Wednesday, September 23, 2009
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Wednesday, September 23, 2009
New A/H1N1 influenza: management of cases in schools
The Ministry of Education, University and Research, Department of Education, with Circular No. Prot A00DPIT/2410 of September 18, 2009, has issued recommendations and operational guidelines for the management of cases of pandemic flu virus H1N1, agreed with the Ministry of labor, health and social policies, behaviors that schools must observe for the management of cases of pandemic influenza virus (H1N1) in schools and to prevent its spread.
Here are the recommendations and operational guidelines for the management of cases of pandemic influenza virus H1N1
1. HYGIENE MEASURES TO BE TAKEN TO SCHOOL AND BEHAVIORAL (by students and staff)-Hand hygiene: Wash your hands regularly with soap and water, especially after coughing, sneezing and have blown my nose;
-Proper handling of respiratory secretions ("respiratory label"): cover your mouth and nose when coughing or sneezing, preferably with a piece of paper to throw in the trash immediately after use;
-Routine cleaning with normal products commonly used, surfaces and furnishings that are in contact with your hands (desks, chairs, blackboards, electronic devices used: video projectors, computers, etc.).. To clean immediately, in cases where such areas present themselves visibly soiled,-Do not consume food, drink already tasted by others, or packaging not intact;
-Do not eat using cutlery others
Non-mouthing pens , erasers, pencils and other materials for use in the education and / or common-
ventilate the classrooms and groups regularly during the interval and after the end of all the daily school activities.
2. Stay home when you are sick
students and school personnel who develop fever or flu-like syndrome * (* usually fever, cough, sore throat, muscle and joint pain, chills, weakness, malaise and, sometimes, vomiting and diarrhea) are responsible to stay at home in their own interest and that of others, and you should contact your pediatrician or family doctor when symptoms persist or get worse.
the benefits of this measure are:-
prevent the onset of flu complications for the person who is affected;
-avoid infecting other people (including people who belong to groups at risk of developing serious sequelae);
-limiting and / or limit the spread of the morbid event.
readmission to community life after 48 hours is recommended, but not earlier than 24 hours by the disappearance of fever, unless otherwise indicated by the physician.
This time, however, varies depending on the clinical picture and the disappearance of fever.
Therefore, it is recommended to maintain the flow of information between school administration, local health authorities, doctors and pediatrician and parents in a more coherent as possible.
E 'is also strongly recommended that proper management of respiratory secretions (respiratory label "), as specified in Item 1.
Since it has been shown, through laboratory tests, that children in particular can be eliminated through the respiratory secretions, the flu virus more than 24 hours by the disappearance of fever, although less frequently than in febrile individuals, is recommended, however, the back to school, the correct application of the management of respiratory secretions and hygiene of the hands, to minimize the spread of people from groups at risk of complications. The
readmission to school will follow procedures already in use in individual regions and autonomous provinces.
3. SCHOOL STAFF AND STUDENTS PRESENTING flu symptoms
In case of fever or flu symptoms * school staff should contact the parents or guardian, for taking care of a child at home.
* If the flu is manifested in the school staff, the headteacher, or those appointed by him, invites him to go home and possibly contact your doctor, who will deal with measures of abstention from work, as by law.
remains vital and necessary in the interests of public health, maintain transparent management information between the Head of the school, the competent department of the territorial reference ASL, the doctors (pediatrician, medical general practitioners) and their parents.
In correspondence with the epidemic peak expected, will be scheduled with the Regions / PP.AA. a sentinel system to monitor the absences (from kindergartens to high schools), identifying the schools involved in each Local Health Unit, in consultation with the school authorities.
These data make it possible to monitor the progress of absences compared to historical data from previous years, the evolution of the epidemic curve, the presence of a cluster within a school.
4. LOGISTICS MANAGEMENT EDUCATION AS PREVENTION
In the event of power spikes and widespread outbreaks of influenza pandemic novel virus A/H1N1v may be implemented measures to limit the 'crowds' and, according to the instructions of the competent ASL, it will be evaluated by school management, the possibility of postponing school trips, events and other events assemblino more classes / schools in the peak periods of the disease.
5. CLOSING OF SCHOOLS TARGETED.
The benefits of closing schools appear very small in relation to social issues, health and safety that would be created.
Closing may instead maintain a sense of opportunity in the presence of a trend particularly serious cases of illness. Such situations, for now at a very low probability of occurrence, will be evaluated at the time and may be possibly subject to further guidance.
health authorities on alert - ASL, and after an appropriate risk assessment, the mayor of the municipality where the school is located, in agreement with the head teacher, may be suspended in whole or in part of the educational activities for students or the possible closure of the school.
The duration of the suspension of teaching activities or closure of the school will depend on the severity and extent of disease.
Schools, which will be prepared for the suspension of teaching, they may still be accessible to teachers and staff to facilitate continuity of teaching, although in other ways. Posted by Staff
jus to 2.21
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