| UGGGH: The FLU |
| Get the Facts And Get Free and Low Cost Shots |
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| Fever, muscle aches, exhaustion- we have all gotten to experience the flu. What we have learned is that it is no fun and is something to avoid. Now there is talk of a new type of flu- The Swine Flu (H1N1 flu) which is causing some concern. THIS IS IMPORTANT: a flu shot will only protect you against the Seasonal Flu (actually their best guess as to the types of flu that will be common this year). It will not protect you against the Swine Flu. A vaccine for this will be available sometime in October. Seasonal Flu shots can be gotten in all types of places- from your doctor's offer, to the county health department, to your local drug store. The distribution of the Swine Flu shot is still being organized, but we will give you information on how to stay in the loop. The government wants you to be prepared so they have established a website- http://www.flu.gov/ that has information on every aspect of the flu you can imagine. Check it out to learn more. In addition the Centers for Disease Control and Prevention has a wealth of information at http://www.cdc.gov/flu/ (Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA 30333; 800-CDC-INFO). This newsletter is divided into two parts. Part A talks about the Swine Flu and Part B talks about the Seasonal Flu. So get your anti-bacterial soap and tissues ready and let's begin. |
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According to the CDC: |
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| In an average year, seasonal flu causes 36,000 flu-related deaths (mostly among those aged 65 years or older) and more than 200,000 flu-related hospitalizations in the United States. The "seasonal flu season" in the United States is usually from November through April each year. During this time, flu viruses are circulating in the population. An annual seasonal flu vaccine (either the flu shot or the nasal-spray flu vaccine) is the best way to reduce the chances that you will get seasonal flu and lessen the chance that you will transmit to others. |
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Part A: H1N1 Flu- The Swine Flu |
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| 2009 H1N1 (referred to as "swine flu" early on) is a new influenza virus causing illness in people. This new virus was first detected in people in the United States in April 2009. This virus is spreading from person-to-person worldwide, probably in much the same way that regular seasonal influenza viruses spread. The Swine Flu vaccine has been quickly developed and will be ready for distribution in October. One shot is sufficient coverage for those over 9 years of age and can be given in addition to the Seasonal Flu shot. Your seasonal flu shot does not protect against the Swine Flu. For more information on the H1N1 Flu go to http://www.cdc.gov/h1n1flu/qa.htm The first groups to receive the Swine Flu vaccine will include pregnant women, people who live with or care for children younger than 6 months of age, healthcare and emergency medical services personnel, persons between the ages of 6 months and 24 years old, and people ages of 25 through 64 years of age who are at higher risk for 2009 H1N1 because of chronic health disorders or compromised immune systems. One thing that appears to be different from seasonal influenza is that adults older than 64 years do not yet appear to be at increased risk of 2009 H1N1-related complications thus far. Initially the thought was that two doses would be necessary, but they determined that only one vaccine is needed to provide coverage against the H1N1 flu. There should be sufficient availability of both the Swine Flu and Seasonal Flu shots for everyone to be covered. |
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| For those interested in receiving an H1N1 shot, each state is currently developing a vaccine delivery plan. The vaccine will be available in a combination of settings such as vaccination clinics organized by local health departments, healthcare provider offices, schools, and other private settings, such as pharmacies and workplaces. To see who is offering the H1N1 vaccine in your are go to http://www.cdc.gov/h1n1flu/vaccination/statecontacts.htm You can also look at "Where Can You Get The Seasonal Flu Shot" in the section below. As the H1N1 vaccine becomes available many sites will be offering the shot. Call ahead to check availability, fees, as well as other information. More information on the H1N1 vaccine can be found at http://www.cdc.gov/h1n1flu/vaccination/public/vaccination_qa_pub.htm |
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| The symptoms of 2009 H1N1 flu virus in people include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. A significant number of people who have been infected with this virus also have reported diarrhea and vomiting. Illness with the new H1N1 virus has ranged from mild to severe. While most people who have been sick have recovered without needing medical treatment, hospitalizations and deaths from infection with this virus have occurred. About 70 percent of people who have been hospitalized with this 2009 H1N1 virus have had one or more medical conditions previously recognized as placing people at "high risk" of serious seasonal flu-related complications. This includes pregnancy, diabetes, heart disease, asthma and kidney disease. |
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Take these everyday steps to protect your health: |
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Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. |
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Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. |
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Avoid touching your eyes, nose or mouth. Germs spread this way. |
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Try to avoid close contact with sick people. |
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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. |
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Other important actions that you can take are: |
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Follow public health advice regarding school closures, avoiding crowds and other social distancing measures. |
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Be prepared in case you get sick and need to stay home for a week or so; a supply of over-the-counter medicines, alcohol-based hand rubs,* tissues and other related items might could be useful and help avoid the need to make trips out in public while you are sick and contagious |
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| 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. Staying at home means that you should not leave your home except to seek medical care. This means avoiding normal activities, including work, school, travel, shopping, social events, and public gatherings. Cover your mouth and nose with a tissue when coughing or sneezing. Put your used tissue in the waste basket. Then, clean your hands, and do so every time you cough or sneeze. Employees who are well but who have an ill family member at home with 2009 H1N1 flu can go to work as usual. These employees should monitor their health every day, and take everyday precautions including washing their hands often with soap and water, especially after they cough or sneeze. Alcohol-based hand cleaners are also effective. If they become ill, they should notify their supervisor and stay home. Employees who have an underlying medical condition or who are pregnant should call their health care provider for advice, because they might need to receive influenza antiviral drugs to prevent illness. |
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| Studies have shown that influenza virus can survive on environmental surfaces and can infect a person for 2 to 8 hours after being deposited on the surface. Germs can be spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth. Droplets from a cough or sneeze of an infected person move through the air. Germs can be spread when a person touches respiratory droplets from another person on a surface like a desk, for example, and then touches their own eyes, mouth or nose before washing their hands. To prevent the spread of influenza virus it is important to keep surfaces (especially bedside tables, surfaces in the bathroom, kitchen counters and toys for children) clean by wiping them down with a household disinfectant according to directions on the product label. |
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| If you become ill and experience any of the following warning signs, seek emergency medical care. |
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In children, emergency warning signs that need urgent medical attention include: |
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Fast breathing or trouble breathing |
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Bluish or gray skin color |
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Not drinking enough fluids |
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Severe or persistent vomiting |
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Not waking up or not interacting |
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Being so irritable that the child does not want to be held |
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Flu-like symptoms improve but then return with fever and worse cough |
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In adults, emergency warning signs that need urgent medical attention include: |
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Difficulty breathing or shortness of breath |
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Pain or pressure in the chest or abdomen |
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Sudden dizziness |
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Confusion |
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Severe or persistent vomiting |
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Flu-like symptoms improve but then return with fever and worse cough |
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Are there medicines to treat 2009 H1N1 infection? |
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| Yes. CDC recommends the use of oseltamivir or zanamivir for the treatment and/or prevention of infection with 2009 H1N1 flu virus. Antiviral drugs are prescription medicines (pills, liquid or an inhaled powder) that fight against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. During the current pandemic, the priority use for influenza antiviral drugs is to treat severe influenza illness (for example hospitalized patients) and people who are sick who have a condition that places them at high risk for serious flu-related complications. |
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| You can stay informed of the latest news by going to the CDC's H1N1 (Swine Flu) website at http://www.cdc.gov/H1N1FLU/ |
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Part B: The Seasonal Flu |
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| There are two different types of vaccines that protect against seasonal flu. The flu shot is an inactivated vaccine that is given with a needle, usually in the arm. The other vaccine is a nasal-spray flu vaccine that contains weakened live viruses and is administered by a nasal sprayer. This one is approved for those healthy people age 2-49 who are not pregnant. Each seasonal flu vaccine contains three different influenza viruses that the CDC believes will be the prevalent flu viruses affecting people this year. Again this is for seasonal flu viruses only- not the Swine Flu. The flu vaccines work by causing antibodies to develop in your body protecting you against infection. It is recommended that you get a flu shot as soon as they become available as the flu season can often run October to May. It does take two weeks for the vaccine to develop the antibodies and start working. Flu viruses do change from year to year so it is important to get a new vaccine each year to keep your immunity high. |
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| Symptoms of seasonal flu include: |
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fever (often high) |
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headache |
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extreme tiredness |
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dry cough |
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sore throat |
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runny or stuffy nose |
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muscle aches |
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Stomach symptoms, such as nausea, vomiting, and diarrhea, also can occur but are more common in children than adults. Some people who have been infected with the new H1N1 flu virus have reported diarrhea and vomiting. |
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| The flu spreads from person to person through coughing and sneezing from people who have the flu. But the catch is you can be infectious one day before symptoms show, and up to 5-7 after you become sick |
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| People who should get a seasonal flu vaccination each year include: |
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Children aged 6 months up to their 19th birthday |
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Pregnant women |
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People 50 years of age and older |
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People of any age with certain chronic medical conditions |
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People who live in nursing homes and other long-term care facilities |
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People who live with or care for those at high risk for complications from flu, including: |
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Health care workers |
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Household contacts of persons at high risk for complications from the flu |
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Household contacts and out of home caregivers of children less than 6 months of age (these children are too young to be vaccinated) |
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| Some people should not be vaccinated without first consulting a physician. They include: |
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People who have a severe allergy to chicken eggs. |
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People who have had a severe reaction to an influenza vaccination in the past. |
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People who developed Guillian-Barre syndrome (GBS) within 6 weeks of getting an influenza vaccine previously. |
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Children less than 6 months of age (influenza vaccine is not approved for use in this age group). |
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People who have a moderate or severe illness with a fever should wait to get vaccinated until their symptoms lessen. |
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| If you have questions about whether you should get a flu vaccine, consult your health-care provider. |
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| While getting a flu vaccine each year is the best way to protect you from flu, there also are drugs that can fight against influenza viruses, offering a second line of defense against the flu. These are called "influenza antiviral drugs." Antiviral drugs are prescription medicines (pills, liquid or an inhaled powder), not a vaccine, that fight against the flu by keeping flu viruses from reproducing in your body. |
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| If you get sick with the flu, including the new 2009 H1N1 virus, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. Antiviral drugs are not sold over-the-counter and are different from antibiotics. |
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| During the ongoing 2009 H1N1 pandemic, the priority use for antiviral drugs will be for people who are very sick (hospitalized) or people who are sick with the flu and who are at increased risk of serious flu complications, such as pregnant women, young children, those with chronic health conditions, and people age 65 years and older. For treatment, antiviral drugs work best if started within the first 2 days of symptoms. |
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| During the current pandemic, the priority use for influenza antiviral drugs is to treat severe influenza illness (for example hospitalized patients) and people who are sick who have a condition that places them at high risk for serious flu-related complications. Influenza antiviral drugs only work against influenza viruses -- they will not help treat or prevent symptoms caused by infection from other viruses that can cause symptoms similar to the flu. While most healthy people recover from influenza virus infections and don't have serious complications, some people are at higher risk for serious flu-related complications. It's especially important that these people are protected from the flu. |
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| There are four antiviral drugs approved to treat the flu. |
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Oseltamivir (brand name Tamiflu® ) is approved to both treat and prevent influenza A and B virus infection in people one year of age and older. |
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Zanamivir (brand name Relenza®) is approved to treat influenza A and B virus infection in people 7 years and older and to prevent influenza A and B virus infection in people 5 years and older. |
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Amantadine (Symmetrel®, generic) is approved to treat and prevent only influenza A viruses in people older than 1 year. |
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Rimantadine (Flumadine®, generic) is approved to prevent only influenza A virus infection among people older than 1 year. It is approved to treat only influenza A virus infections in people 13 and older. |
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| For treatment, influenza antiviral drugs work best when started within 2 days after becoming sick, however hospitalized patients might benefit from treatment started more than 48 hours after symptoms begin. When used this way, these drugs can reduce flu symptoms and shorten the time you are sick by 1 or 2 days. |
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| If you become sick with flu-like symptoms this season, your doctor will consider the likelihood of influenza being the cause of your illness, the number of days you have been sick, side effects of the medication, etc. before making a recommendation about using antiviral drugs. He or she may test you for influenza, but testing is not required in order for a health care provider to recommend influenza antiviral medications for you. |
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Flu Stats |
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| The government likes to count everything, including the number of flu cases. To get updated flu statistics you can go to http://www.cdc.gov/flu/weekly/fluactivity.htm and find the latest numbers. |
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WHERE CAN YOU GET THE
SEASONAL FLU SHOT?
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Flu Clinic Locator |
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| The American Lung Association operates a Flu Clinic Locator Site. All you need to do is enter your zip code and you will get the date, times, address, and phone number of the clinics near you. The website will tell you the cost of the shot and whether they accept most insurance cards. The Locator is updated daily.
http://www.lungusa.org/site/pp.asp?c=aqKGLXOAIlH&b=1015035 or call 888-668-6358. Another site sponsored by Maxim Health Systems also lets you find local clinics at http://www.findaflushot.com/
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Free Shots For The Unemployed |
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| CVS Caremark is reaching out to the unemployed by trying to keep them healthy during this flu season. They are donating 100,000 free seasonal flu shots to those looking for work. The free shot vouchers will be distributed through local One-Stop Career Center locations. The program will begin distributing vouchers in October to be used at any CVS Minute Clinic or any scheduled CVS/Pharmacy flu clinic. No vouchers will be distributed at stores. Exact dates and locations for vouchers distribution has not been released. Check the CVS website for more up-to-date information. Website is http://www.cvs.com/CVSApp/promoContent/promoLandingTemplate.jsp?promoLandingId=1138
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CVS and Walgreen's Clinics |
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Seasonal flu shots are available at CVS and Walgreen locations for a fee of $24.99 for the injectable shot and $29.99 for the Nasal Spray. Clinic days and times vary so to find a Walgreens flu shot location go to http://www.walgreens.com/marketing/storelocator/find.jsp?&check=true and a CVS flu shot location go to http://www.cvs.com/CVSApp/store/storefinder.jsp;jsessionid=hJZhKnBT7GT1Bw CpcHY3SrwPMJ5CRGHTRD0hH1hBTsdz03Y2bsG2!1836364725?startOver=true
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FREE Flu Shots- Chandler Arizona Area |
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| Anyone 18 and older in the Chandler or Gilbert area (you do not need to be a resident) can get a free flu shot on October 31st, 2009 from 8 a.m.-11 a.m. Chandler Regional Medical Center and Mercy Gilbert Medical Center, with the support of Maricopa County Department of Public Health, conduct a vaccination exercise in the form of a walk-up clinic offering free seasonal flu shots for adults. Shots will be offered at Chandler Gilbert Community College Pecos Campus, 2626 E Pecos Rd in Chandler. For more information call 480-728-5640 or go online at http://www.cir.org/seasonal-flu-special.html
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Your State and County Health Departments
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| Your local health department (found in the blue pages of your phone book) often operates free or sliding fee scale clinics and screening centers to handle non emergency health problems. Many operate prenatal and well baby clinics as well. The services and fees vary from place to place, so contact the health department to find out about eligibility, hours of service, and services provided. Many states and public health departments are sponsoring flu clinics. Costs vary, but most will not turn you away if you cannot pay. To find out about local clinics:
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| Public Health Hotlines
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Alabama
Department of Public Health
201 Monroe St
RSA Tower
Montgomery, AL 36130
334-206-5300
1-800-ALA-1818
http://www.adph.org/
http://www.adph.org/administration/Default.asp?id=505 (county health departments)
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Alaska
Department of Health and Social Services
P.O. Box 110610
Juneau, AK 99811
907-465 3030
907-586-4265
http://www.hss.state.ak.us/dph/
http://www.hss.state.ak.us/dph/nursing/locations.htm (public health locations)
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Arizona
Department of Health Services
1740 W. Adams St.
Phoenix, AZ 85007
602-542-1000
602-542-1025
www.azdhs.gov
To locate a flu shot clinic, visit http://www.cir.org/seasonal-flu.html or call (602) 263-8856 (Phoenix Metro area) or (800) 352-3792 (statewide)
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Arkansas
Department of Health
4815 W. Markham St.
Little Rock, AR 72205
501-661-2000
800-462-0599
www.healthyarkansas.com/
For more information on flu, call the ADH hotline at 1-800-651-3493
http://www.healthyarkansas.com/flu/pdf/mass_flu_clinic_sites2009.pdf (mass flu clinic sites) There will be no charge to you for the flu shot at the mass flu clinics, but please bring your insurance, Medicare and/or Medicaid cards with you if you have one. Seasonal flu vaccinations provided at the local health units will be $20. Check here in the upcoming weeks for sites/dates/times near you http://www.healthyarkansas.com/flu/flu_over view2009.htm
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California
Department of Health Services
744 P St.
Sacramento, CA 95814
916-445 4171
800-735-2922
http://www.cdph.ca.gov/Pages/Default.aspx
http://www.cdph.ca.gov/services/Pages/LocalServices.aspx Many local clinics sponsor free flu shot clinics. Call your local clinic to find out location near you.
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Colorado
Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
303-692 2000
800-886-7689
http://www.cdphe.state.co.us/
http://www.immunizecolorado.com/ or call 877-462-2911 to find a flu clinic
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Connecticut
Department of Public Health
P.O. Box 340308
Hartford, CT 06134
860-509-8000
http://www.ct.gov/dph/site/default.asp
http://www.ct.gov/dph/cwp/view.asp?a=3136&q=388234&dphPNavCtr=|&ctfluwatchNav=| and http://www.ct.gov/ctfluwatch/cwp/view.asp?a=2533&q=315124 (flu information)
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Delaware
Health and Social Services
P.O. Box 637
Dover, DE 19903
888-459-2943
302-744-4700
http://www.dhss.delaware.gov/dhss/index.html
http://www.dhss.delaware.gov/dhss/dph/fluclinics.html Free flu clinic schedules
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District of Columbia
Department of Health
825 N. Capitol St., NE, 4th Floor
Washington, DC 20002
202-671-5000
202-445-5955
http://dchealth.dc.gov
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Florida
Department of Health
4052 Bald Cypress Way
Tallahassee, FL 32399
850-245-4443
http://www.doh.state.fl.us/
http://www.doh.state.fl.us/chdsitelist.htm (public health offices)
Florida Flu Information Line Now Available at 1-877-352-3581
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Georgia
Public Health Division
Department of Human Resources
2 Peachtree St., NW, #15470
Atlanta, GA 30303
404-657 2700
http://health.state.ga.us/
To find flu clinics go to http://www.immunizeadultga.org/search.asp or call 404-657-3158
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Hawaii
Department of Health
1250 Punchbowl St.
Honolulu, HI 96813
808-586 4400
http://hawaii.gov/health
http://hawaii.gov/health/family-child-health/immunization/flu-shot-schedule.pdf (flu shot schedule)
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Idaho
Department of Health and Welfare
450 W. State St., 10th Floor
P.O. Box 83720
Boise, ID 83720
208-334 5500
http://www.healthandwelfare.idaho.gov/
http://www.healthandwelfare.idaho.gov/Health/HealthDistricts/tabid/97/Default.aspx (public health districts)
http://www.healthandwelfare.idaho.gov/Health/DiseasesConditions/SeasonalInfluenzaFlu /tabid/327/Default.aspx (flu information)
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Illinois
Department of Public Health
535 W. Jefferson St.
Springfield, IL 62761
217-782-4977
800-782-7860
http://www.idph.state.il.us/
http://www.idph.state.il.us/flu/flushotlocations.htm (flu shot locator)
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Indiana
State Department of Health
2 N. Meridian St.
Indianapolis, IN 46204
317-233-1325
800-457-8283
http://www.in.gov/isdh/
http://www.in.gov/isdh/23926.htm (local health departments)
http://www.in.gov/isdh/22104.htm(flu information)
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Iowa
Department of Public Health
Lucas State Office Building
Des Moines, IA 50319
515-281 7689
866-227-9878
http://idph.state.ia.us/
A toll-free Influenza Hotline has been established to answer your questions about seasonal flu and novel influenza A (H1N1). The Influenza Hotline number is 1-800-447-1985.
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Kansas
Department of Health and Environment
1000 SW Jackson
Topeka, KS 66612
785-296-1500
http://www.kdheks.gov/
http://www.kdheks.gov/flu/index.html (flu information)
http://www.kdheks.gov/flu/vaccine.htm (flu vaccine information)
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Kentucky
Department for Public Health
275 E. Main St.
Frankfort, KY 40621
502-564 3970
800-462-6122
http://chfs.ky.gov/dph/default.htm
502-564-5353 Kentucky Influenza Hotline
http://chfs.ky.gov/dph/epi/preparedness/panflu/seasonal.htm
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Louisiana
Dept. of Health and Hospitals
1201 Capitol Access Road
P.O. Box 629
Baton Rouge, LA 70821
225-342-9500
http://www.dhh.louisiana.gov/offices/?ID=79
http://www.dhh.louisiana.gov/offices/?ID=79 (public health offices)
http://www.dhh.louisiana.gov/offices/page.asp?id=249&detail=7358
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Maine
Maine Center for Disease Control
11 State House Station
157 Capitol St.
Augusta, ME 04333
207-287-8016
http://www.maine.gov/dhhs/
http://www.maine.gov/dhhs/boh/Influenza.htm (flu information)
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Maryland
Department of Health and Mental Hygiene
201 W. Preston St.
Baltimore, MD 21201
877-463-3464
410-767 6500
http://www.dhmh.state.md.us/index.html
http://cha.maryland.gov/html/local2.cfm (directory of health departments for flu shot)
http://edcp.org/influenza/index.cfm (flu information)
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Massachusetts
Department of Public Health
250 Washington St.
Boston, MA 02108
866-627-7968
617-624-6000
http://www.mass.gov/dph/dphhome.htm
http://www.mass.gov/?pageID=eohhs2subtopic&L=7&L0=Home&L1=Provider&L2=Guidelines+ and+Resources&L3=Guidelines+for+Services+%26+Planning&L4=Diseases+and+Conditions&L5= Influenza&L6=Seasonal+Flu&sid=Eeohhs2 (flu information)
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Michigan
Department of Community Health
320 S. Walnut St.
Lansing, MI 48913
517-373-3740
http://www.michigan.gov/mdch
http://www.michigan.gov/mdch/0,1607,7-132-2943_52115---,00.html
(free care guide)
http://www.michigan.gov/mdch/0,1607,7-132-2940_2955_22779---,00.html (flu information)
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Minnesota
Department of Health
P.O. Box 64975
St. Paul, MN 55164
651-215-5800
888-345-0823
http://www.health.state.mn.us/
http://www.health.state.mn.us/cgi-bin/idepc/fluschedule/fluclinic_search.cgi (flu clinic search engine)
http://www.health.state.mn.us/divs/idepc/diseases/flu/index.html (flu information)
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Mississippi
State Department of Health
570 E. Woodrow Wilson Dr.
Jackson, MS 39216
601-576-7400
http://www.msdh.state.ms.us/ 877-222-9FLU Flu Hotline
http://msdh.ms.gov/msdhsite/_static/4,0,204.html (local health departments provide flu shots)
http://msdh.ms.gov/msdhsite/_static/14,0,199.html (flu information)
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Missouri
Department of Health & Senior Services
P.O. Box 570
Jefferson City, MO 65102
573-751-6400
http://www.dhss.mo.gov/
http://www.dhss.mo.gov/LPHA/LPHAs.html (local public health agencies)
http://www.dhss.mo.gov/Influenza/ (flu clinic locator)
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Montana
Department of Public Health and Human Services
Cogswell Building
1400 Broadway
Helena, MT 59620
406-444 4473
http://www.dphhs.mt.gov/
http://www.dphhs.mt.gov/influenza/index.shtml
(flu information)
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Nebraska
Department of Health
P.O. Box 95044
Lincoln, NE 68509
402-471 2306
http://www.hhs.state.ne.us/index.htm
http://www.hhs.state.ne.us/puh/oph/lhd.htm (local health departments)
http://www.dhhs.ne.gov/flu/ (information on the flu)
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Nevada
State Health Division
4150 Technology Way
Carson City, NV 89710
775-684-4200
800-254-4202
http://health.nv.gov/
http://flu.nv.gov/Flu_Contacts.htm (state flu contacts)
http://flu.nv.gov/ (flu information)
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New Hampshire
Department of Health and Human Services
129 Pleasant Street
Concord, NH 03301
800-852-3345
http://www.dhhs.state.nh.us/DHHS/DHHS_SITE/default.htm
http://www.dhhs.nh.gov/DHHS/CDCS/fluclinics.htm (flu clinics)
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New Jersey
Department of Health and Senior Services
P.O. Box 360
Trenton, NJ 08625
609-292 7837
800-367-6543
http://www.state.nj.us/health/
http://www.state.nj.us/health/flu/findflushot.shtml (flu clinic locator)
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New Mexico
Department of Health
1190 S. St. Francis Dr.
Santa Fe, NM 87502
505-827 2613
http://www.health.state.nm.us/
http://www.health.state.nm.us/FLU/index.shtml (flu information)
http://www.immunizenm.org/flu.shtml (flu shot information)
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New York
Department of Health
Corning Tower
Empire State Plaza
Albany, NY 12237
518-474 2011
http://www.health.state.ny.us/
http://www.health.state.ny.us/diseases/communicable/influenza/ (flu information)
http://www.health.state.ny.us/nysdoh/lhu/map.htm (local health departments)
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North Carolina
Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699
800-662-7030
919-733-4534
http://www.dhhs.state.nc.us/
http://www.dhhs.state.nc.us/contacts/localagencycontacts.htm (local health departments)
http://www.immunizenc.com/ (flu information)
http://www.thecarolinascenter.org/fcf/ (flu clinic finder)
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North Dakota
Department of Health
State Capitol
600 E. Boulevard
Bismarck, ND 58505
701-328 2372
http://www.ndhealth.gov/
http://www.ndflu.com//FluClinic.aspx (flu clinics)
http://www.ndflu.com/default.aspx (flu information)
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Ohio
Department of Health
246 N. High St.
P.O. Box 118
Columbus, OH 43216
614-466 3543
http://www.odh.ohio.gov/
http://www.odh.ohio.gov/odhPrograms/idc/immunize/influen.aspx (flu information)
http://www.odh.ohio.gov/localHealthDistricts/localHealthDistricts.aspx (local health departments)
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Oklahoma
Department of Health
1000 NE 10th Street
Oklahoma City, OK 73117
405-271 4200
800-522-0203
http://www.ok.gov/health/
http://www.ok.gov/health/Disease,_Prevention,_Preparedness/Acute_Disease_Service/ Seasonal_Disease_Topics/Seasonal_Influenza_Information/ (flu information)
http://www.ok.gov/triton/modules/health/map/county_map.php (County health departments)
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Oregon
Health Division
Department of Human Resources
800 NE Oregon St.
Portland, OR 97232
503-731 4000
http://Oregon.gov/dhs/ph/
http://oregon.gov/DHS/ph/imm/FluPage.shtml (flu clinics and flu information)
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Pennsylvania
Department of Health
P.O. Box 90
Harrisburg, PA 17108
877-724-3258
http://www.dsf.health.state.pa.us/health/site/default.asp
http://www.dsf.health.state.pa.us/health/cwp/view.asp?a=180&Q=199440&healthRNavrad 71C25=|# (local health departments)
http://www.dsf.health.state.pa.us/health/cwp/browse.asp?a=178&C=35605&healthPNavCtr=| &TNID=4792#4792 (flu clinic locator and flu information)
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Rhode Island
Department of Health
3 Capitol Hill
Providence, RI 02908
401-222 2231
800-924-7434
http://www.health.state.ri.us/
http://www.health.state.ri.us/flu/about/vaccination/index.php (flu clinic and flu information)
Flu Hotline at 1-800-555-7858
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South Carolina
Health and Environmental Control
2600 Bull St.
Columbia, SC 29201
803-898-3432
http://www.scdhec.net
http://www.scdhec.gov/flu/clinics.asp (flu clinics)
http://www.scdhec.gov/flu/ (flu information)
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South Dakota
Department of Health
600 E. Capitol
Pierre, SD 57501
800-738-2301
605-773 3361
http://doh.sd.gov/
http://doh.sd.gov/Flu/ (flu information)
South Dakota will be offering free flu vaccines for children 6 months to 18 years.
Check out http://doh.sd.gov/Flu/Child.aspx
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Tennessee
Department of Health
Cordell Hull Bldg.
425 5th Avenue N.
Nashville, TN 37247
615-741 3111
http://health.state.tn.us/
http://health.state.tn.us/findcare.htm (local clinics: check to see if they offer flu shots)
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Texas
Department of State Health Services
1100 W. 49th St.
Austin, TX 78756
888-963-7111
512-458 7111
http://www.dshs.state.tx.us/
http://www.dshs.state.tx.us/txflu/default.shtm (flu information)
http://www.dshs.state.tx.us/immunize/flu.shtm#clinics (flu clinics)
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Utah
Department of Health
P.O. Box 1010
Salt Lake City, UT 84114
801-538 6101
http://hlunix.ex.state.ut.us/
http://health.utah.gov/immu/apps/flu/index.php (flu clinics)
Utah Immunization Hotline at 1-800-275-0659
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Vermont
Department of Health
108 Cherry St.
Burlington, VT 05402
800-464-4343
802-863 7200
http://healthvermont.gov/
http://healthvermont.gov/prevent/flu/index.aspx (flu information)
http://healthvermont.gov/prevent/flu/flu_clinics.aspx (flu clinics)
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Virginia
Department of Health
1500 E. Main St.
Richmond, VA 23219
804-864-7002
http://www.vdh.state.va.us/
http://www.vdh.state.va.us/Epidemiology/factsheets/Influenza.htm (flu information)
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Washington
Department of Health
1112 SE Quince
P.O. Box 47890
Olympia, WA 98504
800-525-0127
360-236-4501
http://www.doh.wa.gov/
http://www.doh.wa.gov/FluNews/influenza.htm (flu information)
http://www.doh.wa.gov/cfh/Immunize/diseases/influenza/flu-update.htm (flu shot locator)
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West Virginia
Department of Health and Human Resources
Building 3, Room 206
State Capitol Complex
Charleston, WV 25305
304-558 0684
http://www.wvdhhr.org/
http://www.wvdhhr.org/immunizations/influenza.asp (flu information)
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Wisconsin
Department of Health and Family Services
1 W. Wilson St.
Madison, WI 53702
608-266 1865
http://dhs.wisconsin.gov/
http://dhs.wisconsin.gov/communicable/FactSheets/Influenza.htm (flu information)
http://dhs.wisconsin.gov/localhealth/index.htm (local health departments)
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Wyoming
Department of Health
117 Hathaway Building
Cheyenne, WY 82002
307-777 7656
866-571-0944
http://wdh.state.wy.us/
http://wdh.state.wy.us/phsd/epiid/flu.html (flu information)
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Information above was taken from the CDC Key Facts About Seasonal Influenza at
http://www.cdc.gov/flu/keyfacts.htm and 2009 H1N1 Flu (Swine Flu)
http://www.cdc.gov/H1N1FLU/
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