By Debra Frick
Are you wondering on how to prepare for an influenza pandemic? You need to know both the magnitude of what can happen during a pandemic outbreak and what actions you can take to help lessen the impact of an influenza pandemic on you and your family. This will affect not only your family; it will affect your neighbors, the people who run your utilities, and your local corner store. There is a good chance that places we take for granted ever day will shut down or not be able to function – schools, gyms and churches.
Plan ahead! Talk with family members and loved ones about how they want to be cared for if they get sick. Will you need to care for them in your home or elsewhere?
We have all heard the dire predictions and estimated death tolls from this virus, if it does indeed becomes a pandemic . While it can be scary with a little thought we can all be prepared to survive.
Here are some facts:
• Flu can cause fever, chills, headache, dry cough, runny or stuffy nose, sore throat, and muscle aches.
• Unlike other common respiratory infections such as the common cold, influenza can cause extreme fatigue lasting several days to more than a week.
• Although nausea, vomiting, and diarrhea can sometimes accompany influenza infection, especially in children, gastrointestinal symptoms are rarely prominent.
• The illness that people often call “stomach flu” is not influenza.
Here are some practical things you might have not thought of that should be necessary if we do have a flu outbreak and we find ourselves caring for many sick family members.
1. Where am I going to isolate sick family members?
The CDC recommends that all members with the flu be isolated to one room. Keep the sick person in a room separate from the common areas of the house. (For example, a spare bedroom with its own bathroom, if that’s possible.) Keep the sickroom door closed. This makes sense in that you have all sick people together and can isolate germs.
2. How do I care for someone with the flu?
The sick person should not have visitors other than caregivers. A phone call is safer than a visit. If possible, have only one adult in the home take care of the sick person. People at increased risk of severe illness from flu should not be the designated caretaker, if possible. Unless the fever is over 101, do not take meds to reduce it. Use cool clothes to bring it down. Fever is the body’s way of fighting the flu. Because of the fever, make sure you keep them well hydrated with water or fruit juice or fluids with electrolytes. Hot teas such as spice or chamomile with lemon and honey are also good. There are anti-virals that can be prescribed by your doctor or use herbs from a naturopath or herbalist.
3. When should I get emergency medical care?
If you have any of these signs, seek emergency medical care right away:
• Difficulty breathing or shortness of breath
• Pain or pressure in the chest or abdomen
• Sudden dizziness
• Confusion
• Severe or persistent vomiting
• Decreased or no movement of your baby
• A high fever that is not responding to Tylenol®
4 If I’m the caregiver, how do I keep from getting sick?
• Wear gloves if your hands will come in contact with respiratory secretions (mucus) or other body fluids; or contact with contaminated surfaces.
• It can not be said enough WASH YOUR HANDS! When hands are visibly soiled or contaminated with body fluids, wash hands with soap (either plain or antimicrobial) and water. If hands are not visibly soiled, use an alcohol-based hand rub. Use paper towels for drying hands after hand washing or dedicate cloth towels to each person in the household. For example, have different colored towels for each person.
• Old button down shirts can be used as gowns to cover your clothes if you are going between sick rooms and don’t want to risk sharing germs. If you are holding a baby or small child, wearing a gown is advisable it will protect you from being coughed or sneezed on. If weather permits, consideration should be given to maintaining good ventilation in shared household areas (e.g., keeping windows open in restrooms, kitchen, bathroom, etc.).
• Facemasks and respirators may be purchased at a pharmacy, building supply or hardware store as can latex gloves.
5. What steps should I take to help prevent the spread of germs and protect my health?
• Cover your nose and mouth with a tissue when you cough or sneeze, or sneeze into your sleeve. Throw the tissue in the trash after you use it.
• Wash your hands often with soap and warm water, especially after you cough or sneeze. Avoid touching your eyes, nose or mouth. Germs spread this way.
• Try to avoid close contact with sick people. (If you are pregnant and living or having close contact with someone who has H1N1 flu, talk to your doctor .) Avoid close contact (less than about 6 feet away) with the sick person as much as possible.
• Have a plan to care for sick family members.
• Stock up on household, health, and emergency supplies, such as water, Tylenol®, non-perishable foods.
6. How do I deal with household cleaning, laundry, and waste disposal during this time?
• Throw away tissues and other disposable items used by the sick person in the trash container lined with a plastic bag.
• Wash your hands after touching used tissues and similar waste.
• Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant according to directions on the product label.
• Linens, eating utensils, and dishes belonging to those who are sick do not need to be cleaned separately, AND importantly, these items should not be shared without washing thoroughly first.
• Wash linens (such as bed sheets and towels) by using household laundry soap and tumble dry on a hot setting. Avoid “hugging” laundry prior to washing it to prevent contaminating yourself. Clean your hands with soap and right after handling dirty laundry.
• Eating utensils should be washed either in a dishwasher or by hand with water and soap.
7. What to do I do if I have to go out?
Unless going for medical care or other necessities, people who are sick with an influenza-like-illness should stay home keeping away from others as much as possible. This means: do not travel for at least 24 hours after the fever is gone. (Fever should be gone without the use of a fever-reducing medicine). This is to keep from making others sick.
If persons with the flu need to leave the home, they should wear a facemask, and cover their nose and mouth when coughing or sneezing. Have the sick person wear a facemask, if they need to be in a common area of the house near other persons.
8. What to do I do if I am Pregnant?
If you are pregnant caring for the sick person. (Pregnant women are at increased risk of influenza-related complications and immunity can be suppressed during pregnancy). Health care professionals don’t know if this virus will cause pregnant women to have a greater chance of getting sick or have serious problems. They also do not know how this virus will affect the baby. They do know that pregnant women are more likely to get sick than others and have more serious problems with seasonal flu. These problems may include early labor or severe pneumonia. They don’t know if this virus will do the same, but it should be taken very seriously.
9. How do I plan for a pandemic?
• Store a two week supply of water and food. During a pandemic, if you cannot get to a store, or if stores are out of supplies, it will be important for you to have extra supplies on hand. This can be useful in other types of emergencies, such as power outages and disasters. Periodically check your regular prescription drugs to ensure a continuous supply in your home.
• These are some examples of food and medical supplies that might be good to have on hand:
• Food: Ready-to-eat canned meats, fish, fruits, vegetables, beans, and soups, protein or fruit bars, dry cereal or granola, peanut butter or nuts, dried fruit, crackers, canned juices, fluids with electrolytes, canned or jarred baby food and formula, bottled water
• Medical items: Prescribed medical supplies such as glucose and blood-pressure monitoring equipment, soap and water, alcohol-based (60-95%) for hand washing and cleaning thermometers, medicines for fever, such as acetaminophen or ibuprofen, thermometer and sleeves, anti-diarrheal medication, vitamins – especially vitamin C, antacids such as calmcet, cough syrups, ingredients for plasters (mustard or onion plasters), cleansing agent/soap, face masks, old shirts to be used as gowns.
• Other non-perishable items: portable radio, flashlight, pet food, batteries, manual can opener, bottle opener, garbage bags, tissues, toilet paper, disposable diapers, vinegar, baking soda, bleach, Lysol or Basic H.
10. Will I have enough beds for sick family members?
Cots, camping and bunk beds can be found rather cheaply online or at your local sporting goods store. Plus these are easier to sanitize than a mattress or boxspring. You are going to need extra blankets and pillows and sheets for these beds. It is recommended that all these things be washable in hot water. MAKE YOUR OWN. The Good will and Salvation Army sell blankets cheaply. Two sewn together or crocheted together make a nice warm blanket for that patient with the chills. Make your own pillows out of cotton fabric that can be pre shrunk or out of some old clothes. Large Skirts work well for this. Realize you will be having patients with muscle aches and pains. Extra Pillows will be a god send.
11. What if I only have one bathroom?
Even though diarrhea and vomiting are not usually associated with the flu, you need to be prepared none the less. There is no delicate way to put this. Yyou are going to have several people with the runs. If you don’t have enough bathrooms, a portable toilet can be made with a five gallon bucket and a toilet seat attached. These will need to be emptied and cleaned with a strong bleach solution. You are going to need extra water to flush your toilet. Don’t use your drinking water. So this summer set up a garbage to collect rain water for flushing the waste down the toilet. (unless you are in the 2 states where this is illegal) You can do this with out having to worry about breeding mosquitoes if you just squirt a little dish soap in the water every couple of weeks to kill the larvae. Remember when summer is over to move this into a indoor space to avoid freezing. A Privacy screen can be made from a couple of bi fold doors hinged together. Remember to stock up on toilet paper and Clorox wipes or make your own out of paper towels and 1/4 cup bleach to a gallon of water.
12. Do I need a generator?
This is not a luxury item when you are wanting to keep your frozen food frozen while the power is out. For about $300 you can save your food in your freezer. It can also be used to run a TV, a radio or a computer. These can be bought at any hardware or online. Some companies offer free shipping. Summer time is the best time to find these on sale. Get a couple of gas cans and stock up on gas when the price is low. These can be stored safely in a garage or shed until needed. Remember metal cans are safer that the cheap plastic. You can run your freezer for two weeks on 4 gallons of gas. Plus you don’t have to run your freezer 24-7 you can run it for a couple hours at a time on and off to keep the food frozen. This would maximize your gasoline consumption.
12. What do I do with our kids?
Flu can be very serious in young babies. Babies who are breastfed do not get as sick and are sick less often from the flu, than do babies who are not breastfed. Breastfeeding protects babies. Breast milk passes on antibodies from the mother to a baby. Antibodies help fight off infection. Do not stop breastfeeding if you are ill. Breastfeed early and often. Limit formula feeds if you can. This will help protect your baby from infection. Be careful not to cough or sneeze in the baby’s face, wash your hands often with soap and water. Your doctor might ask you to wear a mask to keep from spreading this new virus to your baby. If you are too sick to breastfeed, pump and have someone give the expressed milk to your baby.
Is it OK to take medicine to treat or prevent H1N1 flu while breastfeeding? Yes. Mothers who are breastfeeding can continue to nurse their babies while being treated for the flu.
When holding small children who are sick, place their chin on your shoulder so that they will not cough in your face. Teach your children to stay away from others as much as possible if they are sick.
Children, especially younger children, might be contagious for a longertime.
Keep your kids home if they are sick. This also applies for parents – if you are sick, STAY HOME! Stock up on board games, card games and coloring books. Older kids might like puzzles. Extra Batteries for the game boy and wii; and maybe some new computer games stockpiled would be a good idea also. Put aside some books or download ebooks.
If the electricity goes out, besides your freezer, you might want to invest in some old fashioned oil lamps to light your home. They provide more light than a candle and can be bought new for as little as four dollars at Wal-Mart. You will need one for every family member and a couple extra just to provide additional light.
You also may want to hit the local farms market to get fresh vegetables to make homemade soups this summer that you can freeze for your sick ones this winter. Chicken Noodle and a mild vegetable soup will be soothing and quick when you have hungry people to feed.
I truly don’t think that we need to go into Panic Mode about this flu pandemic thing. I just believe if we are prepared more people will survive and that’s what we all want.