The Leeds, Grenville and Lanark District Health Unit is continuing to monitor and inform the public about Pandemic (H1N1) 2009 (formerly named Novel H1N1 Influenza Virus). It is a respiratory illness that causes symptoms similar to those of regular seasonal influenza.


Contact Us:

If you have questions or concerns, please call the Health ACTION Line at 1-800-660-5853 or 613-345-5685 to speak with a Public Health Nurse.

Weekdays - Between 8:30 am and 4:30 pm

E-mail - webmaster@healthunit.org
(Messages answered within 2 working days)

Media Release:

If you are a member of the media and want further information or an interview please contact webmaster@healthunit.org. We will not be releasing updated numbers of cases, please check the activity report below for the most up to date statistics.

Level of H1N1 Activity Including Number of Cases:

November 6, 2009

Archive:

October 30, 2009

October 23, 2009

October 15, 2009

 

Influenza-like symptoms include:

  • fever of more than 38ºC and cough,

    and

  • sore throat, shortness of breath/difficulty breathing, fatigue or aching muscles.

  •  
  • adults over 65 may not experience fever.
     
  • in children under 5, gastrointestinal symptoms (nausea, diarrhea, vomiting) may also be present. Fever may not be present in individuals under 5 years of age or 65 years and older.

Influenza Self-Assessment Tools

Use this online tool to help you determine if you or your child has influenza and who you should contact.


Fact Sheets

 

Community Flu Assessment and Treatment Centre Information

Local Centres:

SMITHS FALLS FLU CENTRE FLYER
NORTH LANARK FLU CENTRE FLYER
KEMPTVILLE FLU CENTRE FLYER

Neighbouring Centres:

KINGSTON
OTTAWA


To prevent the spread of influenza:


  • CLEAN YOUR HANDS: Wash your hands for at least 15 seconds with soap and warm water or use an alcohol-based hand sanitizer.
     
  • COVER YOUR COUGH OR SNEEZE: Cover your cough or sneeze with your sleeve if no tissue is available. Throw away tissues after sneezing, coughing or wiping your nose or your child’s nose and clean your hands.
     
  • DISINFECT SURFACES and ITEMS: Regularly disinfect hard surfaces such as counters and door knobs. Do not share personal items or drinks. Individuals with influenza-like illness should not share personal items with others.
     
  • STAY HOME IF YOU ARE ILL: Avoid large crowds of people where viruses can spread easily. Stay home when you are sick. Return to work or school when your fever is gone and you feel better. A lingering cough is normal.
     
  • GET IMMUNIZED: Get the seasonal influenza vaccine early if you are 65 years of age or older or live in a long term care home. The H1N1 influenza vaccine will be available in November. For more information on the influenza immunization strategy, see “Tips to Stay Healthy” at www.ontario.ca/flu.

If you are experiencing influenza-like symptoms, please stay home from school, childcare centres, work, and/or recreational activities such as sports and social clubs. Avoid going to the emergency department unless you are recommended to do so by your primary care provider or Telehealth Ontario (1-866-797-0000).

If your symptoms worsen, contact your health care provider or Telehealth Ontario (1-866-797-0000). Adults and children with underlying medical conditions, children under the age of 5 years, and pregnant women who develop symptoms should contact your healthcare provider IMMEDIATELY.
 

H1N1 Frequently Asked Questions

How Can I get Information About Influenza by Phone?

When Can I Get the H1N1 Vaccine?

How long will it take after I receive the vaccine to have immunity against the virus?

What Should I Expect at a Priority Group Clinic?

What information can you provide Pregnant women?

Can an individual have the H1N1 influenza vaccine if they are currently taking an anti-viral drug (i.e. Tamiflu)?

When Can Seniors 65+ Get the H1N1 Vaccine?

What can snowbirds do about getting the H1N1 shot before travelling south for the winter?

Are seniors able to get the seasonal flu shot at this time?

Why isn’t this Health Unit vaccinating children 5-18 in the first priority groups?

How many doses of H1N1 vaccine should children 9 years of age and under be receiving?

Why can’t children 9 years of age and under get one full dose?

Will schools be closed to control the spread of H1N1?

 

How Can I get Information About Influenza by Phone?

  • Call the Health Unit @ 1-800-660-5853 if you have questions about seasonal and H1N1 vaccines and priority groups. Lines are open
    8:30am – 4:30pm Monday to Friday.
     
  • Call Telehealth Ontario (1-866-797-0000) if you or a family member is sick and you have questions.
     
  • Call your Health Care Provider if you have influenza-like symptoms and you are pregnant, have underlying medical conditions, are over 65 or under 5 years of age. You may need to book an appointment quickly to receive treatment.
     
  • Only go to the Emergency Department if your illness is severe or worsening; such as having difficulty breathing, shortness of breath, chest pain, continuous vomiting or severe diarrhea with signs of dehydration, confusion, seizures, or extreme lack of energy.

 

When Can I get the H1N1 Vaccine?

On Wednesday, Oct 21st, the Ministry of Health announced its intention to send a partial shipment of vaccine to all health units so that immunization can take place next week with the first priority groups.

The first shipment of vaccine contains an adjuvant, an additive made up of natural ingredients, that speeds up the body’s immune response and may lengthen the duration of immunity.

As soon as vaccine arrives in the Health Unit offices, we will be advertising where those who fit into the first priority groups can go to get immunized.

The Priority Groups Are:

  • Health care workers
  • Individuals under 65 years of age with selected chronic medical conditions if significant enough to require regular medical follow up or hospital care, including:
      - Blood disorders
      - Liver disease
      - Heart disease
      - Asthma and chronic lung disease
      - A weakened immune system (i.e., people taking cancer drugs or people with HIV/AIDS)
      - Neurological disorders
      - Severe obesity
      - Diabetes
      - Kidney disease
  • Pregnant women over 20 weeks or all pregnant women with chronic medical conditions
  • New mothers within 4 weeks after delivery
  • Children 6 months of age to under five years of age
  • Household contacts and care providers of:
      - infants less than 6 months of age
      - persons who are immunocompromised

H1N1 Clinic Flyer for Posting pdf format

H1N1 Priority Groups Listing pdf format

 

What should I expect at a Priority Group Clinic?

Eligibility Forms:

  • Eligibility forms are used to determine if you fit into the priority group
     
  • Eligibility forms can only be completed at clinics. They are not available online
     
  • When you arrive at the clinic, you will receive a numbered eligibility form
    Complete one form per person to be immunized
     
  • You can pick up a form for other household members that fit into a priority group who are unable to wait in line
     
  • You will be given instructions at the clinic regarding the number on the eligibility form

Parents:

  • If you send your child to the clinic with another adult, sign this
    consent form and send it to the clinic.
     

How long will it take after I receive the vaccine to have immunity against the virus?

After receiving the H1N1 flu vaccine, most people will start to develop immunity within 10 days with just one dose.
 

Can an individual have the H1N1 influenza vaccine if they are currently taking an anti-viral drug (i.e. Tamiflu)?

The H1N1 influenza vaccine can be given to individuals who are taking anti-viral drugs. However, individuals should be well before receiving the H1N1 influenza vaccine (ie: mild fever or fever absent for 24 hours without the use of over-the-counter medications and the person is feeling well enough to resume normal activities). Individuals can receive the H1N1 influenza vaccine if they have a mild cough with no other symptoms.

For individuals planning to attend a public clinic, the Health Unit asks that only those who have been fever free for 24 hrs attend to avoid spreading an infection to others at the clinic. If you still have a fever but wish to be immunized, please contact your primary care provider.
 

When Can Seniors 65+ get the H1N1 Vaccine?

According to the Ministry of Health, those 65 and over are at a much greater risk of becoming ill with seasonal influenza than with H1N1 influenza. Evidence is showing that in general, those 65 and over have built up an immunity to H1N1-possibly because they have been exposed to a similar virus earlier in their lives. It is therefore recommended that those 65 and over get the seasonal influenza vaccine as soon as possible and the H1N1 influenza vaccine once it is available to this age group (sometime in November). The Ministry’s vaccination program has been set up this way to best protect everyone.

http://www.health.gov.on.ca/en/ccom/flu/h1n1/public/seniors.aspx


What can snowbirds do about getting the H1N1 shot before travelling south for the winter?

Adults who were born before the year 1957 are at lower risk of contracting the H1N1 virus. There is evidence to suggest that this age group has been exposed to viruses in their lifetime that are similar to the H1N1. Therefore they may have antibodies that are protecting them from coming down with this H1N1 influenza. However, there is always the potential for infection and the Canadian government is offering all Canadians the vaccine if they want it. Due to limited supply of vaccine, the current recommendation is to offer those people who are considered at risk (such as health care workers, individuals under 65 years of age with chronic medical conditions, pregnant women, very young children, household contacts of infants less than 6 months and persons who have weakened immune systems) in the first round of shots. When this group has been immunized, the rest of the population, including the snowbirds, will be offered the vaccine. We do not know at this point when enough vaccine will be available and can not guarantee that it will be available before your trip. Please keep checking the Health Unit web site for up-to-date information about our clinics.


Are seniors able to get the seasonal flu shot at this time?

Yes.

The family doctors have seasonal influenza vaccine. This is the recommended vaccine for all adults over the age of 65 years.

Speak to your health care provider if you missed the earlier clinics and wish to be protected from seasonal flu.


Why isn’t this Health Unit vaccinating children 5-18 in the first priority groups?

We are immunizing priority groups according to instructions from the MOHLTC and as advised by the PHAC. These priority groups were developed by an expert scientific group based on evidence collected during the spring H1N1 outbreak in Canada and the winter H1N1 outbreak in the Southern Hemisphere. We believe that we should base our decisions on evidence and decisions of expert groups who have had ample time to study the evidence and provide their advice. It is regrettable that two school aged children have died already in this second wave of H1N1. These events are tragic. However, they do not alter the epidemiology of this outbreak that identifies school age children at low (but not zero) risk of complications and death due to H1N1 while other groups such as pregnant women and children under 5 years of age are at much higher risk. Our vaccine supply is very limited. We wish to give this limited supply to those who can benefit most from it rather than divert it to those who are known to benefit less.


How many doses of H1N1 vaccine should children 9 years of age and under be receiving?

Currently, the Public Health Agency of Canada recommends that children from six months to nine years old receive two half-doses of the H1N1 adjuvanted vaccine administered at least 21 days apart. Children 10 years and older should receive one full dose of the H1N1 adjuvanted vaccine.


Why can’t children 9 years of age and under get one full dose?

The manufacturer has recommended two half doses for children from 6 months to 9 years of age based on the results of clinical trials studying children’s response to this and other similar vaccines such as the seasonal flu vaccine. These trials show that children do not respond to the vaccine as well as adults and require 2 doses to get full protection. Giving more vaccine at the first dose results in more adverse reactions without removing the necessity of giving the second dose to get full protection.
 

Will schools be closed to control the spread of H1N1?

The Public Health Agency of Canada (PHAC), the Ministry of Health and Long Term Care (MOHLTC), and the Health Unit are not recommending school closures at this time. PHAC states that widespread proactive closure of schools may not be effective in preventing the transmission of H1N1, and the benefits of keeping schools open currently outweighs the risk of transmission in these settings. This recommendation will be reviewed based on the situation in Canada, Ontario and locally.

The Leeds, Grenville and Lanark District Health Unit is monitoring school absenteeism and is frequently communicating with schools and school boards to ensure safe environments for students and staff. In the event that a school’s absenteeism rate is unusually high, and school closure is being considered, the Health Unit and the school board would consult prior to deciding the best option for that school.
 


General Public Information


Health Care Professionals


Schools / Daycares
(Resources for School Staff, Daycare Providers and Parents)


Pregnant Women


Workplaces


Faith Groups


Municipalities


Social Clubs / Youth Groups


Pandemic Planning


Pandemic (H1N1) 2009


Hand Hygiene

Hand hygiene is the best way to prevent the spread
of Pandemic (H1N1) 2009


Respiratory Etiquette


Influenza Vaccination


Caring for People with Influenza at Home


Cleaning and Disinfecting


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Posters


Fact Sheets


Other Government Sites

For further information about Pandemic (H1N1) 2009, please visit:


Other Health Unit Sites

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