McKinney Independent School District School Health Services

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1 McKinney Independent School District School Health Services Dear Parent/Guardian, The Centers for Disease Control (CDC) anticipates increasing numbers of confirmed cases of seasonal flu and H1N1 influenza over the course of the coming school year. In an effort to help keep our students healthy, we want to share with you important awareness and prevention information. This includes what you can do to keep your child healthy and what we are doing as a district to promote the overall health and wellness of our students and staff. What You Can Do to Keep Your Children Healthy Stay informed. The McKinney ISD website will be updated regularly as we learn new information from our local, state and national public health authorities. Encourage your children to adhere to everyday actions to stay healthy. o Washing their hands often with soap and water, especially after they cough or sneeze. Alcohol-based hand sanitizers are also effective. o Covering their nose and mouth with a tissue when they cough or sneeze. Throwing the tissue in the trash after they use it. If no tissue is available, encourage them to cough or sneeze into their shirtsleeve or elbow and not into their hand. o o Avoiding touching their eyes, nose, or mouth. Germs spread this way. Keep your children home if they are sick. CDC recommends that children stay home from school and limit contact with others to keep from infecting them. Students with flu-like illness (fever 100 F or greater, cough, sore throat, headache, body aches, chills, fatigue) must stay home from school for at least 24 hours after they no longer have a fever, or signs of fever, without the use of fever-reducing medicines. Follow public health advice regarding avoiding crowds and other social distancing measures. What We Are Doing at School to Promote the Health and Wellness of Our Students and Staff We will continue to be in close contact with our local, state, and national public health authorities and will provide you with up-to-date information concerning influenza throughout the school year. This information will be made available to you on our web site at and via automated phone calls made as deemed necessary. We will continue to emphasize the importance of the basic foundations of influenza prevention to your children during school hours including good hand hygiene and the proper methods for cleaning hands and respiratory care, including keeping hands away from the face. We will provide the time needed for all students and staff to wash their hands whenever necessary. Soap, paper towels and supervised hand sanitizers will be readily available in schools. We will routinely clean areas that students and staff touch often with appropriate disinfectant cleansers. Thank you for your continued diligence in promoting the health and wellness of your children. We strongly believe that healthy students learn better and are looking forward to an academically successful school year. Parent flu letter 2009/2010 Reference:

2 Flu information What is the flu? The flu (influenza) is an infection of the nose, throat, and lungs caused by influenza viruses. Flu viruses cause illness, hospital stays and deaths in the United States each year. There are many different flu viruses and sometimes a new flu virus emerges to make people sick. What is novel H1N1 flu? Novel H1N1 flu is a new and very different influenza virus that is spreading worldwide among people. This new virus was called swine flu at first because it has pieces of flu viruses found in pigs in the past. However, novel H1N1 virus has not been detected in U.S. pigs. Influenza is unpredictable, but scientists believe that the new H1N1 virus will cause illness, hospital stays and deaths in the United States over the coming months.this flu season, the new virus may cause a lot more people to get sick than during a regular flu season. It also may cause more hospital stays and deaths than seasonal flu. How serious is the flu? The flu can be very serious, especially for younger children and children of any age who have one or more chronic medical conditions. These conditions include asthma or other lung problems, diabetes, weakened immune systems, kidney disease, heart problems and neurological and neuromuscular disorders. These conditions can result in more severe illness from influenza, including the new H1N1 virus. How does flu spread? Both novel H1N1 flu and seasonal flu are thought to spread mostly from person to person through the coughs and sneezes of people who are sick with influenza. People also may get sick by touching something with flu viruses on it and then touching their mouth or nose. What are the symptoms of the flu? Symptoms of seasonal flu and novel H1N1 flu include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people also may have vomiting and diarrhea. How long can a sick person spread the flu to others? People infected with seasonal and novel H1N1 flu shed virus and may be able to infect others from 1 day before getting sick to 5 to 7 days after. This can be longer in some people, especially children and people with weakened immune systems and in people infected with novel H1N1 flu. Protect your child How can I protect my child against flu? Get a seasonal flu vaccine for yourself and your child to protect against seasonal flu viruses. Take everyday steps to prevent the spread of all flu viruses. This includes: Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. Wash your hands often with soap and water, especially after you cough or sneeze. If soap and water are not available, alcohol-based hand cleaners are also effective. * Avoid touching your eyes, nose and mouth. Germs spread this way. Teach your child to take these actions too. Try to keep your child from having close contact (about 6 feet) with sick people, including anyone in the household who is sick. Keep surfaces like bedside tables, surfaces in the bathroom, kitchen counters and toys for children clean by wiping them down with a household disinfectant according to directions on the product label. Throw away tissues and other disposable items used by sick persons in your household in the trash. Is there a vaccine to protect my child from H1N1 flu? A vaccine against novel H1N1 flu is being produced and will be available in the coming months as an option for the prevention of the new H1N1 flu. A vaccine against seasonal flu is available each fall and winter. More information about the new H1N1 flu vaccine and the seasonal flu vaccine is available on the CDC Web site. Is there medicine to treat the flu? Antiviral drugs can treat both seasonal flu and the new H1N1 flu. These drugs can make people feel better and get better sooner. But they need to be prescribed by a doctor and they work best when started during the first 2 days of illness. These drugs can be given to children. The priority use for these drugs is to treat people who are seriously ill or who have a medical condition that puts them at high risk of serious flu complications.

3 What should I use for hand cleaning? Washing hands with soap and running water (for as long as it takes to sing the Happy Birthday song twice) will help protect against many germs. When soap and running water are not available, wipes or gels with alcohol in them can be used (the gels should be rubbed into your hands until they are dry).* If your child is sick What can I do if my child gets sick? If your child is 5 years or older and otherwise healthy and gets flu-like symptoms, including a fever and/or cough, consult your doctor as needed and make sure your child gets plenty of rest and drinks enough fluids. If your child is younger than 5, or of any age and has a medical condition like asthma, diabetes, or a neurologic problem and develops flu-like symptoms, including a fever and/or cough, call your doctor or get medical attention. This is because younger children and children who have chronic medical conditions (like asthma or diabetes) may be at higher risk of serious complications from influenza infection, including the new H1N1. Talk to your doctor early if you are worried about your child s illness. What if my child seems very sick? Even children who have always been healthy before or had the flu before can get a severe case of flu. Call or take your child to a doctor right away if your child of any age has: Fast breathing or trouble breathing Bluish or gray skin color Not drinking enough fluids Severe or persistent vomiting Not waking up or not interacting Being so irritable that the child does not want to be held Flu-like symptoms improve but then return with fever and worse cough Has other conditions (like heart or lung disease, diabetes, or asthma) and develops flu-like symptoms, including a fever and/or cough. Can my child go to school, day care or camp if he or she is sick? No. Your child should stay home to rest and to avoid giving the flu to other children. When can my child go back to school after having the flu? Keep your child home from school, day care or camp for at least 24 hours after their fever is gone. (Their fever should be gone without them having taken a fever-reducing medicine.) A fever is defined as 100 F or 37.8 C. *Though the scientific evidence is not as extensive as that on hand washing and alcoholbased sanitizers, other hand sanitizers that do not contain alcohol may be useful for killing flu germs on hands in settings where alcohol-based products are prohibited. For more information, visit or or call CDC-INFO Seasonal and Novel H1N1 Flu: A Guide for Parents

4 Cual es la mejor manera de lavarse las manos? Lavarse las manos a menudo le ayudara a protegerse contra los gérmenes. Lávese las manos con agua tibia y jabón por 15 a 20 segundos. Cuando no tenga disponible agua ni jabón, puede usar toallitas húmedas o gel desinfectante para las manos a base de alcohol. Si usa gel, frótese las manos hasta que el gel se seque.* *Aunque la evidencia científica no es tan extensiva en comparación a la evidencia sobre el uso de desinfectantes para las manos a base de alcohol, se puede usar otros tipos de desinfectantes para manos sin alcohol en caso que el uso de productos conteniendo alcohol sean prohibidos. Qué debo hacer si se enferma mi niño? Si su niño es mayor de cinco años, típicamente esta sano, y se enferma con síntomas de la influenza como fiebre o tos, comunicase con su medico. Asegurase que su niño se descanse y tome bastantes líquidos. Si su niño es menor de cinco años o si tiene ciertas afecciones crónicas (como asma, diabetes, enfermedades neurológicas), y se enferma con síntomas de la influenza como fiebre o tos, comunicase con su medico o busque atención medica. Esto es importante a cause de que niños pequeños y niños que tienen ciertas afecciones crónicas (como asma o diabetes) presentan un alto riesgo de complicaciones con la influenza estacional y parecen también estar asociados a un alto riesgo de presentar complicaciones para esta nueva influenza H1N1. Llame a su doctor lo mas pronto posible si usted esta preocupado por la enfermedad de su niño. Que debo hacer si mi niño esta muy enfermo? Niños que han sido sanos o que han estados enfermos con la influenza en el pasado aun pueden enfermarse gravemente con la influenza. Llame a su medico o busque atención médica inmediatamente si su niño tiene: Respiración agitada o dificultad para respirar Color azulado o grisáceo en la piel No esta tomando suficientes líquidos Vómitos fuertes o constantes No quiere despertarse ni interactuar con los otros Que el niño este tan molesto que no quiere que lo carguen Los síntomas similares a los de la influenza o gripe mejoran pero luego regresan con fiebre o una tos peor Tiene otras condiciones (como asma, enfermedades pulmonarias, diabetes) y empieza tener síntomas similares a los de la influenza como fiebre o tos Debe ir mi niño a la escuela, el centro de cuidado de niños, o un campamento si esta enfermo? No. Su niño debe quedarse en casa para descansar y para prevenir que los otros niños se enfermen. Cuando puede regresar mi niño a clases después de tener la influenza? Su niño debe permanecer en casa hasta que no tengan fiebre por lo menos 24 horas. (La ausencia de fiebre debe ser sin el uso de medicamentos para reducir la fiebre.) La definición de una fiebre es una temperatura más de 100 F o 37.8 C. La Influenza Estacional y la Nueva Influenza H1N1: Una Guía para los Padres Translated into Spanish from the CDC s Seasonal and Novel H1N1 Flu: A Guide for Parents SERVICIOS MEDICOS del CONDADO DE COLLIN 825 N. MCDONALD, # 130, MCKINNEY, TX o x5500 (Metro) Fax:

5 Información Sobre la Influenza Que es la influenza (o gripe, también conocida como flu en ingles)? La influenza es una enfermedad respiratoria contagiosa, causado por los virus de la influenza. Puede enfermarle en forma leve o grave, y en ciertos casos incluso provocar la muerte. Hay varios diferentes tipos de virus de influenza y a veces un virus de influenza nuevo aparece y causa enfermedad en las personas. Que es la influenza H1N1 (influenza o gripe porcina)? La nueva influenza H1N1 (a la que en un comienzo se le llamó gripe porcina ) es la infección por un nuevo virus de influenza que causa enfermedades en las personas y que esta circulando por todo el mundo. Este virus en un comienzo se llamó virus de la gripe porcina porque las pruebas de diagnóstico en laboratorios indicaron que muchos de los genes presentes en este nuevo virus eran muy similares a los virus de la influenza que afectan con regularidad a los cerdos de Norteamérica. Sin embargo, la nueva influenza H1N1 no se ha detectado en cerdos de los EE.UU. La influenza es imprevisible, pero los científicos creen que es posible que el nuevo virus H1N1 causara más enfermedades, estancias de hospital y muertes en comparación con la influenza estacional. Cuales son los signos y síntomas de la influenza? Los síntomas del virus nuevo de la influenza H1N1 en las personas son similares de la influenza o gripa estacional e incluyen fiebre, tos, dolor de garganta, moqueo o secreción nasal, dolores en el cuerpo, dolor de cabeza, escalofríos y fatiga. Una cantidad significativa de personas infectadas por el virus nuevo de H1N1 también han reportado tener vomito y diarrea. Que tan grave es la influenza y como se propaga? La influenza o gripe estacional puede causar una enfermedad grave, especialmente para niños pequeños y niños con ciertas afecciones crónicas como asma, diabetes, enfermedades cardiacas, renales, neuromusculares, neurológicas, o los que padecen una sistema débil inmunitaria. Estas enfermedades pueden resultar en una enfermedad de influenza estacional o influenza H1N1 mas grave. Los virus de la influenza estacional y la nueva influenza H1N1 se propagan principalmente de persona a persona cuando alguien con la enfermedad tose o estornuda. A veces, las personas pueden contagiarse al tocar algo que tiene el virus de la influenza y luego llevarse las manos a la boca o la nariz. Por cuanto tiempo puede una persona infectada propagar este virus a otras? Personas infectadas con la influenza estacional y la nueva influenza H1N1 pueden ser contagiosas desde un día antes de empezar a manifestar los síntomas hasta 7 días después de enfermarse. Los niños, personas con sistemas inmunitarias débiles, y personas infectadas con la nueva influenza H1N1 pueden ser más contagiosos por más tiempo. Hay medicamentos para tratar la influenza? Los medicamentos antivirales pueden tratar la influenza estacional y también la nueva influenza H1N1. Estos medicamentos pueden hacer que la enfermedad sea más leve y que la persona se sienta mejor en una forma más rápida. Recuerde que los medicamentos necesitan ser recetados por un medico y son mas eficaz cuando se toman durante los primeros dos días de la enfermedad. Estos medicamentos se pueden recetar para niños. La prioridad para estos medicamentos es para tratar personas con enfermedad grave o para personas con ciertas afecciones crónicas cuales pueden resultar en complicaciones de influenza graves. Como puedo proteger a mi niño contra la influenza? Protégé su Niño La mejor manera de prevenir la influenza es vacunándose anualmente y vacunar a su niño para protegerse contra los varios tipos de virus de influenza estacional. Siga estos pasos todos los días para proteger su salud. Cúbrese la nariz y boca con un pañuelo desechable al toser o estornudar. Bote el pañuelo desechable después de usarlo. Lávese las manos a menudo con agua y jabón, especialmente después de toser o estornudar. Los desinfectantes para manos que contienen alcohol también son eficaces Evite tocarse los ojos, la nariz, o la boca. Esta es la manera en que se propagan los gérmenes. Enséñele a su niño a seguir estos pasos también. Trate de evitar que su niño tenga contacto cercano (aproximadamente 2 metros) con personas enfermas, incluso personas enfermas que viven en el mismo hogar. Mantenga limpias las superficies (especialmente mesas de noche, superficies de los baños, y cocinas y juguetes de los niños) pasándoles un trapo con un desinfectante casero de acuerdo con las instrucciones de la etiqueta del producto. Bote a la basura los pañuelos y otros artículos desechables usados por la persona infectada. Hay una vacuna para proteger a mi niño contra la influenza H1N1? La vacuna contra la nueva influenza H1N1 se esta produciendo y estará lista en los próximos meses como una opción para la prevención de la nueva influenza H1N1. La vacuna contra la influenza estacional esta disponible durante el otoño y invierno cada año. Mas información sobre estas vacunas se en encuentra en el sitio web del CDC.

6 Flu clinics 2009 Brookshire Location 208 N. Central October 10 10:00am-2:00pm Cost $30.00 CVS-Minute Clinic 2100 Eldorado Pkwy. Custer and McKinney Ranch Parkway 1540 E. Main (380) Open 7 days a week, practitioner on duty Ages 18 months and above Kroger 2901 S. Lake Forest 1707 W. University Call Flushot for appointment age 8 and above Cost: $25.00 Market Street Location 6100 W. Eldorado Pkwy. 10:30am-4:00pm or call for possible extended hour times Age 7 and above Cost: $25.00 Target 2025 N. central 8900 Hwy 121 Ages 9 and above 10/3 and 10/24 Cost $ :00pm-6:00 pm Flu shot clinics

7 Tom Thumb Location 3001 Hardin Call ahead Ages 11 and above Cost: $28.00 Walgreen s 3001 El Dorado Pkwy Virginia Pkwy W. University Dr.(380) Open 7 days a week-10:00am -4:00pm walk in until the end of September, after September call for appointment Age 9 and above Cost: $24.99 Wal Mart 5001 McKinney Ranch Parkway Flu clinics 10/2, 10/3, 10/14 and 10/15 11:00am-3:00pm 1721 N. Custer Flu clinics 9/30, 10/1, 10/12 and 10/13 11:00am-3:00pm 2041 Redbud Blvd Flu clinics 9/30, 10/1, 10/09 /10/10, and 10/11 11:00am-3:00pm Ages 4 and above, vaccines provided by Cost unknown at present time Flu shot clinics

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