RESTRICTION OF ACTIVITY IF SWINE FLU DETECTED.

As there is no evidence that treatment with antiviral medication reduces a person’s contagious
state, it must be assumed that persons remain contagious for 7 days after the onset of
symptoms regardless of whether or not they are treated with antiviral medication. The
following restrictions on activity shall be implemented when there is a suspected or confirmed
case of influenza.

1. To the extent possible, maintain individuals with suspected or confirmed influenza on
droplet precautions in their bedroom for 7 days from the onset of symptoms.
2. At a minimum, restrict individuals(s) with suspected or confirmed influenza to the
affected unit/residence.
3. To the extent possible, individuals with suspected or confirmed influenza are to dine in
their rooms.
4. If dining in the common area, individuals(s) with suspected or confirmed influenza are to
dine separately from those who are well/not exposed, with the well individuals dining
first followed by the individuals(s) with suspected or confirmed influenza.
5. When in common areas, promote spatial separation of at least 6 feet whenever possible
between individuals(s) with suspected or confirmed influenza and other individuals.
6. Bedrooms, bathrooms, dining and common areas and “high touch” areas such as
doorknobs, telephones, faucet handles, remote controls, etc. should be thoroughly
cleaned frequently with a product that is effective against influenza. It is important that
staff use any product according to the manufacturer’s recommendations, paying
particular attention to any “sit time” that is required.
7. To the extent possible in large facilities, cohort individuals with suspected influenza with
other individuals with suspected influenza; cohort individuals confirmed to have
influenza with other individuals with confirmed influenza.
8. All individuals in a residence (or in a large facility, in the area, wing or unit) who have
suspected or confirmed influenza or who have been exposed to influenza are not to
attend day program, to interact with individuals or staff from other residences or units,
or go to activities outside of the residence.
9. Individuals must remain out of day program for a minimum of 7 days after the last
known exposure. Individuals may return to day program after 7 days provided the
following criteria are met:
a. the individual has completed at least 5 days of prophylactic medication; AND
b. the individual is asymptomatic and has been afebrile for at least 48 hours; AND
c. there is no evidence of on-going transmission in the residence, area, wing or unit.
(NOTE: if the primary care provider determines that a person cannot/should not
receive prophylactic medication, conditions b and c above must be met prior to
the person returning to program.
10. During the period of possible contagion, staff must be restricted from floating into or out
of the residence, area, wing or unit. In addition, staff that have been exposed must be
restricted from doing overtime or extra service in other programs, residences, areas,
wings or units for at least 7 days after the last known exposure. Staff restrictions may
be lifted after the following criteria are met:
a. the staff person has completed at least 5 days of prophylactic medication; AND
b. the staff person is asymptomatic and has been afebrile for at least 48 hours; AND
c. there is no evidence of on-going transmission in the residence, area, wing or unit
11. Restrict visitors to the residence to the extent possible until the contagious period is
over.
12. Restrict the use of respite in any residence with an individual with influenza. Restrict
the use of respite to individuals who are free of respiratory symptoms or a known
exposure to influenza.
13. Restrict admissions, discharges or transfers of individuals during the period of
infectivity. In the event that an individual must be re-located, the following measures
should be followed:
a. Carefully screen individuals to be relocated for symptoms of, and exposure to,
influenza.
b. If discharging/transferring an individual with respiratory symptoms or a known
exposure to influenza, notify the receiving facility.
c. Individuals admitted with respiratory symptoms or known exposure to
influenza are to be placed on droplet precautions.
d. Individuals admitted without respiratory symptoms or known exposure may be
admitted to the residence and treated as any other individual in the residence
without influenza.