CARROLL COUNTY HEALTH DEPARTMENT

H1N1 (SWINE FLU) UPDATE

22 SEPTEMBER 2009

GLOBAL: World Health Organization reports, as of 13 September, 296,471 cases of 2009 H1N1 (Swine Flu) virus with at least 3,486 worldwide deaths.

WHO’s Global Pandemic Phase remains at SIX (the highest). Measures spread, not severity.

NATIONAL: Regional increases in influenza activity are being reported now in the southern, southeastern and parts of the northeastern United States. The U. S. continues to operate under a Public Health Emergency as proclaimed by the Secretary of Health and Human Services on 26 April 2009.

MARYLAND: No new deaths associated with H1N1 reported since 24 August 2009. Currently deaths stand at 7.

Influenza activity in the State remains WIDESPREAD (the highest rating). Maryland shares this rating with 20 other States (up from 10 States last week).

CARROLL COUNTY: The Carroll County Health Department administered 1209 seasonal influenza immunizations at its 18 September 2009 clinic.

OTHER IMPORTANT NOTES:

· Vaccine ordering and Distribution: ANY provider wishing to receive and administer H1N1 vaccine MUST register on the State Health Department’s website: H1N1Info@dhmh.state.md.us This is the listing as of 17 September 2009:

ABRAHAM MATHEW, M.D, PC

Airpark Primary Care

BRINTON WOODS NURSING AND REHAB CENTER AT WINFIELD

BW Primary Care

Capital OBGYN Associates

carroll county detention center

Carroll County Health Department

Carroll Hospital Center

CARROLL INTERNAL MEDICINE ASSOCIATES, LLC

Carroll Lutheran Village

Carroll Medical Group

Carroll Occupational Health

Carroll Primary Care

Carrolltowne Medical Center P.A.

DaVita - Carroll County Dialysis Center

DDA-SETT-Sykesville

Dr Wasim Fakhar

Drs Perl and Feinerman PA

Ellis Mez, MD, PA

Family Medical Associates

Finksburg Pharmacy, Inc

Frederick County Pediatrics, LLC

JASON TATE

John Ignatowski M.D.

JOHN W. MIDDLETON, MD

Johns Hopkins Community Physicians @ Westminster

Johnston Family Medicine

Jose E. Gonzalez, M.D., P.A.

Laura Lieberman, MD, PA

Lawrence S. Gordon, MD

Liberty Pediatrics LLC

Long View Nursing Home, INC

Lorien Nursing & Rehab Center Taneytown

MANCHESTER FAMILY MEDICINE, LLC

McDaniel College

Michael S Rosner, M.D.

MyCare Express

Natvarlal Rajpara, MD

Norman Goldstein, M.D.

Pansuriya Clinical Corporation

Safeway Pharmacy #1616

Safeway Pharmacy #1678

Safeway Pharmacy #1815

Sharon Y. Alongi, M.D.P.A.

SHORE FAMILY PRACTICE

Springfield Hospital Center

STEVEN BILLET, M.D.P.A

Syed Hosain, MD

Target Corporation

The Pediatric of Frederick

Transitions Healthcare

U.N.I Urgent Care Center

Union Bridge Family Practice

Walgreen Drug Store #7678

WellAdvantage

Westminster Internal Medicine

William R. Linthicum, MD, LLC

Ø State Health Department (DHMH) indicates that some vaccine will be available through its website by 30 September. DHMH will, within the next few days, send the Provider Agreement and an Initial Ordering Form to the contact person listed in the online application. The Provider Agreement will be an online document with an icon to be clicked on to signify agreement/acceptance. The Initial Ordering Form will request the number of doses desired and in what formulations.

Ø DHMH will use VACMAN to send the order into McKesson, the CDC’s contracted vaccine distributor. McKesson will ship requested vaccine to individual provider offices on Sunday, Tuesday and Thursday. Expect a turnaround time of about 5 – 7 days.

Ø Some providers will receive their vaccine from the State Depot via UPS

· Mass Vaccinators: CCHD has now received approximately 129 completed applications for temporary State employment at CCHD from nurses interested in serving as mass vaccinators. CCHD is close to designating locations and dates for the initial mass vaccination centers, subject to the availability and amount of vaccine received.

· Vaccine Safety: It appears that at this time the H1N1 vaccine is as safe as the seasonal flu vaccine.

· Childrens’ Dosages: Recent clinical trials at the University of Maryland’s Center for Vaccine Development (sponsored and reported by the National Institutes of Health) indicate that children from 6 months to 9 years of age will probably require two H1N1 immunizations. These same trials show that children 10 to 17 have a sufficient immune response to warrant just one shot.

CURRENT PUBLIC HEALTH RECOMMENDATIONS FOR A CARROLL COUNTY RESPONSE:

The mass vaccination centers sponsored by CCHD will now vaccinate Carroll Countians in two phases:

· Phase I (first priority)

q Pregnant women

q People who live with or care for children younger than 6 months of age

q Health care and public safety personnel who were not vaccinated at their own agencies or by Carroll County Paramedics

q Persons between the ages of 6 months and 24 years

q People from ages 25 through 64 years who are at higher risk because of chronic health disorders or compromised immune systems.

· Phase II (last priority)

q Everyone else