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Information regarding Novel H1N1 Flu for the University of Kentucky community

The University of Kentucky will continue to update the campus community as warranted based on changes to the situation.

Novel H1N1 Flu

As we continue our fall semester, we would like you to know that University of Kentucky officials are closely monitoring the evolving Novel H1N1 outbreak. UK's Pandemic Planning Workgroup has been meeting since April, and we continue to work with local health agencies to receive the most current information. The safety of students, faculty, staff, and patients remains our top priority, and contingency plans will be implemented quickly if the situation worsens.

This website will be updated as needed throughout the semester with new information regarding Novel H1N1 and the University's plans. Please use the links in the left menu to learn more about how to protect yourself and what to do if you believe you have the virus. In the meantime, we hope that you enjoy your time at UK and take full advantage of all that the campus has to offer.

Vaccine Clinic

Novel H1N1 Vaccine Clinic
University Health Service (830 S. Limestone Street)
Friday, November 20
8:00am to 12:00pm

The University Health Service will continue to offer its allotment of the intranasal* vaccine to members of the UK campus community who are 18 years of age or older (or who have a UK student ID).

*UHS ONLY has the intranasal vaccine available at this time. The following conditions EXCLUDE one from receiving this form of the vaccine:

  • Over the age of 49
  • Pregnant women/nursing mothers
  • Asthma (any type, diagnosed at any time in life)
  • Anyone with history of Guillain-Barré syndrome after flu vaccine
  • Anyone with hypersentivity/allergic to egg proteins, gentamicin, gelatin, or arginine or life threatening reactions to previous flu vaccine
  • Anyone who is immunocompromised
  • Anyone that works with immunocompromised patients
  • Anyone that has been on steroids in the past 6 weeks (e.g., Medrol dose pack, Prednisone, etc.)
  • Anyone that has been on an antiviral in the last 48 hours (e.g., Tamiflu, Relenza, etc.)
  • Anyone that has had a live vaccine in the last 28 days (e.g., MMR, Varicella)
  • Chronic medical conditions predisposing to influenza complications (i.e., Diabetes, Cancer, Kidney Disease, Heart Disease (excluding hypertension), etc.) — intranasal is not recommended unless potential benefit outweighs the potential risk

For Students

The University Health Service will be open during the fall semester six days a week, Monday through Friday from 8:00 am to 6:00 pm and Saturday 9:00 am to 11:00 am. Please note that UHS is closed for the Thanksgiving Holiday (Thursday through Sunday) and will also be closed Christmas, New Year's Day, Martin Luther King Day, Memorial Day, July 4th, and Labor Day. Call 859-323-INFO (4636) to speak with a nurse or 859-323-APPT (2778) to make an appointment.

As a reminder, all full-time UK students pay a mandatory health fee in the fall and spring semesters that entitles them to most services at University Health Service at no additional cost. Treatment at other locations (i.e., hospital emergency department, urgent treatment center…) are NOT covered by the student health fee.

The symptoms are similar to the symptoms seen during the regular seasonal flu and include:

  • fever greater than 100.4 degrees Fahrenheit
  • cough
  • sore throat
  • body/muscle aches
  • respiratory congestion
  • quick onset of symptoms

A significant number of people who have been infected with this virus also have reported diarrhea and vomiting. Like seasonal flu, the Novel H1N1 flu may cause a worsening of underlying chronic medical conditions.

At present, many health care providers have suspended specific testing protocols for the Novel H1N1 virus and are diagnosing patients with the virus based on the patient's presentation of symptoms alone.

Once the Novel H1N1 vaccine becomes available, the CDC recommends that you be inoculated. In general, maintaining a healthy lifestyle can help maximize your immune system and prevent you from becoming ill. You should strive to:

  • Get adequate rest (8 hours of sleep per night)
  • Eat a balanced diet, including plenty of fruits and vegetables
  • Exercise regularly
  • Manage stress

Specific actions you should take to prevent influenza include:

  • Stay away (6 feet) from someone who is actively coughing or sneezing
  • Wash your hands regularly using warm soap and water. If soap and water are not available, alcohol-based hand sanitizer is a suitable substitute (the University encourages you to carry your own personal sized container of hand-sanitizer)
  • Avoid touching your eyes, nose, and mouth (especially after coughing or sneezing)

According to the CDC, the Novel H1N1 flu virus is similar to that of the seasonal flu. With seasonal flu, studies have shown that people may be contagious from one day before they develop symptoms up to 7 days after they get sick. The following measures are suggested by the CDC:

  • Be prepared in case you get sick and need to stay home for a week or so; a supply of over-the-counter medicines, alcohol-based hand rubs, tissues, and other related items might be useful and help avoid the need to make trips out in public while you are sick and contagious.
    UK suggests that each student have a flu kit that contains the following items:
    • Digital thermometer
    • Tissues
    • Acetaminophen (Tylenol), Ibuprofen (Motrin, Advil), or Naproxen (Aleve) for pain and fever (not aspirin)
    • Cough medicine containing dextromethorphane Guaifenesin (examples: Robitussin DM, Delsym, Mucinex DM)
    • Decongestant for stuffy nose (use only if no history of stroke, insomnia, high blood pressure)
    • Hand sanitizer
    • Sanitary wipes with bleach
    • Sports drink, soup mix, bottled water
  • Students who live on campus and have flu related illnesses should self-isolate (i.e., stay away from others) in their residence hall room or apartment while they are ill and for at least 24 hours after their fever is gone (their fever should be gone without the use of a fever-reducing medicine) except to get medical care or for other necessities.
    UK suggests that each student have a plan for alternate living accommodations while ill. Given that students are expected to self-isolate while they are ill and for at least 24 hours after their fever is gone, many may find it more comfortable to return home for that time period.
  • If you are sick, limit your contact with other people as much as possible. Cover your mouth and nose with a tissue when coughing or sneezing. Put your used tissue in the waste basket. Then, clean your hands, and do so every time you cough or sneeze.
  • Get plenty of rest.
  • Drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated.
  • Wear a facemask – if tolerable – when sharing common spaces with others. Currently, facemasks are available from University Health Service and your Residence Hall front desk.
  • Avoid close contact with others — do not go to work or school while ill
  • If you experience any of the following symptoms, seek medical attention immediately:
    • Difficulty breathing or shortness of breath
    • Pain or pressure in the chest or abdomen
    • Sudden dizziness
    • Confusion
    • Severe persistent vomiting
    • Flu-like symptoms improve but then return with fever and worse cough
  • Students may choose to seek medical attention on campus at the University Health Center or any one of a number of other medical clinics in the area.

No, UHS is not an overnight infirmary.

First try and get a friend or family member to transport you. Call a taxi and have them bring you.

Please call 859-323-INFO (4636) to speak with the triage nurse. That person can assist you with other resources and provide the next available appointment for you.

Yes, University Health has 65 staff including:

  • 10 physicians
  • 6 Nurse Practitioners
  • 11 Nurses
  • 2 health educators and a dieticiain

Many of the physicians are board certified in areas such as Family Practice, Internal Medicine, Women's Health, Psychiatry, Occupational Medicine, Emergency Medicine, and Pediatrics. In addition, the nurse practitioners have certifications in areas such as family medicine, women's health, and psychiatry.

CDC recommends that people with influenza-like illness remain at home until at least 24 hours after they are free of fever without the use of fever-reducing medications.

UK provides resources to help students cope with these types of life events through its Counseling and Testing Center. Students may call 257-8701 during business hours: 8:00 am - 5:00 pm Monday - Friday. For resource and referral information after hours, please call 457-0022.

In anticipation of flu related illnesses associated with the Novel H1N1 virus among students and visitors to the University of Kentucky and in anticipation of the regular flu season this year, UK has prepared the following information to help residents understand the current circumstances and educate you on steps you can take to reduce your risk of infection.

University Housing is in constant communication with University officials and medical personnel as we monitor the developing situation involving flu related illnesses affecting our campus community. Should circumstances warrant a modification in our response to protect our students and campus community, University Housing staff will mobilize to make any necessary adjustments to meet the evolving needs associated with this developing situation.

According to the CDC, the Novel H1N1 flu virus is similar to that of the seasonal flu. With seasonal flu, studies have shown that people may be contagious from one day before they develop symptoms to up to 7 days after they get sick. The following measures are suggested by the CDC:

  • Be prepared in case you get sick and need to stay home for a week or so; a supply of over-the-counter medicines, alcohol-based hand rubs, tissues, and other related items might be useful and help avoid the need to make trips out in public while you are sick and contagious.
    UK suggests that each student have a flu kit that contains the following items:
    • Digital thermometer
    • Tissues
    • Acetaminophen (Tylenol), Ibuprofen (Motrin, Advil), or Naproxen (Aleve) for pain and fever (not aspirin)
    • Cough medicine containing dextromethorphane Guaifenesin (examples: Robitussin DM, Delsym, Mucinex DM)
    • Decongestant for stuffy nose (use only if no history of stroke, insomnia, high blood pressure)
    • Hand sanitizer
    • Sanitary wipes with bleach
    • Sports drink, soup mix, bottled water
  • Students who live on campus and have flu related illnesses should self-isolate (i.e., stay away from others) in their residence hall room or apartment while they are ill and for at least 24 hours after their fever is gone (their fever should be gone without the use of a fever-reducing medicine) except to get medical care or for other necessities.
    UK suggests that each student have a plan for alternate living accommodations while ill. Given that students are expected to self-isolate while they are ill and for at least 24 hours after their fever is gone, many may find it more comfortable to return home for that time period.
  • If you are sick, limit your contact with other people as much as possible. Cover your mouth and nose with a tissue when coughing or sneezing. Put your used tissue in the waste basket. Then, clean your hands, and do so every time you cough or sneeze.
  • Get plenty of rest.
  • Drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated.
  • Wear a facemask – if tolerable – when sharing common spaces with others. Currently, facemasks are available from University Health Service and your Residence Hall front desk.
  • Avoid close contact with others — do not go to work or school while ill
  • If you experience any of the following symptoms, seek medical attention immediately:
    • Difficulty breathing or shortness of breath
    • Pain or pressure in the chest or abdomen
    • Sudden dizziness
    • Confusion
    • Severe persistent vomiting
    • Flu-like symptoms improve but then return with fever and worse cough
  • Students may choose to seek medical attention on campus at the University Health Center or any one of a number of other medical clinics in the area.

According to the CDC website, "[Roommates/suitemates/apartment mates/family members] who are well but who have an ill [roommate/suitemate/apartment mate/family member] at home with Novel H1N1 flu can go [about their daily business as] usual. These [otherwise well individuals] should monitor their health every day, and take everyday precautions including washing their hands often with soap and water, especially after they cough or sneeze. Alcohol-based hand cleaners are also effective." It is also strongly suggested that otherwise well individuals remain at least 6 feet away from the sick roommate/suitemate/apartment mate at all times.

Quarantining sick individuals is not a recommended response in our current situation. Residence hall students with flu related illnesses are being advised by medical personnel to self-isolate in their rooms or apartments while they are ill and for at least 24 hours after their fever is gone (fever should be gone without the use of a fever-reducing medicine) except to get medical care or for other necessities. Self-isolation means limiting movement to the student's immediate living quarters and bathroom or apartment area unless venturing out of the hall/apartment to seek medical care.

The University of Kentucky does not require students to leave campus if they develop flu related symptoms or illnesses but we do highly recommend it. Given that students are expected to self-isolate while they are ill and for at least 24 hours after their fever is gone (fever should be gone without the use of a fever-reducing medicine), many students may find it more comfortable to return home for that time period to continue their recovery off campus. If a student chooses to leave campus to recover at home, they are strongly discouraged from utilizing public transportation to travel home. Whenever possible, students wishing to return home to recover should travel by private vehicle.

The CDC suggests that University students designate a "flu buddy." This person is someone that can check on them if they get sick, including dropping off needed supplies and food. The UK Dining Office is able to provide meals to the student's on-campus room if they are unable to visit dining facilities due to Novel H1N1. Details on how to access this service are under the "Meal Delivery" section. If the student must leave his/her room to access a common restroom or receive medical care, he/she should wear a facemask. Each Residence Hall has a supply of masks, and they will be provided to ill students as needed.

According to the CDC website: "To prevent the spread of influenza virus it is important to keep surfaces (especially bedside tables, surfaces in the bathroom, kitchen counters and toys for children) clean by wiping them down with a household disinfectant according to directions on the product label. Several chemical germicides, including chlorine, hydrogen peroxide, detergents (soap), iodophors (iodine-based antiseptics), and alcohols are effective against human influenza viruses if used in proper concentration for a sufficient length of time." Additional cleaning circumstances to consider include the following:

  • Linens, eating utensils, and dishes belonging to those who are sick do not need to be cleaned separately, but 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" dirty laundry prior to washing it to prevent contaminating yourself. Clean your hands with soap and water or alcohol-based hand rub right after handling dirty laundry.
  • Eating utensils should be washed either in a dishwasher or by hand with water and soap.
  • According to the Environmental Protection Agency (EPA), some suggested products to use for cleaning and sanitizing include the following:
    • Lysol Brand Disinfectant Foam Power Heavy Duty Bathroom Cleaner
    • Lysol Brand Disinfectant Direct Multi-Purpose Cleaner
    • Lysol Brand Pre-Moistened Touch-Ups Disinfecting Cleaning Wipes
    • Lysol Brand Foaming Disinfectant Basin Tub & Tile Cleaner II
    • Lysol Brand disinfectant Trigger Spray
    • Lysol Brand Disinfectant Basin, Tub, & Tile Cleaner Pre-Moistened Wipe
    • Lysol Brand Disinfectant Multi-Purpose Cleaner
    • Lysol Brand Disinfectant Pine Scent Basin Tub & Tile Cleaner
    • Lysol Brand Deodorizing Disinfectant Cleaner
    • Lysol Brand Disinfectant Bleach Plus
    • Lysol Brand Hard Water Stain Cleaner
    • Comet Disinfecting Bathroom Cleaner
    • Mr. Clean Multi-Surfaces Antibacterial
    • Ultra Mr. Clean
    • Windex Antibacterial Glass & Surface Cleaner
    • Tough Act The Heavy Duty Bathroom Cleaner
    • Clorox
    • Fresh Scent Clorox
    • Pine Sol Household Cleaner Disinfectant
    • Pine-Sol Spray
    • Ultra Clorox Brand Regular Bleach
    • Ultra Clorox Brand Fresh Scent Bleach
    • Ultra Clorox Brand 6.15% Bleach 30 Soluble Concentrate Clorox Company
    • Clorox Disinfecting Spray III
    • Ultra Clorox Bleach Formula

UK requests that anyone exhibiting flu-like symptoms NOT attend any activities on campus, including class. All university faculty have been provided information about the Novel H1N1 virus and the possible affect it may have on class attendance so that they may be prepared in the event a student is absent for this reason. No matter the reason for the absence, it is the responsibility of each UK student to understand the class attendance/absence policy for every course in which they are enrolled and to promptly notify their instructors if they must be absent. Students are also responsible for completing/making-up any required course work. Ultimately, the authority for deciding whether the documentation presented by the student justifies an excused absence rests with the instructor.

Not necessarily. The Provost has asked faculty to be as flexible as possible because of the Novel H1N1 pandemic. Your instructor will work with you — if you communicate with him or her — to ensure that you are not unduly penalized by your absence. It is important to understand that the University's excused absence policy described in the Student Code of Conduct has not changed (see section 5.2.4.2).

If you feel you are in this situation please contact your academic dean's office as soon as possible.

If you feel you are in this situation, please contact the Scholarship Office (room 100H Funkhouser Building; 859-257-4198) as soon as possible.

It is your responsibility to report your illness. However, if you are unable to contact your professor because you are incapacitated, ask a family member or friend to contact them for you. It is imperative to follow the established class polices and process for reporting your absences. UK suggests that you have phone and e-mail contacts for each of your instructors to ease this communication.

It is your responsibility to report your illness. UK suggests that you have phone and e-mail contacts for each of your instructors to ease this communication.

Most students who experience Novel H1N1 have a moderate experience with flu like symptoms and are able to return to classes 24 hours after fever is gone. We are encouraging students to first try and make up any missed classes. Make an appointment with a medical provider if your symptoms do not decrease in severity. For a medical withdrawal you will need documented medical intervention.

Typically, your class schedule will continue. Faculty who teach large enrollment classes have been asked to identify fellow faculty who would step in for them and teach their classes during periods of instructor illness.

The University of Kentucky encourages all persons to have a personal preparedness plan in the event of any emergency. A variety of resources are available to assist you with this, including:

If you become ill with Novel H1N1, the CDC recommends the following:

  • Be prepared in case you get sick and need to stay home for a week or so; a supply of over-the-counter medicines, alcohol-based hand rubs, tissues, and other related items might be useful and help avoid the need to make trips out in public while you are sick and contagious.
    UK suggests that each student have a flu kit that contains the following items:
    • Digital thermometer
    • Tissues
    • Acetaminophen (Tylenol), Ibuprofen (Motrin, Advil), or Naproxen (Aleve) for pain and fever (not aspirin)
    • Cough medicine containing dextromethorphane Guaifenesin (examples: Robitussin DM, Delsym, Mucinex DM)
    • Decongestant for stuffy nose (use only if no history of stroke, insomnia, high blood pressure)
    • Hand sanitizer
    • Sanitary wipes with bleach
    • Sports drink, soup mix, bottled water
  • Students who live on campus and have flu related illnesses should self-isolate (i.e., stay away from others) in their residence hall room or apartment while they are ill and for at least 24 hours after their fever is gone (their fever should be gone without the use of a fever-reducing medicine) except to get medical care or for other necessities.
    UK suggests that each student have a plan for alternate living accommodations while ill. Given that students are expected to self-isolate while they are ill and for at least 24 hours after their fever is gone, many may find it more comfortable to return home for that time period.
  • If you are sick, limit your contact with other people as much as possible. Cover your mouth and nose with a tissue when coughing or sneezing. Put your used tissue in the waste basket. Then, clean your hands, and do so every time you cough or sneeze.
  • Get plenty of rest.
  • Drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated.
  • Wear a facemask – if tolerable – when sharing common spaces with others. Currently, facemasks are available from University Health Service and your Residence Hall front desk.
  • Avoid close contact with others — do not go to work or school while ill
  • If you experience any of the following symptoms, seek medical attention immediately:
    • Difficulty breathing or shortness of breath
    • Pain or pressure in the chest or abdomen
    • Sudden dizziness
    • Confusion
    • Severe persistent vomiting
    • Flu-like symptoms improve but then return with fever and worse cough
  • Students may choose to seek medical attention on campus at the University Health Center or any one of a number of other medical clinics in the area.

Meal Delivery for Students Living on Campus during Isolation

While you are in isolation in your room, you may request to have meals delivered if you have a dining plan. Delivered meals will be a pre-determined menu based upon University Health Services recommendations for clear liquids and/or foods best tolerated with flu-like symptoms (please see isolation menu [XLS]). Your meal from this menu will be delivered to your door during the next scheduled delivery time (see below) after your call is received. A meal will be deducted from your balance. You may also pay with Flex Dollars or your Plus Account.

We ask that when you call, be ready to provide: your name, hall, room number, and Student ID number.

Phone Order Numbers and Hours:

Monday – Friday, 6:00 am to 5:00 pm, call 257-6161
Saturday, noon to 5:00 pm, call 257-6185
Sunday, 2:00 pm to 5:00 pm, call 257-9482

These numbers are for the Dining Services Administrative Office. Your order will then be prepared and delivered from a dining facility near your residence hall. Please note the smaller window in which to order on the weekends. You may pre-order weekend meals during the week.

Delivery Points:

Blazer Café: North Campus (Holmes, Jewell, Keeneland, Blazer, New North, and Wildcat Lodge)
Commons Market: South Campus (Blanding I, Blanding II, Blanding III, Blanding IV, Blanding Tower, Kirwan I, Kirwan II, Kirwan III, Kirwan IV, Kirwan Tower, Ingles Hall, Smith Hall, and Baldwin Hall)
K-Lair Grill: Central Campus (Donovan and Haggin Halls)

Delivery Times:

Breakfast — 7:30 am to 8:30 am
Lunch — 11:30 am to 12:30 pm
Dinner — 5:30 pm to 6:30 pm

Thank you for your understanding and cooperation with these procedures which are intended to best meet the needs of our residents. Get Well Soon!

Please note: this service is based on staff and resource availability and therefore, may be discontinued at any time with no prior notice.

Student Resources: Vaccine Information

The U.S. government is currently working closely with manufacturers to produce a vaccine for the Novel H1N1 virus.

The vaccine is now available in limited quantities. The Kentucky Department of Public Health has established a hotline to answer questions about the Novel H1N1 vaccine. You can call toll-free, 7 days a week from 8:00 a.m. - 10:00 p.m. 1-877-843-7727.

Vaccines are the most powerful public health tool for the control of influenza, and the U.S. government recommends that all who are eligible receive the vaccine. However, there is some possibility that initially the vaccine will be available in limited quantities. In this instance, CDC's Advisory Committee on Immunization Practices (ACIP) has recommended that certain groups of the population receive the 2009 H1N1 vaccine first. These target groups include:

  • pregnant women
  • people who live with or care for children younger than 6 months of age
  • healthcare and emergency medical services personnel
  • persons between the ages of 6 months and 24 years old
  • people ages of 25 through 64 years of age who are at higher risk for 2009 H1N1 because of chronic health disorders or compromised immune systems

UK has started to receive the Novel H1N1 vaccine. As on-campus clinics are scheduled, they will be publicized. Please check this website, the KY Kernel, and other media outlets often for updates. Additionally, the Lexington Fayette County Health Department has scheduled community clinics to distribute Novel H1N1 vaccine. Click here to see that schedule.

NO, the seasonal flu vaccine is not expected to protect against the 2009 H1N1 flu.

Yes, the CDC encourages individuals to get their seasonal flu vaccine as usual. The SEASONAL flu is a different strain than the NOVEL H1N1 and is expected to cause illness this fall and winter as normal.

The SEASONAL flu vaccine campaign for students was facilitated by University Health Service. It has ended for this year. If students still want to receive the SEASONAL flu vaccine, they are encouraged to contact their personal physicians and/or local health department. Some retail pharmacy locations (i.e., Kroger, Walgreens, Rite Aid . . .) may also offer the vaccine.

The Lexington – Fayette County Health Department has temporarily postponed their remaining SEASONAL flu vaccine clinics as they have exhausted their supply of vaccines. Check their website at: http://www.lexingtonhealthdepartment.org/ to learn when those clinics will be rescheduled.

The CDC anticipates that SEASONAL flu and Novel H1N1 vaccines may be administered on the same day. However, since the seasonal vaccine is already available, individuals are encouraged to go ahead and get their seasonal flu vaccine.

Yes, take everyday actions to stay healthy.

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective. (UK recommends that you carry your own personal sized container of hand sanitizer.)
  • Avoid touching your eyes, nose, or mouth. Germs spread that way.
  • Stay home if you get sick. CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

For Faculty and Staff

Frequently Asked Questions

There are no specific policies establishing special types of leave relating to an influenza outbreak or possible pandemic. Various types of leave may be available to you under University policy.

For staff employees:

For faculty employees:

You should consult with your supervisor or department head to determine if you qualify for leave. You may contact Human Resources Employee Relations at (859) 257-8758 for interpretation of Human Resources Policy and Procedure. For interpretation of Governing Regulations and Administrative Regulations, you may contact the Legal Office at (859) 257-2936 or the Office of the Associate Provost for Faculty Affairs at (859) 323-6589.

No. Existing policies for faculty and staff will apply in the event of an influenza outbreak or pandemic.

In extreme cases, the Staff Shared Leave Pool (SLP) may be available if a staff employee cannot come to work but has no available leave to use. The Staff Shared Leave Pool is a pool of donated Vacation Leave time, which a staff employee who has suffered a catastrophic illness or injury and exhausted all accrued paid leaves may be eligible to use. To be eligible for the SLP, an employee must meet all eligibility requirements, complete and submit and application, and be approved by the SLP Committee. For more information about the SLP: http://www.uky.edu/HR/emprel/SharedLeavePoolOverview.html

Various types of leave may be available to you under University policy to care for a sick family member.

For staff employees:

For faculty employees:

Temporary Disability Leave used to care for family members is limited to 30 days per year. You should consult with your supervisor or department head to determine if you qualify for leave to care for a sick family member. You should discuss your options with your supervisor or a Human Resources Employee Relations representative.

For Temporary Disability Leave purposes, a "family member" is defined as spouse, child, grandchild, mother/father, grandmother/grandfather, brother/sister (and steps, halves, and in-laws of the same relationship), legal dependent of the employee, and another who resides in the employee's household and for whom the employee has an obligation to provide care.

Yes. If you cannot come to work for any reason, you must promptly notify your supervisor or department head of the reason for your absence. You must provide notice of your absence in accordance with established departmental procedures and standards. You must keep your supervisor or department head informed of your absence and anticipated return to work date. Your supervisor or department head may require medical documentation of your illness.

As with any absence, you must promptly notify your supervisor or department head of the reason for your absence. Established departmental policies regarding absences and attendance apply for providing notice of your absence. You need to keep your supervisor or department head informed of your absence and anticipated return to work date. Your supervisor may require documentation of the school district or day care closure. If approved, and if you have accumulated vacation leave, you may be able to take off work with pay by using your available vacation leave. If you have no accumulated vacation leave balance available, you may also request a Special Unpaid Leave through your supervisor or department head and higher-level administrators; however, approval is not guaranteed. For more information on Special Leave: http://www.uky.edu/HR/policies/hrpp085.html

If you are unable to contact your supervisor because you are incapacitated, another family member or a friend should contact your supervisor for you. It is imperative to follow the established departmental policies and process for reporting your absences.

Yes. Applicable leaves may be used if available. If no paid leave is available, the absence may result in an unpaid leave. As with any serious or contagious illness, persons who become ill with the symptoms of influenza should immediately minimize contact with others to avoid transmission of the disease. Established departmental policies or practices will apply in this situation.

If you exhaust your temporary disability leave and vacation leave balances, you will be placed in an unpaid status. In extreme cases, the Staff Shared Leave Pool (SLP) may be available if a staff employee cannot come to work but has no available leave to use. The Staff Shared Leave Pool is a pool of donated Vacation Leave time, which a staff employee who has suffered a catastrophic illness or injury and exhausted all accrued paid leaves may be eligible to use. To be eligible for the SLP, an employee must meet all eligibility requirements, complete and submit an application, and be approved by the SLP Committee. Documentation from your health care provider will be necessary. For more information about the SLP: http://www.uky.edu/HR/emprel/SharedLeavePoolOverview.html

You are encouraged to educate yourself now regarding the potential risks of an influenza outbreak or pandemic and how to prepare. One way to prepare is to make every effort to accumulate sufficient Temporary Disability Leave to cover health emergencies. Visit UK's home page at www.uky.edu to obtain information about the Novel H1N1 influenza virus.

No. The University expects every employee to make a diligent effort to meet his or her job responsibilities. If you have accrued vacation leave, you may request to take vacation leave. However, your request is subject to the approval of your supervisor or department head.

It is important to educate yourself about the Novel H1N1 virus and its transmission. Visit UK's home page at www.uky.edu to obtain information about the virus and UK's response to the outbreak and possible pandemic.

No. You will not be paid for the days you are unable to get to work, unless you request to use accrued vacation leave and your supervisor or department head approves. If you are unable to arrange alternative transportation, and you do not have accrued vacation leave, you should discuss the situation with your supervisor or department head. Your supervisor or department head will consult with the Human Resources Office of Employee Relations to determine the best course of action.

It is important to plan ahead and look for other ways to travel to work. You may be able to ride-share with other employees. The Parking and Transportation Department offers an on-line matching service for employees who are interested in ride-sharing. http://www.uky.edu/Parking/transportation-ridematch.html

Yes. Your supervisor or department head has the authority to cancel any pre-approved vacation leave requests when it is in the best interest of your department or the University, such as in circumstances where there are serious staff shortages as a result of illness. Your vacation leave also could be cancelled if your job is considered "essential" under the University emergency policy. Check with your supervisor to determine if your job is considered essential.

If your job is considered "essential," your supervisor or department head will notify you annually. If you are unsure, please check with your supervisor or department head to find out if your job is considered essential. However, any position may be designated as essential at any point during a University state of emergency, even if not designated essential prior to the emergency. For more information, see the University emergency policy.

No. The President and senior University leadership will decide if a partial or full-closure of the university is necessary. If there is a partial or full closure of the University, essential support services will still be needed. Check with your supervisor or department head to determine if your job is considered essential. Announcements regarding the cancellation of classes, closure of offices, or delays are normally made by 6 a.m. through the local media. You can also find up-to-date and complete information from the UK Infoline at (859)257-5684, UK TV Cable Channels 16 and 19, channel 49 on campus, UK Alert, or the UK Web site at www.uky.edu.

If you are called for training or active duty in the Uniformed Services of the United States, you are eligible for Uniformed Services Leave, provided you give appropriate notice of your military obligations. For more information about Uniformed Service Leave, please see: http://www.uky.edu/HR/policies/hrpp075.html. "Uniformed Services" means the Armed Forces (Army, Navy, Air Force, and Marines), the Army National Guard, and the Air National Guard when engaged in active duty for training, inactive duty for training, or full-time National Guard duty; the commissioned corps of the Public Health Service; and any other category of persons designated by the President in time of war or emergency.

NOTE: Temporary employees are not eligible for Uniformed Services Leave.

If you are a certified disaster services volunteer of the American Red Cross, or wish to volunteer with any outside agency, you must apply and be approved for special leave under http://www.uky.edu/HR/policies/hrpp085.htm. Depending on the duration of the leave requested, the leave must be approved by your supervisor or department head and the appropriate Executive Vice President, the Provost, the President, or the Board of Trustees. Any applicable accrued leave that you have will be applied prior to the initiation of special leave.

Most University positions are not suited for telecommuting due to specific job duties that cannot be performed at home. However, you should speak with your supervisor or department head about the possibility of telecommunicating during an influenza outbreak. For more information about flexible work schedules, including telecommuting, please see: http://www.uky.edu/HR/WorkLife/.

Yes. You may be asked to work more hours and/or different hours than normal, especially if your position is considered Essential, or the university is short-staffed. There are no federal or state laws that limit the number of hours an employee may be required to work; however, the university will honor all state and federal laws as they relate to wages paid and hours worked.

There are no federal or state laws that state a maximum number of hours that an employee may be required to work in a week. In the event of a serious outbreak or pandemic, different work schedules or additional hours may be necessary to ensure that our students are supported and the University continues to function. You may be asked to work different or more hours than normal, especially if your position is considered Essential, or the university is short-staffed as a result of the influenza outbreak.

If an influenza outbreak occurs in the community, what assistance will be available to help me cope with its impact emotionally?

UK provides resources to help employees and eligible dependents cope with these types of life events through its Employee Assistance Program (EAP) REFER. REFER provides affordable sliding-scale payment options, confidential sessions, and flexible scheduling. You can contact REFER by calling (859) 257-1467 or (859) 257-7755. In addition, the Work-Life Office has a new resource, "Work + Life Connections," which allows you free visits (five per year) to help deal with stress and other life situations. The staff of Work + Life Connections can be reached at (859) 257-9433.

Will UK's health insurance plan cover medical expenses associated with an influenza outbreak or possible pandemic?

Each health insurance plan offers different levels of benefits. You should contact your individual plan administrator for details about your coverage. UK recommends you consult the Human Resources Benefits web site at http://www.uky.edu/HR/benefits/ for information about your medical plan. You also may call 859-257-9555 option 3.

The U.S. government is currently working closely with manufacturers to produce a vaccine for the Novel H1N1 virus.

The vaccine is now available in limited quantities. The Kentucky Department of Public Health has established a hotline to answer questions about the Novel H1N1 vaccine. You can call toll-free, 7 days a week from 8:00 a.m. - 10:00 p.m. 1-877-843-7727.

Vaccines are the most powerful public health tool for the control of influenza, and the U.S. government recommends that all who are eligible receive the vaccine. However, there is some possibility that initially the vaccine will be available in limited quantities. In this instance, CDC's Advisory Committee on Immunization Practices (ACIP) has recommended that certain groups of the population receive the 2009 H1N1 vaccine first. These target groups include:

  • pregnant women
  • people who live with or care for children younger than 6 months of age
  • healthcare and emergency medical services personnel
  • persons between the ages of 6 months and 24 years old
  • people ages of 25 through 64 years of age who are at higher risk for 2009 H1N1 because of chronic health disorders or compromised immune systems

UK has started to receive the Novel H1N1 vaccine. As on-campus clinics are scheduled, they will be publicized. Please check this website, the KY Kernel, and other media outlets often for updates. Additionally, the Lexington Fayette County Health Department has scheduled community clinics to distribute Novel H1N1 vaccine. Click here to see that schedule.

NO, the seasonal flu vaccine is not expected to protect against the 2009 H1N1 flu.

Yes, the CDC encourages individuals to get their seasonal flu vaccine as usual. The SEASONAL flu is a different strain than the NOVEL H1N1 and is expected to cause illness this fall and winter as normal.

The University of Kentucky does not offer the SEASONAL flu vaccine to all employees. It is offered to employees of UK Healthcare at no cost. However, the UK Healthcare seasonal flu vaccine campaign has ended.

All employees are encouraged to get the SEASONAL flu vaccine. Check with your personal physician and/or local health department regarding offerings. Some retail pharmacy locations (i.e., Kroger, Walgreens, Rite Aid . . .) may also offer the vaccine.

The Lexington – Fayette County Health Department has temporarily postponed their remaining SEASONAL flu vaccine clinics as they have exhausted their supply of vaccines. Check their website at: http://www.lexingtonhealthdepartment.org/ to learn when those clinics will be rescheduled.

No, employees already receive TDL for preventative health care and illness. Some departmental specific policies allow for one full day of TDL to be used for preventative purposes, which will not count as an "occurrence" for corrective action purposes. If employees do not have TDL, they can use VL. Employees are also encouraged to consult the Lexington Health Department vaccine schedule as they have clinic times during non-business hours.

The CDC anticipates that SEASONAL flu and Novel H1N1 vaccines may be administered on the same day. However, since the seasonal vaccine is already available, individuals are encouraged to go ahead and get their seasonal flu vaccine.

Yes, take everyday actions to stay healthy.

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective. (UK recommends that you carry your own personal sized container of hand sanitizer.)
  • Avoid touching your eyes, nose, or mouth. Germs spread that way.
  • Stay home if you get sick. CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

TASC Toolkit

Please click here to access a toolkit created by the UK Teaching and Academic Support Center (TASC) to assist faculty in planning for continuity of instructional delivery in the case of disruption by widespread illness.

Tips for Instructors and Faculty

The information below is based on recommendations from the Centers for Disease Control and Prevention, the Healthcare subgroup of UK's Pandemic Planning team, the Office of the Provost, and the Office of Emergency Management.

  • Proper hand hygiene is the best way to combat illness, especially the flu. Encourage students to wash hands regularly and carry their own personal sized container of alcohol-based hand sanitizer. This is especially true for teaching environments in which students come in contact with commonly used equipment (i.e., computer labs). Consider modeling this behavior by also carrying your own personal sized container of alcohol-based hand sanitizer.
  • Self-isolation of the sick is extremely beneficial in controlling the spread of any illness, especially the flu. The government reports healthy young adults are considered at high risk for contracting the Novel H1N1 virus. This includes a large majority of our University student population. Therefore, it is imperative that if a student is ill, he/she NOT attend class or any activities on campus. Please discuss your attendance/absenteeism policy with your class. Students should be clear on their responsibilities related to class attendance/learning. It should also be clear that we do NOT want ill students in class. If they must miss due to illness, it is their responsibility to notify you and make arrangements regarding missed instruction.
  • Students who display influenza-like illness symptoms in class may be asked to leave the classroom. The instructor should handle the situation with care, asking the student to step outside the classroom where an exchange may be conducted privately. The student must be reassured that he or she will be permitted to make-up missed class work or reschedule an exam.
    Students who live on campus and have flu-related illnesses should be encouraged to self-isolate themselves (i.e., stay away from others) in their residence hall room or apartment while they are ill, except to get medical care or for other necessities. Students should be told to return to class only after they are fever-free (without the use of a fever-reducing medicine) for at least 24 hours.
    It is appropriate for an instructor to remind students not to attend class if they have flu-like symptoms. Students should notify the instructor when they will be absent. Other helpful information on the Novel H1N1 Flu can be found at the UK website.
  • Although the young adult population is contracting the illness in greater numbers, it appears that they are experiencing milder symptoms and don't always require medical attention to recover. In order to avoid overcrowding doctors' offices and hospitals, the CDC recommends to schools to NOT require a doctor's excuse for Novel H1N1. Except for extreme cases (i.e., common exams) please consider this as well.
  • Utilize the Academic Alert Systems webform to report unusual numbers (~25% or more) of class absences and/or anecdotal information (student communication stating they have the flu) to the Office of the Provost. This information is essential to the University as we continually assess the impact of Novel H1N1 on our campus.
  • Encourage social distancing in class (when an option). The goal is to have at least 6 feet between each person. This might be achieved by having students stagger their seating arrangements (i.e., leaving an empty seat between).
  • Have a personal preparedness plan. Just as a large number of student absences affect learning, large numbers of instructor absences are also an issue. Please develop a personal preparedness plan. Consider a teaching "buddy" or substitute who could cover your class in the event you need to be out. Make plans for your family. Who will care for your children if schools and/or childcare facilities are closed? Will you need to be out to care for an ill family member?

The University of Kentucky encourages all persons to have a personal preparedness plan in the event of any emergency. A variety of resources are available to assist you with this, including:

For Medical Professionals

Pandemic Influenza Primer for Healthcare Workers (PDF)

Algorithm for Evaluation and Treatment of Patients with Suspected Influenza Infection (PDF)

FAQs on Novel H1N1 Influenza Pandemic Flu Primer

Swine Flu or more properly, Novel H1N1 influenza, is a respiratory disease caused by type A influenza viruses. The infection was originally called "swine" flu because it originated from pigs in Mexico, emerging from its animal host to infect humans. In fact humans, pigs and birds share Flu viruses all the time, and the genes of these viruses are modified each time they are transmitted from animals to humans and vice versa.

A Pandemic is an infection that occurs on a global scale. An Influenza Pandemic occurs when a new ("novel") Influenza virus with human, swine, and avian genes that has never circulated among humans before emerges from an animal reservoir to cause sustained human-to-human transmission on a global scale. This is fortunately an uncommon event, but on the rare occasion that this type of transmission with a new virus does happen, a pandemic results.

Flu viruses are spread mainly from person to person through coughing or sneezing by people with influenza. Transmission via large-particle droplets requires close contact between source and recipient persons because droplets do not remain suspended in the air and generally travel only a short distance (< 6 feet). Sometimes people may become infected by touching something – such as a surface or object – with flu viruses on it and then touching their mouth or nose. The latest information available indicates that Novel H1N1 (Swine) Flu is spread very similarly to Seasonal Flu viruses.

The incubation period for Seasonal and Novel H1N1Influenza infection is from 1 to 5 days from the time of contact to onset of symptoms.

The symptoms of Novel H1N1 flu in people are similar to the symptoms of regular human flu, except that patients with Novel H1N1 Flu may also have GI symptoms. They include fever, cough, sore throat, body aches, headache, chills, fatigue, and with Novel H1N1 influenza, diarrhea and vomiting in about 25 percent of people sick with the virus.

The CDC advises all healthcare workers with direct patient contact to become familiar with the signs and symptoms of "Influenza-Like Illness" or "ILI" for short. ILI is defined by the CDC as:

  • Rapid Onset of
    • Temperature ≥ 100.0 F
    • Cough
    • Sore throat
    in the absence of a known cause other than influenza
  • Additional symptoms associated with seasonal and Novel H1N1 Influenza that should be assessed in patients presenting with ILI:
    • Fatigue, body aches, chills, congested/runny nose, headache
    • 24 percent of patients with H1N1 Flu will also have vomiting and/or diarrhea

The worst symptoms from the Flu last 3-5 days, but some patients will experience Flu symptoms for 7-10 days or longer, depending on age, immune status, and complications such as secondary bacterial infection.

According to the CDC, "people infected with seasonal and novel H1N1 flu shed virus and may be able to infect others from 1 day before getting sick to 5 to 7 days after. This can be longer in some people, especially children and people with weakened immune systems and in people infected with the new H1N1 virus." The latest evidence in patients with Novel H1N1 influenza is that persistence of cough may be an indicator of ongoing virus shedding. Further studies are being completed to address this issue.

The CDC quotes studies showing that Influenza virus can survive on environmental surfaces and can infect a person for 2 to 8 hours after being deposited on the surface. This makes surface decontamination in the environment of someone sick with the Flu an important component in the prevention of spread of the Flu virus.

The CDC recommends several basic behaviors in order to prevent becoming ill with the Flu and spreading it to your co-workers, patients, or your own family members:

  • Cover your nose and mouth with a facial tissue when you cough or sneeze. Throw the tissue in the trash after you use it. If tissues are not available, cough or sneeze into the bend of your elbow, not into your hands.
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand sanitizers are effective against the influenza virus and have the advantage of being available as portable, personal-sized dispensers that can be carried with you wherever you go.
  • Avoid touching your eyes, nose, or mouth. Germs spread this way.
  • Try to avoid close contact with sick people.
  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.) Keep away from others as much as possible to keep from making others sick. Note: if you are a healthcare worker who gets sick with the Flu, you must stay home from work for 7 days or until symptoms have resolved, whichever is longer.
  • Get vaccinated for both seasonal and Novel H1N1 Influenza

If you are sick, you should stay home and avoid contact with other people as much as possible to keep from spreading your illness to others. Get lots of rest, drink plenty of fluids to prevent dehydration, and use acetaminophen or ibuprofen to control fever, aches, and pains. If you are a healthcare worker with direct patient contact, and/or you are in a high risk group for complications from either Seasonal or Novel H1N1 Influenza, you should be tested and treated (see below).

Children younger than 5 years old, adults 65 years of age and older, residents of nursing homes and other chronic-care facilities, and persons with the following conditions: Chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, hematological (including sickle cell disease), neurologic, neuromuscular, or metabolic disorders (including diabetes mellitus); Immunosuppression, including that caused by medications or by HIV; Pregnant women; Persons younger than 19 years of age who are receiving long-term aspirin therapy.

Pregnant women, household contacts and caregivers for children younger than 6 months of age, healthcare and emergency medical services personnel, all people from 6 months through 24 years of age, and persons aged 25 through 64 years who have health conditions associated with higher risk of medical complications from influenza.

After mid-July (mid-January for us) disease activity in most parts of the country decreased; the Novel H1N1 virus has not changed, or mutated, significantly so far; the most at-risk patients in the Southern Hemisphere are similar to those seen in the U.S. (as discussed above); healthcare systems experienced stress, but it was generally geographically isolated and relatively short-lived; commonly-used community mitigation measures included: school closures, cancellation of mass gatherings, isolation and quarantine, other social distancing measures, border screening, and temporary flight cancellations; all countries experienced some time-limited and/or geographically-isolated socioeconomic effects, including decreased tourism.

The CDC recommends that the following individuals receive annual vaccination:

  • Children aged 6 months up to their 19th birthday
  • Pregnant women
  • People 50 years of age and older
  • People of any age with certain chronic medical conditions
  • People who live in nursing homes and other long-term care facilities
  • People who live with or care for those at high risk for complications from flu, including:
    • Health care workers
    • Household contacts of persons at high risk for complications from the flu
    • Household contacts and out of home caregivers of children less than 6 months of age (these children are too young to be vaccinated)

The CDC is anticipating limited early supplies of this vaccine, so priority will be given to:

  • pregnant women
  • people who live with or care for children younger than 6 months of age
  • health care and emergency medical services personnel with direct patient contact
  • children 6 months through 4 years of age
  • children 5 through 18 years of age who have chronic medical conditions

The Centers for Disease Control and Prevention (CDC) recommends that priority for laboratory testing for influenza be given to persons who (1) require hospitalization or (2) are at high-risk for severe disease from seasonal influenza, even if infection with Novel H1N1 influenza is suspected since there is considerable overlap between high risk patient categories for each virus.

Although CDC does not list healthcare workers (HCW) in their recommendations for who should be tested and treated, it was felt that in order to protect our workforce from unnecessary absence from work, all HCW's with an ILI should be offered testing to distinguish whether they have influenza, in which case they would have to be away from work for at least 7 days, or another respiratory viral infection, in which case they could return to work once they are feeling better and are able to work. This addition to the CDC recommendations will become critical if we experience the anticipated 30-40 percent workforce shortage during the peak of the pandemic.

The recommended test is an Influenza reverse-transcriptase polymerase chain reaction (RT-PCR) test.

A nasopharyngeal swab should be obtained from the patient by a healthcare worker wearing an N95 particulate mask, eye protection, and protective gown and gloves using the new Becton Dickinson 3ML FLOCK FLEX MINITIP swab. The swab is inserted through the nostril and advanced to the nasopharynx of the patient. Once the specimen has been obtained, the swab is removed, the shaft broken at the red-marked score line, and the portion of the swab containing the tip is placed into the accompanying viral transport media. This is then labeled, bagged, and sent to the clinical microbiology laboratory.

Depending upon when a specimen is received for testing, results will be available within 4 to 24 hours of testing for most patients.

RT-PCR is used to detect viral RNA in clinical samples. The test can determine whether a patient's nasopharyngeal secretions contain an Influenza A, Influenza B virus, and/or Respiratory Syncytial Virus (RSV). Further testing is performed by the lab on samples testing positive for Influenza A to distinguish what Influenza subtype (Novel H1N1, Seasonal H1N1, H3N2) the patient's sample contains. Influenza subtype determination is important because antiviral susceptibility varies among Influenza viruses.

The CDC recommends that priority for treatment of suspected or documented influenza infection be given to persons who (1) require hospitalization and (2) are at high-risk for severe disease from Influenza (whether hospitalized or managed as outpatients).

We are making this recommendation in the case of actual infection in order to shorten the duration of the healthcare worker's clinical illness, decrease viral shedding, and reduce the risk of complications from influenza. Treatment of healthcare workers would potentially speed recovery from the Flu and minimize complications that may keep them from rejoining a strained, reduced workforce in as short a time as possible (7 days minimum per recommendations from CDC). In the case of unprotected exposure, we recommend antiviral chemoprophylaxis in order to prevent the exposed healthcare worker from becoming ill with Influenza, thereby preventing missed work and the potential to infect patients as well as family members in contact with the healthcare worker.

In addition to healthcare workers, the CDC also recommends that high risk individuals with close contact exposure to someone with influenza be considered for antiviral chemoprophylaxis.

The CDC defines close contact as having cared for or lived with a person who is a confirmed, probable, or suspected case of influenza, or having been in a setting where there was a high likelihood of contact with respiratory droplets and/or body fluids of such a person. The distance from infected to susceptible individuals that is usually used as a guide as to what is meant by "close" contact is 6 feet, but the duration of exposure likely has some bearing on transmission of infectious particles as well and this has not been carefully studied. Examples of close contact include sharing eating or drinking utensils, physical examination, or any other contact between persons likely to result in exposure to respiratory droplets. Close contact typically does not include activities such as walking by an infected person or sitting across from a symptomatic patient in a waiting room or office.

Presently, four antiviral medications are available to treat patients with suspected or documented influenza. These are the adamantanes rimantadine (Flumadine) and amantadine (Symmetrel), and the neuraminidase inhibitors oseltamivir (Tamiflu) and zanamivir (Relenza).

If the only viruses circulating in a community are Novel H1N1, Seasonal H3N2, and/or Influenza B, then either oseltamivir (Tamiflu) OR zanamivir (Relenza) are the agents of choice because these viruses are all susceptible to these antivirals. However, if Seasonal H1N1 Influenza virus begins to circulate along with these other viruses, treatment with either zanamivir or combination therapy using oseltamivir PLUS amantadine or rimantadine is necessary due to resistance of Seasonal H1N1 virus to oseltamivir. Once laboratory testing reveals the patient's actual Influenza virus subtype, empiric antiviral therapy can be adjusted accordingly.

The Clinical Microbiology Laboratory will keep physicians advised on an ongoing basis as to which influenza viruses we are seeing in the community in order to help guide appropriate empiric antiviral therapy.

All patients who have (ILI) who require clinic evaluation and/or admission to the hospital should be placed in Enhanced Droplet/Contact isolation immediately upon admission. Do not wait for influenza laboratory test results to place admitted patients with ILI into isolation. Ordering any influenza diagnostic test constitutes clinical suspicion that a patient has influenza, and all such patients should be placed in Enhanced Droplet/Contact isolation concomitant with ordering the test.

This level of isolation precautions must be ordered upon Suspicion of Influenza, and when ordering Influenza testing. Enhanced Droplet/Contact Precautions include the following:

  • Private room or cohort patients
  • Door may be kept open
  • Hand hygiene on entering and leaving room
  • *Standard mask* and gown for patient care
  • N95 mask and eye protection when performing aerosol-generating procedures (e.g., nasopharyngeal swabbing, aspiration of respiratory tract, intubation, resuscitation, bronchoscopy, autopsy)
  • Gloves for patient care
  • Patient wears mask and gown for transport
  • Dedicate equipment to room if possible

Every effort should be made to train all healthcare workers as well as registration and admissions personnel to screen for and recognize ILI. Patients suspected of ILI should have a regular surgical mask placed over their mouth and nose, as this has been shown to be effective at preventing patients with influenza from infecting others. In the ambulatory clinic setting, separate waiting areas should be designated for ILI patients, and Droplet/Contact Precautions signs should be placed on the doors of examination rooms into which ILI patients have been placed in order to alert healthcare workers entering the room to wear appropriate personal protective equipment. Posting of "cover your cough signs" and providing healthcare workers and patients with facial tissues and alcohol-based hand sanitizer are also good practices.

Although there remains some disagreement among experts, present knowledge on the transmission of Novel H1N1 influenza suggests that it is transmitted by similar routes to that of seasonal influenza, for which surgical masks are indicated for patient contact. N95 masks, in addition to eye protection such as that offered by goggles or a face shield, should be worn for selected procedures that are potentially aerosol-generating (e.g., obtaining a nasopharyngeal swab specimen from a patient, bronchoscopy, intubation, CPR, open airway suctioning, and sputum induction).

Effective immediately and until further notice, visitation of patients in all hospital areas is restricted to only one visitor at a time. No one under the age of 18 will be allowed to visit unless such an individual is the parent of a patient, because school age children represent one of the highest risk groups for shedding and spreading influenza to others. Compassionate visitation exceptions will be made on a case-by-case basis, and patient information will be distributed to explain this policy to parents, family members, and visitors of our patients.

Healthcare workers should be monitored and should self-monitor for development of symptoms consistent with an influenza-like illness. If such symptoms develop, the healthcare worker should do the following:

  • Do not come to work if you have ILI, and notify your supervisor if you develop Flu-like symptoms at home
  • If you become sick at work:
    • Notify your supervisor
    • Suspend patient care duties immediately
    • Place a surgical mask over your nose and mouth
    • Get tested for Influenza by RT-PCR and get yourself evaluated so that you can receive empiric antiviral therapy while you are waiting for Influenza test results
    • Go home
    • If you are documented as having Influenza, you may not return to work for 7 days OR until 24 hours after your fever and Flu symptoms have resolved, whichever is longer

A plan for rapid testing and evaluation of healthcare workers for influenza-like illness is being developed. Until we have a plan in place, each situation will be dealt with on a case-by-case basis. Please contact Infection Prevention and Control for guidance at 323-6337. We will update this document with further information once it becomes available.

Healthcare workers must report suspected close contact exposures to someone suspected or documented as having influenza. Examples of such exposures include, but are not limited to, living in a household with a person with suspected or documented influenza, examining a patient with suspected or documented influenza without wearing appropriate personal protective equipment (PPE), and working with respiratory equipment and secretions of, or obtaining a respiratory secretions sample from, a patient with suspected or documented influenza without wearing appropriate PPE. Follow the same guidelines above as if you were sick with Flu-like symptoms.

Absence from work will undoubtedly cause anxiety among healthcare workers worried about excessive sick leave. Healthcare workers and supervisors are advised to work closely with Human Resources (HR) professionals to resolve absence issues. The UK Human Resources Department has developed an FAQ document to help answer many of the questions related to this issue that they have been fielding, and this should be reviewed to answer these and other questions.

Several burdens on healthcare delivery are to be expected this fall and winter as we enter the anticipated peak in the Novel H1N1 pandemic. Successful planning for an influenza pandemic is based on the following assumptions:

  • We will see an overwhelming surge in outpatient/inpatient volume
    • Influenza patients
    • "Worried well" with other respiratory infections
  • We will likely experience workforce shortages of up to 30-40 percent for 4-8 weeks during the height of the pandemic
    • Anticipate taking on tasks that are not usually your responsibility
  • We will have to deal with basic supply shortages
    • PPE: masks, gowns, gloves
    • Anything that has to be delivered to the hospital, clinic, or office: medical supplies, food, soap, paper towels, alcohol-based hand sanitizer, toilet paper
    • Viral culture media, rapid influenza tests
    • Antiviral medications
    • Patient ventilators, monitors
  • We are likely to experience an uncomfortable, if only temporary, diminution of our usual standard of care; anticipate "Business NOT as usual"

The key to being ready is to start now to develop plans for how your facility, department, service line, or care area will deal with the above issues. This involves activation of leaders at all levels to come together and prepare a comprehensive plan in order to be ready.

  • Know ILI symptoms; look for them in every patient as they arrive
  • Educate your entire staff to look for and recognize ILI when they see it
  • Develop a rapid, up-front triage system for ILI
    • Train registration personnel to screen each patient
    • Immediately provide surgical masks to ILI patients
    • Designate a separate waiting area for ILI patients
    • Put up "Cover Your Cough" signs, offer patient education materials
  • Cross-train all clinic staff so that critical tasks can be completed even with key personnel out sick
  • Discourage staff with ILI from coming to work sick
  • Work with HR to excuse ILI-related absences
  • Develop an Emergency Operations Plan (a.k.a. Continuation of Operations Plan, "COOP")
    • Designate leadership (and backup) roles
    • Identify critical services that cannot be interrupted
    • Identify non-critical services that can be temporarily suspended in order to focus on critical services
    • Develop a rapid triage plan for patients, rapid patient assessment forms (e.g., UHS, Pediatric Clinic have nice examples), pre-written prescriptions
    • Work with Materials Management to make certain that they have stockpiled critical supplies
  • Monitor for unexpected surge in ILI patients presenting to your clinic/office
  • Establish "threshold" at which "business as usual" is no longer possible and your emergency operations plan goes into effect
  • Establish criteria for hospital admission
  • Develop an Emergency Operations Plan
    • Designate leadership (and backup) roles
    • Identify a "threshold" point at which:
      • Elective surgeries, admissions, and procedures are postponed
      • Discharges are expedited (care by parent education, discharge rounds, "middle of the night" discharges)
      • "Double-bunk" bed assignments are made
  • Work with Materials Management to make certain they have stockpiled critical supplies for you
  • Develop a ventilator allocation protocol

Frequently Asked Questions: Parents and Family

There have been cases of Novel H1N1 at UK. Currently, the cases (of which we are aware) have been limited and there should be no reason for your child to leave campus. The University is monitoring the situation closely and if the situation warrants will make the decision to temporarily suspend classes and/or other activities. In the meantime, we encourage everyone to take basic precautions to stay healthy. Those include:

  • Maximize your immune system by getting adequate sleep (8 hrs./night), eating well, and exercising regularly
  • Wash your hands regularly (or use an alcohol-based hand sanitizer) especially before touching eyes, nose, mouth – UK encourages everyone to carry their own personalized container of hand sanitizer
  • Stay 6 feet away from someone actively coughing or sneezing
  • Cover your cough (use tissues or sneeze or cough into your elbow)

At this time, UK is encouraging any student who is sick to leave campus (to stay with relatives or friends) until they are well. We do know that this may not be an option for many students. Unfortunately, university housing is at capacity and relocating students is not an option. In those situations, the ill student will be instructed to stay in his/her room until well. If the ill student must leave his/her room (for the common bathroom…) he/she will be asked to wear a basic surgical mask to limit spreading the virus. Masks are available from both University Health Service as well as Residential Life staff. UK's custodial staff will also increase cleaning in the common areas where an ill student may have been

The CDC suggests that University students designate a "flu buddy." This person is someone that can check on them if they get sick, including dropping off needed supplies and food. The UK Dining Office is able to provide meals to the student's on-campus room if they are unable to visit dining facilities due to Novel H1N1. The student should call the Dining Services Administrative Offices at 257-6161 if they will need this service.

UK requests that anyone exhibiting flu-like symptoms NOT attend any activities on campus, including class. All university faculty have been provided information about the Novel H1N1 virus and the possible affect it may have on class attendance so that they may be prepared in the event a student is absent for this reason. No matter the reason for the absence, it is the responsibility of each UK student to understand the class attendance/absence policy for every course in which they are enrolled and to promptly notify their instructors if they must be absent. Students are also responsible for completing/making-up any required course work.

You do not need to provide your son/daughter with a mask. If an ill student requires a mask to limit the spreading of germs, the university can provide one. They are currently available through both University Health Service as well as Residential Life staff. We do encourage you to remind your son/daughter about the basic steps of staying healthy (see question 1 above).

In the event that your son/daughter does get sick, UK suggests that they have a "flu kit" on hand that includes the following:

  • Digital thermometer
  • Tissues
  • Acetaminophen (Tylenol), Ibuprofen (Motrin, Advil), or Naproxen (Aleve) for pain and fever (not aspirin)
  • Cough medicine containing dextromethorphane Guaifenesin (examples: Robitussin DM, Delsym, Mucinex DM)
  • Decongestant for stuffy nose (use only if no history of stroke, insomnia, high blood pressure)
  • Hand sanitizer
  • Sanitary wipes with bleach
  • Sports drink, soup mix, bottled water

According to the CDC website: "To prevent the spread of influenza virus it is important to keep surfaces (especially bedside tables, surfaces in the bathroom, kitchen counters, and toys for children) clean by wiping them down with a household disinfectant according to directions on the product label. Several chemical germicides, including chlorine, hydrogen peroxide, detergents (soap), iodophors (iodine-based antiseptics), and alcohols are effective against human influenza viruses if used in proper concentration for a sufficient length of time." Additional cleaning circumstances to consider include the following:

  • Linens, eating utensils, and dishes belonging to those who are sick do not need to be cleaned separately, but 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" dirty laundry prior to washing it to prevent contaminating yourself. Clean your hands with soap and water or alcohol-based hand rub right after handling dirty laundry.
  • Eating utensils should be washed either in a dishwasher or by hand with water and soap.
  • According to the Environmental Protection Agency (EPA), some suggested products to use for cleaning and sanitizing include the following:
    • Lysol Brand Disinfectant Foam Power Heavy Duty Bathroom Cleaner
    • Lysol Brand Disinfectant Direct Multi-Purpose Cleaner
    • Lysol Brand Pre-Moistened Touch-Ups Disinfecting Cleaning Wipes
    • Lysol Brand Foaming Disinfectant Basin Tub & Tile Cleaner II
    • Lysol Brand disinfectant Trigger Spray
    • Lysol Brand Disinfectant Basin, Tub, & Tile Cleaner Pre-Moistened Wipe
    • Lysol Brand Disinfectant Multi-Purpose Cleaner
    • Lysol Brand Disinfectant Pine Scent Basin Tub & Tile Cleaner
    • Lysol Brand Deodorizing Disinfectant Cleaner
    • Lysol Brand Disinfectant Bleach Plus
    • Lysol Brand Hard Water Stain Cleaner
    • Comet Disinfecting Bathroom Cleaner
    • Mr. Clean Multi-Surfaces Antibacterial
    • Ultra Mr. Clean
    • Windex Antibacterial Glass & Surface Cleaner
    • Tough Act The Heavy Duty Bathroom Cleaner
    • Clorox
    • Fresh Scent Clorox
    • Pine Sol Household Cleaner Disinfectant
    • Pine-Sol Spray
    • Ultra Clorox Brand Regular Bleach
    • Ultra Clorox Brand Fresh Scent Bleach
    • Ultra Clorox Brand 6.15% Bleach 30 Soluble Concentrate Clorox Company
    • Clorox Disinfecting Spray III
    • Ultra Clorox Bleach Formula

If UK Administration makes the decision to suspend classes and/or activities related to H1N1, the information will be shared in the following ways:

  • www.uky.edu
  • Local television and radio stations in Lexington, KY
  • UK Alert– this is UK's emergency notification system. Parents may register to receive messages at www.uky.edu/ukalert

Additionally, the UK Parents' Association will continue to share up to date information through their "Cat Chat" e-mail newsletters. To register to receive "Cat Chat," go to www.uky.edu/parents.

If your son/daughter feels ill, he/she may contact University Health Service. They may call the nurse at 323-INFO (4636) or make an appointment at 323-APPT (2778). As a reminder, all full-time UK students pay a mandatory health fee in the fall and spring semesters that entitles them to most services at University Health Service at no additional cost. Treatment at other locations (i.e., hospital emergency department, urgent treatment center…) are NOT covered by the student health fee.

UHS has the ability to provide antiviral medications to ill students. The physician will make that decision based on his/her diagnosis.

The University's Pandemic Planning Working Group has been meeting regularly since April to review/update UK's Pandemic Plan. The University is focusing on educating all UK community members on how to stay healthy:

  • Maximize your immune system by getting adequate sleep (8 hrs./night), eating well, and exercising regularly
  • Wash your hands regularly (or use an alcohol-based hand sanitizer) and especially before touching eyes, nose, mouth – UK encourages everyone to carry their own personalized container of hand sanitizer
  • Stay 6 feet away from someone actively coughing or sneezing
  • Cover your cough (use tissues or sneeze or cough into your elbow)

Additionally, we are in the process of installing hand sanitizer stations in various high-traffic areas around campus. Policies and procedures related to cleaning common areas have been reviewed.

UK has started to receive the Novel H1N1 vaccine. As on-campus clinics are scheduled, they will be publicized. Please check this website, the KY Kernel, and other media outlets often for updates. Additionally, the Lexington Fayette County Health Department has scheduled community clinics to distribute Novel H1N1 vaccine. Click here to see that schedule.

You should speak with your family physician regarding any underlying medical conditions and their relationship to Novel H1N1.

The University of Kentucky encourages all persons to have a personal preparedness plan in the event of any emergency. A variety of resources are available to assist you with this, including:

Signs and Symptoms

The symptoms of Novel H1N1 flu are similar to the symptoms seen during the regular human seasonal flu and include:

  • fever greater than 100.4 degrees Fahrenheit
  • cough
  • sore throat
  • body/muscle aches
  • respiratory congestion
  • quick onset of symptoms

A significant number of people who have been infected with this virus also have reported diarrhea and vomiting. Like seasonal flu, the Novel H1N1 flu may cause a worsening of underlying chronic medical conditions.

Prevention

In general, maintaining a healthy lifestyle can help maximize your immune system and prevent you from becoming ill. You should strive to:

  • Get adequate rest (8 hours of sleep per night)
  • Eat a balanced diet, including plenty of fruits and vegetables
  • Exercise regularly
  • Manage stress

Specific actions you should take to prevent influenza include:

  • Stay away (6 feet) from someone who is actively coughing or sneezing
  • Wash your hands regularly using warm soap and water. If soap and water are not available, alcohol-based hand sanitizer is a suitable substitute (the University encourages you to carry your own personal sized container of hand-sanitizer)
  • Avoid touching your eyes, nose, and mouth (especially after coughing or sneezing)

To avoid spreading germs when you are ill:

  • Self-isolate (stay home and away from others), especially if you have flu-like symptoms
  • Cover your nose and mouth with a tissue when you cough/sneeze; throw the tissue in the trash after you use it.
  • Cough/sneeze into your elbow if you do not have a tissue.
  • If you do feel ill, please contact your physician. Current UK students may visit the University Health Service on campus. Call 323-INFO (4636) to speak with a nurse or 323-APPT (2778) to make an appointment. Employees and visitors will need to contact your personal physician and/or a local Urgent Treatment Center.

Steps Taken by the University

In response to the growing presence of the Novel H1N1 Flu Virus in the United States, the University of Kentucky is taking the following steps:

  • All students who are reporting to University Health Service with any flu-like symptoms are being monitored according to the protocols set by the Kentucky Department of Public Health and the Centers for Disease Control and Prevention.
  • Residence Life staff have been provided with health information about flu symptoms and prevention strategies to share with students.
  • Faculty have been provided information about the Novel H1N1 virus and the possible effect it may have on class attendance.
  • Additional alcohol-based hand sanitizer stations are being placed throughout campus.
  • Posters advising regular hand washing and cough etiquette to prevent the spread of germs have been posted throughout campus.
  • Emergency response personnel are conducting regular monitoring of all relevant state, federal, and international information (i.e., Kentucky Department of Health, Centers for Disease Control and Prevention, World Health Organization, etc.)
  • The University will issue periodic updates or alerts campus-wide if the situation in the state or on the campus changes and has the potential to affect the University of Kentucky community. For the most up-to-date information, please continue to check this web site.
  • As the Lexington Fayette County Health Department allocates Novel H1N1 vaccine to UK, we are distributing it to the campus community.

FAQs

University of Kentucky officials continue to closely monitor the evolving Novel H1N1 influenza (previously referred to as "swine" flu) outbreak. The safety of students, faculty, staff, and patients remains our top priority. We continue to work with local health agencies to receive the most current information, and contingency plans will be implemented quickly if the situation worsens. In the meantime, this list of frequently asked questions has been developed to better inform you and will be updated as needed.

H1N1 (Swine Flu)


H1N1 (Swine Flu) Widget. Flash Player 9 is required.H1N1 (Swine Flu) Widget. Flash Player 9 is required.

Novel H1N1 is a new influenza virus causing illness in people. This new virus was first detected in people in the United States in April 2009. This virus is spreading from person-to-person worldwide, probably in much the same way that regular seasonal influenza viruses spread. On June 11, 2009, the World Health Organization (WHO) signaled that a pandemic of novel H1N1 flu was under way.

This virus was originally referred to as "swine flu" because laboratory testing showed that many of the genes in this new virus were very similar to influenza viruses that normally occur in pigs (swine) in North America. But further study has shown that this new virus is very different from what normally circulates in North American pigs. The current influenza epidemic in humans is caused by the H1N1 influenza virus and is really a genetic re-assortment of swine, bird, and human flu virus.

Wash your hands with soap and clean running water. Visit www.cdc.gov/h1n1 for more information.

The Centers for Disease Control and Prevention has determined that this influenza virus is contagious in much the same way that seasonal flu is.

Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people. People may also become infected by touching something with flu viruses on it and then touching their mouth or nose.

The symptoms in people are similar to the symptoms seen during the regular human seasonal flu and include:

  • fever greater than 100.4 degrees Fahrenheit
  • cough
  • sore throat
  • body/muscle aches
  • respiratory congestion
  • quick onset of symptoms

A significant number of people who have been infected with this virus also have reported diarrhea and vomiting. Like seasonal flu, the Novel H1N1 flu may cause a worsening of underlying chronic medical conditions.

Yes. The CDC recommends the use of oseltamivir or zanamivir (commonly known as Tamiflu and Relenza) for the treatment of infection with Novel H1N1. Antiviral drugs are prescription medicines (pills, liquid, or an inhaler) that fight against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms).

The University of Kentucky Medical Center and University Health Service have a ready supply of these antiviral drugs needed to treat this influenza.

Stay home if possible when you are sick. Visit www.cdc.gov/h1n1 for more information.

People infected with seasonal and novel H1N1 flu shed virus and may be able to infect others from 1 day before getting sick to 5 to 7 days after. This can be longer in some people, especially children and people with weakened immune systems.

If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.) Keep away from others as much as possible to keep from spreading the virus.

Studies have shown that influenza virus can survive on environmental surfaces and can infect a person for 2 to 8 hours after being deposited on the surface.

Influenza virus is destroyed by heat (167-212°F [75-100°C]). In addition, several chemical germicides, including chlorine, hydrogen peroxide, detergents (soap), iodophors (iodine-based antiseptics), and alcohols are effective against human influenza viruses if used in proper concentration for a sufficient length of time. For example, wipes or gels with alcohol in them can be used to clean hands. The gels should be rubbed into hands until they are dry.

Cover your nose with a tissue when you sneeze or cough. Visit www.cdc.gov/h1n1 for more information.

There are everyday actions that can help prevent the spread of germs that cause respiratory illnesses like influenza. Take these everyday steps to protect your health:

  • Wash your hands with soap and water OR use alcohol hand rubs to prevent spread of infection, especially after coughing/sneezing.
  • Cover your nose and mouth with a tissue when you cough/sneeze; throw the tissue in the trash after you use it.
  • Cough/sneeze into your elbow if you do not have a tissue.
  • Avoid close contact with sick people.
  • If you do get sick with influenza, CDC recommends you stay home from work/school and limit contact with others to avoid infecting them.
  • If UK employees are sick, they should go to their primary care physician.
  • If UK students are sick they should go to University Health Services:
    • 323-INFO (4636) to speak with a triage nurse
    • 323-APPT (2778) to make an appointment.

If you become ill with influenza-like symptoms — including fever, body aches, runny nose, sore throat, nausea, vomiting, or diarrhea — then you should contact your primary health care provider or, if you are a student, University Health Service. Students may call 323-INFO (4636) to speak with a triage nurse or 323-APPT (2778) to make an appointment. Your health care provider will determine whether influenza testing or treatment is needed.

If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.) Keep away from others as much as possible to keep from spreading the virus.

If you become ill and experience any of the following warning signs, seek emergency medical care:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in the chest or abdomen
  • Sudden dizziness
  • Confusion
  • Severe or persistent vomiting

No. Swine influenza viruses are not spread by food. You cannot get swine influenza from eating pork or pork products. Eating properly handled and cooked pork products is safe.

No, the current seasonal flu shot does not contain strains of the Novel H1N1 influenza virus currently infecting people, so you will not be vaccinated against this virus. However, the CDC points out that usual seasonal influenza viruses are still expected to cause illness this fall and winter. Individuals are encouraged to get their seasonal flu vaccine as soon as it is available.

The U.S. government is working closely with manufacturers to manufacture a Novel H1N1 vaccine. Making vaccine is a multi-step process which takes several months to complete. Currently, vaccines are being tested in clinical trials. It is estimated that the Novel H1N1 vaccine may be available by mid-October.

Eventually, the CDC hopes that manufacturers can produce enough Novel H1N1 vaccine for everyone in the country who would like to receive it. They do not expect a shortage of the vaccine, but availability and demand can be unpredictable. There is some possibility that initially the vaccine will only be available in limited quantities. In preparation, the CDC has recommended priority groups. These key populations include pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months and 24 years old, and people ages of 25 through 64 years of age who are at higher risk for Novel H1N1 because of chronic health disorders or compromised immune systems.

UK has started to receive the Novel H1N1 vaccine. As on-campus clinics are scheduled, they will be publicized. Please check this website, the KY Kernel, and other media outlets often for updates. Additionally, the Lexington Fayette County Health Department has scheduled community clinics to distribute Novel H1N1 vaccine. Click here to see that schedule. The Kentucky Department of Public Health has established a hotline to answer questions about the Novel H1N1 vaccine. You can call toll-free, 7 days a week from 8:00 a.m. to 10:00 p.m. 1-877-843-7727.

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