CARROLL COUNTY HEALTH DEPARTMENT

SWINE FLU UPDATE

6 May 2009

 

NATIONAL:  Cases of laboratory confirmed SF as of 11:00 am 6 May 2009 (Source CDC)

 

Alabama                4                           Minnesota                     1

Arizona                48                           Missouri                       2

California             67                           Nebraska                      4

Colorado              17                           Nevada                         5

Connecticut           4                            New Hampshire           2

Delaware             33                            New Jersey                   7

Florida                   5                            New Mexico                 3

Georgia                  3                            New York                   97

Hawaii                   3 (new)                  North Carolina             7

Idaho                      1                            Ohio                             5                  

Illinois                122                            Oklahoma                    1 (new)

Indiana                 15                            Oregon                       15

Iowa                       1                            Pennsylvania                1

Kansas                   2                            Rhode Island                 2                   

Kentucky               2                            South Carolina             16

Louisiana               7                            Tennessee                      2         

Maine                    1                             Texas                           61 (2 deaths)

Maryland              4                              Utah                              1

Massachusetts     45                             Virginia                         3

Michigan              8                              Washington                   9 (new)

                                                              Wisconsin                     6

 

                                                               TOTAL  642 cases  (41 states)

 

MARYLAND:

 

Cases of CONFIRMED SF

·       Baltimore County            3

·       Anne Arundel County     1

·       Maryland is reporting 2 cases of “unconfirmed” SF but does not define

 

Cases of PROBABLE SF

·       Anne Arundel County     3

·       Charles County                1

·       Harford County               1

·       Montgomery County       4 (new – 1 school age child and 1 adult)

·       Prince George’s County  4 (new – 2 school age children)

 

 

OTHER NOTES:

·       WHO’s Global Pandemic Phase remains at FIVE (SIX is highest).  Measures spread, not severity.  WHO has yet to see SUSTAINED human to human transmission.  Virus reported in 22 other countries.

·       Yesterday at mid afternoon HHS/CDC announced it was changing its school closure policy to now allow all schools to remain open despite any cases of confirmed or probable cases. Decisions for school closures reside at the local level.

·       First Swine Flu death of U.S. citizen confirmed.  Texas woman in her 30s who lived in Cameron County, along the U.S.-Mexico border.  Woman had other underlying, chronic heath conditions.

·       In addition to the 642 confirmed cases, CDC is reporting 845 probable cases.  Number of cases expected to jump as states begin performing their own confirmatory testing

·       Just updated DHMH Interim Guidance for Specimen Collection for Possible Swine Flu Cases for Providers:  Patient presents with symptoms1; provider implements appropriate infection control measures; if patient is hospitalized OR a healthcare worker (including EMS), the provider should contact the Carroll County Health Department for appropriate testing kit.  Note: there is a separate algorithm for Sentinel Providers and Local Health Departments

 

CURRENT PUBLIC HEALTH RECOMMENDATIONS FOR A CARROLL COUNTY RESPONSE:

·       In light of CDC’s revised school closure recommendations, any student identified in a Carroll County school (public, private, college) with a confirmed, probable or suspect case of Swine Flu should be immediately sent home and remain there for at least seven days and only go out when seeking medical attention.  The school should remain open.

·       School graduations – it is not necessary to make any special changes to person to person contact as the mild “seasonable-like” Swine Flu circulates.  A school would certainly not cancel graduation ceremonies (with the President shaking the graduates’ hands at diploma presentation) during the months (November – May) of the seasonal flu.

 

 


1 Fever greater than 100 degrees F AND respiratory symptoms (cough, sore throat, runny nose) OR sepsis-like syndrome)