JEFFREY S.

BROWN, MPH, MSW

Health and Human Services Agency Nevada County KAREN MILMAN, MD, MPH
Public Health Officer/Director
Director Health and Human Services
Agency
500 CROWN POINT CIRCLE, STE 110 10075 LEVON AVE STE 207
10075 LEVON AVE STE 20796161
GRASS VALLEY, CA 95945
Public Health Department TRUCKEE,
TRUCKEE,
TELEPHONE
CALIFORNIA
CALIFORNIA 96161
(530) 582-7814
TELEPHONE (530) 265-1450 TELEPHONE
FAX (530)
(530) 582-7814
582-7732
FAX (530) 582-7732
(888) 303-1450

FAX (530) 271-0837

Update on “Pandemic H1N1 Influenza A” to Providers and other Partners

November 6, 2009
Please address questions this week to Patti Carter at 530-265-7174.

This update contains new and updated information regarding the surveillance, diagnosis
and treatment of persons with Pandemic H1N1 Influenza A and Influenza Like Illness (ILI).
The information provided is from several sources including the Centers for Disease Control
(CDC) and the California Department of Public Health, Division of Communicable Disease
(CDPH).

NEVADA COUNTY NUMBERS

• There have been a total of 5 hospitalizations of Nevada County Residents.
Three have been young children, one was a pregnant woman and the other
one was a young adult. There have been no fatalities of Nevada County
residents from the H1N1 virus.

CALIFORNIA NUMBERS
• The statewide incidence rate of reported H1N1 2009 hospitalizations and fatalities is
12.4 per 100,000 population. This number will continue to increase as more people
are infected.
• For the week ending 10/31/09, in California there were:
○ 17 fatalities
○ 21 new cases meeting the definition of severe pediatric influenza
○ 64 pregnant cases hospitalized during this reporting period

NEW INFORMATION:
• There continues to be a limited supply of H1N1 vaccine in the County. School based
clinic began this week. The target ages are 6 months through 8th grade.
• As additional vaccine comes in, the next target groups will be additional healthcare
workers with direct patient care contact, parents of children < 6 months of age and
high school students 9th-12th grade. Adults with chronic disease will be the following
group.
• All hospitalized patients with pneumonia should be swabbed for H1N1 and the
sample sent off to the State laboratory. A reminder: Rapid Influenza A testing is not a
valid indicator for the presence of the H1N1 virus.
• New California Department of Public Health Reporting Requirement: Any
patient hospitalized with a confirmed influenza diagnosis, whether H1N1,
seasonal influenza A, or seasonal influenza B MUST now be reported to the
local health department as a mandated reportable illness.
 • In addition, all patients hospitalized with a diagnosis that started with influenza
symptoms must be reported to the Public Health Department within 24 hours of the
patient being hospitalized. A possible or probable diagnosis involving H1N1 is a
mandated reportable illness.

GUIDELINES
• Rather than copy multiple documents for you, below are the links to several
guidance documents for your review.
○ Use of Rapid Testing: http://www.cdc.gov/h1n1flu/guidance/rapid_testing.htm
○ Isolation/Exclusion Recommendations:
http://www.cdc.gov/h1n1flu/guidance/exclusion.htm
○ School Response: http://www.cdc.gov/h1n1flu/schools/schoolguidance.htm
○ Antiviral Use: http://www.cdc.gov/h1n1flu/recommendations.htm