h1n1

UMMC has rescinded visitor guidelines put in effect in October 2009, during the height of concern over H1N1, that banned children from visiting patients.

Starting yesterday, visitors over 14 are allowed to visit patients, with the exception of the Maternity Ward, where siblings of newborns are permited to visit with a responsible guardian.

The Hope Haven unit allows visitors of all ages.

Only two visitors per patient are allowed. Visiting hours are 9 a.m. to 9 p.m.

Full press release after the jump:

United Memorial instituted new visitor guidelines on Tuesday, April 27, 2010. Restricted visitor guidelines were issued in October 2009 based on the threat of the H1N1 virus.

The new guidelines rescind the ban on visitors under the age of 18 to the facility. The hospital’s current policy allows visitors over the age of 14 with the exception of Maternity, where siblings of newborns are permitted to visit with a responsible guardian. The Hope Haven unit allows visitors from all age groups when appropriate.

Only two visitors per patient are allowed at any one time. Visiting hours are from 9 am to 9 pm for most medical/surgical units. Visiting hours for Maternity are from 1 pm to 8:30 pm (significant others allowed at all times) and the Intensive Care Unit’s are from 9 am to 8 pm. Exceptions to the general visitors’ policy are made for the Hope Haven, Emergency, and Hospice/Comfort Care units and at the discretion of the attending physician when deemed appropriate by a patient’s condition.

Patients look forward to visitors and those visits are an important part of recovery. Rest is also a vital component of treatment, and it is the responsibility of the hospital to regulate visiting hours so as not to interfere with healing. 

United Memorial requests that all visitors cooperate in promoting the comfort and well-being of patients by trying to keep visits brief, using quiet tones, and not disturbing others. Any person with a cold, sore throat or other transmissible illness should not visit patients. Visitors under the age of 14 will be screened for illness and a log of their visit will be kept. Visitors over the age of 14 will be visually screened for illness by hospital staff and may be asked to use appropriate protective measures if necessary. If visiting patients who are on “isolation,” guests will be instructed by the nursing staff in proper protective guidelines.

All visitors are encouraged to wash their hands before and after visiting any patient.

Infection prevention is a priority at United Memorial, and as a result, we have one of the lowest infection rates among Western New York hospitals. Questions regarding changes to the visitors guidelines may be addressed by the Infection Prevention Department, Nursing Supervisors, or Community Relations Department.

Here's important information for parents and guardians from the Genesee County Health Department:

In response to the 2009 H1N1 pandemic, the local health department has coordinated H1N1 vaccine distribution to numerous physician offices throughout the county. In addition, we have conducted several Points of Dispensing (POD’s) in order to assist the medical professionals in protecting our community against this virus. A large number of these clinics were established directly at schools within Genesee County prior to the holiday recess in December.

On Jan. 23, a clinic was held at the Batavia City Centre to target the child population requiring a second dose. Children less than 10 years of age need to receive two .25 ml doses of the vaccine at least 28 days apart, to provide the proper immune protection against the H1N1 Virus.

If your child has not received their second dose, we ask you contact the Genesee County Health Department or your primary care physician to schedule an appointment as soon as possible. The vaccine is FREE. Some physicians may require an administrative fee.

For more information on the H1N1 virus and for a schedule of H1N1 clinics in Genesee County, please visit: HYPERLINK "http://www.readyGenesee.com" www.ReadyGenesee.com or call the Genesee County Health Department for an appointment at: 585-344-2580 ext. 5000.

If you haven't gotten a flu shot yet, the Genesee County Health Department has scheduled three more clinics.

There is a clinic today for both seasonal and H1N1 vaccines from noon to 4 p.m. at County Building II.

Another clinic has been set for Jan. 21 from noon to 4 p.m., and an H1N1-only clinic is scheduled for 10 a.m. to 2 p.m. on Jan. 23 at Batavia City Centre. On Jan. 23, priority will be given to children under 9 who need a booster vaccine.

The clinics are open to everyone over 6-months old.

The Health Department can be reached at (585) 344-2580, extension 5000.

When people have flu-like symptoms, or a friend or relative does, the first thing they do is hop on Google to see if they can self-diagnose or learn more about the illness.

Those searches spike when there are a lot of people feeling sick.

Google has found that its search trends correlate to Center for Disease Control reports, but CDC lags Google's real-time results by about two weeks.

The current trends show minimal concern in the Buffalo and Rochester area (they don't break it down for Batavia specifically) about the flu this month. 

Learn more about how this works by clicking here.

Rain, sleet and snow didn't keep several hundred people from trying to get flu vaccinations today at County Building Number 2 in the Town of Batavia.

At one point, the line snaked outside and around the side of the building. Seniors, parents and children were waiting two or more hours for either a shot of the seasonal flu vaccine or the H1N1 nasal mist.

A winter storm of sorts started not long after the clinic doors opened, and by then the line  already stretched well outside the building.

"I was standing in the rain and snow out there a little while before and I was thinking, I'm going to get a flu shot to prevent getting sick and I'm going to get sick standing in line in the rain and the snow, so I wonder if it's really worth it," Walter Kershenski said. He also happens to be Stafford Town Clerk, and said he stood in line for more than two hours.

There were reports of people driving from Orleans, Monroe and even Chautauqua counties for the vaccinations, and apparently, nobody was being turned away for the free vaccines.

Interim Health Director Randy Garney said the Health Department was expecting to provide at least 500 doses of vaccine in two hours, but had received an extra shipment of seasonal flu and H1N1 vaccine just days ago.

"I figure, two hours, that's going to be about all we're going to be able to process, but we're going to keep the clinic open as long as there is a line," Garney said.

"With recent events that have taken place, we were expecting a large crowd," Garney said.

Rosemary Sero, of Oakfield, said all the reports of people getting sick with H1N1 and especially the death of a Pembroke student, has her feeling very cautious about taking care of her two young daughters.

"They're using a lot of hand sanitizer," she said. "They wash their hands a lot. I tell them not to touch their face."

If you haven't received a flu shot yet, you can do so today at County Building Number 2 on W. Main St. Road, Town of Batavia.

The walk-in clinic will be open from 2 to 4 p.m..

Seasonal flu vaccine is available for people 19 and older, and H1N1 vaccine is available for people 2 to 24 years of age, and for people 25 to 59 who care for or live with infants.

Vaccine supplies are limited.

A boy whose death Oct. 22 shocked the communities of Pembroke and Corfu is a confirmed case of H1N1, according to Randy Garney, interim director of the County Health Department.

In a news release this morning, the health department said it would not identify the boy, but when we spoke to Garney, he said the death was the same one as a boy who died in Erie County.

That boy has been previously identified as Jared Peters, child of Timothy and Linda Peters.

Meanwhile, the county has begun receiving supplies of the H1N1 vaccine and is scheduling clinics as doses become available.

The priority group for vaccination include pregnant women, caregivers for infants 6-months and younger, health care and emergency medical personnel, people from 6-months to 24-years of age, and people over 25 with health conditions associated with a higher risk of complications from the flu.

UPDATE 1:15 p.m.: Randy Garney asks that we clarify that he did not explicity provide the name Jared Peters.

Figures aren't in yet, but absenteeism seems to be up at Batavia-area schools, and it appears that many of the children who are missing school are sick, possibly with H1N1.

At Robert Morris Elementary School, a "spike" in absenteeism occurred last week when 25 percent of its students were absent on one or more days. Batavia Middle School, according to parents who have contacted The Batavian, has also seen a jump in flu-related absences.

Hundreds of kids in Batavia are either at home coping with the nasty gamut of flu-like symptoms, or they are being kept home by anxious caregivers who are taking every precaution to keep their children healthy.

Batavia City School Superintendent Margaret Puzio said today that on Friday she will have week-to-week comparison figures for absences at the schools.

"Absences are a bit higher and I understand parents are concerned about sick kids," Puzio said. "But the best defense is to handle this as you would any flu. The symptoms are fairly mild. We're not doing anything differently than we normally do during flu season, except cleaning on a daily basis."

If a child exhibits flu-like symptoms, he or she is sent home. It they are already sick, they should not attend school. If he or she misses several days of school, the guidance counselors are notified and they contact the home. If need be, they notify the teacher and a packet of learning materials is put together for a parent to pick up.

But some parents say there's a lack of communication from schools concerning the H1N1 virus and, in the void, some panic is beginning to set in.

"I am the father of an 8th grader at Batavia Middle School," complained one man, who did not want to be identified. "There may be hundreds of children with this virus and no phone calls or letters from the school. My child is seriously sick and all of his close friends."

He said he doesn't think parents are getting enough information from schools to decide if it's safe to send them there.

The spread of H1N1 flu virus has prompted a change in the visiting policy at United Memorial Medical Center.

As a result, starting this week no one under the age of 18 is allowed to visit patients. Heretofore, as with many hospitals, visitors had to be at least 14 years old, although there was flexibility and reasonable exceptions were made.

"We're becoming more restrictive about visitors -- it's for patient safety," said UMMC spokeswoman Colleen Flynn. "We don't want them to become infected. The virus can be especially harmful to a patient with an already compromised immune system."

Also under the new policy, there can only be two visitors per patient at any given time and visiting hours are from 9 a.m. to 9 p.m.. Certain units, such as intensive care and pediatrics, may have more time restrictions.

Maternity patients are only allowed visits from their spouse or significant other, and grandparents. Exceptions are considered on a case-by-case basis by the nursing supervisor on duty.

Any visitor showing signs of infectious disease, such as a bad cough, will be asked to leave and given a mask to wear on their way out of the hospital.

"We are taking reasonable measures to protect patients, which is our number one priority," Flynn said.

All UMMC healthcare workers have been getting on-site H1N1 vaccinations, which were mandatory. That requirement was lifted, except for those with direct patient contact, which are innoculated first.

The H1N1 virus has been declared a national pandemic. As with other flu viruses, a person can be infected and contagious for 24 hours before showing any symptoms, which can hamper control efforts.

This strain, first identified in spring (not typically the flu season) is considered unusual because children are among the hardest hit.

Flynn said the hospital has seen an increase in the number of young flu sufferers. Some local peditricians are reportedly "swamped" with flu cases and some schools are grappling with absenteeism due to the flu or fear of catching it.

"Most cases are dealt with at home," Flynn said. "People treat it just like they would any flu. But because so much media attention is being paid to (H1N1), sometimes they tend to think the sky is falling. That's not necessarily true."

But do wash your hands frequently.

People looking for extra protection against the H1N1 strain of flu -- commonly, though incorrectly, called "swine flu" -- will soon have the opportunity to be vaccinated, Randy Carney told WBTA this morning.

The first doses are expected to arrive in Genesee County later this week, the interim county health chief said.

The vaccine will be distributed through healthcare providers, but people without their own doctor will be able to receive the vaccine from the county health department.

But the supply is limited. The county will receive only about 100 to 200 doses this week, with more on the way. Federal officials assure citizens that there will be plenty of vaccine to go around.

Audio: Randy Garney talks about the vaccine (mp3).

I know a couple of people who have been pretty sick recently, and you probably do, too. The symptoms sound a lot like flu, and according Randy Garney, interim health director for Genesee County, if you have the flu this time of year, there's about a 90-percent chance it's H1N1, or "swine flu."

But, according to Garney, there have been no official cases of H1N1 reported recently in Genesee County.

Suspected flu cases are only tested, Garney said, if the sick person shows up at the hospital. 

We have a call into UMMC to see if they've been dealing with any suspected H1N1 cases and are waiting for a call back.

Garney said H1N1 is widespread throughout the Southeast, according to the National Center for Disease Control.

"At this point (outside of flu season) widespread activity is unheard of," Garney said. "To call it widespread is not normal at all."

As usual, Garney warned that people who are sick need to stay home in "social isolation" to avoid spreading the virus.

If you have a fever of 100 degrees, you probably have the flu. You should wait at least 24 hours after the fever has abated (not counting taking medications to reduce the fever) before mixing in public.

He called the virus a mild form of the flu.

"I use mild very gently because the people I’ve talked to, the epidemiologists I’ve talked to, (say) it may be mild, but you’re going to be very sick," Garney said.  "You’re going to be very achy, you’re going to be in bed, but you’re going to recover with no ramifications."

The New York Department of Health recommends:

It's that time of year -- time to start planning on flu shots.

The County Health Department issued a press release today notifying residents that flu shot clinics are in the works.

The first one is tentatively scheduled for Sept. 18.

Tentatively because only about 1/4 of the needed vaccine has been delivered to the county so far.  The remaining doses should arrive in September or October.

Full press release after the jump:

The Genesee County Health Department has tentatively scheduled Seasonal Influenza/Pneumococcal Clinics pending receipt of vaccine. One-fourth of the vaccine has been received, while the remaining doses are scheduled for delivery during the months of September and October.  Updates will be published and broadcast through the Daily News, WBTA, the Batavian, and the Genesee County Health Department website at www.co.genesee.ny.us.  Verification of flu clinics can also be obtained by contacting the Health Department at (585) 344-2580, extension 5000.

Friday, September 18        10:00 am.-  2:00 pm    County Building #2, 3837 West Main St. Rd., Batavia
Thursday, September 24     4:00 pm –  7:00 pm    County Building #2, 3837 West Main St. Rd., Batavia
Thursday, October 15         9:00 am – 11:00 am    Office for the Aging, 2 Bank St., Batavia
Monday, October 26        10:00 am –  1:00 pm    Batavia Downs Casino, 8315 Park Road, Batavia

The Health Department can bill Medicare Part B, American Progressive, MVP (Preferred Care), Independent Health, Excellus, Blue Cross of WNY and Univera.  Empire (State Insurance Fund) cannot be accepted.  Clients are responsible for co-pays or unpaid claims. For all others, the cost at time of vaccination is  $35.00 for Influenza and $55.00 for Pneumococcal vaccination.

The New York State Department of Health (NYSDOH) recommends that all persons, including school-aged children, who want to reduce the risk of becoming ill with influenza or of transmitting influenza to others should get the flu vaccine.  In other words, when there is an adequate supply everyone should get the seasonal flu vaccine.  According to the Centers for Disease Control (CDC), those individuals at greatest risk for serious complications, close contacts, and those most likely to get or spread the flu, should get the seasonal flu vaccines in September or as soon as vaccine is available. It is not too early to get the flu vaccine as the protection will not wear off before the flu season is over. Those at high risk include:

•    Children aged 6 months up to their 19th birthday.
•    Persons aged 50 years or older.
•    Children and adolescents receiving long-term aspirin therapy.
•    Women who will be pregnant during the fu season.
•    Adults and children with chronic lung, heart, kidney, liver, blood or metabolic disorders (including diabetes) or any condition that can compromise respiratory function.
•    Residents of nursing homes and other chronic-care facilities.
•    Health care personnel.
•    Healthy household contacts and caregivers of children aged 59 months or younger or persons with medical conditions that put them at higher risk for severe complications from influenza.

The CDC clarifies that the annual flu vaccines contain a seasonal Influenza A (H1N1) virus which is not the new 2009 H1N1 influenza virus (Swine Flu) that has caused the current pandemic. The persons prioritized for initial doses of H1N1 vaccine are not the same groups that seasonal influenza vaccine is targeted for.  The seasonal flu vaccine is not expected to protect against infection of 2009 H1N1 influenza virus. The CDC is very clear regarding the targeted group for H1N1 vaccination; however, availability and demand can be unpredictable, and there is the possibility that initially the vaccine will be available in limited quantities. In this setting, that target group would be initially reduced to a priority group to include those most at risk.

The Genesee County Health Department is committed to offering information to the community as it becomes available.  Future news releases will be provided as further information regarding clinics for seasonal influenza and H1N1 (Swine Flu) become available.  
 

The state Department of Health and federal officials are girding for more cases of the H1N1 flu strain, from talking about quarantines to issuing guidelines for schools.

The state has also allocated more financial aid for county health departments dealing with H1N1 outbreaks.

Officials of United Memorial Medical Center met with local media this afternoon to confirm a report earlier in the day by The Batavian that a member of the hospital staff tested positive for the H1N1 strain of flu and to discuss precautions instituted by the hospital.

During the conference, both spokeswoman Colleen Flynn and Lorri Goergen, infection prevention manager, confirmed that other employees have reported flu-like symptoms, but the cases seem largely unrelated.

The fact is, as the County's interim health director Randy Garney, discussed with The Batavian this morning, H1N1 is now widespread in Genesee County.

"The first one who called in (sick) with symptoms had no contact with the first case we identified," Goergen said. "What seemed to happen almost simultaneously is that our ER had a sudden increase in patients coming in with the same symptoms, and the doctor's offices this Monday were calling quite rapidly."

The first infected employee is recovering at home, Flynn said.

Flynn said the hospital reacted quickly and transparently with employees about the first confirmed case, sending out a memo Tuesday telling employees to stay home if they had even subtle flu-like symptoms. 

All of the employees and the doctors of patients who might have come into contact with the infected worker were given instructions and opportunities for preventative steps.  Exposed employees were screened and offered anti-viral medications.

As Garney discussed this morning, because this is not currently flu season, any flu-like feelings should be considered H1N1. People who feel ill should stay home and have minimal contact with other people. If you feel sick, call your doctor. Health officials stress it is best to avoid going to the emergency room or doctor's office unless severely ill.  H1N1, like any other flu, can be treated safely at home if directions are followed. Any public exposure by an infected person to others increases the risk of spreading the virus, and just because a case is mild in one person doesn't mean that person couldn't pass along the virus to another person who will have a much more severe reaction.

UMMC officials stressed the importance of washing your hands and avoiding hand to mouth contact.

And while your annual flu shot will not offer much protection against this new strain, they did stress the importance of annual flu shots.

As Goergen noted, some 36,000 people die from the flu every year. Any case of flu should be treated with care, not just H1N1.

Because H1N1 is now pervasive in the community, the hospital also instituted some visitation rule changes.

• No children under 14 are allowed to visit
• Visitors are limited to 2 per patient
• Visiting hours should be strictly enforced
• 4th floor (maternity ward) are restricted to fathers only
• Time spent in the hospital should be limited -- employees are encouraged to ask visitors to avoid public areas, including the snack shop, cafeteria and lobby

A case of H1N1, often misidentified as "swine flu," has been reportedly contracted by a member of the United Memorial Medical Center staff, according to Randy Garney, interim director of the health department for Genesee County.

Citing privacy concerns, UMMC spokeswoman Colleen Flynn said she could not share any information about the reported case. Flynn did confirm that a memo was sent to employees on Tuesday.

Garney indicated people should not dwell too much on where a case might be found, but realize H1N1 is prevalent throughout the state.

"The general public should realize it's here," Garney said.

People, he said, are largely unaware of how  widespread H1N1 is at this point because most cases are never severe enough to lead to the person seeking medical attention.

But if you have flu-like symptoms, you have H1N1.

"It's considered H1N1 right now because we're beyond the flu season," Garney said. "If anybody has those symptoms, they should consider it H1N1."

Flu symptoms include fever, headache, muscle aches, chills and extreme tiredness.

While H1N1 is pervasive throughout New York, the fatality rate is very low, less than .1 percent.

"The more troubling part of H1N1 is that it's being more aggressive with five- to 21-year-olds," Garney said. "Flu is usually more aggressive with people over 65, but H1N1 is not bearing this out."

Because H1N1 is such a new strain, Garney said, there is still much scientists are trying to learn about the strain. It's possible that older people at one time contracted a variant of the strain in their younger years and now have some level of immunity.

Garney reiterated that people with flu-like symptoms should stay home and avoid as much as possible and avoid unnecessary contact with other people.  Also, wash your hands and maintain other sanitary practices.