SFDPH Health Update: Influenza and Respiratory Illness 2016-2017 October 28, 2016 SF Dept of Public Health Flu, Health Alert, Influenza, SFDPH 0 HEALTH UPDATE: INFLUENZA AND RESPIRATORY ILLNESS 2016-17 OCTOBER 27, 2016 The San Francisco Dept. of Public Health (SFDPH) provides this guidance based on current information. Recommendations may change, and SF recommendations may differ from those issued by the Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH). For updates, forms and FAQs visit: sfcdcp.org/flu WHAT HAS CHANGED SINCE LAST YEAR’S FLU SEASON Report RSV-associated deaths in children aged 0-4 years. Do not vaccinate with live attenuated influenza vaccine (LAIV; FluMist). Use inactivated vaccine. Visit www.cdph.ca.gov/HealthInfo/discond/Pages/Influenza(Flu).aspx for updates about current seasonal influenza activity in California. ACTIONS REQUESTED OF ALL CLINICIANS Report influenza deaths in persons aged 0-64 years and influenza and other acute respiratory outbreaks to SFDPH Disease Control at (415) 554-2830 according to guidance below. Report RSV-associated deaths in children ages 0-4 years. Encourage and provide inactivated influenza vaccine for all persons aged > 6 months and pneumococcal vaccination for those at increased risk of invasive pneumococcal disease. Do not use FluMist this year. Prescribe antiviral treatment for patients with suspected or confirmed influenza who are hospitalized for severe illness or who are at higher risk for influenza-related complications. Treat early and empirically, without waiting for lab test results. Prescribe antiviral chemoprophylaxis to prevent influenza among vulnerable patients exposed to influenza, especially those in congregate care settings. Implement infection control precautions as described on page 4 below. Note: ALL PERSONS with fever & cough should wear a face mask in all health care settings. ALL PERSONS with ILI1 should be instructed to stay at home until 24 hours after fever resolves, except patients who require medical evaluation and care. Read the full health alert Comments are closed.
