2009 H1N1 Influenza (Swine flu)
(Update May 5, 2009)

Outbreaks of a new strain of the 2009 H1N1 influenza (also known as Swine Flu) have been detected in humans across the United States, Mexico and other countries. The Centers for Disease Control and Prevention (CDC), along with the World Health Organization (WHO) are diligently investigating reported outbreaks. Guidance and recommendations that DOE employees can take to protect their health and the health of their friends and families are provided below.

I. GENERAL INFORMATION

Recommendations to DOE Field Management and Contractors
Department of Energy (DOE) site contractors and Federal managers should work with local and State authorities to coordinate response to actual or potential 2009 H1N1 influenza (swine flu) cases at or near the sites. If an individual becomes ill at work with possible influenza-like symptoms or has traveled to countries with confirmed 2009 H1N1 Influenza (swine flu) cases, please notify the occupational health clinic and supervisor. Individuals with a confirmed case of 2009 H1N1 Influenza (swine flu) are asked to inform the site occupational medicine clinic and supervisor.

What is the 2009 H1N1 Influenza?

H1N1 is a new influenza virus causing illness in people. This new virus was first detected in people in April 2009 in the United States. Other countries, including Mexico and Canada, have reported people sick with this new virus. This virus is spreading from person-to-person, probably in much the same way that regular seasonal influenza viruses spread.

This virus was originally referred to as "swine flu" because laboratory testing showed that many of the genes in this new virus were very similar to influenza viruses that normally occur in pigs in North America. At this time, there is no evidence that swine in the United States are infected with this new virus. However, there are flu viruses that commonly cause outbreaks of illness in pigs. Most of the time, these viruses do not infect people, but influenza viruses can spread back and forth between pigs and people.

What are the symptoms?

Symptoms include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with the new H1N1 influenza. If you exhibit symptoms, you should request leave from your supervisor, stay home, and limit contact with other people to prevent the spread of infection. Seek appropriate medical attention, and follow any instructions from your primary care provider.

Is this novel influenza 2009 H1N1 Influenza virus contagious? And how does it spread?

CDC has determined that this H1N1 virus is contagious and is spreading from human to human. Flu viruses are spread mainly from person to person through coughing or sneezing. Sometimes people may become infected by touching objects or surfaces contaminated with flu viruses and then touching their eyes, nose, or mouth.

II. PREVENTION MEASURES

What can I do to protect myself from getting sick?

No vaccine is available to protect against H1N1 influenza. Everyday public health action can help prevent the spread of virus that cause respiratory illnesses like H1N1 influenza and protect your health:

Practice good hygiene.

• "Cover your nose and mouth with tissues when you cough or sneeze. Throw the tissue in the trash after you use it. If your do not have a tissue, cough or sneeze into your elbow to reduce contaminating your hands.
• Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective if soap and water are not readily available and if your hands are not heavily soiled. However, they must contain at least 60% alcohol. Rub your hands with sanitizer vigorously until it is dried.
• Washing hands vigorously for 20 seconds is essential, especially after the following activities:
  o Before preparing or eating food
  o After going to the bathroom or assisting someone with personal needs
  o Before and after tending to someone who is sick
  o After blowing your nose, coughing, or sneezing
  o After handling an animal or animal waste
  o After handling garbage
  o Before and after treating a cut or wound
• Avoid touching your eyes, nose or mouth to reduce the spread of the virus.
• Try to avoid close contact with people who exhibit signs of illness.
• If you or a family member gets sick with influenza, CDC recommends staying home from work or school and limiting contact with others to reduce the spread of disease.
• Keep surfaces clean by routine cleaning and disinfection strategies (the use of products that reduce or destroy viruses). Influenza viruses can persist on both nonporous and porous surfaces for hours to days depending on a variety of human and environmental factors. The secondary spread of infectious virus from environmental reservoirs to susceptible persons is accomplished primarily via hand transfer (i.e., hand contact with contaminated surfaces and then touching mucous membranes of the eyes, nose, and mouth).
• Employees should refrain from traveling while ill.

Antiviral medications that a doctor can prescribe are available for prevention and treatment of H1N1.

• Guidelines for the use of antiviral medication for the treatment and prophylaxis of H1N1 are available on the CDC website. These guidelines are updated as we learn more about this new virus, so be sure to check for the most current guidelines.

DOE employees may contact the local DOE site occupational medical department or DOE Headquarters Health Unit if you develop symptoms at work.
A list of the DOE Site Occupational Medicine Clinics in the field and at HQ is available: http://www.hss.energy.gov/HealthSafety/occmed/directory.html

DOE Headquarters employees may contact the Office of Human Capital Management for additional guidance on leave policies and personnel issues:
Senior Human Capital Policy Advisor, Bruce Murray, Human Resources Flexibilities (leave, flexiplace, etc.) bruce.murray@hq.doe.gov

For more information about the DOE response to 2009 H1N1 Flu (swine flu):
Bonnie Richter, PhD, MPH, Epidemiologist and Pandemic Influenza Coordinator (301-903-4501) bonnie.richter@hq.doe.gov
Michael Ardaiz, MD, MPH, CPH, Chief Medical Officer (301-903- 9910) michael.ardaiz@hq.doe.gov