The Berks-Mont News (http://www.berksmontnews.com)

In the midst of another flu season


By Donna Rovins, Drovins@journalregister.com

Friday, January 25, 2013

Sneezing, coughing, fevers and people out sick from school or work for one reason or another. All signs that something is going on. That “something,” according to the Centers for Disease Control is an outbreak of influenza, or the flu, that came earlier this year and is producing more cases of infection than in recent less active seasons.
CDC Director Dr. Tom Frieden reported on Friday that 47 states reported widespread geographic influenza activity, up from 41 the week before.
“Influenza will continue for several more weeks. During the past decades, we have seen an average of about 12 consecutive weeks, three months of the ILI being elevated,” Frieden said. “As we often say, the only thing predictable about flu is that it’s unpredictable. Only time will tell us how long our season will last and how moderate or how severe this season will be in the end.”
Meanwhile, area schools are not reporting absences above average for this time of year.
Sue Johnson, head nurse for Oley Valley School District, says there has not a notibable drop in schol attendence.
“Absentees have been pretty typical; we haven’t been hit too bad yet,” said Johnson.
Resources are availalble on the district site regarding influenza. Employees have also received information reinforcing ways to prevent germs from spreading.
Antibacterical can be found in each classroom and students are encouraged to drink lots of water, cover their mouths and ‘wash, wash, wash.’
Johnson said that she herself recently put sign on her door which asking ‘Did you wash your hands today?’
Boyertown Area School District has also emphazised ways to prevent the spread of communicable diseases such as the flu. The district was unavailable for comment as of Friday afternoon.
With the outbreak of flu in Berks County expected to peak over the next couple of weeks, St. Joseph Medical Center opened a Rapid Flu Assessment Area in its Emergency Room in Bern Township to handle the growing volume of patients seeking care for flu-like symptoms.
The Rapid Flu Area is in operation during the bulk of the time when patients with symptoms are arriving, which is between noon and 8 p.m. Monday thru Friday. The facility will remain open until the outbreak abates.
Patients with flu-like symptoms should check in to the main emergency department in order for a professional triage nurse to fully assess their condition.
“Triage is an important part of the process, particularly so we can ensure that flu symptoms are not masking something more serious, like a heart or lung condition,” says Sandy Reedy who manages St. Joseph’s Emergency Department.
Reedy say if patients’ symptoms are clearly resulting from the flu—and they are not too severe, like suffering from dehydration—patients will be directed to the Rapid Flu Area. Reedy says state-wide medical and clinical sources are indicating that the flu outbreak is “really just beginning and expected to become more severe over the next three weeks before it breaks.”
Reedy cautions that patients with “co-morbidities”, such as another health problem like congestive heart failure combined with the flu, will not be moved to the Rapid Flu Assessment area as their conditions require closer monitoring.
Reedy says by “co-horting” flu patients in the same area minimizes exposure to others and also will “decompress the volume in the acute care ER to be prepared to address life threatening emergencies.”
Reading Health System launched a flu hotline in early Jan. The hotline, 484-628-1FLU (1358) is available Monday through Saturday from 9 a.m. to 7 p.m.
The free Flu Hotline is staffed by trained Hospital personnel who provide information based on the caller’s age, reported symptoms, and other health-related conditions. Depending on the information provided, recommendations may be made to: “rest and take fluids and over-the-counter medication,” or “make an appointment with your doctor today,” or “seek immediate medical assistance.”
The CDC recommends annual flu shots for everyone aged 6-months and older. In his media briefing Friday, the CDC’s Dr. Frieden said as of Nov., about 37 percent of the population had been vaccinated. That number has likely increase in the past couple of weeks as the number of cases and awareness have increased.
In addition to getting vaccinated, the Red Cross has some simple steps people can take to help prevent the spread of the flu virus. Parents can also practice these things with their children to help keep them well:
•Cover the nose and mouth with a tissue or sleeve when coughing or sneezing, and throw the tissue away after use. If a tissue isn’t available, cough or sneeze into the elbow, not the hands.
•Wash hands often, especially after coughing or sneezing. If soap and water are not available, use an alcohol-based hand-rub.
•Avoid touching the eyes, nose or mouth.
•Avoid close contact with people who are sick.
•Stay home if sick.
SIGNS OF THE FLU
So how can you tell the difference between a cold and the flu? How does someone know they have the flu? The common signs of influenza are high fever, severe body aches, headache, being extremely tired, sore throat, cough, runny or stuffy nose and vomiting and/or diarrhea (more common in children).
If someone in the household does come down with the flu, the Red Cross has suggestions for caring for the patient:
•Designate one person as the caregiver and have other household members avoid close contact with that person so they won’t become sick.
•Make sure the person stays at home and rests until 24 hours after the fever is gone.
•Designate a sick room for the person if possible. If there is more than one sick person, they can share the sick room if needed. If there is more than one bathroom, designate one for those who are sick to use. Give each sick person their own drinking glass, washcloth and towel.
•Keep the following either in the sick room or near the person: tissues, a trash can lined with a plastic trash bag, alcohol-based hand rub, a cooler or pitcher with ice and drinks, a thermometer and a cup with straw or squeeze bottle to help with drinking. A humidifier will provide extra moisture, making it easier for the sick person to breathe. Sick people should wear a facemask, if available, when they leave the sick room or are around others.
•Give plenty of liquids (water and other clear liquids) at the first sign of flu and continue throughout the illness. People with the flu need to drink extra fluids to keep from getting dehydrated.
•Treat fever and cough with medicines that can be purchased at the store. Remember, when children are ill they should never be given aspirin or products containing aspirin - especially with the flu.
•If the person gets very sick, is pregnant or has a medical condition (like asthma) that puts them at higher risk of flu complications, call their doctor. They may need to be examined and might need antiviral medicine to treat the flu.
•Keep everyone’s personal items separate. All household members should avoid sharing pens, papers, clothes, towels, sheets, blankets, food or eating utensils unless cleaned between uses.
•Disinfect doorknobs, switches, handles, computers, telephones, bedside tables, bathroom sinks, toilets, counters, toys and other surfaces that are commonly touched around the home or workplace.
•Wash everyone’s dishes in the dishwasher or by hand using very hot water and soap.
•Wash everyone’s clothes in a standard washing machine. Use detergent and very hot water, tumble dry on a hot dryer setting and wash hands after handling dirty laundry.
•Wear disposable gloves when in contact with or cleaning up body fluids.
CALL THE DOCTOR
And lastly, if someone thinks they have the flu, their health-care provider should be consulted. Seek medical care immediately if the person develops any of the following symptoms:
•Fast breathing, trouble breathing or bluish skin color.
•Pain or pressure in the chest or abdomen (adults).
•Confusion or sudden dizziness.
•Not drinking enough fluids, not being able to eat or severe or persistent vomiting.
•Flu-like symptoms that improve but then return with fever and worse cough.
•Not waking up, being so irritable that the child does not want to be held or not interacting (children).
•Fever with a rash (children).
•No tears when crying or significantly fewer wet diapers than normal (children).
Rebecca Blanchard, editor of The Boyertown Area Times, contributed to this article.