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UntitledH1N1(A) Influenza – South Dakota Department of Health
Friday, November 6, 2009 – as of 1 p.m. (Central)
• • CDC:
• H1N1(A) continues to present as moderate illness
• Pregnant women, young children, those with chronic health conditions most at risk; elderly less
affected, may have immunity due to previous exposure to similar viruses
• People with asthma:
• at increased risk for severe complications of flu, including H1N1
• account for approximately 32% of H1N1 hospitalizations in U.S
• should seek treatment promptly when ill with flu like illness
• should be treated promptly with oseltamivir (trade name Tamiflu®). Zanamivir (trade name
Relenza®) not recommended for people with asthma
• should be vaccinated for both seasonal & H1N1 flu with injectable only
• should not get the nasal spray vaccine
• CDC H1N1 website –
SD Case Information (updated every Friday a• Flu activity remained widespread for week ending Oct. 31 – 114 new H1N1 cases, 53
hospitalizations, 4 deaths (cumulative since Sept 1: 1,662 cases, 330 hospitalizations, 13 deaths).
While activity remained widespread, flu indicators did slow
• Median age of SD deaths 48 years, range 8 – 96 years; 85% male, 15% female; Brookings 1,
Codington 1, Minnehaha 2, Pennington 4, Shannon 2, Todd 1, Turner 1, Union 1.
• Decrease in student absenteeism with 5% of K-12 school students overall absent due to illness
(265 schools, reporting; 82,499 total students)
• 73% of confirmed cases & 51% of hospitalizations are 18 or younger
• Nationally, flu activity widespread in 48 states and influenza-like illness, flu-related hospitalizations
and flu-related deaths are all higher than expected for this time of year. No signs of increase in
severity and mortality of virus.
Vaccine Information – H1N1
• Effective Monday, November 9, H1N1 vaccine will be available to Tier 2 risk groups – kids from
5-18 years, young adults 19-24, adults 25-64 with chronic health conditions.
• DOH has received/distributed more than 76,000 total doses to 400+ locations across SD; not all in
Tier 1 have been vaccinated but more public clinics scheduled every week – important to start
reaching out to next group of individuals at high risk.
• Scheduled public clinics now open to all high risk; private providers to offer vaccine to all high risk
as well. Che for updated listing of scheduled clinics.
High Risk Individuals Eligible for H1N1 Vaccine
• Pregnant women
• People who live with or care for infants younger than 6 months
• People aged 6 months through 24 years
• Health care and emergency medical services workers
Adults 25-64 with chronic health conditions (asthma, diabetes,
neuromuscular diseases, renal disease, cardiovascular disease)
• DOH shipping H1N1 vaccine as soon as it arrives; expectation that providers in turn administer
those doses as quickly as possible to all high risk groups. H1N1 doses should be entered into the
SD Immunization Information System within 48 hours of administration – necessary to track
coverage in high risk populations and determine when vaccine can be offered beyond risk
• As more vaccine available, it will be administered beyond priority groups
• Vaccination is voluntary
• Vaccine is free but some providers may charge an administration fee
Vaccine Information – Seasonal
• For more about seasonal supply, refer to IVATS
• As of Oct 16, 85 million doses of seasonal influenza vaccine had been distributed – about 74% of
doses expected this season.
• Seasonal flu vaccine should be given as available to appropriate target groups; SD reported
525 hospitalizations for seasonal flu last year and 4 deaths
New Guidance & Resources
Centers for Disease Control & Prevention
– noon daily CDC now posts aggregate number of
H1N1 flu vaccine doses allocated.
– list of documents from the
Centers for Medicare and Medicaid Services related to Medicare and Medicaid/CHIP coverage and
payment policies, Section 1135 waivers, and more.
– Influenza Vaccination Record distributed with 2009 H1N1 vaccine
has been updated; printable version for providers and planners who need additional cards.
– plain language fact sheet
flyer about what people can do if
they get sick with the flu, including 2009 H1N1.
– Free resources including a new poster for Native
American audiences, as well as other updated posters.
– This document provides health care
providers, clinicians, and vaccine planners with information about 2009 H1N1 monovalent influenza
vaccine dosage, administration and storage.
– Quicklinks regarding Peramivir IV and FDA's
Guidance on Advance Compounding of Tamiflu Oral Suspension to Provide for Multiple Prescriptions.
American Red Cross
US Dept of Health and Human Services
Determination of Atenolol, Rosuvastatin, Spironolactone, Glibenclamide and Naproxen in Blood by Rapid Analysis Liquid Chromatography IN-HAI MA, YONG-FANG PENG, YI-RAN XU , GUANG-YU YANG and QIU-FEN HU Department of Chemistry, Kunming Teacher's College, Kunming 650031, P.R. China. A rapid liquid chromatographic (HPLC) method for the determinationof atenolol, rosuvastatin, spirnolactone