPTA) to develop and disseminate this handout for parents.
Click here to download the English handout.
Click here to download the Spanish handout.
Click here to listen to the English podcast.
Click here to listen to the Spanish podcast.

Talking to Children About Novel H1N1 Flu (Formerly Swine Flu) Concerns
From the Centers for Disease Control and Prevention
http://cdc.gov/h1n1flu/talkingtokids.htm


Morbidity and Mortality Weekly Reports

Use of Influenza A (H1N1) 2009 Monovalent Vaccine Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009
Specific vaccines against the novel influenza A (H1N1) virus are being manufactured, and licensed vaccine is expected to be available in the United States by mid-October 2009.
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr58e0821a1.htm

Swine-Origin Influenza A (H1N1) Virus Infections in a School: New York City, April 2009
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm58d0430a1.htm?s_cid=mm58d0430a1_e


NASN Publications

Journal of School Nursing February 2009 supplemental issue highlighted school located vaccine clinics. To access this supplement, visit: http://jsn.sagepub.com/content/vol25/1_suppl/

  • Li, C. & Freedman , M. (2009). Seasonal influenza: An overview. Journal of School Nursing, 25, 4S-12S.
  • Ransom, J. (2009). School-located influenza vaccination clinics: Local health department perspectives. Journal of School Nursing, 25,13S-17S.
  • Li, C., Freedman, M. & Boyer-Chu , L. (2009). Championing school-located influenza immunization: The school nurse’s role. Journal of School Nursing, 25,18S-28S.
  • Borja, M. Amidon, C. Spellings, D. Franzetti, S. & Nasuta , M. (2009). School-located influenza vaccination clinics: School nurse perspectives. Journal of School Nursing, 25,29S-36S.

To access the following manual, visit NASN's bookstore online at: http://www.nasn.org/store/detail.aspx?ID=27
• Doyle, Janice, & Loyacono, Thomas. (2007). Disaster preparedness guidelines for school nurses. 2nd edition. NASN Corporate Office, 8484 Georgia Avenue, Suite 420, Silver Spring, MD 20910.

To access the following articles referenced below, visit our publisher's archive portal at:
http://jsn.sagepub.com/:
• Morton, Jennifer L., & Schultz, Alyce A. (2004). Healthy hands: use of alcohol gel as an adjunct to handwashing in elementary school children. Journal of School Nursing, Vol. 20, No. 3, pp. 161–167.
• White, Catherine G., Shinder, Fay S., Shinder, Arnold L., & Dyer, David L. (2001). Reduction of illness absenteeism in elementary schools using an alcohol-free instant hand sanitizer. Journal of School Nursing, Vol. 17, No. 5, pp. 258–265.

To access the following article referenced below, visit our publisher's archive portal at:
http://nas.sagepub.com/:
• Hummingbird, Linda. (2007). Private and parochial school nurses preparing for pandemic. NASN Newsletter, Vol. 22, No. 1, p.5.

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