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H1N1

Overview

H1N1

September 14, 2011
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CDPH Issues H1N1 Employee Protection Recommendations

October 29, 2009

Issued on June 24, 2009, this guidance provides recommendations for employers and employees on protection during the H1N1 influenza outbreak. As more information emerges about the H1N1 virus, updated guidance documents will be issued and posted.

  • Click here to download the recommendations
  • Read more
Post

H1N1 Flu Clinical and Public Health Guidance

October 29, 2009
  • Read more
  • To view the recommendations, visit the CDC website
Post

H1N1 Cases in Health Workers Show Need for Protection

October 29, 2009
  • CDC Morbidity & Mortality Weekly Report - H1N1 Virus / Infections Among Health Care Personnel
  • Read more
  • Center for Infectious Disease Research & Policy: H1N1 cases in health workers show need for protection
Post

Pandemic (H1N1) 2009: Treating Children

October 29, 2009

Little is currently known about how H1N1 may affect children. However, we know from seasonal influenza and past pandemics that young children, especially those younger than 5 years of age and children who have high risk medical conditions, are at increased risk of influenza-related complications.

  • Read more
  • CDC Guidance: Treating H1N1 in Young Children
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Flowchart for H1N1 Screening

October 29, 2009

Interim Guidance on Screening for Novel Influenza A (H1N1) provided by County of San Diego, Health & Human Services Agency

  • Download the H1N1 Screening Flowchart
  • Read more
Post

President Obama Signs Emergency Declaration for H1N1

October 29, 2009

10-24-209 - In an effort to proactively address the ongoing pandemic, the President signed a National Emergency Declaration on H1N1 that allows healthcare systems to quickly implement disaster plans should they become overwhelmed.

  • Download the actual declaration
  • View the AHA Special Bulletin: H1N1 National Emergency Declaration
  • Read more
  • Download information about 1135 waivers and what they can do for health care facilities
  • Download general information on the President’s declaration of an emergency under the National Emergencies Act
Post

CHA H1N1 Frequently Asked Questions

October 29, 2009
  • CDPH Health Alert
  • CDPH Update
  • CMS H1N1 Letter
  • Announcing 20 Cal Pan flu
  • Strategic Plan H1N1 2009
  • MLN H1N1 Vaccine Billing
  • Facts
  • APICV Article
  • CHA HPP H1N1 Expanded Checklist
  • Calculating for N95 Masks
  • Stockpiling for Pan Flu
  • CHA Memo H1N1 FAQ
  • Read more
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Mass Medical Care for Scarce Resources

October 29, 2009

HHS’ Agency for Healthcare Research and Quality (AHRQ) has released a condensed planning resource with new information specific to H1N1. The guide “Mass Medical Care With Scarce Resources: The Essentials” is a tool for community planners to prepare for public health emergencies, such as pandemic flu, when demand for medical resources outweighs supply.

  • Download the Planning Tool
  • Download the Plan
  • Read more
Post

Tamiflu Antiviral Flu Medication: Availability, Mixing and Dosing Options

October 23, 2009

Tamiflu is one of two antiviral medications that are effective against the H1N1 pandemic virus. Tamiflu is available in capsule and liquid (oral suspension) formulations. There are millions of treatment courses of Tamiflu in the U.S., and Roche continues to make all formulations of Tamiflu. However, deliveries of the liquid form to some locations are going to be sporadic this fall.

  • Download "TAMIFLU: flexible formulations for patients 1 year and older" info sheet
  • Download "Emergency Compounding of an Oral Suspension of TAMIFLU (Final Concentration = 15 mg/mL)" info sheet
  • Read more
Post

Pandemic (H1N1) 2009: Treating Children

May 1, 2009

Illnesses caused by influenza virus infection are difficult to distinguish from illnesses caused by other respiratory pathogens based on symptoms alone. Young children are less likely to have typical influenza symptoms (e.g., fever and cough) and infants may present to medical care with fever and lethargy, and may not have cough or other respiratory symptoms or signs.

Influenza-associated deaths among children, while uncommon, do occur with seasonal influenza with an estimated average of approximately 92 influenza-related pediatric deaths each year in the United States. Some deaths in children have been associated with co-infection with influenza and Staphylococcus aureus, particularly methicillin resistant S. aureus (MRSA).

  • Read more
  • CDC Guidance: Treating Swine Flu in Young Children
Post

H1N1 Hospital Surveillance Tool (L&C)

January 5, 2009

CDPHi-L&C has announced a pilot project to review current infection-control policies and procedures relating to H1N1 influenza and hospital-acquired infections. The project will consist of three hospital surveys per District Office, for a total of 45 surveys beginning the week of December 7. The surveys are unannounced. After the pilot project is concluded, L&C will conduct reviews at additional hospitals when already on site investigating complaints or adverse events. L&C is projecting 18 surveys a week.

Attached is the survey tool that L&C surveyors will use. It is suggested that hospitals prepare a composite of all policies referred to in Section A of the survey tool and have this readily available for surveyors.

Policies change rapidly based on the availability of new information. In Section B-16, L&C recognizes that the process to revise existing policies takes time. Surveyors will look for a process that ensures hospitals are reviewing new information and are revising policies as necessary. Surveillance tips at the end of the survey tool provide additional insight as to what surveyors will look for when they visit your facility.

It is critical that hospitals adhere to their own policies and procedures, as well as the new Cal/OSHA Aerosol Transmissible Disease Standard. For more information, contact me at (916) 552-7574 or dharms@calhospital.org.

  • Download the H1N1 Hospital Surveillance Tool (doc) (updated 12.16.09)
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Post

Hospital CEO H1N1 Checklist

September 18, 2001

The CHA Hospital Preparedness Program has developed this checklist for hospital CEOs. It can serve as a reference to ensure appropriate planning is occurring within your organization. The expanded checklist below is for hospital planners.

  • Download the Hospital CEO H1N1 Checklist
  • Read more
Post

Updated Recommendations and Guidance for Influenza Prevention in Health Care Settings (11.5.10)

November 5, 2010

Note: This guidance supersedes “GUIDANCE FOR INFECTION CONTROL FOR 2009 H1N1 INFLUENZA IN HEALTH CARE” released on 2.4.10)

On November 5, the California Department of Public Health (CDPHi) issued guidance on influenza prevention in health care settings, and Cal/OSHA issued guidance on the application of the aerosol transmissible diseases standards for the 2010-11 influenza season.

  • Download CDPH Guidance for Influenza Prevention in Health Care Settings (11.5.10)
  • Download Cal/OSHA Guidance for the 2010-2011 Influenza Season (11.5.10)
  • Read more
Post

H1N1: Infection Control Guidance For Hospitalized Patients (2.4.10)

February 5, 2010

Revision History: Supersedes “Pandemic (H1N1) 2009 Influenza Infection Control Recommendations For Hospitalized Patients. (8/20/09)”

Originating programs: Healthcare Associated Infections Program, Center for Health Care Quality, and Division of Communicable Disease Control, Center for Infectious Diseases.

  • Download updated CDPH Infection Control Guidance For Hospitalized Patients (updated 2.4.10)
  • Read more
Post

H1N1: Case Definitions for Infection Control (2-4-10)

February 5, 2010

CDPHi is revising the 2009 H1N1 influenza infection control suspect case definition. This revision reflects the current decreased prevalence of 2009 H1N1 influenza relative to other respiratory pathogens that produce a clinical illness similar to that of both 2009 H1N1 and seasonal influenza

  • Download CDPH on Case Definitions to be Used for Infection Control in California Health Care Settings February 4, 2010
  • Read more
Post

Mask and Respirator Use and Guidance

Mask and Respirator Use and Guidance
February 2, 2010

This “Respirator Safety” video shows how to correctly identify and use surgical masks and respirators, such as N95s. The video shows the differences between respirators and surgical masks and explains the particular uses for each. The video also reviews prevention for worker exposure to infectious diseases.

  • Read more
Post

Attention: Infection Preventionists, Laboratory Personnel and Others

February 1, 2010

Recently, questions about reporting of seasonal influenza cases have been raised and this document clarifies what is reportable.

This document provides guidance for the reporting of 2009 H1N1 and seasonal influenza cases, vaccine adverse events, and outbreaks to CDPHi. Information from previous CDPH documents and updates has been consolidated to provide one document that contains the most recent reporting guidelines and links to the necessary reporting forms.

  • Download CDPH Guidance for Reporting of Cases, Vaccine Adverse Events, and Outbreaks in the 2009-2010 Flu Season
  • Read more
Post

Updated Interim Recommendations for the Use of Antiviral Medications in the Treatment and Prevention of Influenza

January 29, 2010

The California Department of Public Health (CDPHi) has reviewed and concurs with the Centers for Disease Control and Prevention’s (CDC) Updated Interim Recommendations for the Use of Antiviral Medications in the Treatment and Prevention of Influenza for the 2009-2010 Season released on December 7, 2009. These recommendations focus on the use of antiviral medications for the treatment and chemoprophylaxis of influenza.

  • Download the updated guidelines (Jan. 29, 2009)
  • Read more
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Infectious Diseases

  • Ebola Outbreak
  • Seasonal Influenza
  • Measles Outbreak 2015
  • H7N9 Avian Flu
  • H1N1
  • Yellow Fever 2018
  • Zika Virus
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