Monthly Archives: September 2009

H1N1 Q&A

Flu season is rapidly approaching. The Chatham County Public Health Department has planned its flu clinics for the month of October. Go to www.chathamnc.org/publichealth to see the dates, locations, and times.

There is a lot of uncertainty about the H1N1 influenza. Information changes rapidly. Here are some frequently asked questions about the H1N1 vaccine and answers from the Centers for Disease Control and Prevention.

Will the 2009 H1N1 influenza vaccines be safe?
We expect the 2009 H1N1 influenza vaccine to have a similar safety profile as seasonal flu vaccines, which have a very good safety track record. Over the years, hundreds of millions of Americans have received seasonal flu vaccines. The most common side effects following flu vaccinations are mild, such as soreness, redness, tenderness or swelling where the shot was given.

Are there any side effects to the 2009 H1N1 influenza vaccine?
CDC expects that any side effects following vaccination with the 2009 H1N1 influenza vaccine would be rare. If side effects occur, they will likely be similar to those experienced following seasonal influenza vaccine.

Are there some people who should not receive this vaccine?
People who have a severe (life-threatening) allergy to chicken eggs or to any other substance in the vaccine should not be vaccinated.

Will the benefits of the 2009 H1N1 influenza vaccines outweigh the risks?
Is this something I should talk to my healthcare provider about?Currently the 2009 H1N1 influenza virus (sometimes called “swine flu”) virus seems to be causing serious health outcomes for:
1. healthy young people from birth through age 24;
2. pregnant women; and
3. adults 25 to 64 who have underlying medical conditions.

Seasonal influenza vaccines are highly effective in preventing influenza disease. The expectation is that a vaccine against 2009 H1N1 influenza would probably work in a similar fashion to the seasonal influenza vaccines.

For the full set of question and answers, please go to http://www.cdc.gov/h1n1flu/vaccination/vaccine_safety_qa.htm

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Health Department Staff Learns Spanish

Recently, three health department employees traveled to San Miguel de Allende, Mexico to learn Spanish. Marissa and Megan spent three weeks learning the language and Kelly spent four weeks. Here is a little bit about what Marissa wrote about their experience.

Every morning Kelly, Megan, and I walk about 15 minutes to class. Kelly is staying around the corner from us. Megan and I meet her at the corner and we all walk together. We go through downtown and past many shops. It’s hilly!

We spend all day in class. From 8:30 until 11:30, we take intensive Spanish. Kelly is in level 1 and Megan and I are in level 2. Then Megan and I have an hour conversation class. We talk to the teacher and other students about different things. The last couple of days it’s been holidays and celebrations.

Ayer en clase, (Yesterday in class,) we were discussing what we eat for different holidays. I said for Easter we eat jabón in the United States. The teacher looked at me strangely. The word I was looking for was jamón. Jabón is soap! We don’t eat soap for Easter! I was a little embarrassed but we had a good laugh.

Then we all take a pronunciation class. We practice saying words correctly.

After lunch, I take the Mexican Mind. The teacher discusses why people in Mexico act and think they way they do. There is a mix of history and sociology. Kelly and Megan are in Mexican Folkdance. For the last class of the day, we all take history. Right now we’re discussing the Mayans.

All the classes are interesting. Las clases son español solamente. (All the classes are only in Spanish.) It was hard to understand the teachers on the first day, but the more Spanish I hear and speak, it gets easier. The classes are small as well. They have 3-6 students each. The day goes by very quickly.

That was during the first week of class. Megan and Marissa have been back for a week and Kelly just a few days. All believe it was a worthwhile experience. Marissa said, “I spoke just a little Spanish when I got there. But I learned so much faster being immersed in the language and culture. I now feel comfortable holding conversations with people.”

Megan has taken Spanish courses for a couple of years to advance her skills. “In the classes I’ve taken here, I haven’t had to speak Spanish. But I was forced to in San Miguel. It really improved my conversation skills.”

Kelly says, “I went down there knowing hardly any Spanish. After four weeks, I can communicate and I understand a lot more.”

All are excited after their experience and plan to continue to learn Spanish.

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H1N1 Questions and Answers

What are the plans for developing 2009 H1N1 vaccine?
Vaccines are the most powerful public health tool for control of influenza, and the U.S. government is working closely with manufacturers to take steps in the process to manufacture a 2009 H1N1 vaccine. Working together with scientists in the public and private sector, CDC has isolated the new H1N1 virus and modified the virus so that it can be used to make hundreds of millions of doses of vaccine. Vaccine manufacturers are now using these materials to begin vaccine production. Making vaccine is a multi-step process which takes several months to complete. Candidate vaccines will be tested in clinical trials over the few months.

When is it expected that the 2009 H1N1 vaccine will be available?The 2009 H1N1 vaccine is expected to be available in the fall. More specific dates cannot be provided at this time as vaccine availability depends on several factors including manufacturing time and time needed to conduct clinical trials

Will the seasonal flu vaccine also protect against the 2009 H1N1 flu?
The seasonal flu vaccine is not expected to protect against the 2009 H1N1 flu.

Can the seasonal vaccine and the 2009 H1N1 vaccine be given at the same time?
It is anticipated that seasonal flu and 2009 H1N1 vaccines may be administered on the same day. However, we expect the seasonal vaccine to be available earlier than the H1N1 vaccine. The usual seasonal influenza viruses are still expected to cause illness this fall and winter. Individuals are encouraged to get their seasonal flu vaccine as soon as it is available.

Who will be recommended to receive the 2009 H1N1 vaccine?
CDC’s Advisory Committee on Immunization Practices (ACIP) has recommended that certain groups of the population receive the 2009 H1N1 vaccine when it first becomes available. These target groups include pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months and 24 years old, and people ages of 25 through 64 years of age who are at higher risk for 2009 H1N1 because of chronic health disorders or compromised immune systems.
We do not expect that there will be a shortage of 2009 H1N1 vaccine, but availability and demand can be unpredictable. There is some possibility that initially the vaccine will be available in limited quantities. In this setting, the committee recommended that the following groups receive the vaccine before others: pregnant women, people who live with or care for children younger than 6 months of age, health care and emergency medical services personnel with direct patient contact, children 6 months through 4 years of age, and children 5 through 18 years of age who have chronic medical conditions.

The committee recognized the need to assess supply and demand issues at the local level. The committee further recommended that once the demand for vaccine for these target groups has been met at the local level, programs and providers should begin vaccinating everyone from ages 25 through 64 years. Current studies indicate the risk for infection among persons age 65 or older is less than the risk for younger age groups. Therefore, as vaccine supply and demand for vaccine among younger age groups is being met, programs and providers should offer vaccination to people over the age of 65.

Do those that have been previously vaccinated against the 1976 swine influenza need to get vaccinated against the 2009 H1N1 influenza? The 1976 swine flu virus and the 2009 H1N1 virus are different enough that it is unlikely a person vaccinated in 1976 will have full protection from the 2009 H1N1. People vaccinated in 1976 should still be given the 2009 H1N1 vaccine.

Where will the vaccine be available? In Chatham County, vaccine will be available in a combination of settings such as vaccination clinics organized by the Chatham County Public Health Department, healthcare provider offices, schools, and other private settings, such as pharmacies and workplaces. Specific announcements will be made once the vaccine is available..

Are there other ways to prevent the spread of illness?
Take everyday actions 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.
• Stay home if you get sick. CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

Follow public health advice regarding school closures, avoiding crowds and other social distancing measures. These measures will continue to be important after a 2009 H1N1 vaccine is available because they can prevent the spread of other viruses that cause respiratory infections.

What about the use of antivirals to treat 2009 H1N1 infection?Antiviral drugs are prescription medicines (pills, liquid or an inhaled powder) that fight against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. This fall, antivirals may be prioritized for persons with severe illness or those at higher risk for flu complications

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Healthy Chatham Host Health Fair on August 26

The Healthy Chatham Affordable Health Care Task Force will host a health fair on Saturday, September 26th from 9:00am-1:00pm. The fair will be held in the grassy area next to the Wal-Mart Garden Center in Siler City. The address is 14215 US Highway 64 West. In these difficult economic times, more and more people are losing health insurance coverage as a result of losing their jobs. To help those who have lost health insurance, various screenings will be available such as:

• Blood pressure
• Blood glucose
• Mental health
• Pulmonary function
• Vision
• HIV testing
• Weight checks
• Basic dental screenings

There will also be information/education provided on:

• Fire safety
• Smoking cessation
• Nutrition information
• A Wal-Mart pharmacist will be there to check medications and provide education.
(Participants should bring their medications if they want the pharmacist to review them.)

All health care screenings will be free of cost. The Affordable Health Care Task Force is working with Piedmont Health Services to ensure that follow-up medical care is available for attendees needing further care.

For more information, contact Marissa Jelks at 919-545-8517 or e-mail at marissa.jelks@chathamnc.org.

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