Physician Corner - A Physicians Guide to H1N1 Pandemic Flu
This section is designed to gather information on H1N1 flu for local physicians to access easily. Please follow the links to access more information on the topics listed below. For more information on H11N1 influenza, vaccine or antivirals call Angie Smith, Epidemiologist at (419) 668-1652 ext: 231 or Chris Cherry, Director of Nursing at (419) 668-1652 ext: 230.
The CDC has provided guidance for healthcare providers on preparing for surges in H1N1 pandemic flu. Read more about what you can do to prepare your practice and your staff.
The CDC has provided guidance on the use of antivirals. Read more about recommended antiviral uses and doses.
The CDC has provided guidance on the use of antivirals for pregnant women, H1N1 vaccine and pregnant women, and pregnant women in sensitive occupations:
The CDC has provided Home Care Instructions for patients/parents with suspected H1N1 influenza. Click here to print those instructions for your patient.
The U.S. Food and Drug Information has posted the package inserts with H1N1 monovalent vaccine information as well as common questions and answers about the H1N1 vaccine. Read more about the H1N1 vaccine.
The CDC has posted information for vulnerable populations, including pregnant women, young children and those with chronic medical conditions. Click here to print that information for your patients.
The CDC has posted recommendations for vulnerable populations and pneumonia vaccine during the H1N1 pandemic. Read the CDC guidance on pneumonia vaccine for the 2009-2010 flu season.
The ODH has updated its algorithm for testing specimen for pandemic H1N1 influenza. Read the ODH Testing Algorithm. It is important to note that ODH tests for community surveillance purposes, and not for diagnostic purposes. Only suspected H1N1 cases who are hospitalized and cluster of suspected H1N1 cases will be tested. Further, the turn-around time for test results has been running roughly 5-10 days. Physicians are encouraged to treat presumptively based on symptoms according to CDC recommendations. If you believe that you have a hospitalized case of H1N1 influenza, please coordinate specimen collection and shipping through your hospital lab. If you believe that you have a cluster of possible H1N1 cases linked to a healthcare, day care, school or other institutional setting, please contact the Huron County General Health District at (419) 668-1652 ext: 231 to arrange for testing.
Click here for guidance to pharmacists on compounding Tamiflu oral suspension, for information on Tamiflu oral suspension shortage, for information on potential medical errors on Tamiflu dosing with oral suspension, for Tamiflu dosing guidance, for the Tamiflu Emergency Use Authorization, for Tamiflu facts sheets for providers and patients, for the MedWatch Safety Alert posted 3/4/2008, and for the FDA notice approving Tamiflu for use with children under 12.
Reporting High Blood Lead Levels
For blood lead levels ≥10 µg/dL in children, contact Bev Morgan, RN, Public Health Nurse, at the Huron County General Health District.
Refer to "Lead Testing Requirements and Medical Management Recommendations" in this binder for additional actions, like follow-up testing and additional referrals.
- WIC (in Norwalk): (419) 668-6855
- WIC (in Willard): (419) 933-6713
- Huron County BCMH: (419) 668-1652 ext: 252
- ODH Childhood Lead Poisoning Prevention: (614) 466-5332
Brochures and Handouts for Patients
Reporting Animal bites and Rabies By law, all animal bites must be reported to the Environmental Division of the local health department. Please complete and fax the Report of Animal Bite Form to Fax: (419) 660-0129. Phone: (419) 668-1652 ext: 239
Human rabies cases are Class A reportable diseases. By law, confirmed cases, suspected cases and positive lab tests for rabies in humans must be reported immediately by telephone.
Phone: (419) 668-1652 (Press 0 and explain that you are calling to report a Class A reportable disease.)
After Hours: (419) 668-6912. Explain that you are calling with a Class A reportable disease report.
For more information on communicable disease reporting requirements, see the first section of your Public Health Desk Reference for Huron County Healthcare Providers entitled Infectious Disease Reporting. The list of reportable communicable diseases can be accessed by clicking “Know Your ABCs” on the links below.
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