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Flu Information 2018-2019

  • Get vaccinated
  • Cover cough
  • Stay away or isolate
  • Wash hands

Information About 2018 – 2019 Seasonal Influenza (Flu)

If sick stay home or in dorm room.

In preparation for the 2018-2019 Flu Season CSU East Bay SHCS is adopting the CDC Guidance for Responses to Influenza for Institutions of Higher Education.

The CDC recommends that Universities do NOT require a doctor’s note to confirm illness or recovery and SHCS at CSU East Bay will not be issuing doctor’s notes, sick notes or “excuses” for Influenza Like Illnesses (ILI).

This policy will decrease the spread of Influenza Like Illnesses (ILI) to students seeking treatment for other injuries or illnesses. If you are asked for a sick note please print out a copy of the CSU East Bay 2018 – 2019 Flu Sick Note memo for the employer or faculty member requesting the sick note.

The CDC has NOT as yet reported any widespread Influenza Outbreaks.

https://www.cdc.gov/flu/weekly/usmap.htm


There have been sporadic Influenza outbreaks in California.


Patients with the 2018-2019 Influenza are expected to have symptoms of an influenza like illness
disease (Fever 37.8C or 100 F, and a cough and / or sore throat) for about a week.


Most fit and healthy patients in the USA will recover without the need for medical
evaluation, treatment or specific antiviral medications.

The 2018-2019 Influenza Vaccine is expected to be more effective than the 2017-2018 vaccine. CSU Students can access the Quadrivalent Flu Vaccine via the SHCS Vaccine Clinic
  • Influenza Like Illness (ILI) is defined as fever (temperature of 100°F [37.8°C] or greater) and a cough and/or a sore throat in the absence of a KNOWN cause other than influenza
  • Influenza has an incubation period of 1 – 7 days.

Seasonal Influenza is spread by:

  • Hands
  • Coughing or sneezing
  • Contaminated surfaces or objects such as door handles

  • To help stop the spread of germs, clean your hands frequently (every half hour) and after coughing and sneezing.
  • Wash with soap and water.
  • Clean with alcohol-based hand cleaner (>60%).
  • Cover your mouth or nose with a tissue when you cough or sneeze.
  • If you don't have a tissue, cough or sneeze into your upper sleeve, not into your hands.
  • Put your used tissue in a waste basket.
  • Practice good health habits. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids and eat nutritious food.
  • Stay home or in your dorm room.
  • People who are mildly sick do NOT need to see a healthcare provider or get tested for Influenza.
  • Do not go to college, classes or work.
  • Stay away from classes, labs, library, parties etc. and limit your interactions with other people (“self-isolation”), until at least 24 hours after you no longer have a fever, or signs of a fever, without the use of fever-reducing medicines.
  • If you must go into the community (e.g. to seek medical care) wear a simple face (aka surgical or procedure) mask.
  • Stay away from others during this time period even if you are taking antiviral drugs
  • Prepare for Home Care / Dorm Care
  • Buy a thermometer, stock up on hand sanitizers (>60% alcohol), cleaning materials, tissues, and over-th-counter medicines.
  • Establish a “flu buddy plan” so that you and your buddies can support one another if any of you becomes ill.

If you are ill with fever and a cough:

Medical Care

  • People who are NOT at High Risk and DO NOT have symptoms of Severe Flu do NOT need to see a healthcare provider or get tested for Influenza
  • Do not visit the Student Health Center or other medical facility to obtain a "sick note" - these are NOT required for Influenza or ILI absences.
  • Influenza Testing is expensive and is prioritized for the seriously ill and for hospitalized individuals with specific symptoms and signs.
  • Perform Self-Care
  • Stay well hydrated - water, sports drinks, rehydration solutions.
  • Take Tylenol (acetaminophen) or Ibuprofen as recommended on packaging to ease aches and lower your temperature.
  • Monitor your temperature at least twice a day.
  • Stay at home - Self Isolate at home.
  • People who are mildly sick do NOT need to see a healthcare provider or get tested for Influenza.
  • Do not go to college, classes or work.
  • If you must go into the community (e.g. to seek medical care) wear a simple face (aka surgical or procedure) mask
  • Perform Self-Care

 

Patients who have been exposed to Influenza or have symptoms of Influenza AND are at high risk for complications of influenza or who have symptoms or signs of Influenza that may indicate a more serious infection should immediately seek care from the SHS or other healthcare provider:

  •  If you have a Influenza Like Illnesses (ILI) and visit Student Health & Counseling Services you will immediately be given a simple face (aka surgical or procedure) mask to wear in order to help protect others.

Patients who have any of the following should promptly seek care from SHCS or other healthcare provider:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in the chest.
  • Dehydration from vomiting and diarrhea
  • Severe or persistent vomiting
  • Sudden dizziness
  • Confusion
  • Shaking chills
  • Are severely ill
  • Flu-like symptoms improve, but then return with fever and worse cough

Patients who have been exposed to Influenza or have symptoms of Influenza AND are at high risk for complications of influenza or who have symptoms or signs of Influenza that may indicate a more serious infection should immediately seek care from SHCS or other healthcare provider:

Patients at high risk for complications of Influenza include those who:

  • Have chronic lung disease such as asthma, emphysema, chronic bronchitis, bronchiectasis, or cystic fibrosis.
  • Have heart disease.
  • Have chronic kidney disease.
  • Have diabetes or another chronic metabolic disorder.
  • Have any condition that can compromise the respiratory system.
  • Have severe anemia.
  • Have diseases including HIV infection or are on medicines eg. chronic steroid or cancer chemotherapy that depress immunity.
  • Pregnant
  • Persons 18 years or younger receiving chronic aspirin therapy.

Thermometers
There are many three main types of thermometers – digital thermometers, disposable thermometers and ear (tympanic) thermometers excluding the old fashioned glass thermometers which contain mercury.

Digital Thermometers have a display window and an on/off button at one end and a temperature sensor at the other end.
These thermometers are designed for oral (under tongue) use, underarm (armpit or axillary) use or rectal use.
Digital thermometers are available online and from most pharmacies.
Omron is one of the major digital thermometer manufacturers – please see instructions for use.

Disposable Thermometers are thin plastic strips with a matrix of colored dots (usually blue) each labeled with a specific temperature.
These thermometers are designed for oral (under tongue) use and underarm (armpit or axillary) use.
Tempa Dot Thermometers are one of the commonest disposable thermometers  – please see instructions for use.  

Ear (Tympanic) Thermometers are more expensive and are more difficult to self administer.

Old Fashioned Glass Thermometers containing mercury are NOT recommended.

  • A normal temperature is 98.6 degrees Fahrenheit (°F) or 37 degrees Centigrade (°C).
  • An underarm (armpit or axillary) temperature is 0.5 - 1.0 °F (0.3 - 0.6°C) lower than an oral temperature.
  • An ear (tympanic) temperature reading is 0.5 - 1.0 °F (0.3 - 0.6°C) higher than an oral temperature.
  • A fever is a temperature of 100 °F ( 37.8°C).
  • Do not eat or drink anything hot or cold for 10 minutes before taking your oral temperature.
  • Place the thermometer under your tongue, just to one side of the midline, and close your lips tightly around the thermometer.
  • Leave the thermometer in place for the length of time recommended by the manufacturer (usually 1 to 3 minutes).
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