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	<title>Delaware Modern Pediatrics Blog &#187; swine</title>
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		<title>Swine flu H1N1 vaccine in your child&#8217;s school?</title>
		<link>http://blog.delawaremodernpediatrics.com/swine-flu-h1n1-vaccine-in-your-childs-school/</link>
		<comments>http://blog.delawaremodernpediatrics.com/swine-flu-h1n1-vaccine-in-your-childs-school/#comments</comments>
		<pubDate>Wed, 21 Oct 2009 14:52:00 +0000</pubDate>
		<dc:creator>David Epstein M.D.</dc:creator>
				<category><![CDATA[Medical Advice]]></category>
		<category><![CDATA[flu]]></category>
		<category><![CDATA[h1n1]]></category>
		<category><![CDATA[immunization]]></category>
		<category><![CDATA[swine]]></category>
		<category><![CDATA[Swine Flu]]></category>
		<category><![CDATA[vaccine]]></category>

		<guid isPermaLink="false">http://blog.delawaremodernpediatrics.com/?p=138</guid>
		<description><![CDATA[Delaware&#8217;s schools are starting to sign up their students to receive Swine Flu vaccines.  The schools don&#8217;t actually have vaccines in stock yet.  (I&#8217;m sure the newspaper headlines will inform us when school vaccines are delivered!)  But the schools are getting a jump on the paper work, making lists and getting parent&#8217;s permission to administer [...]]]></description>
			<content:encoded><![CDATA[<p>Delaware&#8217;s schools are starting to sign up their students to receive Swine Flu vaccines.  The schools don&#8217;t actually have vaccines in stock yet.  (I&#8217;m sure the newspaper headlines will inform us when school vaccines are delivered!)  But the schools are getting a jump on the paper work, making lists and getting parent&#8217;s permission to administer the vaccine when it is delivered.</p>
<p>Should you sign your child up?  Yes!   If the school is ready to give your child a flu vaccine, I recommend that you participate.   We expect to have the vaccine in stock also, but I don&#8217;t know when it will be delivered.  If you&#8217;d prefer that we administer it instead of your school&#8217;s nurse, we&#8217;ll be happy to help.  (I&#8217;ll post a note on the blog when we get it in!)</p>
<p>The Swine Flu nasal vaccine probably will be delivered before the injections.  The live nasal flu vaccines are perfectly appropriate for any child over 2 years old, if they don&#8217;t have asthma (severe enough to have 4 attacks a year or more, or needing daily asthma medication.)</p>
<p>&#8211;  David Epstein, MD</p>
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		<title>Swine flu in Delaware</title>
		<link>http://blog.delawaremodernpediatrics.com/swine-flu-in-delaware/</link>
		<comments>http://blog.delawaremodernpediatrics.com/swine-flu-in-delaware/#comments</comments>
		<pubDate>Tue, 05 May 2009 17:27:44 +0000</pubDate>
		<dc:creator>David Epstein M.D.</dc:creator>
				<category><![CDATA[Breaking news]]></category>
		<category><![CDATA[Illnesses]]></category>
		<category><![CDATA[Medical Advice]]></category>
		<category><![CDATA[flu]]></category>
		<category><![CDATA[h1n1]]></category>
		<category><![CDATA[influenza]]></category>
		<category><![CDATA[oseltamivir]]></category>
		<category><![CDATA[swine]]></category>
		<category><![CDATA[tamiflu]]></category>

		<guid isPermaLink="false">http://blog.delawaremodernpediatrics.com/?p=99</guid>
		<description><![CDATA[As of 5/5/09,  none of my patients have been diagnosed with Swine Flu (H1N1).  Several students at the University of Delaware have tested positive for Swine Flu.  A handful of other people, including elementary school students, have also been verified (+) for Swine Flu.  A total of 20 cases in Delaware have been identified.  Nationally, 403 [...]]]></description>
			<content:encoded><![CDATA[<p>As of 5/5/09,  none of my patients have been diagnosed with Swine Flu (H1N1).  Several students at the University of Delaware have tested positive for Swine Flu.  A handful of other people, including elementary school students, have also been verified (+) for Swine Flu.  A total of 20 cases in Delaware have been identified.  Nationally, 403 cases have been identified by the CDC.  Only 1 death has been attributed to Swine Flu in the US, a toddler who emigrated from Mexico to Texas seeking care but apparently too ill to recover.</p>
<p>Everyone is concerned.  However, worldwide, fears of a global &#8220;pandemic&#8221; are starting to recede.</p>
<p>For the latest information about the status of Swine Flu in Delaware, <a title="Medical Society of Delaware" href="http://www.medicalsocietyofdelaware.org/" target="_blank">click here to go to the Medical Society of Delaware&#8217;s website</a>.</p>
<p>For information about the symptoms and medical care of Swine Flu, <a title="CDC information about swine flu" href="http://www.cdc.gov/h1n1flu/qa.htm" target="_blank">click here to go to the CDC&#8217;s website</a>.</p>
<p>Without fever, there&#8217;s not much concern about Swine Flu.  Don&#8217;t forget that most kids with fever have something else!! Our office is still seeing several kids a week who have been sickened by Strep Throat, for example, which is treatable with standard antibiotics.  Viral tonsillitis is also giving our patients high fevers as well; these kids get better in a few days with supportive treatment.</p>
<p>Some patients have asked to stockpile Tamiflu at home.  I urge my patients to resist this temptation.  I am very concerned about the flu bugs developing resistance to our medications (which they do very easily).  The Tamiflu should not be administered without a good indication, such as a close eposure to a sick child with culture-proven flu.  Exposure to a sick child who has not been tested, no matter what country they&#8217;re from, is not a good indication for starting Tamiflu.</p>
<p>But our office does have the ability to obtain nasal swabs for Swine Flu testing, for transport to local laboratories.  Please call if you are concerned about your child.</p>
<p>&#8211;  Dr. Epstein</p>
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