The old
saying goes - the more we know the more we know that we do not know - and in
this time of seasonal and novel H1N1 flu viruses, we are in an observation mode
as these viruses gear up for the 2009-2010 season.
Traditionally,
in triaging in the occupational health setting, fever and sudden onset of sore
throat, and cough could be the hallmark of influenza. However with 20% of the
cases of influenza H1N1 presenting without fever, the triage process gets a
little murky. One can be inclined to pass off significant influenza as
allergies. This would lead to spread in the workplace and a disservice and
potential danger to the employee.
Abundant
information is available for the curious, paranoid and hypochondriac. The
uninformed, "couldn't care less employee" is the worry for at risk
complications. This person is not prepared and could be in danger of pneumonia.
What to say to individuals who come to the clinic for symptom relief, the flu
shot or just some basic information? How
much to say to improve internal locus of control, but not to frighten?
From my
clinical practice, these suggested health educations tips are offered:
Stock
the medicine chest with a thermometer and anti- fever, anti-cough and
decongestants, throat lozenges both adult and pediatric; not aspirin
Stock
the kitchen with juices, water and soup
Keep
the fever controlled
Call
your doctor or go to urgent care for uncontrolled fever at 101 or 102 degrees F and /or you are short of
breath.
Instruct the
employee that the goal is saving lives from pneumonia and death.Vaccines will reduce the number of flu cases
and the severity of flu cases but the vaccine is only 60-70% effective against
the three types of virus in this year's seasonal influenza immunization:
A
H3N2 A Uruguay 716n2007
AH1N1
A Brisbane 59 2007
B
Brisbane 60 2008
The
Swine flu/2009 Novel H1N1 is a mono-valent vaccine and will be offered to high
risk individuals. Stay tuned for the availability and distribution. In the meantime, follow the public service
announcements, rap videos, and cartoons.http://www.youtube.com/user/USGOVHHS