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M$5 April 30, 2009 01:46 AM

Swine Flu: When should I keep my kids home?

I live in a state where two local school districts have been closed due to "suspected cases" of the swine flu. Late this afternoon, it was announced that another local school would be closed because a little girl, who recently visited Mexico, was showing symptoms of having swine flu, of course, not yet confirmed. Apparently, she was in school for two days before she got sick. Of course, none of the cases in question have been confirmed as of yet.

Every day that I send my kids to school I worry. I know that we are all advised to keep our kids home when they are sick; but people always send sick kids to school. I am really having a problem with waiting for it to 'hit' my kids school before keeping them home. When would you (or 'would you') decide to keep your kids home?
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April 30, 2009 02:23 AM
I should say, as a parent, you have complete justification in keeping your child home from school due to this predicament. Children, from what I understand, are more susceptible to the virus, or at least have less powerful immune systems. I agree - kids go to school sick. The parents use the schools as babysitters, and I rarely got a day off when I was sick as a kid, not only because of my parents not being able to stay home, but because the school policy was very strict on tests and such.

Considering the vast number of people in close proximity at a school, I don't think you are being too overprotective on this one. I would say that the risks seem slim if there are no confirmed cases in your area, and you should just tell your kids to be extra cautious if they are around other kids that are sick, and to call them to come home if they feel they are at risk, and as advised above, take hand sanitizer with them or wash their hands frequently.

If you do hear of confirmed cases, I'd definitely keep them home for the short term.
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April 30, 2009 02:33 AM
I agree, children and the elderly have weaker immune systems. I read that the median age for this flu is 16, but I also read that most of the deaths in Mexico were adults between 20 and 40.

My kids seemed to have a different cold every other week this year. Colds spread, this flu is different, a strain of three viruses actually. My heart tells me to keep them home, even though the risk is slim and nothing is confirmed yet. I also have a toddler who has not attended school yet to think about.

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April 30, 2009 02:07 AM
Although there is no vaccine, there is a cure for swine flu; once the flu has caught on, it is curable if detected in time. I think it is up to you and what you feel the risk is by sending them to school.
Source(s):
http://www.business-standard.com/india/news/dealingswine-flu/356675/


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Unhelpful: dumblonde

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April 30, 2009 03:17 AM - Fact Refuted
I don't think it's accurate to say there is a "cure" for swine flu. The virus has responded to treatment with antiviral drugs but that doesn't mean there's a cure, just that it's treatable.
http://www.cdc.gov/swineflu/

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April 30, 2009 12:22 PM
There is no cure really -just a treatment that may or may not work. Additionally, at this point - the spectrum can range from mild to serious and sometimes death. The authorities don't even understand how this strain of flu works just yet.

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April 30, 2009 01:10 PM - Fact Refuted
According to the CDC Relenza and Tamiflu both react against the swine flu. The experts understand the virus enough to develop a vaccine. This takes about 6 months, due a number of production factors. Including a swine flu vaccine in next years flu vaccine is under discussion as is having a separate vaccine for just the swine flu.

http://www.bloomberg.com/apps/news?pid=20601087&sid=aWcd0Nbgc_R4&refer=home
http://news.yahoo.com/s/ap/20090424/ap_on_he_me/med_swine_flu
http://www.rferl.org/content/Too_Early_For_SwineFlu_Vaccine_Expert_Says/1618360.html

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April 30, 2009 03:20 PM
HCP 56: Did you even read the article you cited? It clearly says
"Are there drugs that treat swine flu? A: Roche Holding AG’s Tamiflu and GlaxoSmithKline Plc’s Relenza both react against swine flu. The U.S. Department of Homeland Security is releasing 25 percent of its stockpile of Tamiflu and Relenza, according to Secretary Janet Napolitano. Flu viruses sometimes develop resistance to antiviral drugs. The human form of H1N1 that’s currently circulating is resistant to Roche’s Tamiflu (not Relenza). If the two viruses were to exchange genes, the swine flu might become resistant, too. "

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April 30, 2009 05:25 PM
@joyannj I certainly did. Currently the two antiviral drugs react against the swine flu (H1N1). There is also a circulating human flu which is also designated H1N1. This year's vaccine actually covers a flu A/Brisbane/59/2007(H1N1)-like virus.

I know that the flu designations can be confusing, but what the article actually states is that the human flu virus (H1N1) is resistant to Tamiflu not Relenza.

IF the swine flu virus (H1N1) were to (hasn't yet) exchange genes with the human flu virus (H1N1) then the swine flu (H1N1) might then also be resistant to Tamiflu. This hasn't happened yet and Tamiflu currently still works for the swine flu virus (H1N1).

http://www.cdc.gov/flu/flu_vaccine_updates.htm#protection

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April 30, 2009 02:11 AM
Very difficult question to answer. I'm thinking if I had kids I would be very concerned.

If there were cases within 50 miles of my school I would be VERY VERY concerned.

From my understanding--and I'm no expert on this--no one has died in the United States yet. They are saying this is treatable if caught early. So, if it were me I would be ok with them going to school IF they were taking precautions in the school AND my kids had hand sanitizer with them and used it all day long!

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April 30, 2009 02:21 AM
We are and have been vigilant about hygiene, avoiding kids who are coughing and my kids are armed with an arsenal of Purell. What has me so worried is that even though all those kids in NY were sick, it spread rapidly among them. It 'could' spread just as rapidly anywhere.

So yes-within 50 miles I'm very concerned. The 'unconfirmed' freaks me out more and with the 5 miles and unconfirmed has me on edge. Bye the way, a little boy (age 2) died in Texas. I think he was from Mexico.

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April 30, 2009 02:21 AM
Forgot to cite my information:
http://www.cdc.gov/swineflu/index.htm

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April 30, 2009 03:19 AM - Fact Refuted
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April 30, 2009 03:26 AM
If you have a toddler and home, then I think that I would start a search for home schoolers pronto. If you found someone that was highly recommended, I think that you might move your kids there at least for a month, until you can evaluate the situation better.

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April 30, 2009 03:28 PM
I just need a little clarification. Are you suggesting she hire a homeschooler? Homeschoolers mostly educate their own kids. In some states that's all that's allowed, but in others they can take on a few others. You'll need to check the laws for your state, and then see if you can find someone who does take other students. I know there's a demand in my area for that but hardly anyone will take anyone else's kids.

There are online courses and distance learning classes you could do as an independent homeschooler. And you can also check into your government school's home-bound program, which is not the same as being an independent homeschooler (the difference is who pays for it and who controls it).

I don't know if that was what you were suggesting or not, but I hope that makes it a little clearer. It's a good suggestion if I understand you right.

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April 30, 2009 03:32 AM
That's obviously a very difficult decision.

For now, start by educating your kids about frequent handwashing and tell them to avoid people that are coughing or sneezing. Send them off to school with hand sanitizer and tell them to wash their hands before they eat. And tell them to not touch faces or eyes. Instruct them to not share drinks or food with anyone.

But be alert to the news! The second there's a case near your area you are perfectly within your rights to keep your kids home. I completely agree that people send sick kids to school all the time. I've heard of teachers turning kids away because they got sent to school with chickenpox!

Anyway, I think you need to stay alert and keep your kids home when there is information of suspected cases near your area. I guess it's about striking a balance between being careful but not letting the situation interfere too much with daily life. At least summer's almost here so if things keep getting worse, school will be out and your kids can stay home all the time.

CDC is a great source of info. I've been going there a lot.
http://www.cdc.gov/swineflu/

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April 30, 2009 12:57 PM
I am not a doctor, but I do work at a hospital and deal with the flu issue every year with my kids and with work.

My questions to you are the following: Do you normally keep your kids home when there is a flu exposure at your local school? Do you regularly get flu shots every year? Do your children have problems with their immune system or asthma/respiratory problems?

People die every year from the seasonal flu virus, every year about 36,000. The big issue is that this particular strain is one that most people do not have an immunity to and it was not part of or related to the vaccine in the last round of flu shots. When the flu leads to death it is usually the very young or the very old; basically people who's immune systems are too weak to handle the infection.

By escalating the threat level, the CDC has the ability to respond quickly in situations where it local authorities are unable to respond appropriately in an epidemic situation. To a certain extent, due to our 24 hour news cycle, this threat has been blown out of proportion. I say this, because while it appears that this virus appears to be very contagious, statistically the the death rate from this virus is not any greater than seasonal flu.

My best advice, teach you kids to wash their hands regularly. If they cannot wash their hands (no soap or water) or you don't have an alcohol based sanitizer, actually rubbing your hands together can break down some infectious agents. Unfortunately, I cannot find a link for that fact but I did hear about it from a NPR Science Friday podcast with a bacteriologist a few weeks ago.

Don't bother to keep them out of school. The only way to keep them isolated from this type of outbreak is to keep your entire family isolated, which would mean your entire family staying home until this is completely over. But then what about next year and the next seasonal flu?

If your family does get exposed/infected, go to the doctor. There are medications that mitigate the symptoms and monitoring the symptoms and responses to the virus are very important.

As for me, my kids have asthma and get the flu shot every year; I wouldn't keep them home until after them actually had the flu.

I have included some additional links below with more information.

http://www.cdc.gov/flu/keyfacts.htm
http://www.cdc.gov/flu/about/disease/us_flu-related_deaths.htm
http://www.bloomberg.com/apps/news?pid=20601087&sid=aWcd0Nbgc_R4&refer=home
http://www.cdc.gov/Features/HandWashing/

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April 30, 2009 03:01 PM
The problem with this particular flu is that it isn't killing the usually vulnerable populations. In Mexico the deaths have been young adults. According to Dr. Sanjay Gupta: "The deaths have occurred in healthy people, as opposed to those usually most at risk from the flu: the young, the old and those with compromised immune systems. The same thing happened in recent years with the SARS and avian flu outbreaks. The spreading virus starts a cascade within the body as the immune system overreacts. Fluid builds up in the lungs and inflammatory cells throughout the body react to the infection." That's why it's of particular concern. http://pagingdrgupta.blogs.cnn.com/category/swine-flu/

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April 30, 2009 05:04 PM
@dumblonde The is somewhat true, but the problem is that there is a significant lack of data from Mexico regarding the patient population. There is scant information about the people that have died. They don't know why these people have died in Mexico. They don't know if they were already an 'at-risk' population or not.

The second half of your quote applies specifically to the SARS and avian flu outbreaks. This type of reaction is not instant, it takes time. Which is why if you are infected you see your doctor, get treatment and watch the continuing symptoms. Most people who die from the flu actually die from flu related complications or exacerbation of an existing condition due to the flu virus.

To reemphasize, the immune over-response that you are talking about, a Cytokine Storm, is not known to have happened in Mexico. We don't even know if there is an above average number of young healthy adults that
died. The data is just not there. Frankly we don't even know if any young HEALTHY adults have died from flu related disease in Mexico.

So far every article I have seen, including the Washington Post article below, is purely anecdotal and unsubstantiated speculation. "a Health Ministry official, speaking on the condition of anonymity, said all the dead were ages 25 to 50", if this were in fact true it would have been reported to the WHO and subsequently the CDC. Even so the number of deaths are still statistically lower than that of the seasonal flu.

http://www.cdc.gov/swineflu/
http://www.cdc.gov/swineflu/swineflu_you.htm
http://scienceblogs.com/aetiology/2009/04/swine_flu_and_deaths_in_health.php
http://www.washingtonpost.com/wp-dyn/content/article/2009/04/26/AR2009042602827.html?sid=ST2009042602901

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May 01, 2009 12:15 AM
That's true. We're not sure about much yet. And young doesn't mean healthy. I'm in my 20s but I have asthma so I think I'm considered a high risk patient.

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April 30, 2009 01:21 PM
As a Registered Nurse I would say to keep the kids home now! I would not hesitate. Don't wait for them to become ill. It will exacerbate your fears.
If you can, get school work for them and keep them home where it is safe. Keep them away from public places such as Supermarkets, Hospitals (unless they are sick) and other Public areas where they will be exposed to the Virus.An ounce of prevention is worth more than.... you know the rest.
Source(s):
Medical, Nursing, Immunisation training.


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April 30, 2009 03:22 PM
Given that there is a girl in your area who is showing symptoms, even though not yet confirmed, if I were in your shoes I'd keep my kids home, and for a few days I'd limit my own excursions. I'd do one big shopping trip for groceries and toiletries, and then keep everyone home until you find out whether or not she is a confirmed case or not.

It's possible to find sources saying either answer, as are already showing in the answers here. But I'd follow that gut instinct/Mom instinct and keep them home. The President has even suggested school closings.

Last night at my kids' pre-pro ballet school, all the kids were using hand sanitizers. Kids were pulling hand sanitizer out of their gear bags and using it both before and after switching shoes. I got some Lysol out of the supply cabinet and sprayed doorknobs, light switches, the sinks and the toilets between every change of classes. The school had strep go around this winter and some other kind of flu, and it was a combined effort of parents spraying the dickens out of everything between classes, and a strict policy that kids feeling the least sick had to stay home that licked both quickly. Last winter they didn't have this policy and the kids kept reinfecting each other. Dancers can quickly loose muscle and flexibility if they sit out a class or two, but they loose much more if they're sick for weeks on end.

This is a private pre-pro school, though, so government schools may have different policies. But your kids belong to you, and you have to do what you can live with if you're wrong.

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April 30, 2009 03:36 PM
I think that this H1N1 virus is very dangerous, but the main thing we must note is. keep the self and the environment and our own. and keep ourselves in order to truly fit and healthy, I think also if we do not use one mask per day day in the life of us, when we want out of the house

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April 30, 2009 10:07 PM
I don't think you should keep your kids at home unless they actually get sick. The swine flu isn't really that much different from any other kind of flu, it's just more widespread. There is always a risk of your children getting sick and always being worried of this won't accomplish anything. The chances of them dieing of the swine flu is also very small. So, send your kids to school if they're not sick. If they are sick, then keep them home so they don't get other kids sick. Finally, make sure you teach them the importance of good hygene.

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