Control of Influenza and Pneumococcal Disease in Long-Term Care - mass 2025

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Additional Control Measures Avoid new admissions or transfers to wards with symptomatic residents, if possible. Limit visitation and exclude ill persons from visiting the facility via posted notices. Consider restricting visitation by children during community outbreaks of influenza.
Healthcare personnel who get vaccinated may help to reduce: transmission of influenza, staff illness and absenteeism, and. influenza-related illness and death, especially among people at increased risk for severe influenza complications.
Use STANDARD and DROPLET precautions for routine medical care of patients with confirmed or probable influenza, or influenza-like illness. Standard precautions include hand hygiene. When contact with body fluids is anticipated, a gown, gloves and eye protection should be worn.
In most cases, you should plan on returning to work only after 24 hours has passed with no fever (fever should be gone without the use of a fever-reducing medicine). If you are the supervisor of an employee who is exhibiting flu-like symptoms: Ask the employee to leave the workplace, i.e., go home and stay home.
Stay at home if you are sick. CDC recommends that workers who have a fever and respiratory symptoms stay at home until 24 hours after their fever ends (100 degrees Fahrenheit [37.8 degrees Celsius] or lower), without the use of medication. Not everyone who has the flu will have a fever.
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Employees should stay home or go home when they are sick with influenza symptoms. Staff with symptoms of influenza (fever and cough, sore throat, or runny nose) should stay home until they are fever-free for 24 hours without using fever-reducing medications. Employees should not come back to work with a fever.
When Are People with Flu Contagious? Influenza viruses can be detected in most infected persons beginning one day before symptoms develop and up to five to seven days after becoming sick. People with flu are most contagious during the first three days of their illness.

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