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The Finley Hospital
350 North Grandview Ave.
Dubuque, IA 52001
Phone: (563) 582-1881
Toll Free: 1-800-582-1891

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Copyright 2009. All rights reserved.



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Seasonal Flu and H1N1 Update

Still Important To Vaccinate To Stay Healthy
December 23, 2009

H1N1 vaccinations continue to be available to all Iowa residents. Allocations of H1N1 vaccine have increased statewide; this makes it possible to expand those eligible to be vaccinated past the initial target priority groups to the general population.

Influenza activity continues to decrease; however, H1N1 is still circulating in Dubuque County and throughout Iowa. Public health officials predict another wave of H1N1 illness will occur after the holidays, coinciding with what is typically the time Iowa sees the highest rates of seasonal flu activity - January and February.

"Being immunized as soon as possible will give Dubuque County residents protection against this possible third wave of H1N1 illness", said Dr. John Viner, M.D. "It will also prevent the spread of the virus to others."

Local healthcare providers continue to offer H1N1 vaccine to their patients. Vaccination clinics are also held on Mondays and Fridays at the Dubuque Visiting Nurses Association (VNA), 1454 Iowa St.; Call 556-6200 for an appointment. Walk-in clinics are held each Wednesday afternoon at Crescent Community Health Center, 1798 Elm Street; no appointment necessary. Both clinics are free.

A statewide toll-free hotline has been established for public questions about seasonal and H1N1 influenza, at 1-800-447-1985.

H1N1 Vaccinations Now Open to All Iowans
December 11, 2009
Iowa Influenza Hotline: 1-800-447-1985

The Iowa Department of Public Health (IDPH) today announced that beginning Monday, December 14, 2009, all Iowans will be eligible to receive an H1N1 flu vaccination. "Local public health agencies have done a tremendous job during this vaccination campaign, and in getting those at highest risk vaccinated," said IDPH Director Tom Newton. "We feel confident that it is now time to expand H1N1 vaccinations to the general public."

While H1N1 vaccinations will be available to all Iowans beginning Monday, IDPH continues to encourage those at highest risk of complications to make sure they are vaccinated.

Public health officials predict that another wave of H1N1 illness will occur during the usual time Iowa sees the highest rates of influenza activity - late January and February. Thus, being immunized as soon as possible will give Iowans protection against this possible third wave of illness.

"In Dubuque County, health care providers have done an extraordinary job of vaccinating those most at risk from H1N1 complications", said Mary Rose Corrigan, Public Health Specialist for the City of Dubuque.  "Now that more vaccine will be allocated from IDPH, local health care providers, including the Dubuque Visiting Nurses Association and Crescent Community Health Center, are gearing up to give the vaccinations."

What if YOU Get H1N1?
November 19, 2009

Adults need to put themselves first in order to help others

Since September, 2009, nearly 500 Iowans have been hospitalized with the 2009 H1N1 influenza virus. Initially, children were especially hard-hit by the virus. Surveillance now shows a growing number of adults are becoming ill with H1N1.

Adults are often more likely to make sacrifices to take care of others than they are to take care of themselves. For instance, parents may be more willing to stay home from work with an ill child than they are to stay home themselves while ill. "This year, it's more important than ever for adults to take care of themselves when they are sick," said Dr. John Viner, MD. "By doing so, they not only speed along their own recovery, but also help stop the spread of illness to others."

The symptoms of H1N1 include fever, cough, sore throat, runny or stuffy nose, body aches, headaches, chills, and fatigue. Diarrhea and vomiting have also been reported with H1N1. The Iowa Department of Public Health (IDPH) and Dubuque County Public Health recommend you stay home for at least 24 hours after your fever is gone without the use of fever-reducing medicine. You should stay home from work, school, travel, shopping, social events, and public gatherings. When at home, stay in your room and consider wearing a facemask to help prevent spreading the virus if you need to go into other parts of the home.

With Thanksgiving around the corner, it's especially important to consider the health of others when socializing or shopping. "Family gatherings are important and shopping is fun," said Mary Rose Corrigan, Public Health Specialist for the City of Dubuque. "But it's much more important to keep your friends and loved ones well by staying away from others when you are ill. If you are ill, stay home from the mall, and if family is coming for Thanksgiving, try to stay in a room away from visitors."

While most adults will recover from the H1N1 virus without complications, there are signs that indicate you should seek medical attention right away. These include difficulty breathing; having purple or blue discoloration of the lips; vomiting and being unable to keep any liquids down; feeling dizzy when standing; or being unable to urinate.

A statewide toll-free hotline has been established for public questions about seasonal and H1N1 influenza at 1-800-447-1985. More information can also be found at www.idph.state.ia.us.

2009 H1N1 Influenza Information Sharing Document
November 13, 2009

Updated Information from the Iowa Department of Public Health on H1N1 Influenza


DECLARATION OF H1N1 NATIONAL EMERGENCY ALLOWS IMPORTANT REGULATORY WAIVERS
October 26, 2009

Special Bulletin from the National Hospital Association

H1N1 INFLUENZA TRIGGERS RESTRICTED VISITATION AT  LOCAL HOSPITALS
October 20, 2009

At the direction of Dr. John Viner, chairperson of the Bi-hospital Infection Control Committee, Finley Hospital and Mercy Medical Center, Dubuque and  Dyersville, are limiting patient visitation effective immediately due to H1N1 Influenza.

Children under age 14 and individuals (all ages) with respiratory and/or influenza symptoms, such as coughing, fever, aches, and nausea, are asked to refrain from visiting hospitalized patients until further notice. The restriction, like the seasonal influenza restriction in past years, is a safety precaution for patients and visitors and will remain in effect until further notice.

The state of Iowa and Dubuque County are experiencing widespread H1N1 Influenza, as all subtyped Influenza A viruses reported to CDC the week ending 10-16-09 were 2009 H1N1 Influenza viruses.  As throughout the rest of the state, the impact of 2009 H1N1in Dubuque County is concentrated in school-aged children as Senior High School, Mazzuchelli Middle School and Sageville Elementary School are all reporting greater than 10% absenteeism rates today.

"Many people are wondering what they should do if they get sick, or when they should see their doctor" says Mary Rose Corrigan, Public Health Information Officer for Dubuque County. 

What should I do if I get sick?
If you get sick with flu-like symptoms this flu season, you should stay home and avoid contact with other people. Most people with 2009 H1N1 have had mild illness and have not needed medical care or antiviral drugs. The same is true of seasonal flu.

However, some people are more likely to get flu complications and they should talk to a health care provider about whether they need to be examined if they get flu symptoms this season. They are:

  • Children younger than 5, but especially children younger than 2 years old
  • People 65 and older
  • Pregnant women
  • People who have chronic medical conditions 
     

When do I call my health care provider?
Also, it's possible for healthy people to develop severe illness from the flu so call your doctor if you have any of the emergency warning signs:

In children

  • Fast breathing or trouble breathing
  • Bluish skin color
  • Not drinking enough fluids
  • Not waking up or not interacting
  • Being so irritable that the child does not want to be held
  • Flu-like symptoms improve but then return with fever and worse cough
  • Fever with a rash
     

In adults

  • Difficulty breathing or shortness of breath
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness
  • Confusion
  • Severe or persistent vomiting

H1N1 Vaccine Allocation
Oct. 16, 2009

The Dubuque County Health Department and health care providers within the community are receiving numerous inquiries from citizens wanting the H1N1 vaccine. As a reminder, Dubuque County is receiving weekly allocations of H1N1 vaccine from the Iowa Department of Public Health, the first supplies are being used for health care workers and pregnant women.

As the vaccine is allocated to states on a staggered basis over the coming weeks, Dubuque County public health officials will continually update information about vaccine availability and vaccine sites.

H1N1 Vaccine Arrives in Dubuque County
Who should receive it?

October 8, 2009 
 
For months, two primary questions about H1N1 influenza have been circulating. When will the H1N1 vaccine arrive and who should get it? The first question has been answered as shipments of the H1N1 vaccine begin arriving in Dubuque County this week.

"Allocation of the vaccine to Dubuque County is being determined by the state according to population," said Dubuque Public Health Specialist Mary Rose Corrigan. "As a county, we then work with providers to administer the vaccine." Vaccine will continue to be shipped to Iowa through the winter months.

As for who should receive the vaccine, Dubuque County is following IDPH guidelines, which state the H1N1 vaccine should first be made available to the following priority groups:

  • pregnant women,
  • people who live with or care for children younger than 6 months of age,
  • health care and emergency medical services personnel,
  • persons between the ages of 6 months through 4 years of age, and
  • people from ages 5 through 18 years who are at higher risk for novel H1N1 because of chronic health disorders or compromised immune systems.

Because the first shipment of H1N1 vaccine is in the form of a nasal spray, which is not recommended for some people (such as pregnant women and children with asthma), it is important to talk to your health care provider about getting the vaccination.  Most of the first shipment will be given to health care providers.

The extent of H1N1 influenza occurring in the community and the state is monitored through sentinel testing sites, school absentee rates and confirmed hospitalization cases and deaths.  Individual testing for individual H1N1 diagnosis is not available.

In addition, it remains important to take personal actions to prevent the spread of the virus:

  • Cover your cough,
  • Clean your hands, and
  • Contain germs by staying home when ill.


Swine Flu Outbreak Resources
April 28, 2009 

Information for clinicians and the public:

U.S. Centers for Disease Control (CDC) information and updates

Iowa Department of Public Health (IDPH) Updates and Alerts

World Health Organization info on global response

For additional information:
Questions can also be directed to the Iowa Department of Public Health at 1-800-447-1985.

For individual questions about Swine Flu, please call the My Nurse patient hotline  at (563) 589.4834 toll free at 877.242.8899. MyNurse is a free service from The Finley Hospital and Iowa Health System and is available 24/7 to answer question or connect you with one of our physicians or clinics.


ABOUT SWINE FLU

What is swine flu?
Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza virus that regularly causes outbreaks of influenza in pigs. Swine flu viruses cause high levels of illness and low death rates in pigs. Swine influenza viruses may circulate among swine throughout the year, but most outbreaks occur during the late fall and winter months similar to outbreaks in humans. The classical swine flu virus (an influenza type A H1N1 virus) was first isolated from a pig in 1930.

How many swine flu viruses are there?
Like all influenza viruses, swine flu viruses change constantly. Pigs can be infected by avian influenza and human influenza viruses as well as swine influenza viruses. When influenza viruses from different species infect pigs, the viruses can reassort (i.e. swap genes) and new viruses that are a mix of swine, human and/or avian influenza viruses can emerge.

Is this swine flu virus contagious?
CDC has determined that this swine influenza A (H1N1) virus is contagious and is spreading from human to human. However, at this time, it is not known how easily the virus spreads between people.

What are the signs and symptoms of swine flu in people?
The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.

How does swine flu spread?
Spread of this swine influenza A (H1N1) virus is thought to be happening in the same way that seasonal flu spreads. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza.

When should I see my doctor?
If you've got flu symptoms, and you've recently been to a high-risk area like Mexico, CDC officials recommend that you see your doctor. Keep in mind that your doctor will not be able to determine whether you have swine flu, but he would take a sample from you and send it to a state health department lab for testing to see if it's swine flu.

Can people catch swine flu from eating pork?
No. Swine influenza viruses are not transmitted by food. You can not get swine influenza from eating pork or pork products. Eating properly handled and cooked pork and pork products is safe. Cooking pork to an internal temperature of 160°F kills the swine flu virus as it does other bacteria and viruses.

What You Can Do to Stay Healthy
There are everyday actions people can take to stay healthy.

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.

  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.

  • Avoid touching your eyes, nose or mouth. Germs spread that way.

Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people. If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

Source: CDC