Ramage Elementary School

STAPH Infection Prevention


 1: Keep wounds and sores covered!

2: Don’t touch someone else’s wounds and sores!

3: Keep hands clean with soap and water!

4: Don’t share towels, clothes, and other stuff!

5: Stay clean and wear clean clothes!

6: Don’t take antibiotics unless needed!

MRSA is a type of staph . For more information about MRSA or staph,

call 1-800-423-1271

Staph is a skin germ that can make you sick!

H1N1 (Swine) Flu Facts

for Parents and Students (WV Bureau for Public Health)

2009 H1N1 (Swine) flu is caused by a new flu virus. It causes symptoms and disease severity similar

to seasonal flu. One of the differences is the H1N1 virus impacts younger people more than the

elderly. H1N1 disease is most common in people age 24 and younger.

By far, most people with H1N1 (Swine) flu have illness like any other flu and recover well in a few

days. Although very rare, a few people develop serious complications and have to be hospitalized or

even die from H1N1 flu. That’s why flu and its prevention is taken so seriously. Although anyone can

have complications, people at increased risk include children less than 5 years old (especially those

less than 2), pregnant women, and people with underlying health problems like heart or lung disease

(including asthma), diabetes, neurologic disease, or a weakened immune system.

Hand washing, covering coughs and sneezes, and discarding used tissues are simple ways to

prevent spread of H1N1. Staying home from work or school when sick is very important.

There is now a new tool to prevent H1N1 (Swine) Flu. The 2009 H1N1 flu vaccine is made just the

same way that seasonal flu vaccine is made. Like manufacturers do every year with seasonal flu

vaccine, they simply made the vaccine to the new flu virus (H1N1). The manufacturers, processes,

equipment, and formulations are all the same. Given this, CDC and other vaccine experts expect the

H1N1 vaccine to be as safe as seasonal flu vaccine. All H1N1 vaccine studies to date show the

same safety level, too.

There are two types of vaccine: the flu shot and the nasal spray. This is the same as with seasonal

flu vaccine. Neither vaccine can give you or anyone else the flu, even the “live” virus nasal spray; for

the vaccine virus is too weak to cause disease.

Anyone over 6 months of age can be vaccinated with the flu shot. The most common side effect from

the shot is a sore, tender, or red area at the injection site. The nasal spray H1N1 (swine) flu vaccine

is used in healthy people age 2 to 49 years old who are not pregnant. The most common side effect

with the nasal spray vaccine is a few days of nasal congestion. Sometimes, either vaccine can cause

a mild fever or achiness for a few days. This is not the flu. As with any vaccine or medication, an

allergic reaction to a vaccine is possible, but very rare.

Quality and safety is most important and vaccine production takes time. Vaccine supply will continue

to increase across West Virginia in the weeks and months to come. By January, we expect anyone

who wants to be vaccinated to have the opportunity to do so.

As vaccine is made, local health departments are receiving shipments weekly. Each health

department works with local partners including some healthcare providers and your school system to

make vaccine available to children and others at greatest risk of disease or its complications. Over

time, vaccine will be available in a wider variety of locations.

Learn more about H1N1 Flu and H1N1 Flu Vaccine by going to the West Virginia H1N1 Flu website at

www.wvflu.org or to www.cdc.gov/h1n1. These websites have the latest facts and information as well

as information on where to learn more about vaccine availability in your community.

H1N1 (Swine) Flu Facts

for Parents and Students

Bureau for Public Health, West Virginia Department of Health and Human Resources November 2009

A Message from Mr. John Hudson, Superintendent of Boone County Schools

As our communities in Boone County have entered the fall influenza season, the schools have stepped up cleaning protocols to disinfect the school environments. This includes air flushing of buildings, hand sanitizer units installed in classrooms, and wiping and disinfecting of commonly handled areas on school buses to help prevent the spread of H1N1 and other illnesses.


We ask that parents, students and employees also assist in helping to prevent the spread of illnesses by observing the following:


  • Do not send your child to school if they have a fever, or until the child is fever free for 24 hours without the use of medication to reduce fever. Depending upon how ill your child may be, some physicians may recommend that your child be out of school for a longer period of time.  If this is the case, please contact your child’s school and inform the personnel regarding why your child is absent.


  • Do not send a child to school who has experienced vomiting or diarrhea within the last 24 hours;


  • Teach your child proper respiratory hygiene, particularly if he or she is coughing, sneezing or has a runny nose;  employees are encouraged to teach and observe this same etiquette;


  • Teach your child frequent and thorough hand washing;


At this time, school closure is not recommended by federal, state, or local health authorities.  Please rest assured that Boone County Schools will continue to communicate with the local and state health authorities for recommendations.


Thank you for your cooperation in these matters.


BCS H1N1 (Swine Flu) Influenza Prevention and Response Plan


Boone County Schools will collaborate with federal, state, and local health authorities and the WV Department of Education to provide a safe and healthy environment for students.  The following plan will include activities that will be observed at all times rather than waiting for implementation after an outbreak of influenza occurs.  The same protocols that help prevent the spread of H1N1 influenza should be followed for seasonal influenza prevention.  The Superintendent of Schools, Contract Physician for Boone County Schools, and Director of School Nurses will be kept informed by the following agencies regarding the latest recommendations on H1N1 influenza: Centers for Disease Control and Prevention (CDC) (Atlanta, GA); WVDHHR, Office of Infectious Disease and Epidemiology; WV Department of Education; and Boone County Health Department.

Anyone can get the flu.  Some populations are more at risk for complications such as those with chronic diseases, those 65 years and older, pregnant women and those under age of 5. The H1N1 influenza is currently more prevalent in age groups infancy through 24 years old.



-Utilizing the latest resources and information from the above agencies, Boone County Schools will utilize written and telephone messages to all employees and the parents/guardians of all students to update the community regarding preventative actions being observed by all schools.  These correspondences will be released as necessary to keep all parties informed. The same information will be released to local newspaper to inform businesses and communities. (See Attachments)

-A review of methods for infection control in the school environment will be provided for all school employees including, but not limited to, custodians, principals, and teachers.  Principals will monitor these procedures to insure compliance by all school personnel.  (See Attachments)

-Principals will regularly communicate to their students and parents the importance of following infection control action steps.

-Principals will assign teachers to present educational units regarding proper respiratory etiquette, effective hand washing, and rules to follow if an individual becomes ill with flu-like symptoms.  Principals will verify with the Director of School Nurses that these units have been taught and reviewed with all students by October 1.  These units can be integrated into language arts learning blocks and other curriculum areas.  (See Attachments)

-Current CDC standards do not recommend school closure for the H1N1 influenza.  Health authorities are expecting an increased rate of the illness but have changed amount of time individuals must be isolated once infected.  Any employee or student with a fever of 100 degrees F and/or who is demonstrating respiratory symptoms such as cough, sneezing, sore throat or vomiting and diarrhea; should be sent home and/or evaluated by their health care provider.  This individual should not return to school until free of fever for 24 hours without the use of fever reducing medicine. 

-Employees or students who become ill at school should be isolated in a separate room until transported home. Depending upon the individual’s symptoms, the person might be requested to wear a face mask.

-The Superintendent of Schools and Director of School Nurses will collaborate with above named health authorities for any changes in closure policies or other action steps in prevention and spread of H1N1 influenza.  Action steps will change according to CDC recommendation for the severity level of the influenza that is occurring at a given time.  For example, longer periods of time might be recommended for an individual to stay home once that person is ill or family members exposed to the ill person might be isolated at home for 5 days.  These latter action steps are not recommended at this time but would be implemented if the H1N1 virus causes more severe illness in an increased number of people.

-The Director of Attendance, school nurses, and principals will routinely report any pod illness outbreaks (increased numbers of a specific illness, especially flu-like illnesses) to the Director of School Nurses, Superintendent of Schools, and the local health department.  This will assist local health authorities in monitoring the severity and frequency of the H1N1 influenza as it occurs with seasonal influenza.

-Should current personnel and student attendance incentive policies prevent individuals from observing safe health practices when ill, thus increasing the spread of the illness when individuals report to school when ill, those policies will be re-visited by the Board of Education.




-The Superintendent of Schools will make closure decisions in collaboration with the Director of School Nurses and the above named health authorities when decisions regarding closure of school are imminent.  If the H1N1 or any other influenza increases in severity of illness or frequency that effects safe operation of the school day (for example if too many staff members are ill and substitute coverage is impossible) more lengthy closure may be recommended by the local health department.

-A plan for the education of students, should extended closures result, will be developed by a committee of educators designated by the Superintendent of Schools.  This process may include web based learning or learning packets that could be distributed at set points in the school communities.

-A plan for providing meals to children while schools are closed shall be developed by the Department of Food Services and implemented if extended closure is required.

-The public will be informed of the following:  health authorities are indicating that the decision for closure of schools will be different in every situation throughout the nation.  While some areas’ influenza status will require entire schools or school districts to close, other communities may require only certain classrooms or an isolated school to be closed for a given time period.  Each closure decision regarding influenza will be made based upon local health authorities’ recommendation and the latest standards of CDC.  The following criteria will be reviewed by administration and local health authorities to determine what type of interventions are prudent:

-           the number and severity of cases in an outbreak (looking at national, regional, and local data),

-           the risks of flu spread and benefits of dismissal or closure for the given group,

-           the problems that school dismissal can cause for families and communities, and

-           different types of dismissal (selective, reactive, and preemptive)

-Communications to the school communities will encourage parents and businesses to review employee policies in case parents need to be absent from work due to an extended school closure, if the H1N1 virus increases in severity of illness. Back-up child care needs to be explored by parents in case the need develops as well.  Certain types of dismissals involve students only, with staff working to provide learning packets and other services to families during the dismissal.  These decisions are based upon guidance by health authorities and the ongoing monitoring of the type of influenza with which we are dealing.



Based upon current information from national, state, and local public health agencies, the H1N1 vaccine will be available sometime during mid to late fall, 2009.  Companies will continue producing the vaccine and several doses will be released for administration weekly, after the mid-October date.  The local health departments do not know how many doses they will receive initially but the following information has been released:

-                      School systems are collaborating with local health departments to organize mass voluntary immunization clinics for children at school, with parent permission;

-                      The Flu Mist nasal spray will be available for some younger populations;

-                      Since the amount of vaccine doses will vary with delivery to the local health department, the state health department will set basic criteria for choosing the pilot school communities based upon the current numbers of cases of H1N1 influenza, etc.

-                      Parents will be informed with standardized consents regarding the vaccine which will require two doses over a three week period and they can decide if they desire their child to be immunized at school.

-                      The parents will be notified by letter as soon as the school clinics are planned.

-                      Community health care providers, the local health department staff, and school nurses will administer vaccinations under the local health department pandemic volunteer program, WVREDI.

-                      Meanwhile, parents are recommended to obtain the seasonal influenza vaccinations for their children and themselves, from their health care providers, once it is available in the fall.

Medication Patches

"Many doctors are now prescribing medications that are administered to children via a medication patch, instead of traditional liquids or pills.  If your child is receiving a medication by patch, please inform your school principal or school nurse.  Since you are actually administering the medication at home, school personnel would not realize the importance of reporting side effects or adverse reactions that are observed, if they were not informed that the student was receiving the medication. This applies to any long term medication that your child is receiving at home. The goal of all Boone County Schools is to provide for a safe and healthy environment for your child.  Communicating any changes in your child's health status or medications is an important step toward attaining that goal."

Healthy Schools

During social gatherings in the community, our children are often exposed to a variety of illnesses and influenza.  Most pediatricians are now recommending flu shots for children so check with your medical provider soon for their advice on that issue.  There are a number of recommendations that health experts give to prevent the spread of viral and bacterial illnesses. Remember, children should never be given medications with aspirin products as an ingredient, during viral illnesses, due to the increased risk of Reye’s syndrome. Reye’s is a serious and potentially fatal condition that requires immediate medical attention.  Below are a few additional recommendations that might keep your family healthier during this time of year.


1)  Review with your child the importance of good hygiene.  Bathing daily and thorough hand washing are the most effective methods of preventing an infection’s spread.  Remind your children to always wash their hands after using the restroom, before they eat, after playing outdoors, or after being in public locations such as grocery stores, malls, and etc.


2)  If your child develops a cough or cold, remind them to dispose of their tissues in the garbage and wash their hands before handling other items.  Always cover the mouth when coughing.


3)  When should you keep your child home?


            -FEVER:  If a child runs a fever over 100 degrees, keep the child home until the temperature has returned to normal without medication for 24 hours.  Please note that a child whose fever disappears only after receiving Tylenol or Advil is generally contagious to other children and should not return until normal without the medication!


            -RUNNY NOSES:  If your child has allergies and his/her nose runs clear, he/she is okay to be in school.  If the mucus is yellow or green or if there is fever, keep your child at home.  He/she may have a viral or bacterial infection and you should contact your physician.


            -STREPTOCOCCUS INFECTION AND PINK EYE:  Wait a minimum of 24 hours after the first dose of medicine before returning to school; or when your physician releases the child.  With Pink Eye, the drainage must stop before returning to school.


            -CHICKEN POX:  After all blisters have scabbed over and no new ones are appearing.  No fever.


            -RASH:  Any rash needs to be identified as not being contagious by your doctor before coming to school.  Please provide a note from the doctor if he/she releases the child to school with the rash still appearing.


            -VOMITING OR DIARRHEA FROM AN ILLNESS:  Child should be home a minimum of 12 hours after last episode.  The child should be able to tolerate food and liquids upon returning.


            -IMPETIGO (SKIN INFECTION):  All lesions or blisters must be scabbed, not spreading, dry and no drainage; treated by your physician.


These are guidelines that we follow at school.  Your doctor may recommend that a child stay at home longer.  Follow your medical provider’s orders.  If you have questions, please contact your school nurse by calling your local school.

Sue Peros, Nursing Coordinator