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September 8, 2009
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Dear Parent or Guardian:
The
Virginia Department of Health continues to monitor the novel
influenza A H1N1 virus. As you and your child prepare for school,
you might have questions about this flu virus. We hope this letter
provides information you will find helpful.
Flu viruses spread from person to person through
coughing or sneezing by people with flu. Parents can help protect
their children and reduce the spread of both seasonal and novel H1N1
flu viruses by encouraging the use of good cough and hand hygiene
etiquette and by keeping their children at home or away from others
while ill. Also, it is important that you
develop contingency plans
should your child become sick and need to stay home. Although
school
closure is not advised by the Centers
for Disease Control and Prevention (CDC) for a single case of novel
influenza A H1N1, if a significant number of faculty or students are
absent and the school’s ability to function is compromised,
officials might recommend school closure. Your plans should also
address how your family would respond if the school closes.
What you can do:
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Teach your child good cough and hand hygiene
etiquette. This includes covering coughs and sneezes with tissues,
coughing and sneezing into the inside of the elbow, and discarding
used tissues. Hands should be washed frequently with soap and
water, and hand washing should last for at least 20 seconds. Be
sure to set a good example by doing this yourself. If hands are
not visibly soiled, hand sanitizers containing at least 60 percent
alcohol are also effective.
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Vaccinate your child for seasonal flu when the
vaccine becomes available in the early fall to protect against flu
illness; if a separate vaccine for novel H1N1 flu virus becomes
available, also vaccinate your child against this specific virus
strain.
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Monitor yourself and your child for flu-like
symptoms which include fever (over 100 degrees Fahrenheit),
feverishness, cough, or sore throat. Some additional symptoms
might be experienced with novel H1N1 flu, including muscle pain,
fatigue and sometimes vomiting or diarrhea.
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If you suspect that you or your child may be
getting the flu, stay home from work and school and avoid contact
with others so the virus does not spread.
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Plan now for your child’s care if you, he or she
becomes ill with the novel H1N1 virus. If this happens, you or
your child might be asked to stay home from work or school for at
least 24 hours after resolution of fever without the use of
fever-reducing medicines. Talk to other family members, friends or
neighbors about helping with child care or possibly sharing care
in such a situation. Consider now who might be able to pitch in
and help you. Be sure to have a family plan that includes having
adequate food and supplies on hand to decrease your need to be out
in public should someone get sick.
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If symptoms
worsen or cause you concern, contact your doctor’s office by
telephone for advice before arriving there in person.
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We encourage you to monitor the CDC Web site (http://www.cdc.gov/h1n1flu/)
and that of the Virginia Department of Health (http://www.vdh.virginia.gov)
and Virginia Department of Education (http://www.doe.virginia.gov)
for additional resources and the most current recommendations.
Since April, the novel influenza A H1N1 virus has
been confirmed throughout Virginia. We expect this virus will
continue to circulate in the fall and that clusters of illness will
occur in schools involving students, faculty, and staff. While it is
uncertain how widespread or severe the novel flu virus will be
during the upcoming flu season, taking the above steps will help to
protect you, your family and your community. At this time the novel
influenza A H1N1 virus is causing illness similar to that of
seasonal flu strains. If that should change, we will be sure to
provide you updated guidance.
We appreciate
your help in slowing the spread of this virus and keeping our
children safe and healthy. If you have additional questions or
concerns, please call your local health
department (http://www.vdh.virginia.gov/lhd/)
or call 1-877-ASK-VDH3.
Respectfully,
James E. McDaniel
Division Superintendent
Charles E. Devine, III, MD
Health Department District Director
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