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New Federal Guidance on H1N1 Announced, Duncan Urges Schools to Prepare for Flu Season Federal authorities, including Secretary of Education Arne Duncan, announced new, updated guidance from the Centers for Disease Control for local school districts regarding H1N1 flu. The announcement was made at a press conference early Friday morning. A new vaccine against H1N1 flu will likely be available in mid-October. It will consist of two shots, administered about three weeks apart. Sec. Duncan and Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention, encouraged districts to consider establishing vaccination programs at schools. “Schools need to think now, and plan now, how they are going to get consent forms back,” Frieden said. “School-located vaccine clinics are very important. We will provide resources” to school districts, he added. “Influenza can be unpredictable, so preparation and planning are key,” said Frieden. “We can't stop the tide of flu, but we can reduce the number of people who become very ill by preparing well and acting effectively.” He added that he expects that flu related school closures will be “relatively rare” under the new guidelines. Highlights of the announcement include: Recommended school responses for the 2009-2010 school year Under conditions with similar severity as in spring 2009 Stay home when sick: Those with flu-like illness should stay home for at least 24 hours after they no longer have a fever, or signs of a fever, without the use of fever-reducing medicines. They should stay home even if they are using antiviral drugs. (For more information, visit http://www.cdc.gov/h1n1flu/guidance/exclusion.htm.) Separate ill students and staff: Students and staff who appear to have flu-like illness should be sent to a room separate from others until they can be sent home. CDC recommends that they wear a surgical mask, if possible, and that those who care for ill students and staff wear protective gear such as a mask. Hand hygiene and respiratory etiquette: The new recommendations emphasize the importance of the basic foundations of influenza prevention: stay home when sick, wash hands frequently with soap and water when possible, and cover noses and mouths with a tissue when coughing or sneezing (or a shirt sleeve or elbow if no tissue is available). Routine cleaning: School staff should routinely clean areas that students and staff touch often with the cleaners they typically use. Special cleaning with bleach and other non-detergent-based cleaners is not necessary. Early treatment of high-risk students and staff: People at high risk for influenza complications who become ill with influenza-like illness should speak with their health care provider as soon as possible. Early treatment with antiviral medications is very important for people at high risk because it can prevent hospitalizations and deaths. People at high risk include those who are pregnant, have asthma or diabetes, have compromised immune systems, or have neuromuscular diseases. Consideration of selective school dismissal: Although there are not many schools where all or most students are at high risk (for example, schools for medically fragile children or for pregnant students) a community might decide to dismiss such a school to better protect these high-risk students.
Under conditions of increased severity compared with spring 2009 CDC may recommend additional measures to help protect students and staff if global and national assessments indicate that influenza is causing more severe disease. In addition, local health and education officials may elect to implement some of these additional measures. Except for school dismissals, these strategies have not been scientifically tested. But CDC wants communities to have tools to use that may be the right measures for their community and circumstances. Active screening: Schools should check students and staff for fever and other symptoms of flu when they get to school in the morning, separate those who are ill, and send them home as soon as possible. Throughout the day, staff should be vigilant in identifying students and other staff who appear ill. High-risk students and staff members stay home: People at high-risk of flu complications should talk to their doctor about staying home from school when a lot of flu is circulating in the community. Schools should plan now for ways to continue educating students who stay home through instructional phone calls, homework packets, internet lessons, and other approaches. Students with ill household members stay home: Students who have an ill household member should stay home for five days from the day the first household member got sick. This is the time period they are most likely to get sick themselves. Increase distance between people at schools: CDC encourages schools to try innovative ways of separating students. These can be as simple as moving desks farther apart or canceling classes that bring together children from different classrooms. Extend the period for ill persons to stay home: If influenza severity increases, people with flu-like illness should stay home for at least 7 days, even if they have no more symptoms. If people are still sick, they should stay home until 24 hours after they have no symptoms. School dismissals: School and health officials should work closely to balance the risks of flu in their community with the disruption dismissals will cause in both education and the wider community. The length of time schools should be dismissed will vary depending on the type of dismissal as well as the severity and extent of illness. Schools that dismiss students should do so for five to seven calendar days and should reassess whether or not to resume classes after that period. Schools that dismiss students should remain open to teachers and staff so they can continue to provide instruction through other means. For a complete text of the new federal guidance to schools, click on the following link: http://www.flu.gov/plan/school/schoolguidance.html The federal government also has a webpage containing a broad array of general information about the flu. Video of Friday’s announcement by Sec. Arne Duncan can be viewed at this site: http://www.flu.gov/ Source: Department of Education |
