Information about H1N1 influenza (swine flu) for King County health care providers and pharmacies

Below are health alerts and links to resources related to 2009 H1N1 flu organized by topic. A list of recent health alerts in reverse chronologic order is available on the Communicable Disease Epidemiology and Immunization Section's page for health care providers.

	Vaccination
	Diagnosis, reporting, and testing
	Treatment
	Infection control
	Planning
	Resources for pharmacies

Vaccine registration and availability information:

• Information on availability of H1N1 vaccine at King County pharmacies and H1N1 (11/6/2009)
• How King County health care providers can enroll to become an H1N1 (swine flu) vaccine provider (10/09/09)
• Instructions on ordering and receiving H1N1 vaccine (10/09/09)
• Provider agreement for receipt of H1N1 influenza vaccine 2009-2010
• Washington H1N1 Vaccine Administration Fee Matrix (WA State Dept. of Health)
• H1N1 Influenza Vaccine Provider Weekly Vaccine Usage (Accountability) Report (MS Excel)

Frequently Asked Questions:

• Frequently Asked Questions About H1N1 Influenza (Swine Flu) Vaccine
• Frequently Asked Questions About Nasal-Spray Flu Vaccine LAIV (FluMist)

Other support documents:

• Concerned about H1N1 (swine) flu vaccination for yourself or your child? What you should know
• Vaccine Information Statement (VIS) for Live, Intranasal 2009 H1N1 Influenza Vaccine
• CDC Novel H1N1 Vaccination Recommendations
• Optional sample parent/patient notification form that can be used when administering mercury-containing H1N1 vaccine. Form in English and Spanish online

Sample consent forms for H1N1 vaccine. Federal law requires providers to offer patients receiving an H1N1 vaccination a copy of the H1N1 Vaccine Information Statement (VIS) for the formulation they are receiving. Signature for consent is not required by federal or state law, but may be by your facility or agency's risk management policy. The two examples of screening, consent, and documentation forms posted below--one from Washington Department of Health and one from Public Health - Seattle & King County--can be modified for use by your clinic or facility:

• H1N1 monovalent vaccine health screening questionnaire: MS Word | PDF
• Public Health – Seattle & King County 2009 H1N1 Influenza Vaccine Registration and Consent:
  MS Word | PDF | Reference guide to "Yes" answers (PDF)

H1N1 vaccine conference call minutes:

• Sept. 29, 2009
• October 6, 2009
• October 15, 2009
• October 22, 2009

H1N1 weekly vaccine bulletins:

• Bulletin # 1, Oct. 12, 2009
• Bulletin # 2, Oct. 19, 2009
• Bulletin # 3, Oct. 28, 2009
• Bulletin # 4, Nov. 4, 2009
• Bulletin # 5, Nov. 13, 2009
• Bulletin # 6, Nov. 20, 2009
• Bulletin # 7, Dec. 3, 2009
• Bulletin # 8, Dec. 11, 2009
• Bulletin # 9, Dec. 18, 2009

Copies of broadcast faxes to providers:

• Feb. 17, 2010: Weekly reporting requirement has been replaced with a monthly reporting requirement
• Jan. 15, 2010: Revised: Recommendations for the second dose of H1N1 vaccine for children who received Sanofi-Pasteur 0.25mL H1N1 vaccine for the first dose
• Dec. 30, 2009: H1N1 ancillary supply kit information
• Dec. 29, 2009: Preventing and reporting vaccine waste
• Dec. 22, 2009: Expanded eligibility for 0.5mL thimerosal-free H1N1 vaccine
• Dec. 22, 2009: Procedures for transferring or returning vaccine (updated)
• Nov. 23, 2009: Keeping H1N1 vaccine safe during power outages
• Nov. 20, 2009: Requesting a refill
• Nov. 20, 2009: H1N1 vaccine administration reporting reminder

• CDC/AAP 2009-2010 Influenza Season Triage Algorithm for Children (<18 years) With Influenza-Like Illness
• CDC 2009-2010 influenza season triage algorithm for adults (>18 Years) with influenza-like illness (10/05/09)
• Novel Influenza A H1N1 Infections - Updated Reporting and Testing Guidelines (09/16/09)
• 2009 H1N1 Laboratory Testing Algorithm (09/15/09)
• 2009 H1N1 Specimen Collection and Submission Instructions (PDF, WA State Dept. of Health)
• 2009 H1N1 Virology Submission form (PDF, WA State Dept. of Health)
• 2009 H1N1 Case Report Form (PDF, WA State Dept. of Health)

• CDC Key Issues Concerning Antiviral Treatments for 2009 H1N1 (11/6/2009)
• Updated information on H1N1 antiviral treatment (09/20/09)
• When to seek medical care for possible influenza, including H1N1 influenza (swine flu) (available in multiple languages)
• Health Alert summarizing recommendations for antiviral treatment and prophylaxis of influenza (09/08/09)
• CDC Updated Interim Recommendations for the Use of Antiviral Medications in the Treatment and Prevention of Influenza for the 2009-2010 Season
• Oseltamivir resistant novel Influenza A H1N1
• Peramivir IV for hospitalized patients with influenza (PDF):
  • Peramivir IV fact sheet for health care providers
  • Peramivir IV fact sheet for patients
  • Peramivir IV request form

• CDC guidance on H1N1 influenza infection control in healthcare facilities (10/14/09)
  
  
• Annotated list of recommendations from key professional and public health authorities focusing on respiratory protection (10/14/09)
  
  
• Status of infection control guidance for novel influenza A H1N1 (09/08/09)
  
  
  • Centers for Disease Control and Prevention (CDC) H1N1 guidance (05/13/09)
  • World Health Organization (WHO) (issued 04/29/09; updated 07/10/09)
  • Society for Healthcare Epidemiology (SHEA), Infectious Diseases Society of America (IDSA) and the Association for Professionals in Infection Control and Epidemiology (APIC) (06/12/09)
  • CDC's Healthcare Infection Control Practices Advisory Committee (HICPAC) Recommendations for Care of Patients with Confirmed or Suspected 2009 H1N1 Influenza Infection in Healthcare Settings (07/23/09)
  • Public Health Agency of Canada (07/28/09)
  • Infectious Disease Society of Washington (05/07/09)
  • Institute of Medicine report (09/03/09)

• Medical Offices and Clinics Pandemic Influenza Planning Checklist
  
  
• Novel Influenza A H1N1 (PDF) by Jeff Duchin, MD, Chief of Communicable Diseases, Epidemiology and Immunizations at Public Health
  
  
• Preparing for Fall
  By Charissa Fotinos, MD, Medical Director, Public Health - Seattle & King County (PowerPoint presentation, 1 Mb, 08/31/09)
  
  
• Health and Medical Area Command Planning Activities
  By Cynthia Dold, MPP, MPH, Hospital Emergency Preparedness Administrator, Public Health - Seattle & King County (PowerPoint presentation, 3Mb, 08/31/09)
  
  
• Novel Influenza A H1N1 Planning for Medical Offices & Outpatient Facilities (07/22/09)

The following videos are taken from an H1N1 Influenza (Swine Flu) Public Health and Medical Response Briefing, conducted by Public Health -- Seattle & King County and the King County Healthcare Coalition on August 31, 2009, at Seattle Children's Medical Center. The briefing focused on detailing the current disease situation and disease trends to expect in Fall 2009, current planning efforts by Public Health – Seattle & King County and across the healthcare system, and what organizations should be doing to prepare.

Disclaimer:
This presentation does not represent official recommendations or guidance from Public Health - Seattle & King County. Information in this presentation was current and accurate at the time of the presentation, 8/31/09. For current guidance, see Centers for Disease Control and Prevention and Public Health - Seattle & King County H1N1 homepage.

• Show opening and introductory remarks with Dorothy Teeter, Chief of Health Operations at Public Health - Seattle & King County
  
  
• Command Planning Activities with Cynthia Dold, Hospital Emergency Preparedness Administrator
  
  
• Preparing for Fall with Charissa Fotinos, MD, Medical Director at Public Health
  • Question & Answers
    
    
• H1N1 Situation Update by Jeff Duchin
  • Question & Answers