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Swine Flu Guidelines

Broad guidelines for schools / educational institutions

It should be made mandatory by the school authorities that all class teachers should begin their class with active screening of each student in the class so as to detect any student who is having symptoms of flu (mild fever with cough/ sore throat with or without body ache, headache, diarrhea and vomiting). If such student is detected, he/she should be referred immediately to the medical facility of the school. He/She should be further advised to stay at home for 7 days and observe strict discipline of home isolation. The onus of observance of discipline of isolation henceforth is shifted to the parents and school authorities should accordingly write a letter to the parent. The parents should also be advised to keep other wards at home, in case they are found to be having flu like symptoms. There should be constant self-monitoring and if symptoms deteriorates, it should be reported to health authorities immediately.
Students, teachers and other employees working in schools/educational institutions are advised to stay at home if they develop flu like symptoms. They should consult the medical doctor and take treatment as advised including the home isolation and drugs for treatment of the symptoms.
Students, teachers and other employees working in schools/educational institutions are advised to continue to stay at home for at least 7 days if they are advised by the doctor to take Oseltamivir treatment and they should observe home isolation. There should be constant self-monitoring and if symptoms deteriorates, it should be reported to health authorities, immediately.
Students, teachers and other employees working in schools/educational institutions are advised to wash their hands frequently with soap and water.
Students, teachers and other employees working in schools/educational institutions are advised to observe strict cough / sneeze etiquette i.e. use tissue while sneezing and coughing. The tissue paper so used should be kept in a separate plastic bag, so that it can be disposed of safely.
If any student, teachers or other employees is at high risk (suffering from chronic diseases of lung/heart/kidney/neoroloigcal system or blood disorder) for H1N1 and he / she becomes sick with influenza like sickness, the school authories should immediately take him/her to the medical officer of the school and carry out further treatment strictly under advice of the doctor. Mostly such patients will be kept at Oseltamivir and home isolation.
Closure of schools has not been recommended by Centre for Disease Control, Atlanta, USA. Its value for prevention of spread of disease within school is outweighed by the possibility of community spread, which is more likely because the children will play and mix with public in various places and at social gathering and there will be nobody to advise them or prevent such incidents. On the other hand, in schools there will be a teacher who will be able to detect their symptoms everyday at the earliest. However, school authorities have to use their own judgement for any type of temporary closure in the event of wide spread H1N1 influenza in school. There should be constant self-monitoring and if symptoms deteriorates, it should be reported to health authorities, immediately.