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Treating Your Sick Child with Influenza
Help Us Save Time for Sick Kids
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WE ARE CURRENTLY OUT OF ALL VACCINES FOR CHILDREN OVER THE AGE OF 3 YEARS OLD AS OF TODAY.  We have no idea on when we will be receiving any vaccines or any H1N1 vaccines, so if you call our office for information, our staff does not have information on this.  We know that many of you have heard that it is here in San Diego County, but we have not received any H1N1 shipments.  However, the County Public Health has sites where they are offering H1N1 as noted below.

For our office as of October 26 at 4 pm...

IN STOCK:
  • Seasonal Injectable 6-35 months
OUT OF STOCK:
  • Seasonal Injectable 3 years and older
  • Seasonal Flumist 2 and older without underlying disease
  • H1N1 Injectable 6-35 months
  • H1N1 Injectable 3 years and older
  • H1N1 Flumist 2 and older without underlying disease

This is from the Public Health Department...

There are six County Public Health Centers and one County Immunization Clinic.  These seven locations are located throughout San Diego County.  The H1N1 flu vaccine is available at these locations for people in the high risk groups for complications from H1N1 flu.

Hours
Monday, October 26 through Friday, October 30:  8:00 a.m. - 6:00 p.m.*
*Subsequent hours will be determined based on demand.  For more info, visit www.sdiz.org or call 2-1-1.

Public Health Center- Central Region
5202 University Avenue
San Diego, CA 92105
Phone: (619) 229-5400

VIP Immunizations Clinic
3177A Ocean View Boulevard
San Diego, CA 92113
Phone: (619) 231-9300

Public Health Center - East
855 E. Madison
El Cajon, CA 92021
Phone: (619) 441-6500

Public Health Center- North Central
5055 Ruffin Road
San Diego, CA 92123
Phone: (858) 573-7300

Public Health Center- North Coastal
104 S. Barnes
Oceanside, CA 92054
Phone: (760) 967-4401

Public Health Center- North Inland
606 East Valley Parkway
Escondido, CA 92025
Phone: (760) 740-4000

Public Health Center - South
690 Oxford Street
Chula Vista, CA 91911
Phone: (619) 409-3110
Treating Your Sick Child with Influenza
The symptoms of 2009 H1N1 flu virus in people include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may have vomiting and diarrhea. People may be infected with the flu, including 2009 H1N1 and have respiratory symptoms without a fever. There are no rapid tests that can accurately diagnose the H1N1 swine flu. Some of the rapid tests that are used to test for the regular flu are only about 50% accurate and are not specific for the H1N1 virus. At this time specific lab testing for the H1N1 flu, performed at the San Diego Public Health Laboratory, is only being used in hospitalized patients or to track outbreaks.

Here are some tips on treating your child who has the flu:
  • Most people do not need antiviral drugs to recover from the flu.  This is generally being used for children with underlying illnesses or who are severely ill or who have a family member at risk of having complications from the flu. Occasionally, we may use prophylactic antiviral medications in family members at risk for complications of the flu who have been exposed.
  • Influenza infections can lead to or occur with a secondary bacterial infection.  More severe or prolonged illness that seems to get better, but then gets worse again may be a sign of bacterial infection. 
  • Do not give aspirin (acetylsalicylic acid) to children or teens with the flu. 
  • Children may take acetaminophen (Tylenol) or ibuprofen (Motrin, Advil) to relieve symptoms of the flu (fever, aches, headache).
  • Children under 4 years of age should NOT be given over-the-counter cold medications routinely and this should be approved by the health care provider.  Use a cool-mist humidifier and saline nose irrigation or sprays to clear away mucous.
  • Check the ingredients on the package label to see if the medication already contains acetaminophen or ibuprofen before taking additional doses of these medications-don't double dose!
  • Make sure your child is drinking fluids - small more frequently offered fluids are more easily tolerated.  Gatorade, dilute juices, Pedialyte, jello, or popsicles can be offered. They are usually not very hungry for foods, but if they are hungry try proteins like chicken, egg white, yogurt and try bland foods like bread, bananas, applesauce, rice, plain pasta.
Here are guidelines from the CDC on when to seek medical care:
  • has fast or difficulty breathing or chest pain
  • has purple or blue discoloration of the lips
  • is vomiting and unable to keep liquids down
  • has signs of dehydration such as dizziness when standing, dry mouth, decreased urination, lack of tears in infants
  • has seizures (for example, uncontrolled convulsions)
  • is less responsive than normal or becomes confuse, not waking up or not interacting
  • being so irritable that the child does not want to be held
  • flu-like symptoms improve, but then return with fever or worsening cough
See the complete CDC article on Taking Care of a Sick Person in Your Home.

Take these steps to reduce your child's risk of getting the flu:
  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.
  • Avoid touching your eyes, nose or mouth. Germs spread this way.
  • Try to avoid close contact with sick people.
  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.) Keep away from others as much as possible to keep from making others sick.


Help Us Save Time for Sick Kids
JUST A REMINDER ABOUT PRE-BOOKED VISITS:  In light of how busy our office can be in the fall and winter months, we want to accomodate seeing all the patients that need to be seen who are ill. We always have on our schedules pre-booked appointments for well child care and other consults and issues. It is extremely helpful if you can call as soon as you know you will not be able to make a pre-booked appointment, so that we may fill those slots for patients needing to be seen on a same day basis. Even if it is just an hour or minutes before your appointment, please call!  This really helps our ability to have our patients seen efficiently and we appreciate your help with this!