STUDENT HEALTH STUDENT HEALTH SERVICESSERVICES

Room 242, CAWSCRoom 242, CAWSC

Judi Wilson, RN, PHN, Judi Wilson, RN, PHN, BScNBScN

Health Promotion NurseHealth Promotion Nurse

Student Health Services is a medical clinic.

We provide comprehensive primary health care

to all students who need us.

We are your family physician office while on campus.

Student Health Services Student Health Services sees only students of the sees only students of the University of Windsor. University of Windsor.

If a student opts out of If a student opts out of the student drug planthe student drug plan

they can still see a they can still see a physician at Student physician at Student

Health ServicesHealth Services

Clinic HoursClinic Hours

Monday – Thursday 9am – 5pmMonday – Thursday 9am – 5pm Friday 9am - 1pmFriday 9am - 1pm Friday 2pm - 5pmFriday 2pm - 5pm

(closed Fri 1pm – 2pm)(closed Fri 1pm – 2pm)Usually by appointment Usually by appointment

Walk-in clinics most afternoons Walk-in clinics most afternoons Check website for hours Check website for hours www.uwindsor.ca/healthwww.uwindsor.ca/health

•Acute Care ie. sore throat, sprain, fever, flu

•Allergy Injections •Asthma Education •Contraception prescribing birth control

•Counselling •Eating Disorders•HIV Aids Testing•Immunization •Lab Tests blood work

•Minor Surgery stitches, cyst removal

•Physical Exams•Pregnancy Tests•Psychiatric Services •Sexually Transmitted Diseases•Smoking Cessation•Travel Immunization and TB testing

TB Skin Tests (TST)TB Skin Tests (TST)• Mon Tues Wed & Fri (not Thurs) during Mon Tues Wed & Fri (not Thurs) during

nurses hours: 9:30-11am & 2-4pm nurses hours: 9:30-11am & 2-4pm no appt no appt neededneeded

• TST must be read 48-72 hours laterTST must be read 48-72 hours laterCost: Cost: cashcash

• one step $20 (must have documentation one step $20 (must have documentation of previous neg TST)of previous neg TST)

• Two step $25 (7 to 30 days after first test)Two step $25 (7 to 30 days after first test)

Good for one year. Take a photocopy of Good for one year. Take a photocopy of your results for future reference.your results for future reference.

Health Promotion OfficeHealth Promotion Office

• Room 240 CAW Student CentreRoom 240 CAW Student Centre• Right beside Student Health Right beside Student Health

ServicesServices• Open most weekdays 9am – 5pmOpen most weekdays 9am – 5pm• Call first to make sure someone Call first to make sure someone

will be in ext 3260 or 3261will be in ext 3260 or 3261•Health Promotion MaterialsHealth Promotion Materials•CondomsCondoms•Talk with Judi about workshop ideas Talk with Judi about workshop ideas

or health related informationor health related information

Important dates this semester:Important dates this semester:

Student Health Forum, Katzman, Oct 6 @ Student Health Forum, Katzman, Oct 6 @

7pm7pm

Health Fair, CAWSC, Wed Oct 21 10am – 3pmHealth Fair, CAWSC, Wed Oct 21 10am – 3pm

Mental Health Screening, at the Health FairMental Health Screening, at the Health Fair

Seasonal Flu ShotsSeasonal Flu ShotsFlu Clinic, Ambassador, Nov 18, 10am – 6pmFlu Clinic, Ambassador, Nov 18, 10am – 6pm

Flu Clinic, Ambassador, Nov 26, noon – 8pmFlu Clinic, Ambassador, Nov 26, noon – 8pm

PamphletsPamphlets

http://www.uwindsor.ca/health

ILI ILI •Influenza-like-illnessInfluenza-like-illness•Seasonal InfluenzaSeasonal Influenza

• H1N1 InfluenzaH1N1 Influenza

2009 and H1N1 – 2009 and H1N1 – Influenza AInfluenza A

• WHO (and Health Canada) declared a WHO (and Health Canada) declared a global pandemic of H1N1 Influenza A global pandemic of H1N1 Influenza A in spring /09in spring /09

• A second wave of flu is expected this A second wave of flu is expected this fall in the Northern Hemispherefall in the Northern Hemisphere

• At risk persons include young children, At risk persons include young children, pregnant women, those with pre-pregnant women, those with pre-existing illness (asthma), and people existing illness (asthma), and people in isolated communities in isolated communities

• Most cases are mild, but rarely, Most cases are mild, but rarely, respiratory distress can occurrespiratory distress can occur

H1N1 TransmissionH1N1 Transmission

• Influenza is a respiratory illness.Influenza is a respiratory illness.• Transmission is through water droplet Transmission is through water droplet

from coughing/sneezing/kissingfrom coughing/sneezing/kissing

• Indirect transmission is through self-Indirect transmission is through self-inoculation after contact with inoculation after contact with surfaces/objects contaminated with the surfaces/objects contaminated with the virus from infected persons virus from infected persons

ie: phones/keyboards/doorknobs, cups ie: phones/keyboards/doorknobs, cups etcetc

Time FramesTime Frames• A person can be infected up to A person can be infected up to 4 days 4 days

before symptoms start (Incubation Period)before symptoms start (Incubation Period)• A person can spread the virus A person can spread the virus one day one day

before symptoms start (before they know before symptoms start (before they know they have it).they have it).

• A person A person maymay spread the virus for spread the virus for

7-10 days 7-10 days once symptoms start. once symptoms start. (it depends how sick they are)(it depends how sick they are)

• H1N1 can live on surfaces for 8-48 H1N1 can live on surfaces for 8-48 hours after they have been hours after they have been contaminated.contaminated.

• Droplets from a cough or sneeze Droplets from a cough or sneeze move through the air. move through the air.

• Germs can be spread when a Germs can be spread when a person touches something that is person touches something that is contaminated with germs and then contaminated with germs and then touches his or her touches his or her eyes, nose, or eyes, nose, or mouthmouth before washing their hands. before washing their hands.

ILI ILI (Influenza Like Illness) (Influenza Like Illness)

SymptomsSymptoms• Symptoms:Symptoms:

• Acute (sudden) onset of Acute (sudden) onset of respiratoryrespiratory symptoms with symptoms with FEVERFEVER and and COUGHCOUGH

and one or more of the following: and one or more of the following: sore throat, muscle aches, joint sore throat, muscle aches, joint pain, or weakness. pain, or weakness.

• No need to see a physician immediately if No need to see a physician immediately if symptoms are mild symptoms are mild

• Call Student Health Services or family Call Student Health Services or family physician with any concernsphysician with any concerns

When to seek Medical When to seek Medical CareCare

• Call the doctor if you experience flu-like Call the doctor if you experience flu-like symptoms and yousymptoms and you

are pregnantare pregnant

have heart, lung disease (asthma)have heart, lung disease (asthma)

have chronic health problemshave chronic health problems

are elderlyare elderly

have a fever over 39.5 - 40Chave a fever over 39.5 - 40C

If you are sick, stay home and call the doctor.If you are sick, stay home and call the doctor.

To Emergency Room:To Emergency Room:

• Any respiratory distress:Any respiratory distress:•Difficulty breathingDifficulty breathing•Can’t breathCan’t breath•Breath is catching in throatBreath is catching in throat•Coughing constantlyCoughing constantly•Chest pain as a result of coughingChest pain as a result of coughing•Bloody phlegmBloody phlegm

What students need:What students need:• Thermometer (personal)Thermometer (personal)• Tylenol for fever over 37.5C Tylenol for fever over 37.5C

(not aspirin, ibuprofen)(not aspirin, ibuprofen)• Access to salt water to Access to salt water to gargle gargle

(1tsp salt/1cup water(1tsp salt/1cup water• Access to fluids: Access to fluids:

•WaterWater•JuicesJuices•Broths Broths

What students need What students need con’t:con’t:

• If a person takes regular medication, If a person takes regular medication, keep a supply on hand in case you keep a supply on hand in case you cannot get out for a week to 10 dayscannot get out for a week to 10 days

• Check you have a non-expired and full Check you have a non-expired and full puffer if you take Ventolin puffer if you take Ventolin occasionally for asthma symptoms (ie. occasionally for asthma symptoms (ie. Exercise induced asthma, increase of Exercise induced asthma, increase of symptoms with respiratory infection).symptoms with respiratory infection).

I’m sick…now what?I’m sick…now what?

• Self isolation (no classes and no regular Self isolation (no classes and no regular contact with colleagues), rest, fluidscontact with colleagues), rest, fluids

• Tylenol for fever per bottle directionsTylenol for fever per bottle directions• Fluids are more important than solid Fluids are more important than solid

foods – drink as much as possisble foods – drink as much as possisble (water, gatorade, jello, popsicles, (water, gatorade, jello, popsicles, soups)soups)

• let someone know who can look in on let someone know who can look in on you you.you you.

Prevention ..?Prevention ..?• HygieneHygiene

• Handwashing, often, for 15 secondsHandwashing, often, for 15 seconds• Dry hands thoroughlyDry hands thoroughly• Cough into sleeve (do the sleeve Cough into sleeve (do the sleeve

sneeze!)sneeze!)

• If cough into kleenex, throw out If cough into kleenex, throw out immediately and wash handsimmediately and wash hands

Best way to control Best way to control spreadspread

1.1. Frequent handwashing and Frequent handwashing and Practising cough/sneeze etiquettePractising cough/sneeze etiquette

2.2. Early identification of ill students Early identification of ill students with symptoms of ILI (influenza-like-with symptoms of ILI (influenza-like-illness)illness)

3.3. Exclusion/isolation of anyone ill with Exclusion/isolation of anyone ill with symptoms of ILIsymptoms of ILI

4.4. ImmunizationImmunization

Flu vaccineFlu vaccine• There is a There is a seasonalseasonal flu vaccine flu vaccine

(Influenza B) – this will be available (Influenza B) – this will be available at campus flu clinics in Nov.at campus flu clinics in Nov.

• As of August 24, 2009, it appears As of August 24, 2009, it appears the H1N1 vaccine will be available the H1N1 vaccine will be available in November in November

• It will be administered in 2 doses. It will be administered in 2 doses. At risk individuals will receive the At risk individuals will receive the vaccine first. vaccine first.

Remember,Remember,

• The H1N1 flu is mild for the vast The H1N1 flu is mild for the vast majority infectedmajority infected

• We will do our best to keep you We will do our best to keep you well informedwell informed

What’s left today?What’s left today?

Have a great year!!! Have a great year!!!

Call if there is anything I Call if there is anything I can help you with.can help you with.

Health Promotion OfficeHealth Promotion Office

519-253-3000 x3260519-253-3000 x3260

Doctor’s Office 519-973-7002 or ext Doctor’s Office 519-973-7002 or ext 70027002