H1N1 Update: UTSA has registered for vaccine allocation for UTSA community members

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(Oct. 22, 2009)--The U.S. Centers for Disease Control and Prevention allocated an additional 454,200 H1N1 vaccine doses to Texas last week bringing the total vaccine allocation for Texas to 960,400. UTSA Student Health Services has registered to receive this vaccine to distribute to students, faculty and staff.

>> As soon as it is received, the H1N1 vaccine will be available to UTSA students, faculty and staff, according to guidelines from the U.S. Centers for Disease Control and Prevention.

Using a strategic approach to reach priority vaccine groups and subsets of those groups, the Texas Department of State Health Services (DSHS) has allocated the limited supply of vaccine to providers who serve pregnant women, children ages 2-4, children ages 5-18 who are at higher risk of serious consequences should they get the flu, and health-care workers who provide direct patient care.

The 960,000 doses have been allocated to some 5,053 providers, with some of it distributed to local health departments as a safety net to meet special needs in communities. Some 12,000 Texas providers have registered to receive the vaccine.

DSHS officials expect the weekly availability of the vaccine to be low for the next few weeks, adding that initial vaccine quantities are not high enough for public vaccination clinics to be held. They are urging providers and the public to be patient. Texas expects to receive 15 million doses of the vaccine by the end of January.

The UTSA Student Health Services supply of the seasonal flu vaccine is depleted and no more will be available because it is not being produced. Seasonal flu shots are still available for a reasonable cost at CVS Pharmacy, Wal-Mart, Costco and Walgreens stores. Check with a retailer for availability.

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Texans can dial 211 to help line for latest advice on flu

Texans can now dial 211 to receive over-the-phone medical guidance on what they should do if they or a family member have flu symptoms. The state's 211 health information help line now is staffed with medical professionals who can provide information about managing flu symptoms and advice on when to seek medical care from a physician or emergency room.

"We want to help people make informed decisions about how to care for themselves and their families," said David Lakey, M.D., commissioner of the Texas Department of State Health Services. "Most H1N1 and seasonal flu cases can be successfully treated at home without having to go to the doctor or without an unnecessary trip to the emergency room."

The guidance is not intended to replace specific instructions people receive from their physicians, Lakey said. The 211 staff also can provide general flu information and vaccine availability information for individuals and health care providers. Calls are answered around the clock. Callers are instructed to choose a language and then press "6" for flu information and guidance.

Basic flu symptoms include fever, cough and sore throat that usually come on suddenly. Most cases are relatively mild to moderate and do not need emergency treatment. Most people who have H1N1 flu or seasonal flu just need appropriate fluid intake, fever-reducing medication, rest and careful monitoring, Lakey said.

Recovering at home also lessens the burden on the health care system. People with underlying health conditions who think they have the flu should contact their health care provider.

The flu information and guidance service is provided through a DSHS contract with the 2-1-1 Texas Information and Referral Network operated by the Texas Health and Human Services Commission.

For more information about flu in Texas, visit DSHS Web site www.TexasFlu.org.

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Sept. 28 report classifies flu as widespread in Texas

According to a Sept. 28 flu report from the Texas Department of State Health Services (DSHS) for the week ending Sept. 26, flu incidence in Texas is classified as "widespread," indicating the importance of working to limit the spread of flu at UTSA and our community by following guidelines for staying healthy.

>> See guidelines below under "What can I do to stay healthy?"

The "widespread" classification is used when there are increases in flu-like illnesses and recent lab-confirmed flu cases in at least half of the state's regions. DSHS has confirmed 18 flu-associated pediatric deaths in Texas from the start of the 2008-2009 flu season last fall to the present.

Flu is not a reportable condition in Texas, but DSHS relies on reports from a surveillance network to classify flu activity. DSHS reports the weekly classifications to the federal Centers for Disease Control and Prevention (CDC). CDC flu-activity classifications are reported by range from no activity to sporadic, local, regional and widespread.

Late last spring, we were introduced to the H1N1 flu virus. At first it was termed "swine flu," then "North American flu," before finally settling on the moniker "H1N1 flu." As the season progresses, we begin to see more stories in the media concerning this threat, its potential severity and impact. It is important for the UTSA community to understand the protective actions individuals can take, along with the signs and symptoms of the virus and what to do if infected.

For disease prevention and response information, UTSA relies on information from the U.S. Centers for Disease Control and Prevention (CDC), Texas Department of State Health Services and City of San Antonio Metro Health. Policies are in place to address most of the issues that will result from an outbreak of H1N1 in the San Antonio area.

By understanding this evolving situation and being aware of updated information, we are better able to distinguish fact from fiction. Through practicing protective actions, recognition of signs and symptoms of this virus and actions to take if infected, we can react as a community to keep ourselves safe and lessen the impact of H1N1.

Read important information on seasonal flu and H1N1 flu:

• Download the H1N1 Flu Fact Sheet for UTSA Faculty (PDF format).
• Download the H1N1 Flu Fact Sheet for UTSA Staff (PDF format).
• Download the H1N1 Flu Fact Sheet for UTSA Supervisors and Managers (PDF format).
• Download the H1N1 Flu Fact Sheet for UTSA Students (PDF format).
• Download the UTSA Student Health Services Flu Facts brochure (PDF format).

>> Read a previous UTSA Today story on the UTSA response to the H1N1 virus.

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What are the H1N1 signs and symptoms?

• Fever of 100 degrees F. or higher with a median temperature of 102 degrees F. and either sore throat or cough
• Gastrointestinal symptoms (nausea, vomiting, diarrhea)

According to the CDC, what groups are at a higher risk of being impacted by H1N1?

• All people ages 6 months-24 years
• Pregnant women
• Caregivers of children younger than 6 months
• Health care providers, Target First Responders
• Residents of nursing homes and other long-term care facilities.
• Those wh are age 25-64 with chronic respiratory ailments, asthma, neurological disorders, diabetes and immunodeficiency

What can I do to stay healthy?

• Stay informed. Reading this article is an excellent first step, but don't stop there. Go to Web sites such as www.cdc.gov, www.flu.gov or texasflu.org to stay current on this evolving situation.
• Influenza spreads person-to-person through coughing or sneezing by infected people, so --
  • 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.
  • Minimize your time with other people who are showing flu-like symptoms.
• Get vaccinated. Get the seasonal flu vaccination, as well as the H1N1 vaccination (with booster) when it becomes available. These are different vaccines and one vaccine will not protect you against the other kind of flu.
• Discuss with your supervisor what accommodations might be required in the event of a departmental outbreak.

What should I do if I get sick?

• Seek medical attention if needed.
• If you become ill with influenza-like symptoms, the CDC recommends staying home and avoiding contact with other people.
• Individuals with influenza-like illness should remain at home and away from other people until at least 24 hours after they are free of fever, or signs of fever, without the use of fever-reducing medications.
• Stay away from others as much as possible to keep from making others sick. Staying away means that you should not leave except to seek medical care. Avoid normal activities including work, school, travel, shopping, social events and public gatherings.
• If you have chronic illness or you are at high risk for flu complications, contact your health care provider or seek medical care. Your health care provider will determine whether flu testing or treatment is needed. Underlying medical conditions that often require special attention for avoiding severe complications with flu include asthma and diabetes. If you are living with a chronic disease, check with your doctor about whether flu should be a more serious concern for you.

What should I expect when I see a doctor?

Physicians' advice may vary according to the particular situation, so expect that your physician's advice may deviate from the following information. However, this should help prepare you for a visit to your physician during this flu season.

• Your physician may have special plans for dealing with those who present with flu like symptoms. For example, they may ask that you put on a mask while waiting to be seen or move you into another waiting area to reduce the chances of spreading the flu.
• Your physician will most certainly perform an initial evaluation that likely will include the following: gathering of history of your past and current illnesses to include current symptoms, taking your vital signs and conducting an examination.
• Based on the results, your physician may decide to perform additional testing. The additional testing will determine treatment (such as antibiotics or antivirals), or your physician may decide that the best course of action would be using an over-the-counter medication that might be helpful and appropriate for you while you are recovering from your illness.
• Please be clear: based on your physician's examination and experience, your condition may not warrant an antibiotic or antiviral.
• If concerned about your physician's recommendations, ask questions and allow your physician to assist you in understanding your illness and his or her recommended individualized treatment plan for you.

As a UTSA employee, do I need to bring in a doctor's note if I take time off for flu-like symptoms?

• Yes. According to Chapter 4.20 of the UTSA Handbook of Operating Procedures, section II, Sick Leave, to be eligible to use accumulated sick leave without a deduction in salary during a continuous period of more than three work days, an employee absent due to sickness, injury or pregnancy and confinement shall contact the Human Resources Department, Leave Management section, and provide a doctor's certificate showing the cause or nature of the condition or another written statement, which is acceptable to the university, of the facts concerning the condition. The university may require a doctor's certificate or other written statement of the facts for sick leave without a deduction in salary taken during a continuous period of three or fewer work days.

For more information, contact the HR leave management department at (210) 458-4250.

As a UTSA employee, how can I fulfill my work commitment to UTSA if I am affected by H1N1?

• For employees: These options must be coordinated and approved by the employee's superviser and Human Resources.
• Flexible work schedules or "flex time" may be an alternative to fulfill your work commitment to UTSA and to minimize contact with H1N1; however, not all jobs can be adapted to a flexible work schedule. All employees should communicate their interest to flex their work schedule through their immediate supervisor. Decisions on flex time requests will be made in accordance to HOP 4.29, Hours of work and breaks for staff (non-faculty) employees.
• While UTSA does not have a telecommuting policy, there are specific practices that have been followed and guidance that can be provided. Supervisors who receive requests from their employees to telecommute should contact HR Leave Management at (210) 458-4250 for guidance. Decisions on telecommuting requests will be based on the critical nature of the function and if the employee obtains medical clearance from their doctor to work from home. Telecommuting applies only to regular, full-time and part-time classified exempt and administrative and professional employees

What should I do if someone in my classroom or work area is absent because of flu-like illness?

• Contact the Occupational Health team in the Office of Environmental Health, Safety and Risk Management at (210) 458-5803 or (210) 458-4420. Staff members will consult with work groups to provide detailed information and advice about disease prevention measures for the workplace. Note that:
  • Facilities Services housekeepers have been asked to do more frequent cleaning of surfaces that get touched often such as door handles, elevator buttons and handrails.
  • Most flu viruses cannot cause disease after 2-8 hours outside the body; disinfecting a room or work space may mean waiting overnight.
  • Each work group is encouraged to take responsibility in controlling disease. This means:
    • Sanitize public-use items often with disposable wipes.
    • Provide hand sanitizer at reception areas and shared spaces.
    • Encourage co-workers to stay home when they are sick.

If my doctor tells me I have flu-like symptoms or my co-worker calls in sick with the flu, what should I call it?

• Everything we know about H1N1 indicates that it is no more dangerous than seasonal flu, except that we can expect many more cases to occur in addition to seasonal flu cases. A heavy flu season will take a lot out of us in any case. We'll get through this more easily if we stick to the facts as we talk about it.
• If someone in your office or class is sick, say, "They are sick." If you know for a fact that they have the flu, then say, "They have the flu."

Important links

• Centers for Disease Control and Prevention
• Texas Department of State Health Services
• San Antonio Metro Health

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