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									                                    2009 H1N1 Flu (Swine Flu)
   If you are sick:
    o   Stay home until you are fever free for 24 hours without the use of fever-reducing medicines.
             People infected with the flu virus can spread it from before they feel sick until 5-7 days after the onset of
             Employees who report to work will be sent home.

Please know that it really is ok to call in sick! Your job is not at risk. As an example: it is better to miss three days of work than possibly
        infect ten other people. You may prolong your recovery time by reporting to work as opposed to staying home and resting.

   Tips from the CDC and Prevention:
    o   Wash your hands frequently with soap and water for 20 seconds or use an alcohol-based hand cleaner if soap and
        water are not available. Be sure to wash your hands after coughing, sneezing, or blowing your nose.
    o   Avoid touching your nose, mouth, and eyes. Germs spread this way.
    o   Cover your coughs and sneezes with a tissue, or cough and sneeze into your elbow. Dispose of tissues in no-
        touch trash receptacles.
    o   Keep frequently touched common surfaces clean, such as telephones, computer keyboards, doorknobs, etc.
    o   Do not use other workers’ phones, desks, offices, or other work tools and equipment. If you need to use a co-
        worker’s phone, desk, etc., clean it first.
    o Practice social distancing to prevent contact with people who might be infected and not know it yet; Don’t shake
        hands, stay away from crowded areas, spread out in your offices and cubicles. Cancel non-essential face-to-face
        meetings and travel and use e-mail and phones for conversations, if possible
    o The use of facemasks and respirators is not recommended. But if your work puts you in contact with someone who
        is infected with the flu, stay six feet away from him/her, be brief, ask the ill person to follow cough and sneeze
        etiquette, wash your hands and wear a mask.

   Others Tips:
    o   The only portals of entry are the nostrils and mouth/throat. In a global epidemic of this nature, it's almost
        impossible to avoid coming into contact with H1N1 in spite of all precautions.

    o   While you are still healthy and not showing any symptoms of H1N1 infection, in order to prevent proliferation,
        aggravation of symptoms and development of secondary infections, some very simple steps can be practiced

    1. Gargle twice a day with warm salt water or Listerine. *H1N1 takes 2-3 days after initial infection in the
    throat/nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation. In a way,
    gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one. Don't
    underestimate this simple, inexpensive, and powerful preventative method.
    2. Blow the nose hard once a day and swab both nostrils with cotton buds dipped in warm salt water is very effective in
    bringing down viral population.
     3. Boost your natural immunity with foods that are rich in Vitamin C If you have to supplement with Vitamin C tablets,
     make sure that it also has Zinc to boost absorption.
     4. Drink as much of warm liquids (tea, coffee, etc) as you can. Drinking warm liquids has the same effect as gargling,
     but in the reverse direction. They wash off proliferating viruses from the throat into the stomach where they cannot
     survive, proliferate or do any harm.

     o   Will not require a doctor’s note for those who are ill with influenza-like illness to validate their illness or to return
         to work; Doctor’s offices and medical facilities may be extremely busy and may not be able to provide such
         documentation in a timely manner. Due to CDC recommendations, some hospitals are not taking in any person(s)
         with the flu or flu-like symptoms.
     o   Encourages employees that can conduct their business remotely (work-from-home) to speak with his/her
         manager/supervisor to discuss this possibility and any arrangements that need to be made.
     o   Encourages departments to talk amongst each other and create “preparedness and response” plans in the event that
         multiple people are out sick; as an employee may be asked to carry out another employee’s tasks or perform
         different duties.

    Symptoms
     o   The symptoms of H1N1 virus (swine flu) are similar to the symptoms of regular human flu and include fever,
         cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting
         associated with H1N1.

                             Know the Difference between Cold and H1N1 Flu Symptoms
    Symptom                             Cold                                                   H1N1 Flu

                                                                      Fever is usually present with the flu in up to 80% of all
     Fever      Fever is rare with a cold.                            flu cases. A temperature of 100°F or higher for 3 to 4
                                                                      days is associated with the flu.

                                                               A non-productive (non-mucus producing) cough is
                A hacking, productive (mucus- producing) cough
    Coughing                                                   usually present with the flu (sometimes referred to as
                is often present with a cold.
                                                               dry cough).

     Aches      Slight body aches and pains can be part of a cold. Severe aches and pains are common with the flu.

                Stuffy nose is commonly present with a cold and
Stuffy Nose                                                           Stuffy nose is not commonly present with the flu.
                typically resolves spontaneously within a week.

     Chills     Chills are uncommon with a cold.                      60% of people who have the flu experience chills.

    Tiredness   Tiredness is fairly mild with a cold.                 Tiredness is moderate to severe with the flu.

    Sneezing    Sneezing is commonly present with a cold.             Sneezing is not common with the flu.
                                                                      The flu has a rapid onset within 3-6 hours. The flu hits
                  Cold symptoms tend to develop over a few days.      hard and includes sudden symptoms like high fever,
                                                                      aches and pains.

                                                                      A headache is very common with the flu, present in 80%
    Headache      A headache is fairly uncommon with a cold.
                                                                      of flu cases.

Sore Throat Sore throat is commonly present with a cold.              Sore throat is not commonly present with the flu.

           Chest discomfort is mild to moderate with a cold. Chest discomfort is often severe with the flu.

                           The only way to stop the spread of the epidemic is to spread the awareness.

     o   In adults, emergency warning signs that need urgent medical attention include:
               Difficulty breathing or shortness of breath
               Pain or pressure in the chest or abdomen
               Sudden dizziness and/or confusion
               Severe or persistent vomiting
               Flu-like symptoms improve but then return with fever and worse cough
     o   In children:
               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

    Vaccines
     o   Fairway employees are neither encouraged nor discouraged from getting a vaccine. This is at the discretion of the
         employee only.
               Talk to a doctor about whether you should receive a vaccine
     o   While vaccines do not lead to contracting the flu, some people develop mild flu-like symptoms after receiving a
         flu vaccine. Also, seasonal flu vaccines are made to immunize recipients against only a handful of flu strains;
         someone who comes down with the flu even though he/she received a flu shot may have been infected by a virus
         that was not covered in that season’s vaccine.
    Additional resources:

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