Sonoma State University :: Swine Flu Digest

October 29, 2009

Update from Dr. Georgia Schwartz, M.D., Medical Director of the Student Health Center

The SSU Student Health Center is priortizing its current limited H1N1 vaccine to regularly-enrolled SSU students with evidence of one or more of the following verifiable pre-existing or chronic medical conditions or who are healthcare workers with face-to-face patient contact:

— diabetes
— marked obesity
— asthma requiring regular treatment
— chronic neuromuscular conditions such as cerebral palsy, quadraplegia, muscular dystrophy
— pregnancy
— significant chronic kidney, liver, cardiovascular, respiratory, blood, inflammatory bowel or specific immune system diseases, or who are receiving cancer chemotherapy

People with these pre-existing conditions are at increased risk of serious complications from H1N1 flu or of spreading flu to sick patients through their healthcare work:

An H1N1 vaccine clinic targeted at SSU students who are not able to get vaccinated elsewhere and meet one or more of the above criteria is planned, subject to vaccine and staff availability as follows:

Date: Wednesday, November 4
Time: 11 a.m. to 2 p.m.
Location: Student Health Center

Students should bring their SSU student ID card and a writing pen
Wear a short-sleeved shirt

SSU students in this targeted population who are unable to attend this flu vaccine clinic should contact the Student Health Center at 707 664-2921 or their off-campus medical provider to see if H1N1 vaccine is available to immunize them.

Restrictions will be eased once the Student Health Center receives additional H1N1 vaccine. but eligibility will still be limited to students younger than age 25, or meeting other Public Health Department criteria.

Check the SHC website at www.sonoma.edu/shc/ or call 707 664-2921 for more information.

To find out where else you can go to get vaccinated, go to http://tinyurl.com/yfer5as

This is a collaborative effort of the SSU Student Health Center and the Department of Nursing

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October 21, 2009

Update for SSU from Dr. Georgia Schwartz, M.D., Medical Director of the Student Health Center.

Flu Vaccine Availability

All flu shot opportunities at the Student Health Center and at other venues in the community are dependant on vaccine supplies and staffing.
Seasonal flu vaccine is no longer available at the Student Health Center. Manufacturers are not shipping additional vaccine at this time.

Initial shipments of H1N1 vaccine to the Student Health Center will be relatively small, forcing us to limit immunizations to students at the highest risk for serious complications of the flu until additional vaccine becomes available.

Therefore no H1N1 flu shot clinics are scheduled at SSU at this time.

SSU students with verifiable significant chronic medical conditions known to pose a risk of serious complications from H1N1 flu (only diabetes, marked obesity, currently taking medication for asthma, cancer chemotherapy, serious chronic kidney, cardiac, blood, inflammatory bowel disease, or immune system disease) should contact the Student Health Center or their primary care physician now.

Verification from the physician treating the qualifying condition is required in order for a student to be considered for complication risk priority for the currently limited Student Health Center supply. Verification must be on letterhead and include the physician’s name, address, phone number and medical license number and be faxed to 707 664-2925. (A note isn’t required for SSU students already under treatment at the Student Health Center for a chronic condition felt to be qualifying condition by SHC physicians).

Off Campus Opportunities to Get Vaccinated:

If you have health insurance, contact your healthcare provider.
Kaiser members in should call 393-4832 for Santa Rosa or 765-3560 for Petaluma.
Sonoma County Dept. of Health Services is offering H1N1 flu shots this Saturday at

Casa Grande High School & Windsor High School

October 24 (9:30 a.m.-3:00 p.m.)

This is an opportunity only for people who don’t have a medical provider and also meet one or more of the following criteria:

Adults with verifiable significant chronic medical conditions
Pregnant women and caregivers for infants under 6 months of age
Children and young people between 6 months and 24 years of age
Healthcare works with face to face patient contact.

Click to find out where to get vaccinated.

Hand washing, covering coughs, and healthy lifestyle
behaviors are still some of the best ways to try to
avoid influenza until— and even after—you get vaccinated.

_______________________________________________________________

October 20, 2009

H1N1 Flu Update for SSU from Dr. Georgia Schwartz, M.D., Medical Director of the Student Health Center

H1N1 Vaccine
Sonoma County Department of Health Services is offering a free H1N1 flu shot clinic this Saturday, October 24 at either Casa Grande High School or Windsor High School (9:30 a.m.-3:30 p.m.) for those who do not have a medical provider. They are especially focusing on those at higher risk:

Children 6months-24 years*
Adults with chronic pre-existing medical conditions (i.e..asthma, diabetes, cardiovascular disease, immune dysfunction)
Pregnant Women*
Caregivers for Infants under 6 months
Healthcare Workers

*Only vaccines that contain thimerosol perservative are available which have been approved for infants and pregnant women.

Therefore, students, staff, and faculty who do not have a medical provider and meet the criteria above should consider taking advantage of the H1N1 flu clinic offering. Public Health will offer additional clinics on:

November 14: Cook Middle School and Windsor High School, 9:30 a.m.-3:30 p.m.
November 21: Casa Grande High School, 9:30 a.m.-3:30 p.m.
December 5: Seasonal Flu Shots in 9 Locations (TBD). 9 a.m.-12 noon

The Student Health Center has H1N1 vaccine on order through the California Department of Health Services, but we have not yet been notified how many doses of vaccine we will get initally, or when it will arrive. Since initial supplies are likely to be limited, our first efforts will prioritize people with significant pre-existing medical conditions that place them at risk of complications from H1N1 flu such as asthma, diabetes, obesity, immune dysfunction, or other significant chronic gastro-intestinal, blood, or neuromuscular disease. Watch the SHC website <http://www.sonoma.edu/shc/> or signage in front of the SHC, updating information on the H1N1 vaccine on campus.

Seasonal Flu Vaccine
The Student Health Center has given almost all but a few of its seasonal flu shot doses. Because of staffing and supply limitations, flu vaccine will be offered on campus to regularly-enrolled SSU students, in accordance with the target priorities listed below. Students can contact the SHC at 707 664-2921 to arrange to receive any of the remaining doses of seasonal flu vaccine. Watch the SHC website <http://www.sonoma.edu/shc/> or signage in front of the SHC, updating information on seasonal flu vaccine on campus.

Those who are pregnant, caring for infants under 6 months of age or with pre-existing medical conditions should plan to get H1N1 and seasonal flu vaccine as soon as possible at any venue available to them. The County Public Health Department also plans to offer a shot clinic with both H1N1 and seasonal flu vaccine December 5.

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September 18, 2009

H1N1 Flu Update for SSU from the Student Health Center

As anticipated, H1N1 2009 (swine) flu has come to SSU, and the number of students ill with this condition is growing. The Student Health Center many other aspects of campus operations are in our planned Pandemic Flu operational mode, which is regularly revised and updated consistent with CDC recommendations. We are relying on students and other members of the campus community to stay informed and participate effectively in prevention and response efforts.

Flu viruses are transmitted when infected people cough, sneeze, or contaminate objects by touching them. Because H1N1 is so widespread and can be transmitted by infected people up to a day or so before they feel or look sick, individual and campus prevention efforts must be constant, consistent, and universal, as must responses to flu-like illness.

1. Vaccines: Get immunized as soon as possible against seasonal flu and H1N1:

The Student Health Center (SHC) will begin offering seasonal flu vaccine to SSU students only at the Student Health Center (SHC) as soon as the vaccine arrives in early October, in accordance with CDC priority guidelines.
H1N1 2009 vaccine has just been approved by the FDA and should be released later this Fall. The SHC has already requested vaccine from the California Department of Health Services (CDHS). Vaccine will be will offered to SSU students only as vaccine supplies and staffing permit. We will follow CDHS and CDC requirements in determining recipient priorities. The earliest will be younger students with health conditions that place them at risk for influenza complications (obesity, asthma, diabetes, pregnancy, chronic neuromuscular, heart or kidney disease, immune dysfunction, etc.), followed by other students with these conditions, followed by the rest of the student population in CDHS and the CDC priority order: See www.cdc.gov/h1n1/flu/vaccination/acip.
County Public Health is arranging community immunization programs as are other healthcare providers.
Use any venue that is timely and available to you to get seasonal flu and H1N1 vaccine once it is released.
Seasonal flu vaccine is already available at some chain pharmacies. See the Lung Association’s link for detailed information: www.flucliniclocator.org

2. Avoid Exposure

Don't share personal items like drinks, food, towels, or unwashed utensils.
Clean hands often with soap and water or hand sanitizer.
Keep your living and working area clean – wipe down faucets, door handles, keyboards, etc.
Try to stay 6 feet away from people with fever and other flu-like symptoms.
Encourage people with flu-like symptoms to stay home and wear a surgical mask covering the mouth and nose if and when there is no way they can avoid moments near other people.

3. Be prepared:

Have a thermometer, hand sanitizer, surgical face masks and ibuprofen or acetaminophen on hand.
If you have health insurance, keep your insurance card with you. Know the advice line and authorization phone numbers for your insurance company.
Keep your immune system ready to fight germs by following a healthy lifestyle.

4. How will I know if I have the flu?

Symptoms of the flu include: Fever of greater than 100 degrees, plus sudden onset of severe cough or sore throat, muscle aches, headache, fatigue - sometimes vomiting or diarrhea in addition. See Is it a Cold or Influenza at www.sonoma.edu/shc/cold_or_flu.pdf .
The California Department of Health Services advises that the combination of sudden onset of the constellation of symptoms described above is enough to make a clinical diagnosis of influenza during this stage of the outbreak.
Lab testing is not recommended: Only CDHS sites can perform confirmatory H1N1 testing. They are limiting this to hospitalized patients. A medical office based quick flu test doesn’t adequately detect or rule out H1N1, and is not recommended by CDHS.
Take your temperature with a thermometer: Fever is a key indicator for flu like illness and of recovery.

5. What should I do if I get flu-like symptoms or someone I live with does?

Most people are expected to recover from H1N1 and seasonal flu without needing a medical visit.
Stay home and away from others – wear a surgical mask covering your mouth and nose if others are present.
Self isolation should persist for 24 hours without fever and without the use of fever reducing medicines.
Follow basic self care measures including rest, fluids, acetaminophen or non-steroidal anti-inflammatory medications (ibuprofen, not aspirin) when you have aches or fever of 101 degrees or more.
Antiviral medications have side effects, are marginally effective in uncomplicated flu, and are indicated only in patients with the specific medical conditions than place them at additional risk of influenza complications.
Otherwise healthy individuals with moderate illness or who are recovering without complication should follow CDC guidelines for self care at home rather than going out to the doctor, both to avoid spreading germs and also so doctors can focus on the more seriously ill.
Those who develop severe symptoms (rapid or difficult breathing, fever >102 that persists for 2-3 days and those who develop influenza symptoms and are pregnant, obese, or have significant chronic medical conditions should contact their health care provider promptly, as early treatment with antivirals may be warranted.
If you need to contact a healthcare provider, telephone the office before appearing for care so they can give guidance and prepare for your arrival if it is determined that you need to have a medical visit.
Although most patients will not require any or only limited medical attention, some patients may be so ill that a prompt urgent care center or hospital emergency room visit is the best option. Information about local after hours care options can be found at www.sonoma.edu/shc/after_hours.pdf
In adults with influenza, warning signs suggesting the need for urgent medical attention include:
...........Difficulty breathing or shortness of breath
...........Pain or pressure in the chest or abdomen
...........Sudden dizziness
...........Confusion
...........Severe or persistent vomiting
...........Flu-like symptoms improve but then return with fever and ...........worse cough
Follow CDC recommendations:
...........http://www.cdc.gov/h1n1flu/sick.htm — guidelines on what ...........to do if you’re sick with flu
...........http://www.cdc.gov/h1n1flu/guidance_homecare.htm — what ...........to do when someone you live with is ill with flu like ...........symptoms
Sick students should notify their professors by phone or e-mail and follow their instructions to avoid falling behind academically.

6. Watch for SSU-specific updates by campus e-mail or on SSU websites:

SSU Student Health Center: http://www.sonoma.edu/shc/ has information designed especially for SSU students. Topics include avoiding and coping with influenza, prevention measures, how to tell a cold from the flu, etc. Updates to this information including immunization clinics will be posted periodically.
The SSU Home page at: http://www.sonoma.edu/

7. Other updated information about H1N1 2009 flu:

http://www.cdc.gov/h1n1flu/ — the most comprehensive source of H1N1 flu information.
http://www.cdc.gov/h1n1flu/qa.htm — a synopsis of the most current information in Q & A format.

8. Please share this information with other SSU students, staff, parents, and family members.

________________________________________________________________

September 9, 2009

H1N1 Flu Update for SSU from the Student Health Center

As anticipated, cases of suspected H1N1 2009 (swine) flu are currently appearing at SSU and at other K-12 schools and universities nationwide. Flu viruses are transmitted when infected people cough, sneeze, or contaminate objects by touching them. Because H1N1 is so widespread and can be caught from infected people before they feel or look sick, prevention efforts must be constant and universal and include the following:

1. Vaccines: Get immunized as soon as possible against seasonal flu and H1N1- when it becomes available:

The Student Health Center (SHC) will offer seasonal flu vaccine to SSU students only at the Student Health Center (SHC) in mid to late September, in accordance with CDC priority guidelines.
H1N1 2009 vaccine is likely to be released in late October and should be given in addition to seasonal flu vaccine. The SHC has requested H1N1 vaccine from the California Department of Health Services (CDHS). Whatever vaccine we receive will be offered to SSU students only in accordance with CDHS priorities: First: Healthcare workers and students under 25 with conditions that place them at risk for complications from the flu (asthma, diabetes, obesity, pregnancy, heart disease, immune system dysfunction, chronic neuromuscular disorders, etc.) followed by SSU students under 25, and those providing care for infants 6 months of age or younger, as they are considered to be highly susceptible populations, followed by all other SSU students as vaccine supplies and staffing permit.
Sonoma County Public Health and other community venues will hold immunization clinics at dates and locations that have not yet been determined. Vaccine will also be available from some other healthcare organizations/offices. Get seasonal flu and H1N1 immunization at any venue that is timely and available to you once vaccine is released. Seasonal flu vaccine is already available at some chain pharmacies.

2. Avoid exposure:

Wash or clean hands often with soap and water or an alcohol-based hand sanitizer.
Don't share personal items like drinks, food, or unwashed utensils.
Keep your living and working area clean – wipe down doorknobs, keyboards, etc.
Try to stay 6 feet away from people with fever and other flu-like symptoms; encourage sick people to stay home and wear a surgical mask when around others.

3. Be prepared:

Have a thermometer, hand sanitizer, surgical face masks & Ibuprofen on hand.
If you have health insurance, keep your insurance card with you. Know the advice line and authorization phone numbers for your insurance company.

4. How will I know if I have the flu?

Signs and symptoms of the flu include: Fever of greater than 100 degrees, plus sudden onset of severe cough or sore throat, body aches, headache - sometimes vomiting or diarrhea in addition.
According to the California Department of Health Services, the combination of sudden onset of these symptoms described above is enough to make a presumptive diagnosis of influenza during this stage of the outbreak.
Lab testing is not recommended, but a thermometer to take your temperature is, as fever is a key symptom of flu like illness and of recovery from the illness.
The illnesses caused by seasonal flu and by H1N1 are so similar that differentiating these viruses has no current significance for individual outpatients. Only CDHS sites can perform reliable H1N1 testing and they are limiting this to hospitalized patients. The quick flu test done in some doctors’ offices doesn’t adequately detect or rule out H1N1, and is not recommended by CDHS. The SHC website at www.sonoma.edu/shc/ has a grid that distinguishes influenza from cold symptoms.

5. What should I do if I get flu-like symptoms or someone I live with does?

Most people are expected to recover from the flu without needing a medical visit.
Stay home and away from others – wear a surgical mask when others are present: The CDC suggests individuals with mild to moderate illness or who are recovering self-isolate and follow self care measures rather than going out to the doctor, so medical providers can focus on the more seriously ill.
Self isolation should persist until 24 hours without fever of 100 degrees and without the use of fever reducing medicines.
Follow basic self care measures including rest, fluids, acetaminophen or non-steroidal anti-inflammatory medications (ibuprofen, not aspirin) when you have aches or fever of 101 degrees or more.
Antiviral medications such as Tamiflu have side effects, are only marginally effective, and are indicated only in patients with serious long-term medical conditions than place them at additional risk of serious influenza complications.
Those who develop severe symptoms, fever over 102 degrees or who are at risk of influenza complications due to underlying medical conditions should contact their health care provider if they become ill. It is usually best to telephone your healthcare provider before appearing for care so they can give guidance and prepare for your arrival, if it is determined that you need to have a medical visit.
Although most patients will not require any or only limited medical attention, some patients may be so ill that an urgent care center or hospital emergency room is the best option. In adults with influenza, warning signs suggesting the need for urgent medical attention include: Difficulty breathing or shortness of breath, pain or pressure in the chest or abdomen, sudden dizziness, confusion, severe or persistent vomiting, flu-like symptoms improve but then return with fever and worse cough.
Follow CDC recommendations: http://www.cdc.gov/h1n1flu/sick.htm— guidelines on what to do if you’re sick with flu http://www.cdc.gov/h1n1flu/guidance_homecare.htm — what to do when someone you live with is ill with flu like symptoms.
Sick students should notify their professors by phone or e-mail and follow their instructions to avoid falling behind academically.

6. Watch for SSU-specific updates by campus e-mail or on SSU websites:

SSU Student Health Center: http://www.sonoma.edu/shc/ has information designed especially for SSU students. Topics include avoiding and coping with influenza, prevention measures, how to tell a cold from the flu, etc. Updates to this information including immunization clinics will be posted periodically.
The SSU Home page (H1N1 Flu Digest) at: http://www.sonoma.edu/

7. Other updated information about H1N1 2009 flu:

http://www.cdc.gov/h1n1flu/ — the most comprehensive source of H1N1 flu information.
http://www.cdc.gov/h1n1flu/qa.htm — a synopsis of the most current information in Q & A format.

8. Please share this information with other SSU students, staff, parents, and family members.

________________________________________________________________

August 19, 2009

H1N1 (Swine) Flu Updates & Prevention as the SSU academic year begins
From Georgia Schwartz, MD, Medical Director, Student Health Center

(Distributed to campus community via email, 8/19/09)

Thousands of SSU students, staff, and faculty are gathering to start the academic year at a time when a new infectious disease, H1N1 2009 (swine flu) is circulating widely. H1N1 2009 flu spreads when infected people cough, sneeze, or contaminate objects by touching them with unwashed hands. Although the illness caused by H1N1 2009 is very similar to regular seasonal flu, H1N1 2009 is a new virus. Therefore many people have no immunity to this virus and are susceptible (especially people age 24 and under). The spread of infection is of particular concern in close living and working environments with lots of young people such as schools and college campuses.

Prevention:

1. Vaccines: Regular seasonal flu vaccine will soon be available. Students, faculty, and staff are advised to get immunized against seasonal flu as soon as possible. Due to staffing limitations, the Student Health Center will need to focus on administering flu shots to the regularly enrolled student population. A new and different H1N1 2009 vaccine is under development and will hopefully be available later this fall. It is expected to require two doses spaced several weeks apart and must be given in addition to the seasonal vaccine. People between 6 months 24 years of age, as well as those with conditions that place them at risk for serious complications from influenza (e.g. asthma, diabetes, obesity, pregnancy, heart disease) are the highest priority group for receiving H1N1 2009 vaccine when it becomes available.

2. Reducing the spread of germs: Because the benefits of any vaccine will not be evident until two weeks after completion of full immunization, simple hygiene measures are the best (and only) way to prevent and/or slow the spread of flu at this time.

Wash or clean hands often with soap and water or an alcohol-based hand sanitizer gel or wipes.
Cover coughs and sneezes using the elbow or a sleeve.
If a tissue is used, dispose of it in the trash immediately after use and wash/clean hands immediately.
Don't share personal items like drinks, food, or unwashed utensils.
Know the signs and symptoms of influenza, which include fever (100 degrees Fahrenheit or greater, plus cough or sore throat, runny nose, body aches, headache, fatigue in the absence of another explanation for these symptoms).
Some people may also have vomiting or diarrhea.
Stay home and away from others when ill with flu-like symptoms and for at least 24 hours after the fever is gone. Time without fever should be counted only when fever-reducing medications have not been used.
Vaccinate for both the seasonal flu and H1N1 flu when the vaccine becomes available.

3. What if I get sick with flu-like symptoms or someone I live with does?
Most people are expected to recover from the flu without needing graphic of sick person medical attention. Antiviral medications such as Tamiflu have side effects of their own, are only marginally effective in reducing duration or severity of illness, and according to Public Health Department guidelines are indicated only in medically severe circumstances or in patients with serious long-term medical conditions than place them at additional risk of serious influenza complications.

Follow basic self care measures: Rest, fluids, acetaminophen or non-steroidal anti-inflammatories (ibuprofen, not aspirin) for fever.

Follow CDC recommendations:

http://www.cdc.gov/h1n1flu/sick.htm— guidelines on what to do if you are sick
http://www.cdc.gov/h1n1flu/guidance_homecare.htm — what to do when someone you live with is ill with flu like symptoms

Those with severe symptoms or who are at high risk should contact their health care provider. In adults, warning signs needing urgent medical attention include:

Difficulty breathing or shortness of breath
Pain or pressure in the chest or abdomen
Sudden dizziness
Confusion
Severe or persistent vomiting
Flu-like symptoms improve but then return with fever and worse cough

4. What if I want updated information about H1N1 2009 flu?

Read: http://www.cdc.gov/h1n1flu/ — the most comprehensive source of H1N1 flu information on a multitude of topics.
http://www.cdc.gov/h1n1flu/qa.htm — a helpful synopsis of the most current information in Q & A format.

5. Watch for SSU-specific updates by campus e-mail or on the SSU website:

SSU Student Health Center: http://www.sonoma.edu/shc/
SSU home page: http://www.sonoma.edu

________________________________________________________________

June 12, 2009
California State University Employee Update

H1N1 Flu Pandemic Declared

The World Health Organization (WHO) has raised the pandemic threat level of the H1N1 flu virus to Phase 6, reflecting the spread of the virus around the world. The decision to raise the level means that the flu virus spreads easily from one person to another and that it is now found in many countries, but IT DOES NOT MEAN an increase in the flu’s severity. CSU campuses have been and are continuing to monitor the situation. To help avoid a significant outbreak, public health officials advise the following:

- Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash.

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

- Avoid touching your eyes, nose or mouth as it spreads germs.

- Try to avoid close contact with sick people.

- Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.

- If you get sick, the Centers for Disease Control recommends that you stay home from work or school and limit contact with others to keep from infecting them.

More information: http://www.calstate.edu/risk_management/em/pandemicflu/.

May 8, 2009
Swine Flu Update
From Student Health Center Medical Director Georgia Schwartz

As of this date, there are no reports of confirmed, probable, or suspected cases of H1N1 influenza at Sonoma State University.

There have been two confirmed cases in Sonoma County residents. Both of these infections were acquired in Mexico; both individuals had mild illness; and both have recovered. So far, public health officials have not identified cases resulting from exposures that took place within Sonoma County.

Public health monitoring and targeted testing for this particular virus continues. This will increase the number of reported cases worldwide and possibly locally, even if the degree of spread does not turn out to be significant.

To date, illness from H1N1 flu has been similar to regular seasonal influenza. Because regular seasonal influenza can lead to serious complications in some people, and because the future direction of H1N1 flu is uncertain, the public health, prevention, and individual health aspects of this outbreak must be taken seriously, regardless of too much or not enough media attention in the future.

Sonoma State University has heightened its focus on preparation, monitoring, and disease prevention as well as on providing accurate information. We will continue to do so in accordance with Public Health Department guidelines. Just as importantly, we asking members of the campus community to do the same.

May 7, 2009

Current Sonoma County Public Health Guidelines Issued

School Closures: No closures planned.
Return to Work/School/Public: People with flu-like illness (fever over 100 + cough, sore throat)should stay home and not go out in public for 7 days, except for medical care, to avoid spreading illness to others.

Public Gatherings:

1. No restrictions on holding public gatherings at this time, though people who are sick should stay home.
2. People with chronic health conditions that place them at risk of complications from influenza may wish to avoid large gatherings.

Wash hands thoroughly and often, use an alcohol based hand cleaner when soap and water are not available, cover coughs and sneezes, dispose of used tissues in the trash, avoid touching mouth, nose, and eyes. If you are ill, don't go out in public and avoid close contact with housemates.

Stay informed through these reliable sources of information:

Sonoma County Department of Health Services: www.sonoma-county.org/health/ph/news/index.htm
The U.S. Centers for Disease Control and Prevention: http://www.cdc.gov/h1n1flu/
World Health Organization website: http://www.who.int/en/

May 1, 2009
Swine Flu Update From Student Health Center Medical Director Georgia Schwartz

Dr. Georgia Schwartz, Director, SSU Student Health Center, sent this message to the campus on Friday, May 1.

The current swine flu virus has been re-named the H1N1 Type A Influenza Virus. Why? Because some people have incorrectly reacted to the word "swine" and banned pork imports or started slaughtering entire pig populations.

In contrast, reactions and behaviors based on sound public health and scientific information are our best tools for responding to H1N1 flu.

H1N1 Swine flu is not transmitted by eating properly cooked pork, and there is no need to kill pigs.

Contrary to rumors circulating locally, there are no confirmed, probable, or suspected cases of H1N1 Type A flu at SSU at this time and no confirmed cases in Sonoma County. With increased surveillance and testing, new cases will be identified world wide, possibly locally. MORE

April 29, 2009

Coping With Your Emotions During the Swine Flu Situation

Lisa Wyatt, Director, Counseling and Psychological Services, offers tips for those who need help identifying and coping with anxiety that is related to the swine flu outbreak.

She writes:

"The emotional impact of a public health emergency, such as the swine flu, can have a powerful effect on the mental health of individuals of all ages. People naturally become alarmed and upset when they believe that their health may be threatened.

However, during these times of heightened concerns regarding public health risks, it is critically important to take care of yourself and monitor your own emotional reactions. Tending to your own mental health and emotional needs will make you a better, more reliable resource for friends, colleagues, and loved ones in helping them to better handle their concerns. MORE

April 28, 2009

President Arminana Urges SSU Campus to be Proactive About Swine Flu

Sonoma State University President Ruben Arminana and Student Health Center Medical Director Georgia Schwartz have sent the following communication to the faculty, staff and students on the Rohnert Park campus:

In light of the rapidly developing story regarding swine flu, Sonoma State University is closely monitoring the swine flu situation and staying in contact with public health officials.

There are currently no reported cases of swine flu at Sonoma State University or in Sonoma County and no increase in reports of influenza-like illness. Ten confirmed cases have been reported in California, with 62 cases reported nationwide.

Increased public health surveillance and testing for this particular virus will likely increase the number of reported cases, but will not necessarily mean that those who test positive are severely ill.

Swine flu is a viral respiratory illness similar to regular seasonal influenza. To date, all confirmed cases in the United States have been mild. Most people are not expected to be immune to this virus strain.

Therefore, in collaboration with local public health experts, Sonoma State University is focusing on preparation, monitoring and disease prevention.


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	October 29, 2009 Update from Dr. Georgia Schwartz, M.D., Medical Director of the Student Health Center The SSU Student Health Center is priortizing its current limited H1N1 vaccine to regularly-enrolled SSU students with evidence of one or more of the following verifiable pre-existing or chronic medical conditions or who are healthcare workers with face-to-face patient contact: — diabetes — marked obesity — asthma requiring regular treatment — chronic neuromuscular conditions such as cerebral palsy, quadraplegia, muscular dystrophy — pregnancy — significant chronic kidney, liver, cardiovascular, respiratory, blood, inflammatory bowel or specific immune system diseases, or who are receiving cancer chemotherapy People with these pre-existing conditions are at increased risk of serious complications from H1N1 flu or of spreading flu to sick patients through their healthcare work: An H1N1 vaccine clinic targeted at SSU students who are not able to get vaccinated elsewhere and meet one or more of the above criteria is planned, subject to vaccine and staff availability as follows: Date: Wednesday, November 4 Time: 11 a.m. to 2 p.m. Location: Student Health Center Students should bring their SSU student ID card and a writing pen Wear a short-sleeved shirt SSU students in this targeted population who are unable to attend this flu vaccine clinic should contact the Student Health Center at 707 664-2921 or their off-campus medical provider to see if H1N1 vaccine is available to immunize them. Restrictions will be eased once the Student Health Center receives additional H1N1 vaccine. but eligibility will still be limited to students younger than age 25, or meeting other Public Health Department criteria. Check the SHC website at www.sonoma.edu/shc/ or call 707 664-2921 for more information. To find out where else you can go to get vaccinated, go to http://tinyurl.com/yfer5as This is a collaborative effort of the SSU Student Health Center and the Department of Nursing __________________________________________________________ October 21, 2009 Update for SSU from Dr. Georgia Schwartz, M.D., Medical Director of the Student Health Center. Flu Vaccine Availability All flu shot opportunities at the Student Health Center and at other venues in the community are dependant on vaccine supplies and staffing. Seasonal flu vaccine is no longer available at the Student Health Center. Manufacturers are not shipping additional vaccine at this time. Initial shipments of H1N1 vaccine to the Student Health Center will be relatively small, forcing us to limit immunizations to students at the highest risk for serious complications of the flu until additional vaccine becomes available. Therefore no H1N1 flu shot clinics are scheduled at SSU at this time. SSU students with verifiable significant chronic medical conditions known to pose a risk of serious complications from H1N1 flu (only diabetes, marked obesity, currently taking medication for asthma, cancer chemotherapy, serious chronic kidney, cardiac, blood, inflammatory bowel disease, or immune system disease) should contact the Student Health Center or their primary care physician now. Verification from the physician treating the qualifying condition is required in order for a student to be considered for complication risk priority for the currently limited Student Health Center supply. Verification must be on letterhead and include the physician’s name, address, phone number and medical license number and be faxed to 707 664-2925. (A note isn’t required for SSU students already under treatment at the Student Health Center for a chronic condition felt to be qualifying condition by SHC physicians). Off Campus Opportunities to Get Vaccinated: If you have health insurance, contact your healthcare provider. Kaiser members in should call 393-4832 for Santa Rosa or 765-3560 for Petaluma. Sonoma County Dept. of Health Services is offering H1N1 flu shots this Saturday at Casa Grande High School & Windsor High School October 24 (9:30 a.m.-3:00 p.m.) This is an opportunity only for people who don’t have a medical provider and also meet one or more of the following criteria: Adults with verifiable significant chronic medical conditions Pregnant women and caregivers for infants under 6 months of age Children and young people between 6 months and 24 years of age Healthcare works with face to face patient contact. Click to find out where to get vaccinated. Hand washing, covering coughs, and healthy lifestyle behaviors are still some of the best ways to try to avoid influenza until— and even after—you get vaccinated. _______________________________________________________________ October 20, 2009 H1N1 Flu Update for SSU from Dr. Georgia Schwartz, M.D., Medical Director of the Student Health Center H1N1 Vaccine Sonoma County Department of Health Services is offering a free H1N1 flu shot clinic this Saturday, October 24 at either Casa Grande High School or Windsor High School (9:30 a.m.-3:30 p.m.) for those who do not have a medical provider. They are especially focusing on those at higher risk: Children 6months-24 years* Adults with chronic pre-existing medical conditions (i.e..asthma, diabetes, cardiovascular disease, immune dysfunction) Pregnant Women* Caregivers for Infants under 6 months Healthcare Workers Only vaccines that contain thimerosol perservative are available which have been approved for infants and pregnant women. Therefore, students, staff, and faculty who do not have a medical provider and meet the criteria above* should consider taking advantage of the H1N1 flu clinic offering. Public Health will offer additional clinics on: November 14: Cook Middle School and Windsor High School, 9:30 a.m.-3:30 p.m. November 21: Casa Grande High School, 9:30 a.m.-3:30 p.m. December 5: Seasonal Flu Shots in 9 Locations (TBD). 9 a.m.-12 noon The Student Health Center has H1N1 vaccine on order through the California Department of Health Services, but we have not yet been notified how many doses of vaccine we will get initally, or when it will arrive. Since initial supplies are likely to be limited, our first efforts will prioritize people with significant pre-existing medical conditions that place them at risk of complications from H1N1 flu such as asthma, diabetes, obesity, immune dysfunction, or other significant chronic gastro-intestinal, blood, or neuromuscular disease. Watch the SHC website <http://www.sonoma.edu/shc/> or signage in front of the SHC, updating information on the H1N1 vaccine on campus. Seasonal Flu Vaccine The Student Health Center has given almost all but a few of its seasonal flu shot doses. Because of staffing and supply limitations, flu vaccine will be offered on campus to regularly-enrolled SSU students, in accordance with the target priorities listed below. Students can contact the SHC at 707 664-2921 to arrange to receive any of the remaining doses of seasonal flu vaccine. Watch the SHC website <http://www.sonoma.edu/shc/> or signage in front of the SHC, updating information on seasonal flu vaccine on campus. Those who are pregnant, caring for infants under 6 months of age or with pre-existing medical conditions should plan to get H1N1 and seasonal flu vaccine as soon as possible at any venue available to them. The County Public Health Department also plans to offer a shot clinic with both H1N1 and seasonal flu vaccine December 5. _______________________________________________________________ September 18, 2009 H1N1 Flu Update for SSU from the Student Health Center As anticipated, H1N1 2009 (swine) flu has come to SSU, and the number of students ill with this condition is growing. The Student Health Center many other aspects of campus operations are in our planned Pandemic Flu operational mode, which is regularly revised and updated consistent with CDC recommendations. We are relying on students and other members of the campus community to stay informed and participate effectively in prevention and response efforts. Flu viruses are transmitted when infected people cough, sneeze, or contaminate objects by touching them. Because H1N1 is so widespread and can be transmitted by infected people up to a day or so before they feel or look sick, individual and campus prevention efforts must be constant, consistent, and universal, as must responses to flu-like illness. 1. Vaccines: Get immunized as soon as possible against seasonal flu and H1N1: The Student Health Center (SHC) will begin offering seasonal flu vaccine to SSU students only at the Student Health Center (SHC) as soon as the vaccine arrives in early October, in accordance with CDC priority guidelines. H1N1 2009 vaccine has just been approved by the FDA and should be released later this Fall. The SHC has already requested vaccine from the California Department of Health Services (CDHS). Vaccine will be will offered to SSU students only as vaccine supplies and staffing permit. We will follow CDHS and CDC requirements in determining recipient priorities. The earliest will be younger students with health conditions that place them at risk for influenza complications (obesity, asthma, diabetes, pregnancy, chronic neuromuscular, heart or kidney disease, immune dysfunction, etc.), followed by other students with these conditions, followed by the rest of the student population in CDHS and the CDC priority order: See www.cdc.gov/h1n1/flu/vaccination/acip. County Public Health is arranging community immunization programs as are other healthcare providers. Use any venue that is timely and available to you to get seasonal flu and H1N1 vaccine once it is released. Seasonal flu vaccine is already available at some chain pharmacies. See the Lung Association’s link for detailed information: www.flucliniclocator.org 2. Avoid Exposure Don't share personal items like drinks, food, towels, or unwashed utensils. Clean hands often with soap and water or hand sanitizer. Keep your living and working area clean – wipe down faucets, door handles, keyboards, etc. Try to stay 6 feet away from people with fever and other flu-like symptoms. Encourage people with flu-like symptoms to stay home and wear a surgical mask covering the mouth and nose if and when there is no way they can avoid moments near other people. 3. Be prepared: Have a thermometer, hand sanitizer, surgical face masks and ibuprofen or acetaminophen on hand. If you have health insurance, keep your insurance card with you. Know the advice line and authorization phone numbers for your insurance company. Keep your immune system ready to fight germs by following a healthy lifestyle. 4. How will I know if I have the flu? Symptoms of the flu include: Fever of greater than 100 degrees, plus sudden onset of severe cough or sore throat, muscle aches, headache, fatigue - sometimes vomiting or diarrhea in addition. See Is it a Cold or Influenza at www.sonoma.edu/shc/cold_or_flu.pdf . The California Department of Health Services advises that the combination of sudden onset of the constellation of symptoms described above is enough to make a clinical diagnosis of influenza during this stage of the outbreak. Lab testing is not recommended: Only CDHS sites can perform confirmatory H1N1 testing. They are limiting this to hospitalized patients. A medical office based quick flu test doesn’t adequately detect or rule out H1N1, and is not recommended by CDHS. Take your temperature with a thermometer: Fever is a key indicator for flu like illness and of recovery. 5. What should I do if I get flu-like symptoms or someone I live with does? Most people are expected to recover from H1N1 and seasonal flu without needing a medical visit. Stay home and away from others – wear a surgical mask covering your mouth and nose if others are present. Self isolation should persist for 24 hours without fever and without the use of fever reducing medicines. Follow basic self care measures including rest, fluids, acetaminophen or non-steroidal anti-inflammatory medications (ibuprofen, not aspirin) when you have aches or fever of 101 degrees or more. Antiviral medications have side effects, are marginally effective in uncomplicated flu, and are indicated only in patients with the specific medical conditions than place them at additional risk of influenza complications. Otherwise healthy individuals with moderate illness or who are recovering without complication should follow CDC guidelines for self care at home rather than going out to the doctor, both to avoid spreading germs and also so doctors can focus on the more seriously ill. Those who develop severe symptoms (rapid or difficult breathing, fever >102 that persists for 2-3 days and those who develop influenza symptoms and are pregnant, obese, or have significant chronic medical conditions should contact their health care provider promptly, as early treatment with antivirals may be warranted. If you need to contact a healthcare provider, telephone the office before appearing for care so they can give guidance and prepare for your arrival if it is determined that you need to have a medical visit. Although most patients will not require any or only limited medical attention, some patients may be so ill that a prompt urgent care center or hospital emergency room visit is the best option. Information about local after hours care options can be found at www.sonoma.edu/shc/after_hours.pdf In adults with influenza, warning signs suggesting the need for urgent medical attention include: ...........Difficulty breathing or shortness of breath ...........Pain or pressure in the chest or abdomen ...........Sudden dizziness ...........Confusion ...........Severe or persistent vomiting ...........Flu-like symptoms improve but then return with fever and ...........worse cough Follow CDC recommendations: ...........http://www.cdc.gov/h1n1flu/sick.htm — guidelines on what ...........to do if you’re sick with flu ...........http://www.cdc.gov/h1n1flu/guidance_homecare.htm — what ...........to do when someone you live with is ill with flu like ...........symptoms Sick students should notify their professors by phone or e-mail and follow their instructions to avoid falling behind academically. 6. Watch for SSU-specific updates by campus e-mail or on SSU websites: SSU Student Health Center: http://www.sonoma.edu/shc/ has information designed especially for SSU students. Topics include avoiding and coping with influenza, prevention measures, how to tell a cold from the flu, etc. Updates to this information including immunization clinics will be posted periodically. The SSU Home page at: http://www.sonoma.edu/ 7. Other updated information about H1N1 2009 flu: http://www.cdc.gov/h1n1flu/ — the most comprehensive source of H1N1 flu information. http://www.cdc.gov/h1n1flu/qa.htm — a synopsis of the most current information in Q & A format. 8. Please share this information with other SSU students, staff, parents, and family members. ________________________________________________________________ September 9, 2009 H1N1 Flu Update for SSU from the Student Health Center As anticipated, cases of suspected H1N1 2009 (swine) flu are currently appearing at SSU and at other K-12 schools and universities nationwide. Flu viruses are transmitted when infected people cough, sneeze, or contaminate objects by touching them. Because H1N1 is so widespread and can be caught from infected people before they feel or look sick, prevention efforts must be constant and universal and include the following: 1. Vaccines: Get immunized as soon as possible against seasonal flu and H1N1- when it becomes available: The Student Health Center (SHC) will offer seasonal flu vaccine to SSU students only at the Student Health Center (SHC) in mid to late September, in accordance with CDC priority guidelines. H1N1 2009 vaccine is likely to be released in late October and should be given in addition to seasonal flu vaccine. The SHC has requested H1N1 vaccine from the California Department of Health Services (CDHS). Whatever vaccine we receive will be offered to SSU students only in accordance with CDHS priorities: First: Healthcare workers and students under 25 with conditions that place them at risk for complications from the flu (asthma, diabetes, obesity, pregnancy, heart disease, immune system dysfunction, chronic neuromuscular disorders, etc.) followed by SSU students under 25, and those providing care for infants 6 months of age or younger, as they are considered to be highly susceptible populations, followed by all other SSU students as vaccine supplies and staffing permit. Sonoma County Public Health and other community venues will hold immunization clinics at dates and locations that have not yet been determined. Vaccine will also be available from some other healthcare organizations/offices. Get seasonal flu and H1N1 immunization at any venue that is timely and available to you once vaccine is released. Seasonal flu vaccine is already available at some chain pharmacies. 2. Avoid exposure: Wash or clean hands often with soap and water or an alcohol-based hand sanitizer. Don't share personal items like drinks, food, or unwashed utensils. Keep your living and working area clean – wipe down doorknobs, keyboards, etc. Try to stay 6 feet away from people with fever and other flu-like symptoms; encourage sick people to stay home and wear a surgical mask when around others. 3. Be prepared: Have a thermometer, hand sanitizer, surgical face masks & Ibuprofen on hand. If you have health insurance, keep your insurance card with you. Know the advice line and authorization phone numbers for your insurance company. 4. How will I know if I have the flu? Signs and symptoms of the flu include: Fever of greater than 100 degrees, plus sudden onset of severe cough or sore throat, body aches, headache - sometimes vomiting or diarrhea in addition. According to the California Department of Health Services, the combination of sudden onset of these symptoms described above is enough to make a presumptive diagnosis of influenza during this stage of the outbreak. Lab testing is not recommended, but a thermometer to take your temperature is, as fever is a key symptom of flu like illness and of recovery from the illness. The illnesses caused by seasonal flu and by H1N1 are so similar that differentiating these viruses has no current significance for individual outpatients. Only CDHS sites can perform reliable H1N1 testing and they are limiting this to hospitalized patients. The quick flu test done in some doctors’ offices doesn’t adequately detect or rule out H1N1, and is not recommended by CDHS. The SHC website at www.sonoma.edu/shc/ has a grid that distinguishes influenza from cold symptoms. 5. What should I do if I get flu-like symptoms or someone I live with does? Most people are expected to recover from the flu without needing a medical visit. Stay home and away from others – wear a surgical mask when others are present: The CDC suggests individuals with mild to moderate illness or who are recovering self-isolate and follow self care measures rather than going out to the doctor, so medical providers can focus on the more seriously ill. Self isolation should persist until 24 hours without fever of 100 degrees and without the use of fever reducing medicines. Follow basic self care measures including rest, fluids, acetaminophen or non-steroidal anti-inflammatory medications (ibuprofen, not aspirin) when you have aches or fever of 101 degrees or more. Antiviral medications such as Tamiflu have side effects, are only marginally effective, and are indicated only in patients with serious long-term medical conditions than place them at additional risk of serious influenza complications. Those who develop severe symptoms, fever over 102 degrees or who are at risk of influenza complications due to underlying medical conditions should contact their health care provider if they become ill. It is usually best to telephone your healthcare provider before appearing for care so they can give guidance and prepare for your arrival, if it is determined that you need to have a medical visit. Although most patients will not require any or only limited medical attention, some patients may be so ill that an urgent care center or hospital emergency room is the best option. In adults with influenza, warning signs suggesting the need for urgent medical attention include: Difficulty breathing or shortness of breath, pain or pressure in the chest or abdomen, sudden dizziness, confusion, severe or persistent vomiting, flu-like symptoms improve but then return with fever and worse cough. Follow CDC recommendations: http://www.cdc.gov/h1n1flu/sick.htm— guidelines on what to do if you’re sick with flu http://www.cdc.gov/h1n1flu/guidance_homecare.htm — what to do when someone you live with is ill with flu like symptoms. Sick students should notify their professors by phone or e-mail and follow their instructions to avoid falling behind academically. 6. Watch for SSU-specific updates by campus e-mail or on SSU websites: SSU Student Health Center: http://www.sonoma.edu/shc/ has information designed especially for SSU students. Topics include avoiding and coping with influenza, prevention measures, how to tell a cold from the flu, etc. Updates to this information including immunization clinics will be posted periodically. The SSU Home page (H1N1 Flu Digest) at: http://www.sonoma.edu/ 7. Other updated information about H1N1 2009 flu: http://www.cdc.gov/h1n1flu/ — the most comprehensive source of H1N1 flu information. http://www.cdc.gov/h1n1flu/qa.htm — a synopsis of the most current information in Q & A format. 8. Please share this information with other SSU students, staff, parents, and family members. ________________________________________________________________ August 19, 2009 H1N1 (Swine) Flu Updates & Prevention as the SSU academic year begins From Georgia Schwartz, MD, Medical Director, Student Health Center (Distributed to campus community via email, 8/19/09) Thousands of SSU students, staff, and faculty are gathering to start the academic year at a time when a new infectious disease, H1N1 2009 (swine flu) is circulating widely. H1N1 2009 flu spreads when infected people cough, sneeze, or contaminate objects by touching them with unwashed hands. Although the illness caused by H1N1 2009 is very similar to regular seasonal flu, H1N1 2009 is a new virus. Therefore many people have no immunity to this virus and are susceptible (especially people age 24 and under). The spread of infection is of particular concern in close living and working environments with lots of young people such as schools and college campuses. Prevention: 1. Vaccines: Regular seasonal flu vaccine will soon be available. Students, faculty, and staff are advised to get immunized against seasonal flu as soon as possible. Due to staffing limitations, the Student Health Center will need to focus on administering flu shots to the regularly enrolled student population. A new and different H1N1 2009 vaccine is under development and will hopefully be available later this fall. It is expected to require two doses spaced several weeks apart and must be given in addition to the seasonal vaccine. People between 6 months 24 years of age, as well as those with conditions that place them at risk for serious complications from influenza (e.g. asthma, diabetes, obesity, pregnancy, heart disease) are the highest priority group for receiving H1N1 2009 vaccine when it becomes available. 2. Reducing the spread of germs: Because the benefits of any vaccine will not be evident until two weeks after completion of full immunization, simple hygiene measures are the best (and only) way to prevent and/or slow the spread of flu at this time. Wash or clean hands often with soap and water or an alcohol-based hand sanitizer gel or wipes. Cover coughs and sneezes using the elbow or a sleeve. If a tissue is used, dispose of it in the trash immediately after use and wash/clean hands immediately. Don't share personal items like drinks, food, or unwashed utensils. Know the signs and symptoms of influenza, which include fever (100 degrees Fahrenheit or greater, plus cough or sore throat, runny nose, body aches, headache, fatigue in the absence of another explanation for these symptoms). Some people may also have vomiting or diarrhea. Stay home and away from others when ill with flu-like symptoms and for at least 24 hours after the fever is gone. Time without fever should be counted only when fever-reducing medications have not been used. Vaccinate for both the seasonal flu and H1N1 flu when the vaccine becomes available. 3. What if I get sick with flu-like symptoms or someone I live with does? Most people are expected to recover from the flu without needing medical attention. Antiviral medications such as Tamiflu have side effects of their own, are only marginally effective in reducing duration or severity of illness, and according to Public Health Department guidelines are indicated only in medically severe circumstances or in patients with serious long-term medical conditions than place them at additional risk of serious influenza complications. Follow basic self care measures: Rest, fluids, acetaminophen or non-steroidal anti-inflammatories (ibuprofen, not aspirin) for fever. Follow CDC recommendations: http://www.cdc.gov/h1n1flu/sick.htm— guidelines on what to do if you are sick http://www.cdc.gov/h1n1flu/guidance_homecare.htm — what to do when someone you live with is ill with flu like symptoms Those with severe symptoms or who are at high risk should contact their health care provider. In adults, warning signs needing urgent medical attention include: Difficulty breathing or shortness of breath Pain or pressure in the chest or abdomen Sudden dizziness Confusion Severe or persistent vomiting Flu-like symptoms improve but then return with fever and worse cough 4. What if I want updated information about H1N1 2009 flu? Read: http://www.cdc.gov/h1n1flu/ — the most comprehensive source of H1N1 flu information on a multitude of topics. http://www.cdc.gov/h1n1flu/qa.htm — a helpful synopsis of the most current information in Q & A format. 5. Watch for SSU-specific updates by campus e-mail or on the SSU website: SSU Student Health Center: http://www.sonoma.edu/shc/ SSU home page: http://www.sonoma.edu ________________________________________________________________ June 12, 2009 California State University Employee Update H1N1 Flu Pandemic Declared The World Health Organization (WHO) has raised the pandemic threat level of the H1N1 flu virus to Phase 6, reflecting the spread of the virus around the world. The decision to raise the level means that the flu virus spreads easily from one person to another and that it is now found in many countries, but IT DOES NOT MEAN an increase in the flu’s severity. CSU campuses have been and are continuing to monitor the situation. To help avoid a significant outbreak, public health officials advise the following: - Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash. - Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. - Avoid touching your eyes, nose or mouth as it spreads germs. - Try to avoid close contact with sick people. - Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people. - If you get sick, the Centers for Disease Control recommends that you stay home from work or school and limit contact with others to keep from infecting them. More information: http://www.calstate.edu/risk_management/em/pandemicflu/. May 8, 2009 Swine Flu Update From Student Health Center Medical Director Georgia Schwartz As of this date, there are no reports of confirmed, probable, or suspected cases of H1N1 influenza at Sonoma State University. There have been two confirmed cases in Sonoma County residents. Both of these infections were acquired in Mexico; both individuals had mild illness; and both have recovered. So far, public health officials have not identified cases resulting from exposures that took place within Sonoma County. Public health monitoring and targeted testing for this particular virus continues. This will increase the number of reported cases worldwide and possibly locally, even if the degree of spread does not turn out to be significant. To date, illness from H1N1 flu has been similar to regular seasonal influenza. Because regular seasonal influenza can lead to serious complications in some people, and because the future direction of H1N1 flu is uncertain, the public health, prevention, and individual health aspects of this outbreak must be taken seriously, regardless of too much or not enough media attention in the future. Sonoma State University has heightened its focus on preparation, monitoring, and disease prevention as well as on providing accurate information. We will continue to do so in accordance with Public Health Department guidelines. Just as importantly, we asking members of the campus community to do the same. May 7, 2009 Current Sonoma County Public Health Guidelines Issued School Closures: No closures planned. Return to Work/School/Public: People with flu-like illness (fever over 100 + cough, sore throat)should stay home and not go out in public for 7 days, except for medical care, to avoid spreading illness to others. Public Gatherings: 1. No restrictions on holding public gatherings at this time, though people who are sick should stay home. 2. People with chronic health conditions that place them at risk of complications from influenza may wish to avoid large gatherings. Wash hands thoroughly and often, use an alcohol based hand cleaner when soap and water are not available, cover coughs and sneezes, dispose of used tissues in the trash, avoid touching mouth, nose, and eyes. If you are ill, don't go out in public and avoid close contact with housemates. Stay informed through these reliable sources of information: Sonoma County Department of Health Services: www.sonoma-county.org/health/ph/news/index.htm The U.S. Centers for Disease Control and Prevention: http://www.cdc.gov/h1n1flu/ World Health Organization website: http://www.who.int/en/ May 1, 2009 Swine Flu Update From Student Health Center Medical Director Georgia Schwartz Dr. Georgia Schwartz, Director, SSU Student Health Center, sent this message to the campus on Friday, May 1. The current swine flu virus has been re-named the H1N1 Type A Influenza Virus. Why? Because some people have incorrectly reacted to the word "swine" and banned pork imports or started slaughtering entire pig populations. In contrast, reactions and behaviors based on sound public health and scientific information are our best tools for responding to H1N1 flu. H1N1 Swine flu is not transmitted by eating properly cooked pork, and there is no need to kill pigs. Contrary to rumors circulating locally, there are no confirmed, probable, or suspected cases of H1N1 Type A flu at SSU at this time and no confirmed cases in Sonoma County. With increased surveillance and testing, new cases will be identified world wide, possibly locally. MORE April 29, 2009 Coping With Your Emotions During the Swine Flu Situation Lisa Wyatt, Director, Counseling and Psychological Services, offers tips for those who need help identifying and coping with anxiety that is related to the swine flu outbreak. She writes: "The emotional impact of a public health emergency, such as the swine flu, can have a powerful effect on the mental health of individuals of all ages. People naturally become alarmed and upset when they believe that their health may be threatened. However, during these times of heightened concerns regarding public health risks, it is critically important to take care of yourself and monitor your own emotional reactions. Tending to your own mental health and emotional needs will make you a better, more reliable resource for friends, colleagues, and loved ones in helping them to better handle their concerns. MORE April 28, 2009 President Arminana Urges SSU Campus to be Proactive About Swine Flu Sonoma State University President Ruben Arminana and Student Health Center Medical Director Georgia Schwartz have sent the following communication to the faculty, staff and students on the Rohnert Park campus: In light of the rapidly developing story regarding swine flu, Sonoma State University is closely monitoring the swine flu situation and staying in contact with public health officials. There are currently no reported cases of swine flu at Sonoma State University or in Sonoma County and no increase in reports of influenza-like illness. Ten confirmed cases have been reported in California, with 62 cases reported nationwide. Increased public health surveillance and testing for this particular virus will likely increase the number of reported cases, but will not necessarily mean that those who test positive are severely ill. Swine flu is a viral respiratory illness similar to regular seasonal influenza. To date, all confirmed cases in the United States have been mild. Most people are not expected to be immune to this virus strain. Therefore, in collaboration with local public health experts, Sonoma State University is focusing on preparation, monitoring and disease prevention. MORE	Important Resources The World Health Organization (WHO): The Centers for Disease Control and Prevention (CDC) Sonoma County Health Department SSU Student Health Center (707) 664-2921
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last updated: 10.29.2009

May 1, 2009 Swine Flu Update From Student Health Center Medical Director Georgia Schwartz

April 29, 2009

Coping With Your Emotions During the Swine Flu Situation

April 28, 2009

President Arminana Urges SSU Campus to be Proactive About Swine Flu

Important Resources

May 1, 2009
Swine Flu Update From Student Health Center Medical Director Georgia Schwartz