2nd Quarter 2009 Volume 01 - No. 4
H1N1 Flu Being Met Head-On
PJIAE is not taking the H1N1 virus lightly. Since the deadly swine flu was first confirmed in Mexico and subsequently in the US in late April 2009 and worldwide measures were put into place to curb its spread, St. Maarten has followed suit. At the airport a 'campaign' was put in place to help curb the spread of the virus into the island.

Information flyers were distributed among arriving passengers and personnel; hand sanitizing stations were set up in various locations throughout the building, including the executive offices where PJIAE employees work; in addition personnel were provided with portable sanitizers. The airport company also stepped up the frequency of cleaning the areas with high passenger traffic and asked airport companies, including the cleaning contractors to implement other preventive measures. Also an automated message is played every 15 minutes on the public address system, to raise awareness about the flu.

PJIAE also met with the airlines and handlers together with officials from the Public Health Department; the airlines/handlers were informed of the situation regarding the H1N1 virus and were given instructions as what to do when they see a passenger showing signs of a 'flu' (coughing, sneezing, feverish etc.). Motioning the passenger away from the rest of the crowd, they are to stay at a certain distance (2 meters) from the passenger and question him about his last trip, whether that included a visit to Mexico or whether he had been in contact with anyone who may have had the H1N1 virus. First Responders will then escort the passenger to an isolated room until a doctor is called in. The airlines/handlers were asked to supply PJIAE with the names of at least 2 employees who can be contacted in case there is a suspected case of H1N1 virus.

“PJIAE advises the airport community to maintain high standards of personal hygiene, such as washing hands frequently with soap and water, especially after contact with respiratory secretions (e.g after sneezing and coughing). Those who are unwell with respiratory illness should stay at home and contact their home physician,” the airport company advised in one of its bulletins. PJIAE has also charged its PJIAE-EMT (Emergency Management Team) with the coordination of procedures put in place against the H1N1 flu.

From a Government perspective the measures are spearheaded by the Sector Public Health, Social Development & the Preventative Health Department, which formally urged the Airport Community to be alert. “If persons are observed with flu like symptoms travelling to or from the endemic countries, have them contact a local physician and to implement preventative measures. This global situation has been scaled up to a phase 5 by the World Health Organization (WHO),” the Sector wrote in its bulletin.

This upgrading called for the implementation of preventative measures such as:

1.  Washing Hands against germs. Wash with soap and water or clean with alcohol-based hand cleaner/sanitizer. It is recommended that when you wash your hands with soap and warm water that you wash it 15 to 20 seconds.

2.  Persons should cover their mouths and nose with a tissue when coughing or sneezing.

3.  Dispose of used tissue properly in the waste basket.

4.  Frequently disinfect hard useable surfaces such as door knobs, counter tops, desks, phones, etc.

5.  Avoid close contact with sick persons.

6.  Persons who have flu-like symptoms should immediately contact their general practitioner/physician.

7.  Diagnosed persons should stay indoors and protect his/her family & colleagues.”


ISLANDWIDE
By mid June St. Maarten had seven positive cases of the swine flu and Government reemphasised the need for caution. 15 samples (12 from American University of the Caribbean, AUC) had been sent up for testing; three were negative and five were pending. Those affected include both men and women between the ages of 20 and 40. No children were affected and all patients were recovering. Six of the confirmed cases for St. Maarten were localised to the American University of the Caribbean (AUC) School of Medicine, and the other was a 40-year-old man who had just returned to the island after visiting family members in Miami in the United States. The man had returned to work before his diagnosis and had been asked to remain at home; surveillance efforts and contact tracing had begun among his work colleagues. Samples were taken from some of them for testing.
“The unfolding situation with the H1N1 virus is no need for the community to panic,” said Health Commissioner Hyacinth Richardson

AMERICAS
The number of H1N1 cases in the English-speaking Caribbean is near the 20 mark. The Caribbean Epidemiology Centre (CAREC) said that the new strain of the H1N1 virus has been identified in seven of its member countries, with a total of 19 cases: Bahamas (2), Barbados (3), Bermuda (2), Cayman Islands (2), Dominica (1), Jamaica (7) and Trinidad and Tobago (2). There have also been five cases in Cuba. Throughout the Americas there have been 45,402 confirmed cases of the virus.

There have been no deaths reported from any CAREC member countries but one death was recorded in the Dominican Republic where a total of 91 cases have been confirmed. CAREC has urged countries to continue enhanced surveillance for fever and respiratory illness.

Globally, 74 countries have officially reported 27,737 cases of the H1N1 infection, including 141 deaths. Most of the deaths have occurred in Mexico, the epicenter of the epidemic.

Though there are indications that the UN may declare the first global flu pandemic in 40 years -a disease is classed a pandemic when transmission between humans becomes widespread in two regions of the world- the World Health Organization (WHO) is not recommending any travel restrictions related to the Pandemic.

 
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Previous issues:

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June - Oct 2008

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Dec 2008 - Jan 2009

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1st Quarter 2009