WAD (Wednesday) Publication Date. October 6, Title: Executive Director, School Health Programs

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1 Directive to Administrators (Specify which administrators) WAD (Wednesday) Publication Date WAD Notice ( Number ) No. of Pages All Administrators WAD Title ( Limit to 4-6 Words ) Enterovirus D68 and Flu Season From: Kim Coates (Cabinet member or approved by one below) Inform: October 6, 2014 Title: Executive Director, School Health Programs Date Due (if applicable) Signature: 1 of Not Applicable After this Date: 6/1/2015 Telephone: ( x ) Certificated Staff ( x ) Classified Staff ( x) Parents ( ) Post on Bulletin Board Other Administrative Directive WHAT: Cases of Enterovirus D68 have been reported in San Francisco. Enterovirus D68 is a virus that causes symptoms similar to those of a cold or flu such as cough, sneezing, runny nose, body aches and fever. Most Enterovirus D68 infections are mild; however, a small number of people may have more serious symptoms such as severe wheezing or difficulty breathing. It is important to inform school staff and parents/guardians about Enterovirus D68 so that they can seek medical attention when needed. HOW: Please distribute the attached Enterovirus D68 letter to parents/guardians in the weekly packets and/or place on school loop. Post the attached Enterovirus D68 infographic at your school site. Prevent transmission of Enterovirus D68 at school: -Wash hands often with soap and water for 20 seconds. Hand washing with soap works better than hand sanitizer against Enterovirus D68. -Avoid touching eyes, nose and mouth with unwashed hands. -Avoid kissing, hugging and sharing cups or utensils with people who are sick. -If you are sick, cover your coughs and sneezes. -Avoid contact with sick persons. -Disinfect frequently touched services, especially if someone is sick. -Stay home when you are ill. See the attached Enterovirus Fact Sheet that is available on line at: WHY: As we approach the flu season it is essential that we implement the preventive measures above to keep us well. We recommend that ALL STUDENTS AND STAFF GET A FLU SHOT to prevent influenza (flu) caused by other viruses. Information on influenza can be obtained at If you have any questions, please call the Nurse of the Day at School Health Programs at

2 Cabinet Member: Kevin Truitt Title: Associate Superintendent Student, Family, and Community Support Dept. Signature: SAN FRANCISCO UNIFIED SCHOOL DISTRICT - WEEKLY ADMINISTRATIVE DIRECTIVE (WAD)

3 Dear Parent/Guardian, You have probably heard on the news that Enterovirus D68 has been diagnosed in the Bay Area. Here are some facts about Enterovirus D68: o Enterovirus D68 (EV-D68) is a virus that causes respiratory illness. o The San Francisco Department of Public Health is working with local hospitals to identify and conduct testing on children hospitalized with serious respiratory infections. o Enterovirus D68 causes symptoms that are similar to the symptoms of a cold or flu, such as cough, sneezing, runny nose, body aches, and fever. o Most Enterovirus D68 infections are very mild. However, a small number of people may have more symptoms like wheezing or difficulty breathing. If your child has severe wheezing or difficulty breathing, seek medical care promptly. o Enterovirus D68 is thought to spread from person to person when an infected person coughs or sneezes. o Measures used to protect one from colds and flu, such as frequent hand washing and staying home when ill also work for enteroviruses. o Hand washing with soap and water is preferred and works better against enterovirus than hand sanitizer. As we enter cold and flu season, the single most important prevention strategy for colds, Enterovirus D68, and flu is frequent hand washing. And don t forget to get a flu shot for yourself and your children!! Sincerely, Principal

4 Estimado padre/madre/apoderado, Probablemente usted ha escuchado en las noticias que un caso de Enterovirus D68 has sido diagnosticado en el Área de la Bahía. Aquí hay algunos antecedentes sobre el Enterovirus D68: o El enterovirus D68 (EV D68) es un virus que causa una enfermedad respiratoria. o El Departamento de Salud Pública de San Francisco está trabajando con los hospitales locales para identificar y llevar a cabo exámenes a niños que están hospitalizados con infecciones respiratorias serias. o El enterovirus D68 causa síntomas que son parecidos a los síntomas de un resfrío o gripe, como tos, estornudos, secreción nasal, dolor de cuerpo, y fiebre. o La mayoría de las infecciones del enterovirus D68 son muy leves. Sin embargo, un número pequeño de personas puede tener síntomas más marcados como silbido al respirar, o dificultades respiratorias. Si su hijo/a tiene silbidos intensos al respirar o dificultad para respirar, llévelo al doctor de inmediato. o Se piensa que el enterovirus D68 se difunde de persona a persona cuando una persona infectada tose o estornuda. o Las mismas medidas que sirven para protegerse de resfriados y gripes, como lavarse las manos frecuentemente y quedarse en casa cuando esté enfermo, también sirven para protegerse de los enterovirus. o Lavarse las manos con agua y con jabón es lo preferido y funciona mejor contra el enterovirus que el desinfectante para las manos. Ahora que comienza la temporada de resfriados y gripes, la estrategia más importante para prevenir los resfriados, el enterovirus D68, y la influenza es lavarse las manos frecuentemente. Y no se olvide de obtener una vacuna contra la influenza para usted y sus hijos! Atentamente, Director(a)

5 各位家長 / 監護人 : 您可能已聽聞在灣區已有 D68 型腸病毒 (Enterovirus D68) 的確診病例以下是有關 D68 型腸病毒的資訊 : o D68 型腸病毒 ( 簡稱 EV D68) 是一種引致呼吸系統疾病的病毒 o 三藩市公共衛生部正與本地醫院進行工作, 對感染嚴重呼吸疾病的留院兒童進行識別及測試 o D68 型腸病毒的病症與一般傷風或流感病症相似, 例如 : 咳嗽打噴嚏流鼻涕全身酸痛發燒等 o 大部分患 D68 型腸病毒病者的病況都是很輕微不過, 少數病者可能會出現較嚴重的病症, 如氣喘或呼吸困難若您的子女出現嚴重氣喘或呼吸困難等症狀, 請立即求診 o D68 型腸病毒是以人傳人的方式散播, 如當受感染病人咳嗽或打噴嚏時 o 預防傷風或流感的措施, 如勤洗手及生病時留在家等, 也適用於預防此腸病毒 o 用肥皂和水洗手比用消毒洗手液更有效消滅腸病毒我們將踏入傷風及流感的季節, 而有效預防傷風 D68 型腸病毒, 及流感的最佳方法是經常勤洗手還有, 不要忘記為自己及子女注射流感預防針校長敬啟

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