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Early Estimates of Seasonal Influenza Vaccine Effectiveness — United States, January 2015

See Link Below




The Flu: What to Do If You Get Sick

How do I know if I have the flu?

You may have the flu if you have some or all of these symptoms:

  •  fever*
  •  cough
  •  sore throat
  •  runny or stuffy nose
  •  body aches
  •  headache
  •  chills
  •  fatigue
  •  sometimes diarrhea and vomiting

*It's important to note that not everyone with flu will have a fever.

What should I do if I get sick?

 Most people with the flu have mild illness and do not need medical care or antiviral drugs. If you get sick with flu symptoms, in most cases, you should stay home and avoid contact with other people except to get medical care.

 If, however, you have symptoms of flu and are in a high risk group, or are very sick or worried about your illness, contact your health care provider (doctor, physician’s assistant, etc.).

 Certain people are at high risk of serious flu-related complications (including young children, people 65 and older, pregnant women and people with certain medical conditions). If you are in a high risk group and develop flu symptoms, it’s best for you to contact your doctor. Remind them about your high risk status for flu.

 Health care providers will determine whether influenza testing and treatment are needed. Your doctor may prescribe antiviral drugs that can treat the flu. These drugs work better for treatment the sooner they are started.

Do I need to go the emergency room if I am only a little sick?

No. The emergency room should be used for people who are very sick. You should not go to the emergency room if you are only mildly ill. If you have the emergency warning signs of flu sickness, you should go to the emergency room. If you get sick with flu symptoms and are at high risk of flu complications or you are concerned about your illness, call your health care provider for advice. If you go to the emergency room and you are not sick with the flu, you may catch it from people who do have it.

What are the emergency warning signs of flu sickness?

In children

  •  Fast breathing or trouble breathing
  •  Bluish skin color
  •  Not drinking enough fluids
  •  Not waking up or not interacting
  •  Being so irritable that the child does not want to be held
  •  Flu-like symptoms improve but then return with fever and worse cough
  •  Fever with a rash
  • Adapted from the Centers for Disease Control and Prevention (CDC)
  • In addition to the signs above, get medical help right away for any infant who has any of these signs:
  •  Being unable to eat
  •  Has trouble breathing
  •  Has no tears when crying
  •  Significantly fewer wet diapers than normal
  • In adults
  •  Difficulty breathing or shortness of breath
  •  Pain or pressure in the chest or abdomen
  •  Sudden dizziness
  •  Confusion
  •  Severe or persistent vomiting
  •  Flu-like symptoms that improve but then return with fever and worse cough

Are there medicines to treat the flu?

Yes. There are drugs your doctor may prescribe for treating the flu called "antivirals." These drugs can make you better faster and may also prevent serious complications.

How long should I stay home if I’m sick?

You should stay home for at least 24 hours after your fever is gone except to get medical care or other necessities. Your fever should be gone without the use of a fever-reducing medicine, such as Tylenol®. You should stay home from work, school, travel, shopping, social events, and public gatherings.

What should I do while I’m sick?

Stay away from others as much as possible to keep from infecting them. If you must leave home, for example to get medical care, wear a facemask if you have one, or cover coughs and sneezes with a tissue. Wash your hands often to keep from spreading flu to others.



Enterovirus Infection



There are many different kinds of enteroviruses, including EV-D68, which can cause illnesses such as the common cold or even rashes. Most people sick with the virus have no symptoms or only mild symptoms, but some infections can be serious and lead to hospitalization. Enteroviruses are transmitted through close contact with an infected person, or by touching objects or surfaces that are contaminat...ed with the virus and then touching the mouth, nose, or eyes. There is no vaccine or specific antiviral medication for enterovirus infections. Antibiotics do not work against viruses.
Hand washing is your best defense against getting infected with most any illness. We also recommend the following preventative measures to keep you and your family safe:
• Washing your hands for no less than 20 seconds with warm, soapy water
• Avoid touching eyes, nose, and mouth with unwashed hands
• Avoid close contact (kissing, touching, sharing eating utensils and shaking hands) with people who are sick
• Clean and disinfect frequently touched surfaces, such as door knobs and toys
• Keep your child home from school if ill and call your healthcare provider if he/she is exhibiting signs of respiratory distress
• Use good hygiene such as coughing/sneezing into a tissue or elbow and properly dispose of tissues


Bonnie’s Bug o’ the Month

Enterovirus D68


Respiratory Illness Due to Enterovirus EV-D68 is just one of hundreds of viruses that may produce the same symptoms.  More than 100 types of enteroviruses alone cause 10 to 15 million infections in the U.S. each year (CDC).  EV-D68 is bad in that it seems to increase breathing problems in children with asthma.  The virus usually causes symptoms like the common cold, runny nose and cough, and most people recover without treatment.  There are no vaccines against EV-D68 and no specific treatments.  Clinical care is supportive.  Children who seem to be having trouble breathing, however, should be taken to a doctor immediately.  As of September 11, the CDC had confirmed more than 80 cases of EV-D68 in six states:  Colorado, Iowa, Illinois, Kansas, Kentucky and Missouri.  New York also announced on Sept. 12, that it had more than a dozen confirmed cases of the virus.  WV has no confirmed cases thus far.  EV-D68 was originally isolated in 1962 but reported rarely in the U.S. since then – until August.  Only the most severe cases have been typed so the full spectrum of the disease is not yet known.  Current patient ages range from 6 weeks to 16 years, the median of 4 and 5 years old and two thirds of cases have histories of asthma and wheezing.  Routes of transmission are not fully understood but contact and droplet precautions are essential.  People caring for EV-D68 patients - or any respiratory patient – should wash hands often with warm water and soap for 20 seconds, especially after changing diapers or having direct contact; avoid touching eyes, nose and mouth with unwashed hands; avoid kissing, hugging and sharing cups or eating utensils with people who are sick; disinfect frequently touched surfaces, including toys and doorknobs; stay home when ill and call care provider if illness progresses.  Doesn’t this scare you enough make you want to               







  • Individuals 60 and Older
  • Uninsured or high deductible
  • If you have insurance or Medicare Part D please contact your pharmacy
  • Tuesday 1:00-4:00
  • Wednesday  3:00-4:00
  • Thursday 3:00-4:00 (Second Thursday of Month no Immunizations)









Food Handlers Schedule

Food Handlers Written test are given every Tuesday morning from 8:00am-9:00am.  There is a $10.00 fee for the food handler's class. A study guide can be picked up at any time dailiy. A risk assessment form must be filled out before the food handlers test is given.  This will determine if a TB skin test is required.

Food School will be: February 27, 2015 at the Health Department beginning at 8:00 am-no late entry will be permitted.  Please come at least 15 minutes prior to the class beginning.

Randolph County Hotline and Tip




Helpful Links

WV Health & Human Resources
WV Threat Preparedness
WV Environmental Health
WV Immunization
Office of Epidemiology and Prevention Services (OEPS)
WV Family Planning

32 Randolph Avenue 
Suite 101
Elkins, WV 26241

Phone: 304-636-0396 
Fax:  304-637-5902
Hours: Monday: 8:00-4:30, Tuesday-Thursday: 7:30-4:30, Friday: 8:00-4:00

Environmental: warren.l.elmer@wv.gov
Nursing: karen.l.begg@wv.gov
Threat Preparedness: bonnie.b.woodrum@wv.gov
Administration: linda.s.sanders@wv.gov
Clinical Services: kassie.d.swecker@wv.gov
WIC: Alison.b.shehl@wv.gov