Written by: California Department of Public Health
SACRAMENTO – The California Department of Public Health, in collaboration with the County of San Luis Obispo Public Health Department and the Centers for Disease Control and Prevention, has confirmed variant influenza A (H1N2v) infections in two persons.
The individuals were exposed to a pig at the California Mid-State Fair in Paso Robles that was infected with influenza. The individuals have recovered after experiencing brief illnesses.
Influenza viruses that are spread among pigs are occasionally transmitted to people who have close contact with pigs. When this happens, the infections in humans are called variant influenza virus infections.
Variant influenza virus infections are usually mild, with symptoms similar to those of seasonal influenza.
However, like seasonal influenza, serious illness is possible. Person-to-person transmission of variant influenza viruses is not common, and people cannot get it by eating pork.
In recent years, variant influenza virus infections have occurred each summer in the United States, and most infections have been linked to exposure to pigs at agricultural events.
With the county fair season still in full swing in California, these cases of variant influenza virus infections serve as a reminder to take steps to prevent illness when visiting events where pigs and other animals are on exhibit.
“Visiting animals can be one of the highlights of the fair,” said Dr. Karen Smith, CDPH Director and State Public Health Officer. “It is important to remember to practice good hygiene when working with or visiting animals.”
There are steps you can take to protect you and your family at the fair, zoo, petting zoo or other settings where pigs are present.
· Wash your hands with soap and running water after any exposure to animals.
· Don’t eat, drink, or put anything in your mouth while in an area where animals are housed or exhibited.
· Avoid touching your eyes, nose or mouth until you have exited the animal area and washed your hands with soap and running water.
· Don’t take toys, pacifiers, cups, baby bottles, strollers or similar items into animal areas.
· Avoid contact with animals that look or act ill.
· People in high-risk groups should take extra care around animals. These include senior citizens, children under five, pregnant women, and people with a weakened immune system or chronic health conditions.
Persons who have influenza symptoms after recent contact with pigs should tell their health care provider about their exposure. Symptoms of influenza include fever, cough, sore throat, muscle or body aches, headaches, fatigue, and may also include vomiting or diarrhea.
People at greater risk of serious influenza-related complications (children under five, adults 65 and over, pregnant women, persons with a weakened immune system or certain chronic medical conditions) should contact their health care provider as soon as possible.
The same medications used to treat people with seasonal influenza can also be used for variant influenza virus infections.
If variant influenza is suspected in a patient, health care providers should contact their local health department to coordinate appropriate testing. For local health department contact information, visit CDPH’s Web site.
For more information about variant influenza viruses, visit the Centers for Disease Control and Prevention Web site.
LAKE COUNTY, Calif. – Sutter Lakeside Hospital and Sutter Care at Home offices in Lakeport continue to be closed to patients due to the Mendocino Complex fires, Sutter Health officials reported on Sunday evening.
The hospital and clinics have been under an evacuation order since Saturday, July 28.
A team of personnel are working onsite at the hospital to make sure it is secure, functional and able to open when it is appropriate.
Although some local roads near the hospital may be opening, it is not yet certain when the hospital or the clinics will reopen.
“We are looking forward to once again serving patients with compassion and excellence when the hospital reopens,’’ said Dan Peterson, chief administrative officer at Sutter Lakeside Hospital. “When the hospital is cleared to open, we will notify patients and the communities we support.’’
Meanwhile, clinical team members continue to reach out to patients and reschedule patients with immediate needs at nearby facilities.
Clinical team members are contacting patients with immediate treatment needs first to discuss various alternatives for care. They are contacting patients with non-immediate treatment needs soon thereafter.
The health and safety of patients, staff, clinicians and community are the highest priorities. Sutter Health continues to coordinate efforts with local emergency officials and is closely monitoring this situation as it unfolds.
Sutter is actively supporting employees and physicians in this time of need with financial aid and other emergency assistance, but also recognizes the importance of supporting the greater community.
The not-for-profit health network made a $100,000 donation to the American Red Cross California Wildfires Fund, which will help bring food, water and emergency shelter to families in need.
LAKE COUNTY, Calif. – Now that residents of Lake County are starting to return back to work after the fires, many people are wondering about how safe their office and work environment is.
Gary Pace, M.D., interim Lake County public health officer, said that, from the point of view of Public Health, the main concern is going to be air quality.
Current particulate levels are in the range from “unhealthy” to “hazardous” throughout the county. These unhealthy to hazardous levels of smoke are expected to continue through Wednesday.
If you live in the area, most office buildings are no worse for your health than your home environment. Some offices have “air scrubbers,” so their air will actually be better than in the home. If there is ash in the environment, clean it up without agitating it.
For farm workers picking pears or other outdoor work, the concerns are the same.
People in the high risk groups should avoid heavy exercise with the current worrisome air quality.
For farmworkers who choose to work even with the smoke, if they start having symptoms such as wheezing, shortness of breath, or chest pain, they should stop work and get medical help if symptoms persist.
There are no indications that any permanent problems such as cancer will develop due to short term exposure to smoke such as this.
Since the air problems are almost exclusively from wood smoke, there are no real industrial contaminants that might lead to other long-term problems.
Specific recommendations Pace offered included the following:
• Recommendations are that people over 65, under 12, and those with pre-existing lung disease (such as asthma, bronchitis, COPD and other respiratory conditions) or heart problems are at particular risk from breathing this air and should take extra precautions.
• High risk people should carefully adhere to their medical treatment plans and maintain at least a five-day supply of prescribed medications.
• High risk groups should limit outdoor activity and unnecessary physical exertion while smoke is present. If they cannot leave the smoky area, good ways to protect the lungs from wildfire smoke include staying indoors and reducing physical activity.
• Wearing an air purifying respirator can also help protect the lungs from wildfire smoke. N-95 masks may be effective in reducing some of the harmful particulate matter, but they also increase the work of breathing and are not recommended as a general protective measure.
• Dust masks are not protective against the ultra-fine particulate, which is the pollutant most detrimental to health caused by wildfire smoke.
• If you have air conditioning, turn it to interior recirculation or turn off and use fans. This prevents the intake of the outside, smoky air.
Written by: Lake County Health Services Department
LAKE COUNTY, Calif. – During the Mendocino Complex emergency, citizens in Lake County may find themselves in need of getting prescriptions refilled even though they do not have access to the pharmacy they use routinely.
In some cases, citizens may not have access to their original written prescriptions for a number of reasons, including rapid evacuation from the fire area.
The Lake County Health Services Department said California Pharmacy Law (Section 4054) provides that pharmacists may in good faith furnish a “reasonable” supply of medications or devices to patients in emergency conditions without a prescription.
Patients who need to obtain prescription medications or devices on an emergency basis should go to an open pharmacy and bring their original prescription containers or be able to provide their physician’s name.
Before filling the prescription, the pharmacist should make every reasonable effort to contact the original prescriber, and should make an appropriate record. That record must include the basis for proceeding under this section.
It is important to remember that the prescriber will not have any liability as a result of refilling a prescription under this section of law. The law was designed to offer this protection during states of emergency.
Any questions or concerns about this section of California Pharmacy Law that may arise should be referred to the Lake County Emergency Operations Center. Those questions will be referred to the emergency physician available at the EOC. The number to call is 707-263-3450.
Citizens should be able to receive needed medications and devices despite this state of emergency. This section of California Pharmacy Law provides for that process.