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Preventing Swine Flu, Open Letter from VA's Health Commissioner

 

An Open Letter from Karen Remley, MD, MBA, FAAP, Virginia Health Commissioner to Grandmothers About the Novel H1N1 Influenza and How to Best to Prepare and Protect Your Family, Community and Yourself
 
Everywhere we turn, we hear about the novel H1N1 flu, commonly referred to as “swine flu.” While you most likely have learned a lot about this novel influenza infection from the media, as a grandmother and trusted advisor about health issues it is important that you have access to accurate and timely information. I find a helpful source of information to be the Centers for Disease Control (CDC) website, www.cdc.gov/H1N1. You will find lots of practical information and answers to the many questions that may arise as you and your family prepare for the upcoming flu season. In addition, each state health department has it’s own website, most easily found by searching “[state name] and health department,” i.e. “Virginia health department.” These sites will provide important local and regional information.  
 
There are three areas in our response to this new influenza in which you in your role as grandmother and trusted health advisor can have significant impact;
  • support of your family and community to both prevent infection and provide support when illness arises,
  • keep yourself healthy and lastly,
  • understand the vaccination campaign.
The reason we call this flu “novel” is that it is a different combination of flu particles than scientists have seen before. History tells us when this occurs, it is likely that the virus may act unpredictably, possibly causing worse disease and affecting different people than the regular or seasonal influenza. Unlike seasonal flu, this virus affects children and young adults in greater proportion than older adults.  Pregnant women and people with chronic diseases are also at higher risk to get more seriously ill.  In fact, it appears to be one time when being over 65 may be offer some degree of protection.  It is thought that people in this age category may have been infected by a similar virus earlier in life resulting in a degree of immunity. So celebrate your age! This also means that there is a higher chance that your children or grandchildren may become infected and potentially ill. Schools, workplaces, and daycare are common places for people to share germs. Helping your family develop a plan to assist in caring for loved ones when ill, offering to be an emergency school contact for your grandchildren and encouraging your children to plan for potential illness this fall by having food, medicine and any essentials needed in their home in case they will need to stay at home with a sick child can all really make a difference. 
 
Next, think about how you keep yourself and your family members healthy. Using good hand hygiene, covering coughs, and staying home when ill are just a few of the recommendations you can find on the CDC website. Seasonal flu vaccine is currently available and the CDC recommends that we all get this vaccine early. Even though we are all talking about the new H1N1 flu, the seasonal flu will definitely still be here and can be particularly dangerous for the very young, those over 65, pregnant people, and people with chronic diseases. So get your own seasonal flu shot early and encourage other family members to do likewise. Many health care providers offer the seasonal flu vaccine along with your local health department and many pharmacies.
 
Lastly, the federal government has contracted with vaccine manufacturers to develop a vaccine to prevent H1N1 influenza infection. This vaccine will be very similar to the seasonal flu vaccine many of us get yearly. It will not be released for use in the general population until careful studies have been done to determine its safety and effectiveness. The H1N1 vaccine is scheduled to be available in mid-October. Encouraging your children to consult a doctor about getting themselves and your grandchildren vaccinated could further protect them from this virus. Pregnancy is a particularly important time to get vaccinated as this will protect both mother and baby from getting ill. Pregnant women should consult their doctor before being vaccinated. Ultimately, each person who gets vaccinated not only protects themselves but also those around them, thus decreasing the potential for spread to others. If you are under 65 with any chronic medical condition please be sure to consult your doctor about being vaccinated for H1N1. Your local health department can help you find a close location to receive vaccine.
 
This fall we each have an opportunity to show leadership within our families and communities around this important personal and public health issue.  I encourage you to have discussions about these topics with your family and friends and use the CDC, state and local health department websites as sources of accurate and timely information. 
 
Through knowledge, prevention activities and vaccination we can minimize the impact of this new infection on our families and communities.
 
Sincerely,
 
Karen Remley, MD, MBA
Commissioner of Health, Virginia
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Added: Aug 28, 2009
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