Swine Flu in Michigan

by mobrian on April 27, 2009

Wash Your Hands and If You’re Sick, Use a Sick Day

The first reported (listed as possible) case of the Swine flu has come to Michigan and was found in Livingston County today.  It brings about some important tips for the fire service and EMS providers in the State.  This flu virus is technically known as the H1N1

The CDC gives the following information about the virus

Case Definitions for Infection with Swine Influenza A (H1N1) Virus

A confirmed case of swine influenza A (H1N1) virus infection is defined as a person with an acute febrile respiratory illness with laboratory confirmed swine influenza A (H1N1) virus infection at CDC by one or more of the following tests:

  1. real-time RT-PCR
  2. viral culture

A probable case of swine influenza A (H1N1) virus infection is defined as a person with an acute febrile respiratory illness who is:

  • positive for influenza A, but negative for H1 and H3 by influenza RT-PCR, or
  • positive for influenza A by an influenza rapid test or an influenza immunofluorescence assay (IFA) plus meets criteria for a suspected case

A suspected case of swine influenza A (H1N1) virus infection is defined as a person with acute febrile respiratory illness with onset

  • within 7 days of close contact with a person who is a confirmed case of swine influenza A (H1N1) virus infection, or
  • within 7 days of travel to community either within the United States or internationally where there are one or more confirmed swine influenza A(H1N1) cases, or
  • resides in a community where there are one or more confirmed swine influenza cases.

Close contact is defined as: within about 6 feet of an ill person who is a confirmed or suspected case of swine influenza A (H1N1) virus infection.

Acute respiratory illness is defined as recent onset of at least two of the following: rhinorrhea or nasal congestion, sore throat, cough (with or without fever or feverishness)

Clinicians should consider swine influenza A (H1N1) virus infection in the differential diagnosis of patients with febrile respiratory disease and who 1) live in San Diego and Imperial Counties, California, or Guadalupe County, Texas, or traveled to these counties or 2) who traveled recently to Mexico or were in contact with persons who had febrile respiratory illness and were in the two U.S. counties or Mexico in the 7 days preceding their illness onset.

Listen to an audio program on the Swine Flu from the CDC

Visit the CDC for more information

Beyond the CDC your local medical control authority and the State of Michigan have provided multiple resources for you and your department.  The Michigan Department of Community Health has multiple resources available to us and has a dedicated web-page for resources.

The MDCH EMS division recommends the following:

To ensure that pre-hospital providers are protected, we are suggesting the following actions be taken when caring for patients with signs and symptoms of respiratory illness:

  • Use of face mask for patients exhibiting signs and symptoms of respiratory illness.
  • EMS personnel should wear N95 masks when caring for patients with signs and symptoms of respiratory illness.
  • EMS personnel should query patients presenting with signs and symptoms of respiratory illness regarding travel history.

As more information becomes available we will try to pass it on.  Remember it is important to not spread fear amongst our community and have information available for our staff and community.  We encourage all of you to stay tuned to the various web pages at the State and the CDC.

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