September 8, 2009
As the fall term rapidly approaches, it appears that the novel H1N1 influenza virus is fortunately continuing to cause only mild-to-moderate illness in previously healthy young adults. Since H1N1 is a new influenza subtype, we still need to watch closely to see if there are any mutations in the virus that could cause more serious illness. It also will be prudent for all members of the Dartmouth community to work together to do everything possible to prevent the spread of influenza in order to minimize the negative effects that a large outbreak could have for individuals on our campus as well as reduce disruptions to our College community.
Our Dartmouth Emergency Planning Group has been monitoring closely the updates concerning influenza from the Centers for Disease Control (CDC) as well as the New Hampshire Public Health Department. We have also been in direct contact with Dr. Jose Montero, Director of the State of New Hampshire’s Division of Public Health Services in order to discuss our plans with him and ask for his advice. Throughout the upcoming year, we will continue to closely monitor updates concerning influenza coming from the CDC and NH Division of Public Health Services.
The best way to minimize the incidence of influenza on our campus will be for all of us to practice the best personal hygiene possible. Specific preventative actions that each of us can and should take include the following:
We also urge everyone to strongly consider getting the regular seasonal flu vaccine, similar to past years, which will soon be available to all Dartmouth students, faculty and staff at no additional cost. These clinics will occur in late September and early October with specific details soon to be released. In addition, we anticipate that by late October or November, the new H1N1 influenza vaccine will also be available. As soon as it becomes available to us, the Health Service will organize free clinics on campus for students, faculty, and staff. We also strongly urge everyone to consider getting this new vaccine. At this point, it is unclear if the vaccination will consist of one vaccine or will require a second booster shot approximately two weeks after the first one.
Before arriving on campus, students are encouraged to bring with them the following supplies for monitoring and managing possible influenza:
Our plan for this Fall will be to evaluate ill students and determine if their symptoms fulfill the clinical diagnosis of influenza-like illnesses (ILI) as defined by the CDC. We would ask all students who develop ILI symptoms during the day or after regular hours to first call the Health Service and discuss their medical condition with the medical provider before actually coming over to Dick's House. For technical reasons, it is not feasible to test for the H1N1 virus in every individual with these symptoms. Individuals who fulfill the clinical diagnosis of an ILI will be asked to voluntarily isolate themselves until 24 hours after the fever resolves. In most cases, this will be 3-4 days but, in some cases, it may be longer. Voluntary isolation will consist of (1) leaving campus and spending a few days at a family or friend’s home if it is possible to get to this destination without using public transportation; or (2) staying in one’s room. This means avoiding classes and dining halls as well as avoiding participation in group activities such as athletics. If someone does need to leave his/her room during the period of isolation, then he/she should wear a mask, supplies of which will be available on campus.
We will also suggest that individuals identify a “flu buddy” who will be able to run errands for the ill student as well as pick up meals and deliver them to the student’s room. If the ill student has a roommate, then the ill student should wear a mask and avoid close contact (within 6 feet) while the other student is in the room. The Health Service will stay in daily contact with individuals who have mild to moderate ILI. If a student becomes more ill, then they will be seen by a medical provider from Dick’s House and be evaluated and treated accordingly.
In summary, we enter the new academic year with some apprehension about the potential for an outbreak of influenza illness on our campus. Because “a chain is only as strong as its weakest link,” I ask that each of us on campus do our best and work together to practice good hygiene, and take seriously the request to voluntarily isolate ourselves when and if we do acquire an influenza-like illness.
I can assure you that I, along with College officials, will monitor closely the ever-changing facts surrounding influenza as well as the ever-changing recommendations coming from federal and state medical officials. Updates and facts surrounding influenza in the Dartmouth community will be continue to be communicated through our Emergency Preparedness website.
John H. Turco, M.D.
Director of Health Services, Dartmouth College
