To: Parents/guardians/staff
From: Michelle Veayo, RN, School Nurse
Hall-Dale Middle School/High School
Subject: Exposure to Influenza and Pertussis
Infection Control and Prevention
Date: December 6, 2012
You may have heard from the media about confirmed cases of influenza (flu) and its early arrival in Maine. Symptoms of the flu include a fever, cough, sore throat, runny nose, muscle or body aches, headaches and fatigue. Vomiting and diarrhea can be present but are more common in children than adults.
The flu is spread from person to person mainly by droplets when people with the flu cough, sneeze or talk. It is also possible to get the flu from touching a surface that has flu virus on it, and then touching your own mouth or nose. Most people may be able to infect others up to 1 day before symptoms develop and up to 5-7 days after becoming sick. Average incubation period is 2 days.
Students presenting with Influenza-like illness symptoms (fever greater than 100 degrees F with a cough and/or sore throat) will be sent home from school. A student may return to school when he/she has been without a fever for 24 hours without the use of fever-reducing medication.
To reduce the risk of getting or spreading the flu, wash hands thoroughly with warm water and soap frequently, cough or sneeze into your sleeve, and stay home if there is a fever greater than 100 degrees F with a cough and/or sore throat. If you and/or your son/daughter hasn’t already received a flu vaccine and you would like to, it is not too late. You may check in with your family physician’s office or visit a local Hannaford, Rite Aid or CVS to receive a flu vaccine.
The Maine Center for Disease Control and Prevention (Maine CDC) continues to investigate cases of pertussis also known as (whooping cough) in Kennebec County. Last week there were 13 new cases of confirmed pertussis in Maine with 10 of those being in Kennebec County.
Pertussis is an illness that is spread from person to person through coughing and sneezing. Pertussis usually begins with symptoms of a common cold (sore throat, and runny nose) and often develops into a severe cough after a few weeks. The cough can last for several weeks or more. Most children are vaccinated against pertussis, but it is still possible for vaccinated children to become ill. Babies are most at risk of serious illness.
To prevent the spread of pertussis in our school community community, we are making the following recommendations:
If your child has a persistent or severe cough (may include coughing to the point of gagging, vomiting after coughing or difficulty breathing) or a prolonged cough lasting 2 weeks or longer, please take your child home and contact your health care provider. If your provider suspects pertussis, they will obtain a specimen to be sent for pertussis testing.
Children/Adults with severe cough, prolonged cough or confirmed pertussis will be started on antibiotics and will need to remain at home for 5 days while taking these antibiotics.
Please check with your medical provider to be sure you and your child are up-to-date on pertussis vaccine. Most children have had vaccine before the age 7 years, but their immunity to the disease may gradually wane over time. Booster shots (Tdap) are now recommended for children 11-18 years old. A single Tdap shot is also recommended for adults, especially adults who have contact with infants and young children.
If you have further questions, please contact the School Nurse at 207-622-4162 or the Maine CDC at 1-800-821-5821.
Thank you.
Wednesday, December 12, 2012