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Question #: 297

Question: ARE THERE RECOMMENDATIONS FOR THE PREVENTION OF INSTITUTIONAL OUTBREAKS INFLUENZA?

Current Solution

The most important factor in preventing outbreaks is annual vaccination of all occupants of the facility, and all persons in the facility who share the same air as the high-risk occupants. Groups that should be targeted include physicians, nurses, and other personnel in hospitals and outpatient settings who have contact with high-risk patients in all age groups, and providers of home care to high-risk persons (e.g., visiting nurses, volunteers).

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  • I AM BUILDING THE CNC DEMONSTRATED IN YOUR PUBLISHED BOOK 'BUILD OWN MACHINE', 2009. YOU SELL 3 AXIS ELECTRONIS COMBO, PARALLEL, FOR $390. IS THIS PACKAGE FROM BOOK. OR ARE THERE OTHER RECOMMENDATIONS. THANK YOU, HARY HOLSTEIN

    The CNC router build from book "Build Your Own CNC Machine" uses the basic electronics combo kit that includes three 425 oz-in motors is the kit designed for that machine. Here is a link to that electronics package: https://www.buildyourcnc.com/Item/electronicsAndMotors-3axis-425-elcombo

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    I AM BUILDING THE CNC DEMONSTRATED IN YOUR PUBLISHED BOOK 'BUILD OWN MACHINE', 2009. YOU SELL 3 AXIS ELECTRONIS COMBO, PARALLEL, FOR $390. IS THIS PACKAGE FROM BOOK. OR ARE THERE OTHER RECOMMENDATIONS. THANK YOU, HARY HOLSTEIN

  • WHICH OF OUR PEDIATRIC PATIENTS WILL NEED 2 DOSES INFLUENZA VACCINE FOR THE 2011–12 VACCINATION SEASON?

    ACIP's influenza recommendations for children age 6 months through 8 years have changed for the 2011–12 season. According to the new algorithm, certain children need 2 doses of influenza vaccine this influenza season, separated by at least 4 weeks. Here is a summary:

    • Children age 6 months through 8 years who did not receive AT LEAST 1 dose of the 2010–11 vaccine should receive 2 doses, separated by at least 4 weeks, REGARDLESS of their previous influenza vaccination history.
    • Children age 6 months through 8 years whose influenza vaccination status from the previous season is not known should also receive 2 doses at least 4 weeks apart.
    • Children age 6 months through 8 years who received 1 dose of seasonal influenza vaccine during the 2010–11 season need ONLY 1 dose this season. This is because the vaccine strains are the same this season as last season.

    You may find this Immunization Action Coalition handout helpful: www.immunize.org/catg.d/p3093.pdf.

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    WHICH OF OUR PEDIATRIC PATIENTS WILL NEED 2 DOSES INFLUENZA VACCINE FOR THE 2011–12 VACCINATION SEASON?

  • WHAT THE RECOMMENDED INTERVAL FOR RECEIVING INFLUENZA VACCINE AFTER AN ALLERGY INJECTION?

    Vaccines can be administered at any time before or after administration of an "allergy injection."

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    WHAT THE RECOMMENDED INTERVAL FOR RECEIVING INFLUENZA VACCINE AFTER AN ALLERGY INJECTION?

  • WE'VE HEARD THAT ACIP HAS LIMITED THE USE OF ONE INFLUENZA VACCINE PRODUCTS FOR CHILDREN BEGINNING WITH 2010-11 VACCINATION SEASON. TRUE?

    Yes. You are referring to Afluria, which is manufactured in Australia by CSL Laboratories for the U.S. market. CSL's 2010 Southern Hemisphere influenza vaccine (Fluvax and Fluvax Junior) has been associated with increased post-marketing reports of fever and febrile seizures in children predominantly younger than age 5 years as compared to previous years. For this reason, on August 5, 2010, ACIP recommended that Afluria, 0.5 mL, licensed for use in people age 36 months and older, not be used in children younger than age 9 years. ACIP further recommended that Afluria could be administered to children ages 5 through 8 years who are at high risk for influenza complications if there is no other age-appropriate TIV available, after risks and benefits of using this vaccine in this age group have been discussed with the parent or guardian. The vaccine should not be given to children younger than age 5 years. For detailed information, go to www.cdc.gov/media/pressrel/2010/s100806.htm.

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    WE'VE HEARD THAT ACIP HAS LIMITED THE USE OF ONE INFLUENZA VACCINE PRODUCTS FOR CHILDREN BEGINNING WITH 2010-11 VACCINATION SEASON. TRUE?

  • HOW LATE IN THE SEASON CAN I VACCINATE MY PATIENTS WITH INFLUENZA VACCINE?

    Peak influenza activity does not generally occur until February. Providers are encouraged to continue vaccinating patients throughout the influenza season, including into the spring months (e.g., through May), as long as they have vaccine in the refrigerator and unvaccinated patients in their office.

    Because influenza occurs in many areas of the world during April through September, vaccine should be given to travelers who missed vaccination in the preceding fall and winter. Another late season use of vaccine is for children younger than age 9 years who were vaccinated for the first time in the current vaccination season but failed to get their second dose. For each of these situations, vaccine can be given through the month of June since injectable influenza vaccine customarily has a June 30 expiration date.

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    HOW LATE IN THE SEASON CAN I VACCINATE MY PATIENTS WITH INFLUENZA VACCINE?

  • ARE WE SUPPOSED TO GIVE INFANTS PRESERVATIVE-FREE INFLUENZA VACCINE?

    No. CDC and ACIP express no preference for preservative-free vaccine for infants or any other group of vaccine recipients. See page 22 of the 2010–11 ACIP influenza recommendations: www.cdc.gov/mmwr/pdf/rr/rr5908.pdf.

    No scientific evidence exists that thimerosal in vaccines, including influenza vaccines, is a cause of adverse events, unless the patient has a systemic allergy to thimerosal. However, some states have enacted legislation that restricts the use of thimerosal-containing vaccines. Check with your state immunization manager to see if your state is one of them (www.immunize.org/coordinators).

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    ARE WE SUPPOSED TO GIVE INFANTS PRESERVATIVE-FREE INFLUENZA VACCINE?

  • HOW SERIOUS A PROBLEM INFLUENZA (THE FLU) IN THE U.S.?

    Influenza is the most frequent cause of death from a vaccine-preventable disease in the United States. From 1990 through 1999, an average of approximately 36,000 influenza-associated pulmonary and circulatory deaths occurred during each influenza season. In addition to fatalities, seasonal influenza is also responsible for more than 200,000 hospitalizations per year. Rates of infection from seasonal influenza are highest among children, but the risks for complications, hospitalizations, and deaths are higher among adults ages 65 and older, children younger than 5 years, and people of any age who have medical conditions that place them at increased risk for complications from influenza.

    A novel H1N1 virus was first detected in March of 2009 and quickly spread to pandemic levels. In the U.S., it is estimated that approximately 43-89 million persons became ill with 2009 pandemic H1N1 from April 2009 to April 2010. The virus also resulted in significant hospitalizations and deaths among children, adults 19-65 years, obese persons, and pregnant and post-partum women.

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    HOW SERIOUS A PROBLEM INFLUENZA (THE FLU) IN THE U.S.?

  • SOME OF MY PATIENTS REFUSE INFLUENZA VACCINATION BECAUSE THEY INSIST "GOT THE FLU" AFTER RECEIVING INJECTABLE VACCINE IN PAST. WHAT CAN I TELL THEM?

    There are several reasons why this misconception persists: (1) Less than 1% of people who are vaccinated with the injectable vaccine develop flu-like symptoms, such as mild fever and muscle aches, after vaccination. These side effects are not the same as having influenza, but people confuse the symptoms. (2) Protective immunity doesn't develop until 1–2 weeks after vaccination. Some people who get vaccinated later in the season (December or later) may get influenza shortly afterward. These late vaccinees develop influenza because they were exposed to someone with the virus before they became immune. It is not the result of the vaccination. (3) To many people "the flu" is any illness with fever and cold symptoms. If they get any viral illness, they may blame it on the flu shot or think they got "the flu" despite being vaccinated. Influenza vaccine only protects against certain influenza viruses, not all viruses. (4) The influenza vaccine is not 100% effective, especially in older persons. For more information on this topic, go to: www.cdc.gov/flu/professionals/vaccination/effectivenessqa.htm

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    SOME OF MY PATIENTS REFUSE INFLUENZA VACCINATION BECAUSE THEY INSIST "GOT THE FLU" AFTER RECEIVING INJECTABLE VACCINE IN PAST. WHAT CAN I TELL THEM?

  • INFLUENZA VACCINE RECOMMENDED FOR PREGNANT WOMEN?

    Yes. It is especially important to vaccinate pregnant women because of their increased risk for influenza-related complications. An increased risk of severe influenza infection was also observed in postpartum women (those delivered within the previous 2 weeks) during the 2009–2010 H1N1 pandemic. Vaccination can occur in any trimester, including the first. Only inactivated (injectable or TIV) vaccine should be given to pregnant women.

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    INFLUENZA VACCINE RECOMMENDED FOR PREGNANT WOMEN?

  • WHY DO PEOPLE RECEIVED INFLUENZA VACCINE LAST YEAR STILL NEED TO GET VACCINATED THIS WHEN THE VIRUSES HAVEN'T CHANGED?

    Although the strains may sometimes be the same as in the previous year's vaccine, you should NOT use the previous season's vaccine you might still have in your refrigerator. Influenza vaccine distributed in the northern hemisphere expires on June 30 after each season; expired vaccine should NEVER be administered. Secondly, antibody titers that persons might have achieved from the previous year's vaccination will have waned and need to be boosted with a dose of the current year's vaccine.

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    WHY DO PEOPLE RECEIVED INFLUENZA VACCINE LAST YEAR STILL NEED TO GET VACCINATED THIS WHEN THE VIRUSES HAVEN'T CHANGED?

  • HOW SERIOUS A PROBLEM INFLUENZA IN THE U.S.?

    Influenza is the most frequent cause of death from a vaccine-preventable disease in the United States. From 1990 through 1999, an average of approximately 36,000 influenza-associated pulmonary and circulatory deaths occurred during each influenza season. In addition to fatalities, seasonal influenza is also responsible for more than 200,000 hospitalizations per year. Rates of infection from seasonal influenza are highest among children, but the risks for complications, hospitalizations, and deaths are higher among adults ages 65 and older, children younger than 5 years, and people of any age who have medical conditions that place them at increased risk for complications from influenza.

    A novel H1N1 virus was first detected in March of 2009 and quickly spread to pandemic levels. In the U.S., it is estimated that approximately 43-89 million persons became ill with 2009 pandemic H1N1 from April 2009 to April 2010. The virus also resulted in significant hospitalizations and deaths among children, adults 19-65 years, obese persons, and pregnant and post-partum women.

    Click the link to add information to this solution:
    HOW SERIOUS A PROBLEM INFLUENZA IN THE U.S.?

  • WHEN A CHILD NEEDS 2 DOSES OF INFLUENZA VACCINE, CAN I GIVE 1 DOSE EACH TYPE (INJECTABLE AND NASAL SPRAY)?

    Yes. As long as a child is eligible to receive nasal spray vaccine (i.e., is in the proper age range and health status), it is acceptable to give 1 dose of each type of influenza vaccine. The doses should be spaced at least 4 weeks apart.

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    WHEN A CHILD NEEDS 2 DOSES OF INFLUENZA VACCINE, CAN I GIVE 1 DOSE EACH TYPE (INJECTABLE AND NASAL SPRAY)?

  • IS THERE A WAY TO GET RID OF THE PARALLEL CABLE AND SOMEHOW USE USB ?

    If you select the Settings Page and select or tick Auto Limit Override - this will allow you to back off the switch.

    Additional Information:
    limit and home switch

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    IS THERE A WAY TO GET RID OF THE PARALLEL CABLE AND SOMEHOW USE USB ?

  • WHERE ARE THE WIRING DIAGRAMS FOR BLACKTOOTH LASER CUTTER IN INSTRUCTIONS?

    You can find the wiring diagrams for the blackTooth on step 105 and 106 on the list of instructions on the blackTooth page. Step 105 pertains to the parallel breakout board and step 106 pertains to the USB interface board.

    Additional Information:
    wire size

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    WHERE ARE THE WIRING DIAGRAMS FOR BLACKTOOTH LASER CUTTER IN INSTRUCTIONS?

  • WHERE CAN I GET INFORMATION ON INFLUENZA (THE FLU) AND ITS SURVEILLANCE?

    Information regarding influenza surveillance is available October through May from the CDC influenza website at www.cdc.gov/flu/weekly/fluactivity.htm.

    In addition, periodic updates about influenza are published in the MMWR. State and local health departments should be consulted regarding availability of influenza vaccine, access to vaccination programs, information about state or local influenza activity, and for reporting influenza outbreaks and receiving advice regarding their control.

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    WHERE CAN I GET INFORMATION ON INFLUENZA (THE FLU) AND ITS SURVEILLANCE?

  • IF AN UNVACCINATED PATIENT HAS JUST RECOVERED FROM A DIAGNOSED CASE OF INFLUENZA COMES INTO OUR CLINIC, SHOULD WE VACCINATE HIM?

    Yes. Influenza vaccine commonly contains three influenza vaccine virus strains; two for A viruses and one for a B virus which are prepared based on circulating viruses from the previous influenza season. Infection from one virus type does not confer immunity to other types and it would not be unusual to have exposure to more than one type during a typical influenza season. By all means, vaccinate this person!

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    IF AN UNVACCINATED PATIENT HAS JUST RECOVERED FROM A DIAGNOSED CASE OF INFLUENZA COMES INTO OUR CLINIC, SHOULD WE VACCINATE HIM?

  • IF A CHILD RECEIVES INFLUENZA VACCINE AT AGE 34 OR 35 MONTHS FOR THE FIRST TIME (0.25 ML DOSE) AND THEN RETURNS SECOND DOSE 37 MONTHS, SHOULD WE GIVE ANOTHER 0.25 0.5 THAT INDICATED AGES 3 OLDER?

    The child should always receive the dose appropriate for his or her age at the time of the clinic visit; at age 37 months that would be 0.5 mL.

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    IF A CHILD RECEIVES INFLUENZA VACCINE AT AGE 34 OR 35 MONTHS FOR THE FIRST TIME (0.25 ML DOSE) AND THEN RETURNS SECOND DOSE 37 MONTHS, SHOULD WE GIVE ANOTHER 0.25 0.5 THAT INDICATED AGES 3 OLDER?

  • THEY ARE ASKING FOR THE ACTIVATION CODE AND SERIAL NUMBER USB BOARD. HOW CAN GET THAT INFORMATION?

    To get the activation code, all you need to do is plug the USB board into the computer using a USB cable, go to machine -> firmware -> update. After the firmware is updated the program will present to you a dialog box containing the activation code.

    Additional Information:
    MUAR-QVXU-CAYW-CBWQ


    Additional Information:
    MUIS-RQPB-PTHB-QTTB

    Additional Information:
    MUIH-EERP-IADB-TRIP

    Additional Information:
    9zYWBVf5TxKSK7hEr8gFX3EBw5wa0AMMllQqgftIAnKvZ8DXItLxaPbOB3jWvnpczl/sM/De0scRPHfSxWGmcA==

    Additional Information:
    Key: LUQR-BQYI-SCEW-QVBT

    Additional Information:


    Additional Information:
    after i copy the code in the lower case i recived the same message (more than 8 times) ,, this is a evaluation...,, what i need to do to register properly?

    Additional Information:
    MUJR-BISM-KRDN-KKER
    056971

    Additional Information:
    0561234

    Additional Information:
    MURL-QPQU-EGBJ-FNMB

    Additional Information:
    MUCE-LFMQ-WBCW-MLHO

    Additional Information:


    Additional Information:
    LUTA-ADVJ-FXTW-FBCE

    Additional Information:
    LUTA-ADVJ-FXTW-FBCE

    Additional Information:
    looking for registration key for MUUK-IBTW-ECTL-CJWD

    Additional Information:
    MUXO-PIYY-KNHD-RKLY

    Additional Information:
    MUUE-YYCR-FCIC-VATK

    Additional Information:
    MUUE-YYCR-FCIC-VATK

    Additional Information:


    Additional Information:
    MUEY-YLJU-OBRR-LJBV

    Additional Information:
    MUSP-JFDV-EKGQ-OVLW

    Additional Information:
    MUSP-JFDV-EKGQ-OVLW

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    THEY ARE ASKING FOR THE ACTIVATION CODE AND SERIAL NUMBER USB BOARD. HOW CAN GET THAT INFORMATION?

  • HAVE 3D PRINTER THAT WANT TO MAKE CNC ROUTER ,IS THERE ANY GUIDES SHOW ME THE WAY

    What 3d printer do you have?

    Additional Information:
    whiteant

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    HAVE 3D PRINTER THAT WANT TO MAKE CNC ROUTER ,IS THERE ANY GUIDES SHOW ME THE WAY

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