Controlling Influenza Among Children: A Approach

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1 M S Controlling Influenza Among Children: A Approach With flu season here, many parents across the country are finding themselves caring for children who are sick with influenza. Children are two to three times more likely than adults to get sick with the flu, and on average, one in three children in the U.S. is affected by the virus each year. The National Association of School Nurses (NASN) is working to educate parents about how they can keep their children healthy this flu season. Following is a simple three-step approach to flu prevention. 1. Vaccination: According to the Centers for Disease Control and Prevention (CDC), the best way to prevent flu is to get a vaccine. While October and November are the best times to get a flu vaccine, it s never too late to get vaccinated. It takes about two weeks for the vaccine to become fully effective. There is plenty of vaccine still available, according to the CDC. 2. Antiviral Medication: Prescription antiviral medication is an important adjunct to vaccination for flu prevention and treatment. If a child has been around someone who has the flu, a doctor can prescribe antiviral medication to help prevent the child from catching the virus. However, it s important to contact the doctor fast, because children should begin taking the medication within the first hours of exposure to the virus. If taken within that window of time, there is an 89 percent chance that antiviral medication will keep him/her from getting sick. A doctor can also prescribe antivirals to treat the flu, helping both adults and children feel better faster. 3. Good Hygiene: Practicing good hygiene habits is a great way to help control the spread of germs like the flu virus. Parents should teach their children healthy habits such as:! Washing their hands with soap and warm water for at least 20 seconds! Covering their mouths and noses with tissues when sneezing and coughing! Avoid sharing drinks, water bottles, silverware and pencils The CDC suggests that parents disinfect objects frequently-touched by children, such as toys. Parents should also keep children who have influenza at home. For more information, see the fact sheet When Sickness Strikes. Teachers, staff, and parents can help slow the spread of flu by serving as role models for good hygiene practices. FOR ADDITIONAL INFORMATION ON THE INFLUENZA VIRUS, VISIT This program is sponsored by the National Association of School Nurses (NASN) and supported by an educational grant from Roche.

2 M S Tres Pasos a Seguir Para Controla el Virus de la Influenza en los Niños Ahora que estamos en época de gripe, muchos padres alrededor del país se ven en la situación de tener que cuidar a niños enfermos con el virus de la influenza. Los niños son dos o tres veces más propensos a enfermarse por el virus de la gripe que los adultos y en promedio, uno de cada tres niños en los Estados Unidos es afectado por este virus cada año. La Asociación Nacional de Enfermeras Escolares (NASN por sus siglas en inglés) está trabajando para educar a los padres sobre como hacer para que sus niños permanezcan saludables durante la época de gripe. A continuación, encontrará tres pasos simples a seguir para la prevención de la gripe. 1. Vacunación: De acuerdo al Centro de Prevención y Control de Enfermedades (CDC por sus siglas en inglés), la mejor forma de prevenir la gripe es vacunándose. Aunque octubre y noviembre son las épocas ideales para obtener la vacuna de la gripe, nunca es demasiado tarde para vacunarse, ya que toma cerca de dos semanas para que la vacuna llegue a ser completamente efectiva. De acuerdo al CDC, todavía hay suficientes vacunas disponibles. 2. Los Medicamentos Antivirales: La prescripción de medicamentos antivirales es un complemento importante a la vacunación para la prevención y tratamiento de la gripe. Si un niño ha estado alrededor de alguien que tiene gripe, el médico puede recetar un medicamento antiviral para ayudar a evitar que el niño se contagie con el virus. Sin embargo, es importante contactar al médico rápidamente, porque los niños deben comenzar a tomar este medicamento durante las primeras horas de exposición al virus. Si se toma dentro de esa ventana de tiempo, hay un 89 por ciento de probabilidades de que la medicina antiviral evite que él o ella se enferme. El médico también le puede recetar antivirales para tratar la gripe, ayudando a que ambos, adultos y niños se recuperen más rápido. 3. La Buena Higiene: Practicar buenos hábitos de higiene es una gran manera de ayudar a controlar la transmisión de gérmenes con el virus de la gripe. Los padres deben enseñar a sus niños hábitos saludables, por ejemplo:! Lavarse las manos con jabón y agua tibia por al menos 20 segundos! Cubrirse sus manos y nariz con pañuelos de papel al estornudar o toser! Evitar compartir bebidas, botellas de agua, cubiertos y lápices La CDC recomienda que los padres desinfecten los objetos que son tocados frecuentemente por los niños como los juguetes. Los padres también deben hacer que los niños que tengan el virus de la influenza permanezcan en casa. Para más información, vea la hoja de datos Cuando La Enfermedad Ataca. Los profesores, el personal y los padres pueden ayudar a disminuir la propagación de la gripe al convertirse en el modelo a seguir en cuanto a las prácticas de la buena higiene. PARA MAYOR INFORMACION SOBRE EL VIRUS DE LA INFLUENZA VISITE: Este programa es patrocinado por la Asociacion Nacional de Enfermeras Escolares (NASN) y respaldado por fondos educativos donados por Roche.

3 FLU OUTBREAK ADVISORY With reported flu outbreaks in [INSERT NAME OF CITY/TOWN], it is important that we work together and take precautions to keep our school and children healthy. Viruses spread easily among children in schools, and families with school-age children have more infections than others, with an average of one-third of these family members infected each year. By keeping our children flu-free we benefit the community as a whole. Additionally, healthy students miss fewer days of school, which results in less stress on the family. Following are tips on how you can help keep your family healthy:! According to the Centers for Disease Control and Prevention (CDC), vaccination is the first line of defense in preventing the flu o Students and parents especially those with chronic medical conditions should get a flu shot. It is never too late in the season to get your child vaccinated. You should also get a flu shot to avoid spreading the flu to your child! If your child has the flu, he or she should stay home from school! Students who may have the flu should not participate in sports, choir or any activities that involve close contact! You should talk with your child about practicing good health habits, including: o Washing hands frequently with soap and warm water for at least 20 seconds o Covering mouth and nose with a tissue when sneezing or coughing, and discarding the tissue in a trash can! You can help keep your child healthy by disinfecting frequently touched surfaces, toys and other commonly shared items! If you are concerned about your child s flu symptoms, call your doctor early. Call your doctor immediately if your child has a chronic disease. Some children might benefit from an antiviral medication, which can be prescribed by a physician and can help lessen the duration of the virus and reduce the risk of complications o To be effective, antiviral medication should be taken within hours after flu symptoms begin! If someone in your family gets the flu, a doctor can prescribe antiviral medications for other members of the family to prevent them from getting sick o Studies show that some antiviral medication is up to 89 percent effective in preventing the flu when taken once daily for seven days! In addition, if your child has the flu, he/she should stay home from school, rest and drink plenty of liquids! Notify the school nurse, [INSERT NAME OF SCHOOL NURSE AND CONTACT INFO], if your child has the flu o Monitoring flu incidence at [INSERT NAME OF SCHOOL] will help keep students, faculty and our community healthy o [INSERT NAME OF SCHOOL NURSE] can provide you with additional information about flu incidence in [INSERT NAME OF CITY/TOWN] FOR ADDITIONAL INFORMATION ON THE INFLUENZA VIRUS, VISIT This program is sponsored by the National Association of School Nurses (NASN) and funded by a contribution from Roche

4 FLU SEASON ADVISORY: SPECIAL ADVICE FOR PARENTS OF CHILDREN WITH CHRONIC DISEASES It is especially important to protect children with chronic diseases from the flu, as they are at increased risk for complications and serious illness. If your child suffers from asthma, diabetes, heart disease, anemia, lung/kidney disease or AIDS/HIV, getting the flu can be very serious. Following is information on flu prevention and treatment to help protect your child. If you have additional questions, call your school nurse. o The flu shot becomes effective about two weeks after vaccination. TAKE YOUR CHILD TO GET A FLU SHOT! According to the Centers for Disease Control and Prevention (CDC), a flu shot is the first line of defense in preventing the flu. The flu vaccine is highly recommended by the U.S. Food & Drug Administration (FDA) for children with high-risk conditions, including: o Children who have chronic disorders of the pulmonary or cardiovascular systems, including asthma. o Children who have underlying medical conditions that require hospitalization or regular doctor visits due to chronic disease including heart, lung or kidney disease, diabetes, asthma, anemia or immunosuppression (caused by medications or HIV infection). o Children and teenagers (ages six months to 18 years) who must take aspirin regularly and might be at risk for developing Reye syndrome if they get the flu.! Parents and other family members in close contact with a child who suffers from a chronic condition should also get vaccinated.! While October or November are the best times for a child with chronic conditions to get the flu shot, it s never too late in the flu season to get vaccinated.! The American Lung Association (ALA), in Partnership with Maxim Health Systems, has developed an electronic influenza vaccine clinic locator. Go to enter a zip code and receive information about clinics scheduled in your area. KNOW WHEN TO SEE THE DOCTOR! If your child has symptoms of the flu such as high fever, severe headache, muscle and body aches, exhaustion or dry cough, you need to see a doctor immediately.! A doctor can prescribe antiviral medication to help lessen duration of the virus and reduce the risk of complications, such as pneumonia. o To be effective, antiviral medication should be taken within hours after flu symptoms begin.! Additionally, antiviral medication can also be prescribed for flu prevention, particularly with high risk groups, such as children with chronic conditions. o Studies show that some antiviral medications are up to 89 percent effective in preventing the flu if taken within hours of exposure to the virus.! If flu symptoms don t improve or get worse after three to four days, call the doctor immediately.! Also call your doctor if your child is feeling better and then suddenly develops signs of a more serious problem, such as a stomach ache, vomiting, high fever, shaking chills, chest pain or coughing with thick, yellow-green mucus. FOR ADDITIONAL INFORMATION ON THE INFLUENZA VIRUS, VISIT This program is sponsored by the National Association of School Nurses (NASN) and funded by a contribution from Roche

5 THE FLU: WHAT PARENTS NEED TO KNOW TO KEEP KIDS HEALTHY With flu season upon us, it is important that we work together to keep our children and school healthy. By keeping our children flu-free, we benefit the community as a whole. Additionally, healthy students miss fewer days of school, which results in less stress on the family. Following are answers to frequently asked questions about the flu and how to help protect your child. WHAT IS THE FLU?! The flu is caused by the influenza virus, which infects the lungs, nose and throat! Flu can cause mild to severe illness, and sometimes, can lead to death! Each year in the United States: o 5-20 percent of Americans fall ill to the flu o Children are two to three times more likely than adults to get sick with the flu, and they frequently spread the virus to others! Young children are at the greatest risk for developing serious flu complications, as well as the elderly and those with certain health conditions HOW DOES FLU SPREAD?! There are two ways to get the flu. Usually flu is spread from person to person through coughing and sneezing. Occasionally, people can get the flu from touching a germ-infested surface WHAT ARE THE COMMON SYMPTOMS OF FLU? Often we get confused about the symptoms of the flu and how they are different from a common cold. Knowing the symptoms of the flu is important and will help you act quickly to get your child feeling better faster! Common symptoms of flu include: high fever, severe headache, muscle and body aches, exhaustion and dry cough o Children often have additional flu symptoms that are rare in adults, such as nausea, vomiting and diarrhea! Symptoms of a common cold include: stuffy nose, sneezing, sore throat and hacking cough SIMPLE STEPS FOR KEEPING YOUR CHILD HEALTHY! According to the Centers for Disease Control and Prevention (CDC), the best way to prevent your child from getting the flu is to take him/her to get a flu vaccine! You should talk to your child about practicing good health habits, such as: o Washing hands frequently with soap and warm water for at least 20 seconds o Covering mouth and nose with a tissue when sneezing or coughing, and disposing of the tissue in a proper trash receptacle o Avoiding sharing drinks, water bottles or silverware with others! You can help prevent the flu from spreading at home by disinfecting frequently touched surfaces, toys and other commonly shared items! Also, if someone in your household gets the flu, a doctor can prescribe a medication called an antiviral that can actually prevent other members of the household from catching the flu o Studies show that some antiviral medications are up to 89 percent effective in preventing the flu when taken once daily for seven days DON T TAKE THE FLU LYING DOWN! If you are concerned about your child s flu symptoms, call your doctor early. Call your doctor immediately if your child has a chronic disease. Some children may benefit from an antiviral medication, which can be prescribed by a physician and can help lessen the duration of the virus and reduce the risk of complications, such as pneumonia o To be effective, antiviral medication should be taken within hours after flu symptoms begin! If your child has the flu, it is important for them to stay home from school, rest, and drink plenty of fluids! Additionally, notify the school nurse [INSERT NAME AND NUMBER] if your child has the flu. Monitoring flu incidence at [INSERT NAME OF SCHOOL] will help keep students, faculty and our community health This program is sponsored by the National Association of School Nurses (NASN) and funded by a contribution from Roche FOR ADDITIONAL INFORMATION ON THE INFLUENZA VIRUS, VISIT

6 TIPS FROM YOUR SCHOOL NURSE FOR PROTECTING YOURSELF AGAINST THE FLU VIRUS Don t let the flu stand in the way of your school work, sports, extracurricular activities and social life. Follow these tips to protect yourself: 1 COMMON SENSE CAN HELP YOU AND YOUR FRIENDS AVOID THE FLU Group gatherings like football games, school dances, and even classrooms are ideal places for the flu bug to spread. Protect yourself and others by following these simple steps:! Practice Healthy Habits Wash your hands often with soap and warm water for at least 20 seconds to help prevent germs from spreading. Also, avoid touching your eyes, nose and mouth, because the virus can spread when your hands touch surfaces that are infested with germs. Finally, if you think you ve been exposed to the flu, talk to your parents about seeing a doctor.! Mind Your Manners Cover your mouth and nose with a tissue when coughing and sneezing, and throw away your used tissues.! What s Mine is Mine, What s Yours is Yours Don t share drinks, water bottles, eating utensils or cell phones with friends. 2 IF POSSIBLE, GET A FLU SHOT Many children are at higher risk for complications from the flu. Talk to your school nurse and parents about whether a flu shot is best for you. 3 IS IT COLD OR FLU? KNOW HOW TO TELL THE DIFFERENCE! If you have a stuffy nose, sneezing, sore throat and a hacking cough, you probably have a COLD.! If you have a high fever, severe headache, muscle and body aches, extreme tiredness and a dry cough, you probably have the FLU. 4 WHAT TO DO IF THE FLU CATCHES UP WITH YOU If you do get the flu, you don t have to suffer:! Talk to Your Parents About Seeing a Doctor If you have flu symptoms, talk to your parents about staying home from school. Your doctor may decide to prescribe an antiviral medication, which can shorten the number of days that you re sick.! Talk to Your School Nurse If you think you might have the flu while at school, visit your school nurse. Together, you can discuss your symptoms. If the nurse thinks you could possibly have the flu, he/she can notify your parents and request that you see a doctor. This program is sponsored by the National Association of School Nurses (NASN) and funded by a contribution from Roche

7 M SCHO WHEN SICKNESS STRIKES: Know When to Keep a Child Home From School A parent s decision to keep a child home from school when he or she is sick can sometimes be a difficult one. No parent wants to interrupt their child s learning, and for some, keeping a child home means missing work or losing pay. However, if he or she has a serious illness such as influenza, it s important for the child to stay home from school. By taking this step, parents can help their children get better faster as well as prevent the spread of illness to others. Following are some frequently-asked questions and answers to aid parents in decision making this flu season. Q. Should I keep my child home from school if he or she has cold or flu symptoms? Is your advice different for cold versus the flu? A: If your child has flu symptoms, you should keep him or her home from school. If your child has a cold, the decision to keep him or her home may depend on the severity of symptoms. A good rule of thumb is to keep your child home if he or she has a fever of 100 degrees or higher. It s also important to know the difference between cold and flu. Flu is a serious illness, and children who have the flu should always stay home from school. Flu symptoms include fever, along with chills, cough, sore throat, headache or muscle aches. Many people describe it like being hit by a truck. It is a good idea to contact the child s doctor if he or she has these symptoms. Symptoms of a common cold include stuffy nose, sneezing, sore throat and hacking cough. Often, cold symptoms come on gradually. Although the common cold is usually not serious, if the symptoms are severe, it s a good idea to keep your child home to rest and get better. Q: If my child does have the flu or a bad cold, how long should I keep him or her home from school? A: Parents should keep their sick children home from school until they have been without fever (temperature under 100 degrees) for 24 hours, to prevent spreading illness to others. Flu is spread from person to person through coughing and sneezing. Occasionally, people can get the flu from touching a germ-infested surface. Children are one of the biggest sources of flu spread. Q: Should I call the doctor if I think my child has the flu? A: If a child experiences flu symptoms, parents should contact their child s doctor quickly. Some children may benefit from an antiviral medication, which can be prescribed by a doctor and can help lessen the number of days that a child is sick with the virus. To be effective, antiviral medication should be taken within hours after flu symptoms begin. Q: What should I do to help prevent the rest of the household from getting sick? A: Teach and practice healthy habits. Wash your hands often with soap and warm water for at least 20 seconds to help prevent germs from spreading. Avoid touching your eyes, nose and mouth, because the virus can spread when your hands touch surfaces that are infested with germs. Also, consider contacting your doctor if someone in your household gets the flu. A doctor can prescribe antiviral medication that can actually prevent other members of the household from catching the virus. FOR ADDITIONAL INFORMATION ON THE INFLUENZA VIRUS, VISIT This program is sponsored by the National Association of School Nurses (NASN) and supported by an educational grant from Roche.

8 DON T GET SIDELINED BY THE FLU: How-To Guide for Sharing New Influenza Educational Materials with Parents and Students Flu outbreaks among school children are a major concern every year, and with flu season upon us, it is important that we take necessary precautions to keep our schools healthy. The National Association of School Nurses (NASN) is pleased to provide its members with Don t Get Sidelined by the Flu, a comprehensive online toolkit to help educate parents and students about influenza. The kit includes template educational materials available in both English and Spanish that school nurses can download from the NASN Web site (www.nasn.org) to raise awareness about prevention tips, symptom recognition and treatment options. Additionally, it is important that school nurses understand their role in flu surveillance. Keeping track of flu incidence in your school will help prevent the spread of the virus in the community as a whole. Following is an overview of the materials, as well as suggestions on how to best use them at your school. Several of these materials included in Don t Get Sidelined by the Flu toolkit can be customized with your school s information. Communications Materials (Available in English and Spanish)! Flu Flyer! The flyer is an educational tool geared to the student, which can be posted in a high-traffic area such as the school nurse s office, sports center, student center or cafeteria.! Flu Fact Sheet! The fact sheet can be sent to parents to help educate them on how to best protect their children from the flu. It provides answers to frequently-asked questions about the flu, including how the virus spreads, common symptoms, and simple prevention tips.! Flu Season Advisory: Special Needs! The advisory should be sent to parents of special needs children. It is especially important to protect children with chronic diseases from the flu, as they are at increased risk for complications and serious illness.! Flu Outbreak Advisory! The advisory can be sent to parents in the event of a flu outbreak in the school or community.! Template Newsletter Article! School nurses can tailor this template newsletter article for the PTA newsletter or school newspaper to provide parents with information on influenza and tips on prevention and treatment. Suggested Communication Vehicles Below are suggestions on how to reach parents with the materials.! Parent Mailings! A highly effective method for reaching parents directly is through school mailings. The General Flu Fact Sheet, Flu Outbreak Advisory and Flu Season Advisory are examples of materials that can be mailed to parents. If budget does not permit, these materials can be sent home with other documents, including report cards, progress reports, etc.! School Newsletter/Web Site! The Template Newsletter Article, General Flu Fact Sheet, or Flu Outbreak Advisory can be included in the school newsletter or featured on the school s Web site.! Parent Programs! Events that bring parents to the school serve as another opportunity to reach them directly. The school nurse can play an active role in the program, such as conducting a brief presentation on influenza; setting up a booth to address parents questions; and handing out health-related material, such as the General Flu Fact Sheet, Flu Outbreak Advisory and Flu Season Advisory. For more information on Don t Get Sidelined by the Flu, contact NASN at or visit Don t Get Sidelined by the Flu is supported by an educational grant from Roche Pharmaceuticals.

9 ADVERTENCIA SOBRE BROTE DE GRIPE Dado que se han reportado brotes de gripe en [INSERTE NOMBRE DE CIUDAD/PUEBLO], es importante que trabajemos juntos y tomemos precauciones para mantener un ambiente saludable en las escuelas y entre nuestros hijos. Los virus se contraen fácilmente en las escuelas y las familias que tienen niños en edad escolar sufren más infecciones que otras, pues un tercio de los miembros de la familia se contagian cada año. A continuación se dan algunos consejos para mantener a su familia saludable: frecuencia, los juguetes y otros artículos que se comparten normalmente! Según los Centros para el Control y Prevención de Enfermedades (CDC, por sus siglas en inglés), la vacunación es la primera línea de defensa para prevenir la gripe o Los estudiantes y padres, especialmente aquellos con condiciones médicas crónicas, deben vacunarse contra la gripe. Durante la época de gripes, nunca es tarde para vacunar a sus hijos. Usted también debe vacunarse contra la gripe para evitar contagiar a sus hijos! Si su hijo o hija tiene gripe, debe quedarse en casa y no ir a la escuela! Los estudiantes que pudiesen tener gripe, no deben participar en actividades deportivas, en el coro o en cualquier otra actividad que involucre un contacto cercano con otros! Converse con sus hijos sobre la necesidad de practicar buenos hábitos de salud, incluyendo: o Lavarse las manos frecuentemente con jabón y agua tibia por al menos 20 segundos o Cubrirse la boca y nariz con un pañuelo desechable cuando se estornuda o tose o Evitar compartir bebidas, botellas de agua o cubiertos con otras personas! Usted puede ayudar a mantener a sus hijos saludables desinfectando aquellas superficies que se tocan con! Si le preocupan los síntomas de gripe de su hijo, llame a su doctor rápidamente. Si su hijo tiene una enfermedad crónica llame al médico de inmediato. Algunos niños pueden beneficiarse de los medicamentos antivirales, los cuales son prescritos por un médico y pueden ayudar a aminorar los síntomas y reducir el riesgo a complicaciones. Para que un medicamento antiviral sea efectivo debe ser tomado horas después que los síntomas de la gripe hayan comenzado! Si alguien de su familia contrae la gripe, el médico puede recetar medicamentos antivirales a otros miembros de la familia para evitar que se contagien o Para que tengan el efecto adecuado, los medicamentos antivirales deben tomarse dentro de las 48 horas siguientes a la manifestación de los síntomas! Además, si sus hijos tienen gripe, deben quedarse en casa y no ir a la escuela, descansar y tomar muchos líquidos! Notifíquele a la enfermera de la escuela [INSERTE EL NOMBRE Y NÚMERO] si su hijo tiene gripe! Monitorear la incidencia de gripe en [INSERTE EL NOMBRE DE LA ESCUELA] ayudará a mantener saludables a los estudiantes y a otros miembros de la comunidad! [INSERTE EL NOMBRE DE LA ENFERMERA ESCOLAR Y NÚMERO] puede brindarle información adicional sobre la incidencia de gripe en [INSERTE EL NOMBRE DE LA CIUDAD O EL PUEBLO PARA MAYOR INFORMACIÓN SOBRE EL VIRUS DE LA INFLUENZA, VISITE Este programa es patrocinado por el National Association of School Nurses (NASN) y respaldado por fondos donados por Roche.

10 ADVERTENCIA SOBRE LA ÉPOCA DE GRIPE: CONSEJOS ESPECIALES PARA PADRES DE NIÑOS CON ENFERMEDADES CRÓNICAS Es especialmente importante proteger contra la gripe a aquellos niños que padecen enfermedades crónicas, ya que están en mayor riesgo de sufrir complicaciones y enfermedades serias. Si su hijo o hija padece de asma, diabetes, enfermedad coronaria, anemia, enfermedad pulmonar/renal o SIDA/VIH, contraer gripe puede ser algo muy serio. A continuación proporcionamos información sobre la prevención y el tratamiento de la gripe para ayudarle a proteger a sus hijos. LLEVE A SU HIJO O HIJA A VACUNARSE CONTRA LA GRIPE! Según los Centros para el Control y Prevención de Enfermedades (CDC, por sus siglas en inglés), la vacunación es la primera línea de defensa para prevenir la gripe. La vacuna de la gripe es altamente recomendada por la Administración de Alimentos y Drogas de Estados Unidos (FDA) para niños con condiciones de alto riesgo, incluyendo: o Niños que padecen desórdenes crónicos del sistema pulmonar o cardiovascular, incluyendo asma. o Niños que padecen condiciones médicas que requieren hospitalización o visitas periódicas al médico debido a enfermedades crónicas, incluyendo enfermedades cardíacas, pulmonares o renales, diabetes, asma, anemia o inmunosupresión (causada por medicamentos o infección VIH). o Niños y adolescentes (entre los seis meses y los 18 años) que deben tomar aspirina regularmente y pueden correr el riesgo de desarrollar el síndrome de Reye si contraen gripe. o El síndrome de Reye es una enfermedad potencialmente fatal que causa efectos dañinos a muchos órganos, especialmente al cerebro y al hígado.! También deben vacunarse los padres y otros miembros de la familia que estén en estrecho contacto con un niño que padece una condición crónica. vacune contra la gripe, nunca es tarde en la época de gripe para vacunarse. o La vacuna de la gripe se vuelve efectiva unas dos semanas después de inyectada.! La Asociación Americana del Pulmón (ALA), en asociación con Maxim Health Systems, ha desarrollado un localizador electrónico de clínicas que ofrecen la vacuna de la influenza. Entre en ingrese su código postal y reciba información sobre las campañas de vacunación programadas en su área. SEPA CUÁNDO VISITAR AL MÉDICO! Si su hijo o hija tiene síntomas de la gripe tales como fiebre alta, severos dolores de cabeza, dolores musculares y del cuerpo, agotamiento o tos seca, debe ver a su médico de inmediato.! El médico puede recetar medicamentos antivirales para ayudar a aliviar los síntomas y reducir el riesgo a complicaciones.! Para que sea efectivo, el medicamento antiviral debe tomarse dentro de las horas siguientes a que los síntomas de gripe hayan comenzado.! Si los medicamentos antivirales se toman a tiempo (dentro de las 48 horas después de que se presenten los síntomas de la gripe), éstos pueden aliviar los síntomas de la gripe y acortar el número de días en que una persona está enferma con gripe, lo que también ayuda a detener el contagio del virus.! Si los síntomas de la gripe no se alivian o empeoran después de unos tres o cuatro días, llame a su médico de inmediato.! También llame al médico si su hijo o hija se siente mejor y luego desarrolla signos de un problema más serio, tales como dolor de estómago, vómitos, fiebre alta, escalofríos, dolor del pecho o tos con flema espesa amarillo verdosa.! Mientras que octubre o noviembre son los mejores meses para que un niño con una condición crónica se PARA MAYOR INFORMACIÓN SOBRE EL VIRUS DE LA INFLUENZA, VISITE CDC.GOV/FLU. Este programa es patrocinado por el National Association of School Nurses (NASN) y respaldado por fondos donados por Roche.

11 LA GRIPE: LO QUE LOS PADRES DEBEN SABER PARA MANTENER A SUS HIJOS SALUDABLES Con la época de gripe ya cercana, es importante que trabajemos juntos para mantener un ambiente saludable en las escuelas y entre nuestros hijos. A continuación se ofrecen respuestas a preguntas frecuentes sobre la gripe y cómo ayudar a proteger a sus hijos. QUÉ ES LA GRIPE?! La gripe es causada por el virus de la influenza, el cual afecta los pulmones, la nariz y la garganta! La gripe puede causar una enfermedad de leve a severa, y algunas veces, puede provocar la muerte! Cada año en Estados Unidos: o Entre el 5 y el 20 por ciento de los estadounidenses contraen gripe o La probabilidad de que los niños contraigan gripe es dos a tres veces mayor que para los adultos, y con frecuencia transmiten el virus a otros! Los niños pequeños son los que tienen el mayor riesgo de sufrir complicaciones serias provocadas por la gripe, así como las personas de mayor edad y aquellas con ciertas condiciones de salud CÓMO SE TRANSMITE LA GRIPE?! Hay dos maneras de contraer la gripe. Generalmente, la gripe se transmite de una persona a otra a través de la tos y los estornudos. Ocasionalmente, se puede contraer la gripe al tocar superficies que contengan el virus de la gripe CUÁLES SON LOS SÍNTOMAS MÁS COMUNES DE LA GRIPE?! Con frecuencia nos confundimos respecto a los síntomas de la gripe y cuál es la diferencia entre estos y los de un resfriado común. Es importante conocer los síntomas de la gripe, pues eso le ayudará a actuar inmediatamente y a ayudar a que su hijo o hija se sienta mejor más rápidamente! Los síntomas comunes de la gripe incluyen: fiebre alta, severos dolores de cabeza, dolor muscular y del cuerpo, agotamiento y tos seca o Los niños con frecuencia experimentan síntomas adicionales que son raros en los adultos, tales como náusea, vómitos y diarrea! Los síntomas de un resfriado común incluyen: nariz tapada, estornudos, dolor de garganta y tos con flema MEDIDAS SIMPLES PARA MANTENER A SUS HIJOS SALUDABLES! Según el Centro para el Control y Prevención de Enfermedades (CDC, por sus siglas en inglés), la mejor forma de prevenir que sus hijos contraigan gripe es vacunándolos contra la gripe! Converse con sus hijos sobre la necesidad de practicar buenos hábitos de salud, tales como: o Lavarse las manos frecuentemente con jabón y agua tibia por al menos 20 segundos o Cubrirse la boca y nariz con un pañuelo desechable cuando se estornuda o tose y luego tirar el pañuelo de papel en un bote de basura adecuado o Evitar compartir bebidas, botellas de agua o cubiertos con otras personas! Usted puede ayudar a evitar que la gripe se transmita en su hogar desinfectando aquellas superficies que se tocan con frecuencia, los juguetes y otros artículos que se comparten normalmente! Además, si alguien en su casa contrae la gripe, un médico puede recetar un medicamento, llamado antiviral, que puede evitar que otros miembros de la familia contraigan la gripe o Los estudios demuestran que algunos medicamentos antivirales son hasta un 89 por ciento efectivos en prevenir la gripe cuando se toman una vez al día durante siete días CUANDO LA GRIPE ATACA, COMBÁTALA! Si le preocupan los síntomas de gripe de su hijo, llame a su doctor rápidamente. Si su hijo tiene una enfermedad crónica llame al médico de inmediato. Algunos niños pueden beneficiarse de los medicamentos antivirales, los cuales son prescritos por un médico y pueden ayudar a aliviar los síntomas y reducir el riesgo a complicaciones. Para que un medicamento antiviral sea efectivo debe ser tomado horas después que los síntomas de la gripe hayan comenzado! Si su hijo tiene gripe, es importante que se quede en casa, descanse y tome muchos líquidos! Además notifíquele a la enfermera de la escuela [INSERTE EL NOMBRE Y NÚMERO] si su hijo tiene gripe! Monitorear la incidencia de gripe en [INSERTE EL NOMBRE DE LA ESCUELA] ayudará a mantener saludables a los estudiantes y a otros miembros de la comunida PARA MAYOR INFORMACIÓN SOBRE EL VIRUS DE LA INFLUENZA VISITE Este programa es patrocinado por el National Association of School Nurses (NASN) y respaldado por fondos donados por Roche.

12 CONSEJOS DE LA ENFERMERA DE TU ESCUELA PARA PROTEGERTE CONTRA EL VIRUS DE LA GRIPE No dejes que la gripe sea un obstáculo en el desempeño de tu trabajo escolar, práctica de deportes, actividades extracurriculares y en tu vida social. Sigue estos consejos para protegerte: 1 EL SENTIDO COMÚN TE PUEDE AYUDAR A TI Y A TUS AMIGOS A EVITAR LA GRIPE Las reuniones en grupo, como los juegos de fútbol, bailes escolares y aún las actividades que se dan en aulas de clases son situaciones propicias para que el virus de la gripe se transmita. Protégete a ti mismo y a otros siguiendo estos sencillos pasos:! Practica hábitos saludables Lávate las manos con frecuencia con agua tibia y jabón durante al menos 20 segundos para ayudar a evitar que los virus se diseminen. Además, evita tocarte los ojos, nariz y boca, ya que los virus pueden transmitirse cuando tus manos tocan superficies que están infestadas de gérmenes. Finalmente, si crees que tienes gripe, habla con tus padres respecto a quedarte en casa, no sólo para que te mejores, sino para evitar que tus amigos se enfermen también.! Observa las reglas de educación Cúbrete la boca y la nariz con un pañuelo desechable cuando tosas o estornudes y bota a la basura los pañuelos usados.! Lo que es mío es mío y lo que es tuyo es tuyo No compartas bebidas, botellas de agua, cubiertos o celulares con los amigos. 2 SI ES POSIBLE, VACÚNATE CONTRA LA GRIPE Muchos niños tienen más riesgos de sufrir complicaciones derivadas de la gripe. Habla con la enfermera de tu escuela y con tus padres sobre la posibilidad de vacunarte contra la gripe. 3 RESFRIADO O GRIPE? APRENDE A CONOCER LA DIFERENCIA! Si tienes la nariz tapada, estornudos, dolor de garganta y tos con flema, probablemente tienes un RESFRIADO.! Si tienes fiebre alta, severos dolores de cabeza, dolor de cuerpo y músculos, cansancio extremo y una tos seca, probablemente tienes GRIPE. 4 QUÉ PUEDES HACER SI TE ATRAPA LA GRIPE? Si te da gripe, no es necesario que sufras:! Habla con tus padres sobre ir a ver a un médico Si tienes síntomas de gripe, habla con tus padres sobre quedarte en casa e ir a ver a un médico. El médico puede decidir recetarte un medicamento antiviral que puede acortar el número de días de enfermedad y aliviar los síntomas.! Habla con la enfermera de tu escuela Si crees que tienes gripe, visita a la enfermera de tu escuela. Juntos podrán discutir tus síntomas. Si la enfermera piensa que es posible que tengas gripe, puede notificar a tus padres y solicitar que veas a un médico. Este programa es patrocinado por la National Association of School Nurses (NASN) y respaldado por fondos donados por Roche.

13 M SCHO CUANDO LA ENFERMEDAD ATACA: Sepa Cuando Debe Dejar a un Niño en Casa Fuera de la Escuela La decisión de un padre de dejar a su niño o niña en casa fuera de la escuela cuando está enfermo, en algunas ocasiones puede ser difícil. Ningún padre quiere interrumpir el aprendizaje de su hijo y para algunos, el que su niño permanezca en casa, significa ausentarse del trabajo o perder su paga. Sin embargo, si él o ella tienen una enfermedad delicada como la gripe por virus de la influenza es importante que se quede en casa fuera de la escuela. Al tomar esta medida, los padres pueden ayudar a que sus niños se mejoren más rápido, así como prevenir la transmisión de la enfermedad a otros. Las siguientes son algunas preguntas frecuentes y respuestas para ayudar a los padres a tomar esta decisión. P. Debo dejar que mi niño o niña se quede en casa fuera de la escuela si tiene síntomas de resfriado o gripe? Sería diferente su recomendación en caso de resfriado versus gripe? R: Si su niño tiene síntomas de gripe, debe quedarse en casa fuera de la escuela. Si su niño tiene un resfriado, la decisión de quedarse en casa puede depender de la gravedad de los síntomas. Un buen consejo a seguir es hacer que su niño o niña permanezca en casa si tiene una fiebre de 100 grados o más. Así mismo, es muy importante saber las diferencias entre resfriado y gripe. La gripe por el virus de la influenza es una enfermedad seria y los niños que la contraen deben quedarse siempre en la casa fuera de la escuela. Los síntomas de la gripe incluyen, fiebre, acompañada de escalofríos, tos, irritación de la garganta, dolores de cabeza y dolores musculares. Muchos la describen como si los hubiera atropellado un camión, y es buena idea contactar al médico del niño o niña si presenta estos síntomas. Los síntomas de un resfriado común incluyen congestión nasal, estornudos, irritación de la garganta y tos con flema. A menudo, los síntomas de un resfriado se presentan gradualmente. Aunque el resfriado común usualmente no es grave, si los síntomas son severos, sería bueno que su hijo permanezca en casa para que descanse y se recupere. P: Si mi hijo tiene gripe o un resfriado severo, por cuanto tiempo debe permanecer en casa fuera de la escuela? R: Los padres deben hacer que sus hijos se queden en casa fuera de la escuela hasta que no tengan fiebre (temperatura de menos de 100 grados) por 24 horas, para prevenir la transmisión de la enfermedad a otros. La gripe se contagia de persona a persona a través de la tos y los estornudos. Ocasionalmente, las personas pueden contraer la gripe al tocar superficies infectadas con gérmenes. Los niños son una de las fuentes más grandes de propagación de la gripe. P: Debo de llamar a mi médico si sospecho que mi niño tiene gripe? R: Si su niño presenta síntomas de gripe, los padres deben contactar al médico de sus hijos rápidamente. Algunos niños se pueden beneficiar de un medicamento antiviral que puede ser recetado por un médico y puede ayudar a reducir el número de días que permanecerá enfermo el niño con el virus, para que un medicamento antiviral sea efectivo debe ser tomado durante horas después de que los síntomas de la gripe hayan comenzado. P: Qué debo hacer para evitar que el resto de los que habitan en la casa se enfermen? R Enseñe y practique hábitos saludables. Lávese las manos frecuentemente con jabón y agua tibia por al menos 20 segundos para prevenir que los gérmenes se propaguen, evite tocarse sus ojos, nariz y boca porque el virus se puede transmitir cuando sus manos tocan las superficies que están infectadas con gérmenes. Igualmente, considere llamar a su médico si alguien en su casa tiene gripe. Su médico puede recetar medicinas antivirales que pueden evitar que otros miembros del hogar contraigan el virus. PARA MAYOR INFORMACION SOBRE EL VIRUS DE LA INFLUENZA VISITE: Este programa es patrocinado por la Asociacion Nacional de Enfermeras Escolares (NASN) y respaldado por fondos educativos donados por Roche

14 Template Newsletter Article CONSEJOS DE LA ENFERMERA DE LA ESCUELA: AYUDE A MANTENER A SU HIJO SANO Y LIBRE DE GRIPE La temporada de la gripe está a la vuelta de la esquina por lo que es importante que trabajemos juntos para mantener a nuestros hijos sanos. Los virus se transmiten fácilmente entre los niños en la escuela, y las familias con hijos en edad escolar tienen más infecciones que otras, con un promedio de un tercio de los miembros de estas familias infectados cada año. Al mantener a nuestros hijos libres de gripe, beneficiamos a la comunidad en su totalidad. Usted puede ayudar a prevenir la propagación de la gripe o ayudar a su hijo a curarse si se enferma, siguiendo algunos pasos simples:! De ser posible, usted y su hijo deben recibir la vacuna contra la gripe! Recuerde a su hijo cubrir su nariz y boca con un pañuelo de papel al estornudar o toser y tirarlo a la basura inmediatamente! Haga que su hijo se lave las manos frecuentemente con agua y jabón al menos por 20 segundos.! Desinfecte con frecuencia las superficies que toca y los objetos que comparte, al menos una vez al día! Asegúrese de que en sus baños siempre haya jabón, toallas de manos y pañuelos de papel! Enseñe a su hijo a no tocarse su boca, nariz y ojos! Si su hijo está enfermo con fiebre, déjelo en casa para prevenir que otros se contagien con la enfermedad Si usted está preocupado por los síntomas de gripe de su hijo, llame a su médico temprano. Llame a su doctor si su hijo tiene una enfermedad crónica. Síntomas comunes de la gripe incluyen fiebre alta, dolor de cabeza severo, dolor muscular y de cuerpo, agotamiento y tos seca. Además, los niños muestran otros síntomas de gripe que no son frecuentes en los adultos como nausea, vómitos y diarrea. Algunos niños pueden beneficiarse al tomar un medicamento antiviral, que puede ser prescrito por un médico y puede ayudar a disminuir los síntomas y reducir el riesgo de complicaciones. Para ser más efectivo, el medicamento antiviral debe ser tomado dentro de horas después de que los síntomas de gripe hayan comenzado. Si tiene alguna pregunta o quisiera información adicional sobre la prevención y cuidados de la gripe, por favor contacte a la enfermera de la escuela, <Nombre> al < teléfono o correo electrónico>.

15 Template Newsletter Article TIPS FROM THE SCHOOL NURSE: HELP KEEP YOUR CHILD HEALTHY AND FLU-FREE With flu season upon us, it is important that we work together to keep our children healthy. Viruses spread easily among children in schools, and families with school-age children have more infections than others, with an average of one-third of these family members infected each year. By keeping our children flu-free, we benefit the community as a whole. You can help prevent the spread of flu or help your child get better if he/she does get sick by following a few simple steps:! If possible, you and your child should get a flu shot! Remind your child to cover his/her nose and mouth with a tissue when sneezing or coughing and dispose of the tissue immediately! Have your child wash his/her hands frequently with soap and warm water for at least 20 seconds! Disinfect frequently-touched surfaces and shared items at least once a day! Ensure that bathrooms are stocked with soap, hand towels and tissues! Teach your child not to touch his/her mouth, nose and eyes! If your child is sick and has a fever, keep him/her at home to prevent the spread of illness to others If you are concerned about your child s flu symptoms, call your doctor early. Call your doctor immediately if your child has a chronic disease. Common symptoms of flu include high fever, severe headache, muscle and body aches, exhaustion, and dry cough. Additionally, children often exhibit other flu symptoms that are rare in adults, such as nausea, vomiting and diarrhea. Some children might benefit from an antiviral medication, which can be prescribed by a physician and can help lessen duration of the virus and reduce the risk of complications, such as pneumonia. To be effective, antiviral medication should be taken within hours after flu symptoms begin. Additionally, as a preventive measure, antiviral medication may be administered to children under a doctor s care to help them avoid catching the flu from others in some special situations. For example:! Children who have egg allergies and therefore cannot receive flu vaccine! Children who have been vaccinated, but are at such high risk for serious complications due to a chronic condition, that extra protection is warranted! Children who may not have received a vaccine but are exposed to flu If you have any questions or would like additional information about preventing and treating the flu, please contact the school nurse, [INSERT NAME] at [INSERT PHONE NUMER OR ].

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