Kentucky Department for Public Health (DPH) officials are reminding Kentuckians to practice basic precautions such as hand washing and staying home when sick to help prevent the spread of novel H1N1 influenza (swine flu) as the state moves into the back to school season.

The Centers for Disease Control and Prevention (CDC) has told states to expect an increase in the number of cases of the H1N1 flu strain first identified in the spring, and which has since been declared a worldwide pandemic. Kentucky is also planning for a potential H1N1 vaccination campaign once vaccine becomes available.

Because the flu can spread easily among people in close contact and H1N1 has been more common in young people, health officials say it is especially important for those in school, day care or similar settings to practice good hygiene habits during the coming months. Common sense precautions to prevent illness include: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing.

Letters with information about H1N1 were recently sent to all Kentucky public school superintendents, in partnership with the Kentucky Department of Education. In light of the fact that H1N1 is circulating throughout the nation, CDC issued its guidance this morning for influenza in schools. The complete guidance can be found here.

Symptoms of H1N1 influenza include fever, chills, headache, sore throat, cough, body aches, and may include vomiting or diarrhea. Individuals at higher risk for complications—such as those with chronic health conditions or who are pregnant—should contact a health care provider early, in case treatment with antiviral medication is necessary.

Gov. Steve Beshear recently announced that Kentucky will hold a statewide Pandemic Influenza Summit on Sept. 3 at the Frankfort Convention Center to assist private and public stakeholders in preparing for any developments related to the novel H1N1 flu strain in the months ahead. Information on registration will be available soon.

For more information on swine flu, visit: www.flu.gov. Individuals can also visit http://healthalerts.ky.gov for information on H1N1 and Kentucky, or follow KYHealthAlerts on Twitter to be notified when new information is posted at the Web site.

We wanted to keep you informed with public health information regarding the recent flooding and pandemic H1N1 (swine) flu situation.

Public Health Flooding Issues:

The Kentucky Department for Public Health (DPH) has issued home safety guidelines to aid Kentuckians left with water damage in their homes due to large amounts of water run-off and flooding throughout the state. Public health concerns include mold removal and prevention, and proper food handling and storage. 

Mold can accumulate in homes affected by flood/water damage. Molds grow best in warm, damp and humid conditions and spreads by making spores.  

To recognize the signs of mold, look for discolored walls possibly showing water damage, or green or black spots apparent on walls. Mold also has a musty, earthy smell or a foul stench. Allergy sufferers tend to be most affected by mold exposure.

To decrease exposure and reduce mold in the home, DPH recommends that homeowners keep the humidity level of the home between 40 and 60 percent. The use of an air conditioner or dehumidifier may be used to achieve a lower level of humidity. Always use exhaust fans when showering and cooking. Mold inhibitors for paint are also available from home improvement stores.

When cleaning up small areas affected by mold, use protective glasses or goggles. DPH also recommends wearing rubber boots and waterproof gloves, and wash clothing afterwards. If there is a heavy mold growth area, you may wish to use a basic respirator or suitable mask to prevent breathing the spores.

Other recommendations include:
     − Ensure that the area is well ventilated before beginning.
     − Remove all previously soaked porous items that have been wet for more than 48 hours and are not able to be cleaned and dried.
     − Hard surfaces may be cleaned using a cloth dampened with warm soapy water.
     − Contact a mold remediation consultant for severe mold cases.

Food Safety:

DPH staff also cautions people to keep food safety in mind if they have been affected by power outages. This includes keeping freezers closed to maintain the proper temperature for frozen foods. A full freezer will hold the temperature for approximately 48 hours and for 24 hours if the freezer is half full. A refrigerator will only hold its temperature for about four hours, meaning food items such as milk, dairy products, meats, eggs and leftovers should be placed in a cooler surrounded by ice if the outage lasts for more than four hours. Dry ice can be used to keep refrigerators cold. If the outage lasts for several days, 50 pounds of dry ice should preserve food in an 18-cubic foot full freezer for two days. (You must be careful when handling dry ice. Never touch dry ice with bare hands or breathe its vapors in an enclosed area. Dry ice is frozen carbon dioxide, a gas. )

If left without power, purchase one or more coolers, ice and a digital, dial or instant-read food thermometer, DPH recommends. Public health guidelines also recommend keeping appliance thermometers in the refrigerator and freezer, no matter how long the power has been out. The refrigerator temperature should be 40 degrees Fahrenheit or below; the freezer should be 0 degrees Fahrenheit or lower. Also try to limit the opening of freezer and refrigerator doors, even if an appliance has been out but returns to function within a couple of hours. If the freezer is not full, DPH strongly advises that poultry and meat items be grouped away from other foods to prevent juices from contaminating other items.

When the refrigerator and/or freezer are operating again, follow these guidelines to decide what to do with foods:
     − Refrigerated foods should be safe as long as power is out for no more than four hours.
     − Throw out any perishable food in your refrigerator, such as meat, poultry, lunchmeats, fish, dairy products, eggs and any prepared or cooked foods that have been above 40 degrees Fahrenheit for two hours. Bacteria can multiply to unsafe levels under these conditions.
     − Fresh fruits and vegetables are safe as long as they are still firm, and there is no evidence of mold or sliminess.
     − If an appliance thermometer was kept in the freezer, read the temperature when power comes back on. If the appliance thermometer stored in the freezer reads 40 degrees Fahrenheit or below, the food is safe and may be refrozen.
     − If a thermometer has not been kept in the freezer, check each package of food to determine the safety.
     − If the food still contains ice crystals or is 40 degrees Fahrenheit or below, it is safe to refreeze.
     − Raw meats, poultry, cheese, juices, breads and pastries can be refrozen without losing too much food quality.
    − Prepared food, fish, vegetables and fruits in the freezer can be refrozen safely, but food quality may suffer.

To remove spills and freshen the freezer and refrigerator, DPH recommends washing with a solution of two tablespoons of baking soda dissolved in one quart of warm water. To absorb any lingering odors, place an open box or dish of baking soda in the appliance.

For more information about public health issues related to flooding, visit DPH’s mold site or the Centers for Disease Control and Prevention (CDC) Web site.

H1N1 (Swine) Flu:

Public health officials are closely monitoring the current situation with the H1N1 (swine) flu pandemic (worldwide outbreak). The CDC is not requiring states to maintain a count of swine flu cases because the numbers are hard to track and the illness has not been severe, but they estimate it to be well over one million people affected. The vaccine is currently being developed and tested. We have no additional information on this as of yet on when or where the vaccine will be available. A letter was sent to all school superintendents in Kentucky regarding the opening of schools and the H1N1 (swine) flu pandemic that is expected to intensify in the U.S. (attached).

Kentucky will hold a statewide Pandemic Influenza Summit on Sept. 3 at the Frankfort Convention Center. The summit will help private and public stakeholders prepare for any developments related to the novel H1N1 influenza strain (swine flu) during this year’s flu season, including a potential vaccination campaign. The summit seeks to bring together representatives from a wide range of sectors, including business, public and private K-12 education, secondary education, law enforcement and public safety organizations, health care workers, public health workers, other state agencies and faith-based organizations. Attendees will hear from public health experts about the current H1N1 situation and what to expect in the fall. Information will also be provided by representatives from schools, businesses, health care and public health agencies on current plans for response to pandemic flu and related preparedness activities. Breakout sessions will encourage in-depth exploration of these topics, and more. At the recent federal H1N1 Preparedness Summit, which brought together leaders from all 50 states and U.S. territories, states were encouraged to hold their own summits. Information on registration will be available soon. We will ensure that all KOIN members receive an invitation for this event.

For more information on swine flu, visit: flu.gov. Individuals can also visit healthalerts.ky.gov for information on H1N1 and Kentucky, or follow KYHealthAlerts on Twitter to be notified when new information is posted at the Web site.

We will keep you updated as more information is available.

 

Flu Level Raised to 'Widespread' in Kentucky

Sept. 18, 2009 – The Kentucky Department for Public Health (DPH) reported to the Centers for Disease Control and Prevention (CDC) this week that the flu activity level in the state has increased from regional to widespread. Widespread activity is the highest level of flu activity, which indicates increased flu-like activity or flu outbreaks in at least half of the regions in a state. This level of flu activity is consistent with other southeastern states that are also currently reporting widespread activity.

“Having widespread flu activity being reported in Kentucky is very unusual in mid-September,” said William D. Hacker, M.D., commissioner of DPH. “This high level of activity so early in the flu season is mainly due to the H1N1 swine flu virus circulating, not the seasonal flu. We are urging individuals to get vaccinated against seasonal flu now and also receive a swine flu vaccination when the vaccine begins to arrive in Kentucky, which should be by mid-October. Because initial supplies of the swine flu vaccine may be limited, vaccine supplies  will be recommended first for priority groups based on those most at risk.

Priority groups for the swine flu vaccine include: people who are more likely to suffer complications from swine  flu, including pregnant women; people who live or care for children younger than 6 months of age; direct care health care and emergency medical services personnel; people between the ages of 6 months and 24 years old; and people from ages 25 through 64 years with chronic health conditions.

Although more than 500 deaths associated with swine flu have been reported nationwide (including one in Kentucky), the severity of swine flu appears comparable to seasonal flu, which is responsible for about 200,000 hospitalizations each year, according to the CDC. The CDC has told states to expect an increase inFlu Level Raised to 'Widespread' in Kentucky

Although more than 500 deaths associated with swine flu have been reported nationwide (including one in Kentucky), the severity of swine flu appears comparable to seasonal flu, which is responsible for about 200,000 hospitalizations each year, according to the CDC. The CDC has told states to expect an increase in the number of cases of the swine flu strain, which has been declared a worldwide pandemic, first identified in the spring. Kentucky is also planning for a swine flu vaccination campaign once vaccine becomes available. 

Hacker urges anyone who hasn’t received a seasonal flu vaccine, particularly those in the groups at high risk for complications related to the flu, to contact their local health departments or health care provider about getting a flu shot. Healthy people age 2 through 49 years can get flu immunizations administered by nasal spray. Older Kentuckians should also consider getting the pneumonia vaccine. 

Because the flu can spread easily among people in close contact and swine flu has been more common in young people, health officials say it is especially important for those in school, day care or similar settings to practice good hygiene habits during the coming months. Common sense precautions to prevent illness include: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing. 

The symptoms of both seasonal and swine flu include fever, chills, headache, sore throat, cough, body aches and many include vomiting or diarrhea. Individuals at higher risk for complications – such as those with chronic health conditions or who are pregnant – should contact a health care provider early, in case treatment with antiviral medication is necessary. 

States’ flu activity information reported weekly to the CDC is delayed in posting to the CDC Web site by one week. The current flu activity map is located at http://www.cdc.gov/flu/weekly/usmap.htm. 

For more information on swine flu, visit www.flu.gov. Individuals can also visit http://healthalerts.ky.gov for information on swine flu and Kentucky, or follow KYHealthAlerts on Twitter to be notified when new information is posted at the Web site.the number of cases of the swine flu strain, which has been declared a worldwide pandemic, first identified in the spring. Kentucky is also planning for a swine flu vaccination campaign once vaccine becomes available.
    

(Oct. 5, 2009)  – The Kentucky Department for Public Health (DPH) has set up a new toll-free hotline for the public who have questions related to 2009 H1N1 influenza (swine flu) and seasonal flu. The toll-free hotline number is 1(877)843-7727, and it will operate from 8 a.m.-10 p.m. daily. Information on the H1N1 virus is also readily available by visiting the redesigned Health Alerts Web site at http://healthalerts.ky.gov.

The flu hotline will be staffed by nurses and administered by Kosair Children’s Hospital, a part of Norton Healthcare, through a contract with DPH funded by a federal grant award related to H1N1 activities. Kosair Children’s Hospital also operates the state's Regional Poison Center hotline. The flu hotline will be active through at least the end of December.

The Health Alerts Web site has also been relaunched in an easy-to-navigate format, and will be updated daily with new information about swine flu, seasonal flu and flu vaccines, as well as any other breaking health news. It includes resources for families and individuals, health care professionals, schools and day cares, other community organizations and business owners. It also provides information for the media.

Kentucky was eligible to begin ordering 24,300 doses of nasal spray H1N1 vaccine last week, and expects shipments to begin arriving as early as today. The nasal spray vaccine can be taken by healthy individuals ages 2-49.  The first doses will be targeted mainly at health care workers under age 40 who are healthy, with broader availability as supplies increase. The H1N1 flu shot vaccine is expected to be available mid- to late October, with vaccine clinics for the public likely to be scheduled in early November.

The symptoms of both seasonal and H1N1 influenza include fever, chills, headache, sore throat, cough, body aches, and may include vomiting or diarrhea. Individuals at higher risk for complications—such as those with chronic health conditions or who are pregnant—should contact a health care provider early, in case treatment with antiviral medication is necessary.

Common sense precautions to prevent illness include: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing.

For more information on seasonal and swine flu, visit http://healthalerts.ky.gov or follow KYHealthAlerts on Twitter.        

There are limited quantities of H1N1 (swine flu) vaccine currently available with an increase in supply expected toward the end of the month and into November. The earliest shipments will be of the nasal spray vaccine, which can be taken by healthy individuals ages 2-49, with H1N1 shot vaccine following in larger quantities. Health officials are recommending that individuals under 65 who are at higher risk for complications of the flu—such as pregnant women, health care workers, caretakers of children younger than six months and those with chronic illnesses—be among the target groups to receive vaccine first. Please be patient and contact your local health department or health care provider first before traveling to a clinic to ensure there is adequate vaccine available for you.

Seasonal flu vaccine is already available in many locations, and health officials are encouraging individuals, including those over 65, not to delay receiving their annual flu shot in addition to the swine flu vaccine.

December 1, 2009
CDC has received reports of fraudulent emails (phishing) referencing a CDC sponsored State Vaccination Program.
The messages request that users must create a personal H1N1 (swine flu) Vaccination Profile on the cdc.gov website. The message then states that anyone that has reached the age of 18 has to have his/her personal Vaccination Profile on the cdc.gov site.
The CDC has NOT implemented a state vaccination program requiring registration on www.cdc.gov. Users that click on the email are at risk of having malicious code installed on their system. CDC reminds users to take the following steps to reduce the risk of being a victim of a phishing attack:
• Do not follow unsolicited links and do not open or respond to unsolicited email messages.
• Use caution when visiting un-trusted websites.
• Use caution when entering personal information online.

We have an update on H1N1 (swine flu) information to pass on to you and the organizations that you serve.

Online Survey to Assess H1N1 Vaccine Availability to Kentuckians
The Kentucky Department for Public Health (DPH) is asking that Kentucky residents take a new online survey about availability and related issues involving the H1N1 (swine flu) vaccine. The survey is anonymous and will be available through Dec. 19, 2009. It will be used to help measure the extent to which target group populations in Kentucky have been able to access and obtain the H1N1 vaccine and the projected percentage of Kentuckians in the target groups who have received it or wish to receive it. The target groups identified for the survey include: pregnant women; people who live with or care for children younger than 6 months; young adults from 18 to 24 years of age; and people with chronic health conditions that include asthma, neurological conditions, chronic lung and heart disease, and disorders of the kidney, liver, endocrine system and blood. A telephone survey is also being conducted simultaneously with the online survey. The survey can be accessed at http://healthalerts.ky.gov/Pages/H1N1AvailabilitySurvey.aspx.

H1N1 Vaccinations Opening Up to the General Public
Some local health departments will begin opening up their H1N1 vaccinations to members of the general public shortly. Initial efforts of local health departments have been concentrating on vaccinating individuals that are listed in the target groups for complications from the H1N1 virus to include:
• Pregnant women
• People who live with or care for children younger than 6 months old
• Health care and emergency medical services workers
• Children and young adults 6 months to 24 years old, especially those with chronic health problems
• People 25 to 64 years old with chronic health problems

Please check with your local health department for additional information regarding this. Also, continue to go to http://healthalerts.ky.gov for the latest in H1N1 information, vaccine clinics and school closings related to influenza-like illness (ILI).

Invitation to Participate in Upcoming Conference Call with U.S. Department of Health and Human Services

You are invited

Dial in Number: 1-888-946-4716
Pass Code:  5171679

The U.S. Department of Health and Human Services invites you, and those you serve, to a regional conference call on December 17, 2009, from 1:30 p.m. – 2:30 p.m. The purpose of the call is to provide essential information and resources to ensure hard-to-reach populations receive H1N1 and seasonal flu vaccinations in the coming months. Invited participants include community and faith-based organizations and leaders and groups working with hard to reach populations in the eight southeastern states (AL, FL, GA, KY, MS, NC, SC, and TN).

National and regional federal officials will provide: 1) an update on H1N1, vaccine and the safety and importance of vaccinations; 2) an overview of H1N1 activity in the eight southeastern states; and 3) four key ways community and faith-based organizations can help their communities stay healthy, including a brief overview of H1N1 Flu: A Guide for Community & Faith-Based Organizations. A question and answer session will follow the presentations, and state health departments will be available to answer questions specific to their states.

Program leaders and the individuals your organization serves are encouraged to participate.  To join: Please dial: 1-888-946-4716 and enter the participant code 5171679. Please share this invitation through your distribution channels.   We look forward to partnering with you on this important outreach.  If you have any questions, please feel free to contact, Sharon Ricks, Deputy Regional Health Administrator, 404-562-7906 or email sharon.ricks@hhs.gov.

Thank you.

 [*Please note: a second call is planned for January 2010. The purpose of that call will be to provide organizations with information on human services programs that can support families under stress from flu response and in economic recovery.]

The links below include four fact sheets with multiple versions (same text) of each to address Spanish language and race and ethnicity differences. Whether or not you can join the call, we encourage you to share appropriate fact sheets with those you serve.

You and the H1N1 flu vaccine.  2009 H1N1 flu vaccine is given in two ways.
a. English version http://www.cdc.gov/flu/freeresources/2009-10/pdf/h1n1_safety_flyer.pdf
b. Spanish Version http://www.cdc.gov/flu/freeresources/2009-10/pdf/h1n1_safety_flyer_sp.pdf

Children should get the vaccine.  Most children who get 2009 H1N1 flu feel better within a week.
a. English version http://www.cdc.gov/flu/freeresources/2009-10/pdf/09_h1n1_children.pdf
b. Spanish version http://www.cdc.gov/flu/freeresources/2009-10/pdf/09_h1n1_children_sp.pdf

Protect yourself from H1N1. Get the vaccine. 
a. English for African Americans http://www.cdc.gov/flu/freeresources/2009-10/pdf/09_h1n1_vaccine_safety_ver2.pdf
b. English for Asian and Pacific Islanders http://www.cdc.gov/flu/freeresources/2009-10/pdf/09_h1n1_vaccine_safety_ver1.pdf
c. English for American Indian and Alaskan Natives http://www.cdc.gov/flu/freeresources/2009-10/pdf/09_h1n1_vaccine_safety_ver4.pdf
d. English for multicultural audiences http://www.cdc.gov/flu/freeresources/2009-10/pdf/09_h1n1_vaccine_safety_ver3.pdf
e. Spanish for non English-speaking Hispanics http://www.cdc.gov/flu/freeresources/2009-10/pdf/09_h1n1_vaccine_safety_sp.pdf

Cover Your Cough.  Stop the Spread of Germs that Make You and Others Sick!
a. English version http://www.cdc.gov/flu/protect/pdf/cdc_cough.pdf
b. Spanish version http://www.cdc.gov/flu/protect/espanol/pdf/covercough_school_8x11_sp.pdf

If any KOIN members are interested in participating in the call with us at the Kentucky Department for Public Health building in Frankfort, please contact me.

Free Flu Materials Available
We also have free H1N1 flu materials available in both English and Spanish (folding pandemic flu pocket brochures and flu fingertip cards). If you are interested, please let us know the quantity you need and we’ll be happy to get them right out to  you.

 

The Kentucky Department for Public Health was notified today that Sanofi Pasteur, the manufacturer of H1N1 (swine flu) vaccine found four distributed lots of single-dose, pre-filled syringe pediatric (0.25 mL.) vaccine with antigen content lower than required potency levels. The manufacturer is conducting a non-safety related voluntary recall of these affected lots of vaccine. Kentucky received a total of 21,800 .25mL doses in prefilled syringes shipped to providers statewide.  We have provided the lot numbers to our local health departments so that they can track down the implicated lots themselves. The State Department for Public Health will also notify all providers directly to make sure that the lots are recovered. 

It is important to note that this is only a potency issue and not a safety issue.  The antigen content of the implicated vaccine tested above the specification limit when produced but fell slightly below that limit on later testing.  CDC determined that the reduction is small enough that there is no need to revaccinate children who were vaccinated with recalled lots, but kids under 10 still need their two doses of H1N1 vaccine.

For More Information:

•For questions and answers related to the withdrawn vaccine see http://www.cdc.gov/h1n1flu/vaccination/syringes_qa.htm

•Call CDC’s toll-free information line, 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348, which is available 24 hours a day, every day.

 

Emergency officials, National Guard troops and utility crews are working around the clock to clear storm debris and restore power to the thousands of Kentuckians left without electricity from the winter storm that hit eastern and southeastern Kentucky Friday.

The public is strongly encouraged to follow the safety guidelines below offered by Kentucky Department for Public Health (DPH) and Kentucky Division of Emergency Management (KYEM) to prevent injury, illness or death:

Stay Indoors - If possible stay indoors.  If your home or residence is without power, seek shelter with a friend, relative or an identified public shelter listed below.

Carbon Monoxide Safety - Items such as portable generators, propane gas stoves, ovens heated with gasoline all have been used as heat sources indoors, which can lead to carbon monoxide poisoning.

* Don't use a generator, charcoal grill, camp stove or other gasoline or charcoal-burning device inside your home, basement or garage or near a window.
* Don't run a car or truck inside a garage attached to your house, even if you leave the door open.
* Don't burn anything in a stove or fireplace that isn't properly vented.
Don't heat your house with a gas oven.
* Seek immediate medical attention if you suspect carbon monoxide poisoning and are experiencing symptoms of carbon monoxide poisoning. Early symptoms include headache, nausea, vomiting and fatigue. Carbon monoxide poisoning is treatable.
* If you are experiencing symptoms of carbon monoxide poisoning or if you have questions, call the Poison Control hot line at (800) 222-1222.

The Kentucky National Guard (KyNG) is assisting with cutting and removing trees blocking roadways and hindering utility crews from restoring power. Soldiers have delivered cots to shelters, set up generators for shelters and have been dispatched to assist in transporting citizens to shelters and warming centers in the affected areas.

As of this morning, 16 counties have declared States of Emergency: Bell, Breathitt, Clay, Harlan, Floyd, Jackson, Johnson, Knott, Lawrence, Leslie, Letcher, Magoffin, Owsley, Perry, Pike and Whitley.  The cities of Salyersville and Paintsville have also declared.

Although the number of customers impacted has improved, thousands remain without power.  The Public Service Commission (PSC) reports, as of Sunday evening, 82,910 households in Eastern Kentucky are still without power.  An estimated 6,800 connections are without water (includes residence and
businesses) and 19 shelters remain open in 10 counties:

      Bell Co. -        Pineville High School
      Breathitt Co. -   Jackson Fire Department
      Floyd Co. -       Grace Way United Methodist Church
      Johnson Co. -     CAP Hagerhill
      Knott Co. -       Knott Co. Human Service Center
      Lawrence Co. -    Lawrence Co. High School
      Leslie Co. -      Hyden Fire Department
                        Leslie Co. Emergency Operations Center
                        Wooten Volunteer Fire Department
      Letcher Co. -     Blackey Senior Citizen Home
                        Boone Fort Senior Citizen Center
                        Colson Fire Department
                        Ermine Senior Citizen Center
      Perry Co. -       First Presbyterian Church
      Pike Co. -        Belfry High School
                        Phelps Senior Citizen Home
                        Pike Central High School
                        Pike Co. EXPO Center
                        Shelby Valley High School
     
KOIN members are encouraged to keep in contact with the KOIN Coordinator (BarbaraJ.Fox@ky.gov) concerning problems in their area.

Road conditions throughout the state can be found on the Kentucky Transportation Cabinet's Web site at www.511.ky.gov or by calling 511 in Kentucky or 1-866-737-3767 for out-of-state callers.

Additional information and winter safety tips, including winter driving tips, can be found on KyEM's web site at www.kyem.ky.gov.

 

The Kentucky Department for Public Health issues these safety guidelines for after floods.

Tetanus:

• Avoid contact with flood waters. Flood waters are unclean and can be a risk for tetanus for those who have open wounds that come into direct contact with them. Contact your regular health care provider or your local health department if you believe you may need a tetanus shot.

Mold Cleanup:

• Mold may be present in homes that were flooded. An air conditioner or dehumidifier may be used to lower the level of humidity to prevent mold growth.  Use exhaust fans when showering and cooking.

• When cleaning up small areas affected by mold, make sure the area has enough air by opening doors or windows. Use protective glasses or goggles, rubber boots and waterproof gloves. Wash clothing afterwards. If there is heavy mold growth, use a respirator or suitable mask to prevent breathing the mold.

• Remove all wet items that have been wet for more than 48 hours and are not able to be cleaned and dried.

• If mold is growing in your home, you will need to clean up the mold and fix the moisture problem. Mold growth can be removed from hard surfaces with commercial products, soap and water, or a bleach solution of no more than 1 cup of bleach in 1 gallon of water. Severe mold cases may require an expert to clean up.

Food Safety:

• If you have power outages keep freezers closed to help keep  frozen food from going bad. A full freezer will keep the temperature for about 48 hours and for 24 hours if the freezer is half full.

• Refrigerated foods should be safe as long as power is out for no more than four hours. Throw away any perishable food in your refrigerator, such as meat, poultry, lunchmeats, fish, dairy products, eggs and any prepared or cooked foods that have been above 40 degrees Fahrenheit for two hours.

•  Fresh fruits and vegetables are safe as long as they are still firm and have no mold or slimy feel.

•  To remove spills and refresh the freezer and refrigerator, DPH recommends washing with a solution of 2 tablespoons of baking soda dissolved in 1 quart of warm water. To get rid of any odors, place an open box or dish of baking soda in the freezer or refrigerator.

For more information about public health issues related to flooding, visit the Centers for Disease Control and Prevention (CDC) Web site at: http://www.bt.cdc.gov/disasters/floods/.

Spanish Version:

El Departamento para la Salud Pública de Kentucky emite estas recomendaciones de seguridad para el periodo después de las inundaciones.

Tétanos:

• Evite el contacto con el agua de inundaciones. El agua de inundaciones no es limpia y puede conllevar un riesgo de tétanos para aquellas personas con heridas abiertas que entran en contacto directo con estas aguas. Comuníquese con su proveedor de atención médica regular o su departamento de salud local si usted cree que necesita una vacuna contra el tétanos.

Limpieza de moho:

• Es posible que el moho se presente en los hogares que fueron inundados. Se puede usar el aire acondicionado o un deshumidificador para reducir el nivel de humedad y así prevenir el crecimiento del moho. Use ventiladores de escape cuando se ducha y cocina.

• Cuando está limpiando áreas pequeñas afectadas por el moho, asegúrese de que el área tenga suficiente ventilación abriendo las puertas o ventanas. Use lentes o anteojos protectores, botas de hule y guantes impermeables. Lave la ropa después. Si hay mucho crecimiento de moho, use un respirador o una mascarilla adecuada para prevenir que usted respire el moho.

• Retire todos los artículos que han estado mojados por más de 48 horas y que no pueden ser limpiados y secados.

• Si hay moho creciendo en su hogar, usted necesitará limpiar el moho y corregir el problema de humedad. El crecimiento de moho en superficies duras puede ser eliminado con productos comerciales, jabón y agua, o una solución de cloro de no más de 1 taza de cloro en 1 galón de agua. Es posible que se necesite un experto para limpiar los casos severos de moho.

Seguridad de alimentos:

• Si usted tiene apagones, mantenga los congeladores cerrados para prevenir que los alimentos congelados se pudran. Un congelador lleno mantendrá la temperatura aproximadamente por 48 horas, y por 24 horas si el congelador está medio lleno.

• Los alimentos refrigerados deben estar seguros con tal de que el apagón no dure más de cuatro horas. Tire a la basura cualquier alimento perecedero en su refrigerador, tales como la carne, carne de ave, fiambres, productos lácteos, huevos y cualquier alimento preparado o cocinado que haya estado a más de 40 grados Fahrenheit por dos horas.

• Las frutas y verduras frescas están bien con tal de que todavía estén firmes y no tengan moho ni se sientan viscosas.

• Para eliminar derrames y refrescar el congelador y el refrigerador, el DPH recomienda lavar con una solución de 2 cucharadas de bicarbonato sódico disueltas en 1 cuarto de galón de agua tibia. Para eliminar olores, coloque una cajetilla abierta o un plato de bicarbonato sódico en el congelador o el refrigerador.

Para más información sobre asuntos de la salud pública relacionados con las inundaciones, visite el sitio web de los Centros para el Control y la Prevención de Enfermedades (CDC) en: http://www.bt.cdc.gov/disasters/floods/.

 

 

The Kentucky Department for Public Health (DPH) is reporting that the State Public Health Laboratory detected its first positive influenza (flu) case this week, indicating the presence of flu in the state. The positive sample came from a Fayette County resident.
DPH will report the results to the Centers for Disease Control and Prevention (CDC) next week as part of statewide flu surveillance efforts conducted throughout the flu season. Kentucky’s flu activity will be reported as “sporadic,” the lowest level indicating flu activity. Surveillance efforts serve as a tracking system to follow the patterns and types of flu each year; they are not meant to reflect a full count of all flu cases.
       DPH is encouraging all Kentuckians to get a seasonal flu shot or nasal vaccine spray, and urging parents to make sure children older than 6 months also receive protection against the seasonal flu.
       This year's seasonal flu vaccine includes the H1N1 (swine flu) strain, as well as other strains of flu that are expected to circulate. Kentucky expects local health departments and private health care providers to have plenty of flu vaccine on hand for this year’s season. Kentuckians should contact their health provider or local health department for more information. 
       “The Lexington-Fayette County Health Department has plenty of flu shots for the community,” said Commissioner of Health Dr. Melinda Rowe. “The best way to fight the flu is through a flu shot, and this year’s vaccine helps protect you from both the seasonal flu and H1N1.”
     Anyone with questions about Lexington-Fayette County Health Department’s flu shot program can call the flu hotline at 288-7529 or visit www.lexflucrew.com. The health department will also be providing free flu shots at a special event 10 a.m.-6 p.m. Friday, Oct. 22, at Applebee’s Park.
The CDC is now recommending flu vaccine for all individuals older than 6 months of age. People who should especially receive the flu vaccine, because they may be at higher risk for complications or negative consequences include:

· Children age 6 months to 19 years;
· Pregnant women;
· People 50 years old or older;
· People of any age with chronic health problems;
· People who live in nursing homes and other long-term care facilities;
· Health care workers;
· Caregivers of or people who live with a person at high risk for complications from the flu and out-of-home caregivers of or people who live with children less than 6 months old.
    
Healthy, non-pregnant people aged 2-49 years can receive either the flu shot or the nasal vaccine spray.
      The flu season can begin as early as October and last as late as May, but usually peaks between January and March. September, October and November are good months to be vaccinated for flu because it takes about two weeks for immunity to develop and offer protection against flu. However, vaccination can be given any time during the flu season. Infection with the flu virus can cause fever, headache, cough, sore throat, runny nose, sneezing and body aches.
     Health officials also urge Kentuckians to practice common sense precautions to prevent illness, including: avoiding close contact with those who are ill; staying home when sick; covering the mouth and nose when coughing or sneezing; avoiding touching the eyes, nose or mouth; and frequent hand washing.
     For more information on influenza and flu immunizations, please contact your local health department or visit http://healthalerts.ky.gov or the CDC's website at http://www.cdc.gov/flu/.

Kentucky Reporta Primera Actividad de Influenza
Departamento para la Salud Pública Insta Pasos Preventivos, Vacuna Contra la Gripe

El Departamento para la Salud Pública de Kentucky (DPH, por sus siglas en inglés) reporta que el Laboratorio de Salud Pública del Estado detectó su primer caso positivo de influenza (gripe) esta semana, indicando la presencia de la influenza en el estado. La muestra positiva vino de un residente del Condado de Fayette.
     DPH reportará los resultados a los Centros para el Control y la Prevención de Enfermedades (CDC) la próxima semana como parte de los esfuerzos que se llevarán a cabo en todo el estado para la vigilancia de la influenza a lo largo de la temporada de la influenza. La actividad de influenza en Kentucky será reportada como “esporádica,” el nivel más bajo que indica actividad de influenza. Los esfuerzos de vigilancia sirven como un sistema de seguimiento para monitorear los patrones y los tipos de influenza cada año; no están destinados a reflejar un conteo completo de todos los casos de influenza.
     DPH está animando a todos los residentes de Kentucky a que reciban la inyección o el rocío nasal de la vacuna contra la influenza estacional, y está pidiendo con insistencia a los padres que se aseguren de que los niños mayores de 6 meses de edad también reciban protección contra la influenza estacional.
     La vacuna contra la influenza estacional este año incluye la cepa H1N1 (influenza porcina), así como otras cepas de influenza que se anticipa que circularán. Kentucky anticipa que los departamentos de salud locales y los proveedores de cuidado de salud privados tendrán suficiente cantidad de la vacuna contra la influenza a mano para esta temporada. Los residentes de Kentucky deben comunicarse con su proveedor de cuidado de salud o su departamento de salud local para más información.
     “El Departamento de Salud de Lexington-Fayette County tiene suficiente cantidad de vacunas contra la influenza para la comunidad,” dijo la Comisaria de Salud, la Dra. Melinda Rowe. “La mejor manera de luchar contra la influenza es a través de una inyección de la vacuna contra la influenza, y la vacuna de este año ayuda a proteger a usted contra ambas la influenza estacional y la H1N1.”
     Cualquier persona que tenga preguntas acerca del programa de vacunas contra la influenza del Departamento de Salud de Lexington-Fayette County puede llamar a la línea directa de influenza al 288-7529 o visitar www.lexflucrew.com. El departamento de salud también estará ofreciendo vacunas contra la influenza gratis en un evento especial de las 10 a.m. a las 6 p.m. el viernes, 22 de octubre, en el Parque Applebee’s.
     Los CDC ahora están recomendando la vacuna contra la influenza para todo individuo mayor de 6 meses de edad. Las personas que especialmente deben recibir la vacuna contra la influenza, porque podrían estar a un riesgo más alto de complicaciones o consecuencias negativas, incluyen:

· Niños de 6 meses a 19 años de edad;
· Mujeres embarazadas;
· Personas de 50 años de edad o mayores;
· Personas de cualquier edad que tienen problemas crónicos de salud;
· Personas que viven en hogares de ancianos y otras instalaciones de cuidado a largo plazo;
· Personas que trabajan en el cuidado de salud;
· Personas que cuidan a o viven con una persona en alto riesgo de complicaciones de la influenza; y personas que no viven con pero cuidan a, o personas que viven con niños menores de 6 meses de edad.
    
Las personas saludables que no están embarazadas y tienen entre 2 y 49 años de edad pueden recibir ya sea la inyección o el rocío nasal de vacuna contra la influenza.
     La temporada de influenza puede empezar tan temprano como en octubre y puede durar hasta mayo, pero normalmente alcanza su punto máximo entre enero y marzo. Septiembre, octubre y noviembre son buenos meses para recibir la vacuna contra la influenza porque tarda aproximadamente dos semanas para que la inmunidad se desarrolle y ofrezca protección contra la influenza. Sin embargo, se puede recibir la vacuna en cualquier momento durante la temporada de influenza. La infección con el virus de la influenza puede causar fiebre, dolor de cabeza, tos, dolor de garganta, goteo nasal, estornudos y dolores del cuerpo.

 

With the drop in temperatures expecting to last through the week and the possibility of an additional snowfall this weekend/early next week, the potential for individuals incorrectly using alternative heating sources to heat their homes could increase, resulting in the risk for carbon monoxide poisoning and fires. In addition, hypothermia can also occur when individuals are improperly dressed when they go outdoors. Feel free to distribute these brief tips to your contacts. The carbon monoxide pictogram fact sheet (in English and Spanish) and the other fact sheets on alternative heating source dangers are available on the healthalerts.ky.gov site under the Winter Safety section.      

Carbon Monoxide Poisoning

· Don’t use a generator, charcoal grill, camp stove or other gasoline or charcoal-burning device inside your home, basement or garage or near a window.

· Don’t run a car or truck inside a garage attached to your house, even if you leave the door open.

· Don’t burn anything in a stove or fireplace that isn’t properly vented.

· Don’t heat your house with a gas oven.

· Seek prompt medical attention by calling 911 or the Kentucky Regional Poison Center at 1-800-222-1222 if you suspect carbon monoxide poisoning and are feeling dizzy, light-headed, have a headache, chest pain or are feeling nauseous.

· To install a battery-operated carbon monoxide detector in your home or replace the battery when you change the time on your clocks each spring and fall for daylight savings time. If the detector sounds, leave your home immediately and call 911.

· The Centers for Disease Control and Prevention (CDC) has carbon monoxide materials available at:

· General CO poisoning prevention guidelines:   http://www.cdc.gov/co/guidelines.htm in 17 languages.

Hypothermia

· Hypothermia can result when the body’s temperature drops below what is necessary to maintain normal bodily functions. In severe cases or when the body is not warmed properly, death can result.

· To prevent hypothermia, wear appropriate clothing and limit the time you spend outdoors. Layer clothes made of synthetic and wool fabrics, which are best for keeping warm. Remember to wear hats, coats, scarves and gloves.

· Symptoms of hypothermia include shivering, altered speech pattern, abnormally slow rate of breathing, cold pale skin and lethargy. Seek medical attention if you experiences signs of hypothermia. Individuals experiencing these symptoms should call 911 or seek medical attention immediately.

Recent forecasts show the potential of a significant winter storm beginning on or about December 15, 2010. The storm brings a potential for snowfall and then significant icing to various parts of Kentucky. Depending upon the track of the storm, there is a possibility for snow and ice to form as temperatures drop and the storm moves through the state. In anticipation of the impending storm, please try to pass information concerning this storm to your contacts. With possible power outages, there is also the risk for individuals incorrectly using alternative heating sources to heat their homes, resulting in risk for carbon monoxide poisoning and fires. Hypothermia can also occur when individuals are improperly dressed when they go outdoors. Please feel free to distribute these brief tips to your contacts. The carbon monoxide pictogram fact sheet is also attached for your convenience in both English and Spanish. When printing, please ignore the margin message that pops up on the screen – it will print OK. Also attached are two fact sheets from the Kentucky Department for Public Health concerning home heating winter safety and dangers from alternative heating sources. Additional information on winter safety can be found at http://healthalerts.ky.gov/Pages/WinterSafety.aspx.

Carbon Monoxide Poisoning

· Don’t use a generator, charcoal grill, camp stove or other gasoline or charcoal-burning device inside your home, basement or garage or near a window.

· Don’t run a car or truck inside a garage attached to your house, even if you leave the door open.

· Don’t burn anything in a stove or fireplace that isn’t properly vented.

· Don’t heat your house with a gas oven.

· Seek prompt medical attention by calling 911 or the Kentucky Regional Poison Center at 1-800-222-1222 if you suspect carbon monoxide poisoning and are feeling dizzy, light-headed, have a headache, chest pain or are feeling nauseous.

· To install a battery-operated carbon monoxide detector in your home or replace the battery when you change the time on your clocks each spring and fall for daylight savings time. If the detector sounds, leave your home immediately and call 911.

· The Centers for Disease Control and Prevention (CDC) has carbon monoxide materials available at:

· General CO poisoning prevention guidelines:   http://www.cdc.gov/co/guidelines.htm in 17 languages.

Hypothermia

· Hypothermia can result when the body’s temperature drops below what is necessary to maintain normal bodily functions. In severe cases or when the body is not warmed properly, death can result.

· To prevent hypothermia, wear appropriate clothing and limit the time you spend outdoors. Layer clothes made of synthetic and wool fabrics, which are best for keeping warm. Remember to wear hats, coats, scarves and gloves.

· Symptoms of hypothermia include shivering, altered speech pattern, abnormally slow rate of breathing, cold pale skin and lethargy. Seek medical attention if you experiences signs of hypothermia. Individuals experiencing these symptoms should call 911 or seek medical attention immediately.

· More info on hypothermia can be found at http://emergency.cdc.gov/disasters/winter/faq.asp.

Please try to keep individuals involved in your contact lists informed about this and please try to stay safe everyone. If you need to venture outside, please remember to wear your KOIN ID badge to show that you are on official business for emergency communications. We would greatly appreciate any communication back from our KOIN members concerning current situations and needs in your region if the storm potential turns severe, as the KOIN is a two-way communication tool.

Spanish translation for KOIN Alert – Potential Winter Storm – 12/14/10

Pronósticos recientes indican la posibilidad de una gran tormenta invernal empezando en o alrededor del 15 de diciembre de 2010.  La tormenta trae la posibilidad de nieve y después una gran acumulación de hielo en varias partes de Kentucky.  En previsión de la tormenta inminente, por favor tenga en cuenta los siguientes consejos.

Intoxicación con monóxido de carbono
· No use un generador, parrilla de carbón, estufa de campamento u otro aparato que quema gasolina o carbón dentro de su hogar, sótano o garaje ni cerca de una ventana.
· No opere un carro o camión dentro de un garaje adjunto a su casa, aun si deja la puerta abierta.
· No queme nada en una estufa o chimenea que no esté ventilada adecuadamente.
· No caliente su casa con un horno de gas.
· Busque atención médica de inmediato llamando al 911 o al Centro de Intoxicación Regional de Kentucky al 1-800-222-1222 si usted sospecha la intoxicación con monóxido de carbono y tiene mareos, dolor de cabeza, dolor en el pecho o náuseas.
· Instale un detector de monóxido de carbono en su hogar que funciona con pilas o reemplace la pila cuando cambia la hora en los relojes cada primavera y otoño por el horario oficial de verano. Si el detector suena, salga del hogar inmediatamente y llame al 911.
· Los Centros para el Control y la Prevención de Enfermedades (CDC, por sus siglas en inglés) tienen materiales sobre el monóxido de carbono disponibles en:
· Directrices generales sobre la prevención de intoxicación con el monóxido de carbono (CO):   http://www.cdc.gov/co/guidelines.htm en 17 idiomas.

Hipotermia
· La hipotermia puede resultar cuando la temperatura del cuerpo desciende por debajo de la temperatura necesaria para lograr las funciones corporales normales. En casos graves o cuando el cuerpo no recibe suficiente calor, podría resultar en la muerte.
· Para evitar la hipotermia, lleve ropa adecuada y limite el tiempo que pasa afuera. Lleve capas de ropa, hechas de telas sintéticas y de lana, las cuales son las mejores para mantener el calor. Recuerde llevar gorros, abrigos, bufandas y guantes.
· Los síntomas de hipotermia incluyen escalofríos, un patrón de habla alterado, una frecuencia respiratoria anormalmente lenta, piel fría y pálida y letargo. Busque atención médica si usted tiene las señales de hipotermia. Los individuos que tienen estos síntomas deben llamar al 911 o buscar atención médica inmediatamente.
· Se puede hallar más información sobre la hipotermia en http://emergency.cdc.gov/disasters/winter/faq.asp.

This KOIN alert is being sent to statewide KOIN members. Please pass this information on to your network contacts, especially if you are in an area which experienced significant flooding. The Spanish version follows.

The Kentucky Department for Public Health issues these safety guidelines for after floods.

Tetanus:

· Avoid contact with flood waters. Flood waters are unclean and can be a risk for tetanus for those who have open wounds that come into direct contact with them. Contact your regular health care provider or your local health department if you believe you may need a tetanus shot.

Mold Cleanup:

· Mold may be present in homes that were flooded. An air conditioner or dehumidifier may be used to lower the level of humidity to prevent mold growth.  Use exhaust fans when showering and cooking.

· When cleaning up small areas affected by mold, make sure the area has enough air by opening doors or windows. Use protective glasses or goggles, rubber boots and waterproof gloves. Wash clothing afterwards. If there is heavy mold growth, use a respirator or suitable mask to prevent breathing the mold.

· Remove all wet items that have been wet for more than 48 hours and are not able to be cleaned and dried.

· If mold is growing in your home, you will need to clean up the mold and fix the moisture problem. Mold growth can be removed from hard surfaces with commercial products, soap and water, or a bleach solution of no more than 1 cup of bleach in 1 gallon of water. Severe mold cases may require an expert to clean up.

Food Safety:

· If you have power outages keep freezers closed to help keep  frozen food from going bad. A full freezer will keep the temperature for about 48 hours and for 24 hours if the freezer is half full.

· Refrigerated foods should be safe as long as power is out for no more than four hours. Throw away any perishable food in your refrigerator, such as meat, poultry, lunchmeats, fish, dairy products, eggs and any prepared or cooked foods that have been above 40 degrees Fahrenheit for two hours.

·  Fresh fruits and vegetables are safe as long as they are still firm and have no mold or slimy feel.

·  To remove spills and refresh the freezer and refrigerator, DPH recommends washing with a solution of 2 tablespoons of baking soda dissolved in 1 quart of warm water. To get rid of any odors, place an open box or dish of baking soda in the freezer or refrigerator.

For more information about public health issues related to flooding, visit the Centers for Disease Control and Prevention (CDC) Web site at: http://www.bt.cdc.gov/disasters/floods/.

Please find the Spanish translation for yesterday’s KOIN alert on flooding home safety concerns. The English versión has been placed below the Spanish versión for reference. Please pass this information on to your network contacts, especially if you are in an area which experienced significant flooding. The Spanish version will follow shortly. As always, thank you for assisting us with spreading this message.

El Departamento para la Salud Pública de Kentucky emite estas recomendaciones de seguridad para el periodo después de las inundaciones.

Tétanos:

· Evite el contacto con el agua de inundaciones. El agua de inundaciones no es limpia y puede conllevar un riesgo de tétanos para aquellas personas con heridas abiertas que entran en contacto directo con estas aguas. Comuníquese con su proveedor de atención médica regular o su departamento de salud local si usted cree que necesita una vacuna contra el tétanos.

Limpieza de moho:

· Es posible que el moho se presente en los hogares que fueron inundados. Se puede usar el aire acondicionado o un deshumidificador para reducir el nivel de humedad y así prevenir el crecimiento del moho. Use ventiladores de escape cuando se ducha y cocina.

· Cuando está limpiando áreas pequeñas afectadas por el moho, asegúrese de que el área tenga suficiente ventilación abriendo las puertas o ventanas. Use lentes o anteojos protectores, botas de hule y guantes impermeables. Lave la ropa después. Si hay mucho crecimiento de moho, use un respirador o una mascarilla adecuada para prevenir que usted respire el moho.

· Retire todos los artículos que han estado mojados por más de 48 horas y que no pueden ser limpiados y secados.

· Si hay moho creciendo en su hogar, usted necesitará limpiar el moho y corregir el problema de humedad. El crecimiento de moho en superficies duras puede ser eliminado con productos comerciales, jabón y agua, o una solución de cloro de no más de 1 taza de cloro en 1 galón de agua. Es posible que se necesite un experto para limpiar los casos severos de moho.

Seguridad de alimentos:

· Si usted tiene apagones, mantenga los congeladores cerrados para prevenir que los alimentos congelados se pudran. Un congelador lleno mantendrá la temperatura aproximadamente por 48 horas, y por 24 horas si el congelador está medio lleno.

· Los alimentos refrigerados deben estar seguros con tal de que el apagón no dure más de cuatro horas. Tire a la basura cualquier alimento perecedero en su refrigerador, tales como la carne, carne de ave, fiambres, productos lácteos, huevos y cualquier alimento preparado o cocinado que haya estado a más de 40 grados Fahrenheit por dos horas.

· Las frutas y verduras frescas están bien con tal de que todavía estén firmes y no tengan moho ni se sientan viscosas.

· Para eliminar derrames y refrescar el congelador y el refrigerador, el DPH recomienda lavar con una solución de 2 cucharadas de bicarbonato sódico disueltas en 1 cuarto de galón de agua tibia. Para eliminar olores, coloque una cajetilla abierta o un plato de bicarbonato sódico en el congelador o el refrigerador.

Para más información sobre asuntos de la salud pública relacionados con las inundaciones, visite el sitio web de los Centros para el Control y la Prevención de Enfermedades (CDC) en: http://www.bt.cdc.gov/disasters/floods/.

The Kentucky Department for Public Health issues these safety guidelines for after floods due to threats of extensive flooding with storms occuring: 
Tetanus:
· Avoid contact with flood waters. Flood waters are unclean and can be a risk for tetanus for those who have open wounds that come into direct contact with them. Contact your regular health care provider or your local health department if you believe you may need a tetanus shot.
Mold Cleanup:
· Mold may be present in homes that were flooded. An air conditioner or dehumidifier may be used to lower the level of humidity to prevent mold growth.  Use exhaust fans when showering and cooking.
· When cleaning up small areas affected by mold, make sure the area has enough air by opening doors or windows. Use protective glasses or goggles, rubber boots and waterproof gloves. Wash clothing afterwards. If there is heavy mold growth, use a respirator or suitable mask to prevent breathing the mold.
· Remove all wet items that have been wet for more than 48 hours and are not able to be cleaned and dried.                                                                                                  
· If mold is growing in your home, you will need to clean up the mold and fix the moisture problem. Mold growth can be removed from hard surfaces with commercial products, soap and water, or a bleach solution of no more than 1 cup of bleach in 1 gallon of water. Severe mold cases may require an expert to clean up.
Food Safety:
· If you have power outages keep freezers closed to help keep  frozen food from going bad. A full freezer will keep the temperature for about 48 hours and for 24 hours if the freezer is half full.
· Refrigerated foods should be safe as long as power is out for no more than four hours. Throw away any perishable food in your refrigerator, such as meat, poultry, lunchmeats, fish, dairy products, eggs and any prepared or cooked foods that have been above 40 degrees Fahrenheit for two hours.
·  Fresh fruits and vegetables are safe as long as they are still firm and have no mold or slimy feel.
·  To remove spills and refresh the freezer and refrigerator, DPH recommends washing with a solution of 2 tablespoons of baking soda dissolved in 1 quart of warm water. To get rid of any odors, place an open box or dish of baking soda in the freezer or refrigerator.

For more information about public health issues related to flooding, visit the Centers for Disease Control and Prevention (CDC) Web site at: http://www.bt.cdc.gov/disasters/floods/.

Spanish Translation:

El Departamento para la Salud Pública de Kentucky emite estas recomendaciones de seguridad para el periodo después de las inundaciones.
Tétanos:
· Evite el contacto con el agua de inundaciones. El agua de inundaciones no es limpia y puede conllevar un riesgo de tétanos para aquellas personas con heridas abiertas que entran en contacto directo con estas aguas. Comuníquese con su proveedor de atención médica regular o su departamento de salud local si usted cree que necesita una vacuna contra el tétanos.
Limpieza de moho:
· Es posible que el moho se presente en los hogares que fueron inundados. Se puede usar el aire acondicionado o un deshumidificador para reducir el nivel de humedad y así prevenir el crecimiento del moho. Use ventiladores de escape cuando se ducha y cocina.
· Cuando está limpiando áreas pequeñas afectadas por el moho, asegúrese de que el área tenga suficiente ventilación abriendo las puertas o ventanas. Use lentes o anteojos protectores, botas de hule y guantes impermeables. Lave la ropa después. Si hay mucho crecimiento de moho, use un respirador o una mascarilla adecuada para prevenir que usted respire el moho.
· Retire todos los artículos que han estado mojados por más de 48 horas y que no pueden ser limpiados y secados.
· Si hay moho creciendo en su hogar, usted necesitará limpiar el moho y corregir el problema de humedad. El crecimiento de moho en superficies duras puede ser eliminado con productos comerciales, jabón y agua, o una solución de cloro de no más de 1 taza de cloro en 1 galón de agua. Es posible que se necesite un experto para limpiar los casos severos de moho.
Seguridad de alimentos:
· Si usted tiene apagones, mantenga los congeladores cerrados para prevenir que los alimentos congelados se pudran. Un congelador lleno mantendrá la temperatura aproximadamente por 48 horas, y por 24 horas si el congelador está medio lleno.
· Los alimentos refrigerados deben estar seguros con tal de que el apagón no dure más de cuatro horas. Tire a la basura cualquier alimento perecedero en su refrigerador, tales como la carne, carne de ave, fiambres, productos lácteos, huevos y cualquier alimento preparado o cocinado que haya estado a más de 40 grados Fahrenheit por dos horas.
· Las frutas y verduras frescas están bien con tal de que todavía estén firmes y no tengan moho ni se sientan viscosas.
· Para eliminar derrames y refrescar el congelador y el refrigerador, el DPH recomienda lavar con una solución de 2 cucharadas de bicarbonato sódico disueltas en 1 cuarto de galón de agua tibia. Para eliminar olores, coloque una cajetilla abierta o un plato de bicarbonato sódico en el congelador o el refrigerador.
Para más información sobre asuntos de la salud pública relacionados con las inundaciones, visite el sitio web de los Centros para el Control y la Prevención de Enfermedades (CDC) en: http://www.bt.cdc.gov/disasters/floods/.