DHS: PUBLIC HEALTH DIVISION

Transcription

1 DHS: PUBLIC HEALTH DIVISION Be a Flu Fighter High School Pandemic Influenza Prevention Education Unit Independent. Healthy. Safe.

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3 Overview Pandemic influenza is a global outbreak of disease that occurs when a new influenza virus emerges and starts spreading easily from person to person through coughing and sneezing. According to the Centers for Disease Control and Prevention (CDC), children without preexisting immunity to circulating influenza viruses are more susceptible than adults to infection. Children are more likely than adults to transmit influenza viruses within households. Educating students about pandemic flu and how life will be different is an important step in preparing and protecting them. The information in this unit is intended to be used as a general guide for high school educators. During a flu pandemic, many people may become sick and your students may lose friends and loved ones. Young people who have witnessed serious illness or death, either directly or through the news media, are likely to have an increased sense of vulnerability, fear and anxiety. They need active support and guidance from the important adults in their lives. Young people may exhibit a variety of symptoms that signal that they may be having difficulty coping. Parents and teachers should watch for any unusual behaviors, such as: Clinginess or neediness Difficulty concentrating Separation anxiety Lack of interest in previously enjoyed activities Irritability Jumpiness, easily startled Depression Social withdrawal Sadness Resistance or defiance Obsessiveness Trouble getting along with others Behavior problems Physical symptoms, such as headaches, stomach aches Changes in appetite Nightmares, difficulty sleeping, or sleeping too much Changes in performance in school Changes in activity levels. Be a Flu Fighter: Grades 9 12 Education Unit 1

4 Recent research suggests that parents, teachers and counselors should talk with children about the situation, but don t force the issue. Ask what they already know or understand. Encourage them to ask questions and provide clear and simple explanations that match their level of anxiety and ability to understand. Limit the amount of television viewing of pandemic coverage by younger children. When older children watch television coverage of the pandemic, watch with them and discuss what s happening and how they feel about it. Consider sharing your own feelings about the event and take the opportunity to model good coping behaviors. Provide reassurance about the steps being taken to keep students safe. If symptoms of emotional distress are severe or prolonged, contact your school counselor or local health department for information on counseling services available in your area. Even students who do not display overt signs of emotional trauma following disastrous events may benefit from counseling by qualified professionals. Goals The goal of this educational unit is to prepare students for a flu pandemic. This unit complies with the CDC s suggested preparations for a flu pandemic. The objectives are to limit the spread of an influenza pandemic, mitigate disease, reduce suffering and avoid death. By implementing this unit in elementary classrooms, you can help protect your students and limit the spread of disease. One way to limit the spread of a pandemic is by empowering children to help prevent the spread of the flu. This unit will be an integral part of achieving this. Components of the unit The unit will be conducted during a World Health Organization (WHO) phase 5 or 6 pandemic period when significant human-to-human transmission occurs. The theme of the unit is Step up and do your part to protect yourself and others during a flu pandemic. Be a flu fighter. Students will learn how they can prevent the spread of the flu around the world by washing their hands, covering their coughs and staying home when they are sick. The unit includes five lessons that should be conducted, one each day for one week. Each day s lesson reinforces prior lessons to increase retention of information. 2 Be a Flu Fighter: Grades 9 12 Education Unit

5 Oregon Health Education Standards This curriculum includes Health Skills and Concepts Instruction that supports the Oregon Health Education Standards for Prevention and Control of Disease. Health Strand: Prevention and Control of Disease Common Curriculum Goal (CCG): Demonstrate ability to use health skills, to obtain and interpret health information, to manage personal behaviors and to advocate for healthy and safety issues. Benchmark Standards (8th Grade): HE.HS.HS.01 Access information and resources to meet specific health needs and solve health-related problems. HE.HS.HS.02 Demonstrate personal responsibility to follow procedures that enhance health and reduce risk. HE.HS.HS.07 Advocate to self, peers, family and community members, the importance of participating in health enhancing behaviors and abstaining from unsafe behaviors. Common Curriculum Goal (CCG): Demonstrate self-management and advocacy skills while understanding the relationships among health behavior and prevention of disease. Concept: Describe strategies for preventing communicable diseases and early detection of non-communicable diseases. Standard/Skills: Goal Setting Set a goal to practice strategies for preventing communicable and non-communicable diseases. Components of the unit Day of the week Topic Children will Goal Monday Understanding the flu virus Be able to discuss the differences between viruses and bacteria. Limit spread of disease. Tuesday Understanding flu pandemics Understand how flu viruses change and can cause disease around the world. Limit spread of disease. Wednesday Know how to protect yourself and others from the flu Know to wash hands and cover cough. Limit spread of disease. Thursday Know what to do if you get sick Stay at home if sick; get rest; drink a lot of fluids. Limit suffering and death. Friday How life will be different during a flu pandemic Know that schools might be closed and people will be sick. Lessen the impact to society. Be a Flu Fighter: Grades 9 12 Education Unit 3

6 Lessons Each lesson should last from 15 to 20 minutes. Each lesson will include PowerPoint slides, a discussion about the topic for the day and a quick activity or homework assignment. (Slide 1) Unit lesson plan for grades 9-12, Five features of fighting the flu. Useful books Epidemic! The 1918 Influenza Pandemic, Stephanie True Peters Epidemics and Plagues, Richard Walker Viruses, Discovery Channel School Science Outbreak: Plagues that Changed History, Bryan Barnard Deadly Invaders, Denise Grady (Slide 2) Lesson 1: Understand the flu virus (slides 2-11) Key concepts Understanding the flu virus Difference between bacteria and viruses Signs/symptoms of the flu How the flu spreads (Slide 3) Five features of fighting the flu Understand the flu virus. Know what a flu pandemic is. Know how to protect yourself and others from the flu. Know what to do if you get sick with the flu. Know what to expect during a flu pandemic. 4 Be a Flu Fighter: Grades 9 12 Education Unit

7 Lesson: The flu This week we are going to learn some very important lessons about the flu and what you can do to help prevent the spread of the flu. There are five key features of fighting the flu. Today we are going to learn about the first feature, understanding the flu virus. Does anyone know what the flu is? (Slide 4) (The flu is a disease caused by a virus called influenza.) Virus vs bacteria Does anyone know what a virus is? (Slide 5) (A virus is a simple structure that can cause a disease when it grows and reproduces in living things.) For more advanced students: (Viruses are very simple organisms containing nucleic acid (DNA or RNA), typically surrounded by a protein shell or capsid. They can reproduce only when inside the cell of an infected host.) Who can tell me what bacteria are? (Slide 6) (Bacteria are single-celled organisms that can cause illness or infection.) So who can tell me the difference between a virus and bacteria? (Slide 7) Viruses and bacteria are like apples and oranges. They are similar in that they both can cause disease, but they are different in their makeup. Both viruses and bacteria can be found almost anywhere. However, not all viruses and bacteria make humans sick. Be a Flu Fighter: Grades 9 12 Education Unit 5

8 (Slide 8) This table shows a few differences between bacteria and virus. Virus Bacteria Can it live on its own? NO YES Can you use antibiotics to cure it? NO YES Can it cause disease? YES YES Can you get a vaccine to protect yourself from it? Examples YES Flu, chicken pox, HIV, or the common cold SOMETIMES Staph infection, bacteria in cuts (puss or redness), or food poisoning (salmonella) Why can t we use antibiotics to cure the flu? (Slide 9) The flu is a virus that is normally prevented through the use of vaccines. On occasion antiviral drugs are used to treat the flu. Antibiotics treat bacteria and are not effective in treating viruses like the flu. Now that you know what the flu is, let s talk about the symptoms of the flu. Symptoms and the spread of the flu Who can tell me one of the symptoms of the flu? (Slide 10) (Some signs you might be sick with the flu include chills, fever, headache, muscle aches, runny nose, cough and sore throat.) How does the flu travel from person to person? (Slide 11) (The flu can travel from one person to another when a flu virus is coughed or sneezed into the air. The virus can land on a person or object and then be picked up by someone else.) 6 Be a Flu Fighter: Grades 9 12 Education Unit

9 Spread of the flu activity Write one student s name on a piece of paper, but don t tell the students the name until the end of the activity. This is the person with the flu. Choose a different student to be it. Next tell everyone to write down who they shake hands with, and in what order. Have the student who is it shake hands with four students. Then have those five students (first person to be it, plus the four students they shook hands with) shake hands with four more students. Then have everyone sit down and reveal who had the disease. Next ask students to raise their hands if they shook hands with the person who had the disease, and then ask the students to raise their hands if they shook hands with anyone who has his or her hand raised. Explain to students that this is how the flu can spread to a lot of individuals very fast. Hand out the Lesson 1 activity sheet (Handout #1). (Slide 12) Lesson 2: Understanding flu pandemics (Slides 12-33) Key concepts Flu pandemics Drift and shift (Slide 13) Five features of fighting the flu Understand the flu virus. Know what a flu pandemic is. Know how to protect yourself and others from the flu. Know what to do if you get sick with the flu. Know what to expect during a flu pandemic. Be a Flu Fighter: Grades 9 12 Education Unit 7

10 Lesson As we discussed yesterday, there are five features of fighting the flu you will need to learn. You learned about the first one yesterday, Know what the flu is. Who remembers what the flu is? (The flu is a disease caused by the influenza virus.) Who can tell me the symptoms of the flu and how it spreads? (Signs are chills, fever, headache, muscle aches, runny nose, cough and sore throat. The flu can travel from one person to another when the flu virus is coughed or sneezed into the air.) Today we are going to learn about the second feature of fighting the flu, Know what a flu pandemic is. (Slide 14) Have students take turns reading the comic, No ordinary flu, out loud. Discussion questions include: How were the individuals from 1918 affected by the pandemic flu? What are some ways the 1918 flu is different than the flu that makes people sick every year? How did the 1918 pandemic affect: The economy (businesses)? Families? Schools? Churches? Flu pandemics So who can tell me what a pandemic is? (If no one knows, explain the parts of the word pan, and epidemic.) Pan comes from a Greek word and means all or involving all members of a group. Does anyone know what an epidemic is? (An epidemic is when there is an increase in individuals with a specific disease in an area.) Has anyone heard of any recent epidemics? (An example could be the recent measles outbreak in Japan or the novel H1N1 flu.) Raise your hand if you can tell me the definition of a flu pandemic. (Slide 15) (A flu pandemic is when people from all over the world become sick with the same disease at the same time, like the recent outbreak of novel H1N1 swine flu. Some may get very sick, and some may die.) Aside from 1918 and the novel H1N1 outbreak, does anyone recall any other flu pandemics we have had in the past? 8 Be a Flu Fighter: Grades 9 12 Education Unit

11 (Slide 16) The 1918 pandemic in context In 1918, in a little over a year up to 50 million people died from the flu worldwide. In the United States at least 500,000 people died. There also were smaller pandemics in 1957 and (Slide 17) This graph shows the 1918 pandemic in context with wars in which the United States has been involved. As you can see, the 1918 flu killed more people than any war. (Slide 18) This letter is an example of what it was like during the 1918 pandemic flu. Letter from Camp Devens, Massachusetts about the 1918 flu pandemic. Two hours after admission they have mahogany spots over the cheek bones, and a few hours later... Cyanosis (Blue coloration of the skin, not enough oxygen in blood) from ears spreading over face... Only a matter of a few hours before death comes. (Slide 19) What are some of the differences between 1918 and today that may affect a flu pandemic? (The increase in international travel means a new virus can spread quickly around the world. Advances in medicine mean better treatment. Better hygiene may help prevent the spread of disease. We can use our knowledge of past pandemics to help us prepare.) (Slide 20) The flu virus is very changeable. The parts that make up the flu are always changing. This is why it is important to get a flu shot or flu nasal mist every year. (Slide 21) Did you know that every year about 36,000 people in the United States die of complications from influenza? Be a Flu Fighter: Grades 9 12 Education Unit 9

12 (Slide 22) Most of the time the changes in the flu are small, and the available vaccines provide good protection. Sometimes the changes are very big and a vaccine is not yet available for the new type of flu. Do you think animals can get sick with the flu? (Yes.) (Slide 23) Animals that can get the flu include people, birds, horses, swine and seals. (Slide 24) Different animals get different types of flu, and people can get some of the same types as birds, pigs and seals. This is what has happened with the pandemic H1N1 virus. The most severe types of flu people get are influenza A viruses. Influenza B and C viruses generally cause less serious disease in humans. The Hs and Ns indicate different subtypes of the Influenza A viruses. H stands for hemagglutinin and N for neuraminidase. These are two important proteins that can vary from virus to virus. Each subtype is like a building block. Each type of influenza virus has a different combination of building blocks. For the most part they are similar, but one or two blocks are different to create different types of the flu. The different types of the flu can make different animals sick. What else do you notice about these lists? (Birds are susceptible to all sorts of flu viruses.) (Horses are susceptible to some of the same viruses as birds and pigs.) (Slide 25) This graphic shows that with a swine as a host, a bird flu and human flu could mix to become a new type of influenza. Pandemic H1N1 influenza is actually a mixture of bird, swine and human strains of influenza. Bird and animal flu viruses can morph over time and become a danger to humans, especially if they are easily transmitted from human to human. Next we are going to talk about two of the ways the flu virus can change. 10 Be a Flu Fighter: Grades 9 12 Education Unit

13 (Slide 26) Drift and shift Drift = small changes. Drift is the natural mutation over time of known strains of influenza. This is why you can get the flu every year. Vaccines need to be changed often in order to work. (Slide 27) Again, think of different subtypes of viruses as building blocks. A virus is made up of different colored blocks. Drift is when one of the building blocks changes colors. It s not a big change, but it does have an effect. (Slide 28) Shift = big changes. Shift is when at least two different strains of virus combine to become a new subtype of influenza. An example is when a nonhuman virus, like a bird or pig flu, starts affecting humans. Again, this is what happened with pandemic H1N1. (Slide 29) These building blocks illustrate a shift to a new influenza subtype. (Slide 30) Since it takes as long as six to eight months to develop a new vaccine, many people may become ill. If the new flu travels easily from person to person and causes severe symptoms, it may become a pandemic and many people may die. But it s still important to get a flu shot every year, since a flu shot generally provides protection against some of the currently circulating viruses. Every year one out of 10 people gets sick with the flu. During a flu pandemic three or four people out of 10 will become sick with the flu. Be a Flu Fighter: Grades 9 12 Education Unit 11

14 (Slide 31) Life may be different during a flu pandemic. Classes may be cancelled. Many people will be sick. Some people might wear a mask to avoid getting sick or making others sick. Someone you know may die. It is normal to be sad. Be sure to talk about your feelings with others. The best way to get ready for a pandemic is to learn about the flu. This week you are learning the five features of the flu that will help you protect yourself and others from the flu. Review: Hand out Lesson 2 activity sheet (Handout #2). Hand out and discuss the flu project guidelines (Handout #3). On Friday of this week you will be giving a presentation on the activity of your choice. You can chose from one of the four projects on the paper. This project is a chance for you to learn more about the flu in an area that interests you. Your project should be one or two pages long, and should include one visual. At the end of the week you will present your project. Your project options include: (Slide 32) 1. Family history: Everyone is descended from (related to) someone who survived the flu pandemic of Your assignment is to research how the pandemic affected your family. 2. Research the flu: If you love science this is a great project for you. Do more research on the flu virus. (Slide 33) 3. Create a pandemic influenza family preparedness plan and emergency kit: The best way to protect yourself from harm during a pandemic is to be prepared. Creating an emergency kit will help prepare you and your family. 4. Create a flu commercial or public service announcement (PSA): Your assignment is to create a commercial or PSA that would help prevent the spread of the flu. Choose one of the four ways to protect yourself from the flu. (Get a flu shot, wash your hands, cover your cough, and stay home when you are sick.) The goal of the commercial or PSA is to get people to change their behavior. The commercial can be for radio, or TV. On Friday you will give a three to five minute presentation on your activity and what you learned. Give students time to pick their project and begin planning. 12 Be a Flu Fighter: Grades 9 12 Education Unit

15 Hand out PANDEMIC! Game, which is similar to Sudoku (Handout #4). Let students choose whether they want to attempt the easy, medium or hard version of the game. (Slide 34) Lesson 3: Know how to protect yourself and others from the flu (Slides 34-44). Key concepts There are four ways to prevent the spread of the flu: Get a flu shot or nasal spray mist vaccine. Wash your hands. Cover your cough. Stay home when you are sick. How to be prepared for a flu pandemic. (Slide 35) Five features of fighting the flu Lesson Understand the flu virus. Know what a flu pandemic is. Know how to protect yourself and others from the flu. Know what to do if you get sick. Know what to expect during a flu pandemic. Who remembers the first two features of flu fighting we learned? 1. Understand the flu virus. (The flu is a disease caused by the influenza virus.) Know the symptoms of the flu and how it spreads. (Signs are chills, fever, headache, muscle aches, runny nose, cough, sore throat, and sometimes stomach pain, and throwing up. The flu can travel from one person to another when the flu virus is coughed or sneezed into the air. The virus can land on a door or table an then be picked up by someone else.) 2. Know what a flu pandemic is. (A flu pandemic is when people from all over the world become sick with the same disease at the same time. Some may get very sick, and some may die.) Be a Flu Fighter: Grades 9 12 Education Unit 13

16 (Slide 36) Today we will learn feature number three, how to protect yourself and others from the flu. There are four ways to protect yourself: Get a flu shot or nasal spray mist vaccine. Wash your hands. Avoid touching your eyes, nose or mouth. Try to avoid close contact with sick people Maintain a healthy lifestyle. (Slide 37) Flu vaccine: You should get a flu shot or nasal flu mist every year, because the flu virus is always changing. Seasonal flu vaccine protects the body from multiple types of the flu virus. It usually takes two weeks after vaccination for the body to provide protection. A vaccine is a substance that stimulates the body s immune system to identify a virus so it can kill it the next time it sees it. The immune system protects the body from viruses and bacteria. There are two types of flu vaccines, the flu shot and nasal spray. The flu shot contains killed virus that is given with a hypodermic needle, usually in the arm. The nasal spray contains weakened live viruses and is administered by a nasal sprayer. (Slide 38) Wash your hands: Always remember to wash your hands for 15 to 20 seconds. (Slide 39) Avoid touching your eyes, nose and mouth: Everything you touch is covered with germs that can cause illness. Keeping your hands away from your face will help prevent spreading these germs to your own body. 14 Be a Flu Fighter: Grades 9 12 Education Unit

17 (Slide 40) Try to avoid close contact with people who are sick: Sometimes you may need to help care for a sick sibling or parent at home, but if possible, avoid close contact with those who are ill. If you must come into contact with a sick person, wash your hands frequently, and avoid sharing food, towels, eating utensils, cell phones and other personal objects with someone who is sick. (Slide 41) Maintain a healthy lifestyle: Eat good foods and exercise regularly. (Slide 42) Be prepared for a flu pandemic: No one knows how serious a flu pandemic will be. For this reason it is important to start preparing now and always be prepared for a flu pandemic. (Slide 43) You should have enough supplies at home, such as food and water, for at least one week. (It is possible a pandemic could last from weeks to months.) Store health and medical supplies, such as prescription drugs and a first aid kit. You should talk with your parents about what you will do if classes are cancelled or the schools are closed. (Slide 44) You should plan to study from home, if possible. Also be ready to help neighbors. Review: Hand out Lesson 3 activity sheet (Handout #5). Optional Activity: Hand out pandemic word search (Handout #6). Be a Flu Fighter: Grades 9 12 Education Unit 15

18 (Slide 45) Lesson 4: Know what to do if you get sick with the flu (Slides 45-57) Key concepts Stay home when you are sick (up to five to seven days). Get lots of rest. Drink plenty of fluids such as water and juice. Cover your cough and wash your hands so others do not get sick. Don t smoke! (Slide 46) Five features of fighting the flu Lesson: Understand the flu virus. Know what a flu pandemic is. Know how to protect yourself and others from the flu. Know what to do if you get sick with the flu. Know what to expect during a flu pandemic. Today we are going to learn about the fourth feature you should know about fighting the flu: knowing what to do if you get sick with the flu. Class, what do you usually do if you get sick? (Slide 47) If you get sick with the flu, the most important thing for you to do is stay home from school and get lots of rest. You also need to remember to drink lots of water or juice. Be sure to throw the tissue in the garbage and wash your hands after blowing your nose. You should always cover your cough to prevent the spread of the flu virus to others. During a flu pandemic most patients who become ill can be cared for at home by a family member. Can anyone tell me how they could care for someone who is sick with the flu? 16 Be a Flu Fighter: Grades 9 12 Education Unit

19 (Slide 48) Stay home when you are sick: When you are sick you should stay home from school and other activities. You can make others sick if you go to school or go places with your friends. This is why it is important to keep your distance from others during a flu pandemic. You cannot look at someone and tell if they have the flu. Who here has ever gone to school when they felt sick? Does anyone remember a time when your parents went to work when they were sick? Part of our culture in the United States is to work hard, and being sick is sometimes seen as a sign of weakness. When you are sick, it is important for you to stay home and get better so you can be more productive when you come back healthy. When you are sick you can spread your sickness to others from one day before you feel sick to 24 hours after you no longer have a fever. (Slide 49) Cover your cough: Always cover your cough with a tissue or your sleeve. If you cough in your hands be sure to wash them right away. Properly dispose of used tissues and wash your hands. (Slide 50) Get plenty of rest: Listen to your body and get plenty of rest when you are ill. Along with other good health habits, such as eating healthy foods and exercising, getting adequate sleep can help keep you from getting sick in the first place. (Slide 51) Drink lots of water and other fluids to avoid getting dehydrated, especially if you have a fever: Dehydration can cause serious health problems. Signs of dehydration include dry mouth, excessive thirst, infrequent urination (less than three times a day), muscle weakness, headache and dizziness. Severe dehydration may lead to unconsciousness. (Slide 52) Don t smoke: Smoking is always bad for you, but especially when you re sick with the flu or other respiratory illness. Smoking suppresses the immune system, and smokers are more likely to develop respiratory infections, chronic coughing and wheezing as a result of the flu. Be a Flu Fighter: Grades 9 12 Education Unit 17

20 (Slide 53) Don t take aspirin: Children and teenagers with influenza should not take aspirin or products that contain aspirin when they have viral infections such as flu and chickenpox. Aspirin can cause a potentially life-threatening illness called Reye s syndrome. Some anti-nausea medications, such as Pepto-Bismol, contain aspirin, as well. Always check with your parents before taking any medication. (Slide 54) Caring for those who are sick There should be one caregiver for the people who are sick with the flu. If possible, either the patient or the caregiver should wear a surgical mask to protect the caregiver from becoming ill. The caregiver should monitor the health of those who are ill. Check every hour or so to see if the person is getting better or worse. A care log is a great way to track the health status of those who are ill. (Slide 55) Everyone in the house, especially the caregiver, should wash their hands frequently with soap and water. It is important to keep the area around the ill person clean, and clean all items they touch before others who are not sick use them (dishes, laundry, toys, and more). (Slide 56) If the ill person develops any of the following complications, seek medical attention immediately: Difficulty breathing. Fever with a rash. Signs of dehydration (such as increased thirst, dry mouth, urinating less than three times a day. ) Difficulty responding or communicating appropriately. Dizziness or confusion. Convulsions (seizures). 18 Be a Flu Fighter: Grades 9 12 Education Unit

21 Gets worse after appearing to improve. An infant younger than 2 months old with fever, or poor feeding. Pain or pressure in the chest or abdomen. (Slide 57) Game: Are you smarter than the flu? or Jeopardy (Handout #7). Categories: Health, science, history, five features of fighting the flu, flu pandemics. Rules of the game: a. Break students into two teams. b. There will be five categories to choose from. c. Teams take turns picking questions from the categories. d. Categories should be written on a board so students know what to choose from. e. Each category has four to seven questions. f. Students should take turns choosing the question. g. The team that chose the question has one minute to answer the question. h. If a student answers a question out of order, that student s team loses a point. i. Each student can answer only two questions in a row; that student must then take one question off before answering again. j. If the team that chose the question does not answer it correctly in one minute, the other team has a chance to steal the points. k. Each question is worth one point. l. The team with the most points at the end wins. Remind students that their flu projects are due tomorrow. Review: Hand out Lesson 4 activity sheet (Handout #8). Optional Activity: Hand out crossword puzzle (Handout #9). Be a Flu Fighter: Grades 9 12 Education Unit 19

22 (Slide 58) Lesson 5: Know what to expect during a flu pandemic (Slides 58-67). Key concepts Overview of the flu. Things to expect during an influenza pandemic. School closures (or cancellation of classes). Sickness and death. (Slide 59) Five features of fighting the flu Lesson Understand the flu virus. Know what a flu pandemic is. Know how to protect yourself from the flu. Know what to do if you get sick with the flu. Know what to expect during a flu pandemic. Today we are going to talk about the fifth feature of fighting the flu, knowing how life will be different during a flu pandemic. Who remembers what a flu pandemic is? (A flu pandemic is when people from all over the world become sick with the same disease at the same time and some people die.) During an influenza pandemic, we all may need to do things differently for awhile. Remember, the most important step in protecting yourself is good hygiene (covering your cough, washing your hands), and staying home when you are sick. During a pandemic you should avoid being around crowds of people. (Slide 60) Activity- Life during a flu pandemic Have the class break up into groups of four. Tell the groups to brainstorm how life will be different during a flu pandemic. Give students 10 minutes to go over the following questions: 20 Be a Flu Fighter: Grades 9 12 Education Unit

23 1. How are things likely to be different during a flu pandemic? 2. What might you and others (parents, family members, doctors, teachers, etc.) need to do differently during a flu pandemic? Have a class discussion where each group goes over their answers. Make sure the following ideas are touched upon: (Slide 61) The best way to keep from getting sick during a flu pandemic is to keep a distance between you and someone who is sick. This means that classes might be cancelled or schools might close. You may need to stay home and may not get to hang out with your friends. Sporting events and other school activities may be cancelled. (Slide 62) Some of the things we normally count on might not be available. Because many people may be sick and unable to work, things like food, fuel and medical care may be in short supply for a time. It is important for every family to store extra food, water and medicine and to have a plan in place for how to get by during a pandemic. (Slide 63) Many people you know may be sick, and some people may die. It is normal to feel anxious and sad. Be sure to talk to someone about your feelings. Discuss how this makes them feel and the grieving process. (See resource list for talking to children about death, grief and mourning.) (Slide 64) Can anyone think of other things that might be different during a flu pandemic? Examples: People wearing masks; parents staying home from work; people scared to go outside because they might get sick; you might get behind in school or not be able to see friends. If schools are closed is it a good idea for you to hang out with your friends? Why or why not? Have students go back to their seats. Be a Flu Fighter: Grades 9 12 Education Unit 21

24 (Slide 65) Review: Hand out and go over Lesson 5 activity sheet (Handout #10). Everyone needs to get out a piece of paper. I want you to write down a time when someone helped you with something. Did you ask them to help you? What would have happened if they had not helped you? Would your life be different than it is today? (Give students a few minutes to write.) Now I want you write down a time you helped someone. Maybe you opened a door for someone whose hands were full, or maybe you have volunteered. Write about your experience of helping someone. (Give students a few more minutes to write.) (Slide 66) We just talked about a lot of different ways that life will be different during a flu pandemic. What could you do to help out during a flu pandemic that might help address some of the things that might be different? Think of ways to help without exposing yourself to the flu. For example, delivering groceries for your neighbors and leaving them on their door step to be picked up. Write down on your paper what you can do personally to help during a flu pandemic that will not put you at risk of getting the flu. (Give students time to write their responses and discuss as a class.) (Slide 67) If you have not talked with your parents or guardian about what your family would do during a flu pandemic or any other emergency, this is the perfect time to talk with them about what each of your family members roles and responsibilities will be. Give students a couple of minutes to brainstorm ideas about what their families need to do to prepare and then have the class discuss their ideas. After discussion, hand out the family pandemic planning checklist (Handout #11). Encourage students to take it home and share it with their families. (Slide 68) Have the students present their flu projects. 22 Be a Flu Fighter: Grades 9 12 Education Unit

25 Resources and Teacher Keys to Student Activity Sheets Be a Flu Fighter: Grades 9 12 Education Unit 23

26 University of Iowa Coping with Death, Grief, and Loss Resources SAMHSA s National Mental Health Information Center How to Deal With Grief Talk with Your Child: Dealing with Death Scholastic The Child s Loss: Death, Grief, and Mourning American Academy of Pediatrics, June 2009, Frequently Asked Questions and Answers for Parents and Caregivers About H1N1 Flu (Swine Flu). Centers for Disease Control and Prevention. June, H1N1 Flu (Swine Flu) and You, Children s National Medical Center, Talking with Children about H1N1 (Swine Flu) 24 Be a Flu Fighter: Grades 9 12 Education Unit

27 Teacher key to student handout 4 Pandemic! key Beginner P! E D M I A C N C A I P N E M D! D M N C A! P I E I E C N! M D P A M P A I E D! N C! N D A P C E M I N D M E I A C! P E I! M C P N A D A C P! D N I E M Medium P C M I D N E! A A! I C M E D P N N D E! P A M C I D N A P! C I E M Hard A D P E I! M C N M C I N P D E A! E! N C A M P D I E P! A I M C N D M I C N E D! A P I E N D A! P M C C M D E N P A I!! A P M C I N D E P A E M! C N I D I N D A E P C! M! M C I D N A P E N I A D C E! M P C E! P M I D N A D P M! N A I E C Be a Flu Fighter: Grades 9 12 Education Unit 25

28 Teacher key to student handout 6 Word scramble key DENMIACP FLNUZANIE RSUIV CINCEAV LUF OCVRE RUOY HGCUO ASHW OYUR DANHS Pandemic Influenza Virus Vaccine Flu Cover your cough Wash your hands How many words can you make from these phrases? Stay home when you are sick come, some, how, who, what, when, where, why, say, make, in, sin, can, come, name, kiss, miss, take, shake, cake, me, an, stake, new, shoe, mess, nest, may, ocean, yes, yeah, the, this, car, care, star Pandemic came, name, can, pan, in, an, man, pin, pain, made, pad, pen, mad, me, panic, and, medic Be a Flu Fighter: Grades 9 12 Education Unit

29 Teacher key to student handout 6 Pandemic word search T V W W F E N I C C A V I Y W I T S N E E Z E K F P C H D R K U C B T W L M E U J E K U W R G Y H T U O M L U A X S B S W I W W O Y A L Q L F C Y A E D N R N S M N J T T I I U C A E F O K D F P H M Q O M W T S R L W T F B S V I W Z E H E O A U I B F N J Z D B I D R R N P E S S O P N F O O D N U I A E N D S U E M R U Z H A H A L R Z E C Y X E Q L S U P D B V P A T E X W G R F O U C M P K G N A I V A V A C C I N E I B Words (may read forward, backward, horizontal, vertical or diagonal): Prepared Flu Nose Sneeze Pandemic Vaccine Bacteria Virus Seasonal Eye Food Influenza Mouth Health Be a Flu Fighter: Grades 9 12 Education Unit 27

30 "Are you smarter than the flu?" review game answers Teacher key to student handout 7 Answers: Health: 1. The flu is a disease caused by a virus called influenza. 2. A flu pandemic is when people from all over the world become sick with the same disease at the same time, and many people die. 3. Chills, headache, stuffy nose, cough, sore throat, stomach pain, and throwing up. 4. The flu can travel from one person to another when the flu virus is coughed or sneezed into the air. The virus can land on a door or table and then be picked up by someone new. 5. Stay home when you are sick, get lots of rest, drink plenty of fluids like water and juice, cover your cough, and wash your hands after blowing your nose. Science: 1. A virus is a simple structure that can cause a disease when it grows and reproduces in living cells of another organism. 2. Bacteria are single-celled organisms that can cause illness and infections. 3. The flu is a virus. 4. No, the flu is a virus and antibiotics only work on bacteria. 5. Yes, for example birds and pigs. 6. Drift and shift. 7. Drift is a small change. History: to 50 million in one year. 2. Advances in medicine, better hygiene, and knowledge of past pandemics. 3. True. 4. Flu pandemics occurred in 1957, 1968, 1976 and Be a Flu Fighter: Grades 9 12 Education Unit

31 Teacher key to student handout 7, pg. 2 Five features of fighting the flu: 1. Understand the flu virus. 2. Pandemic. Know what a pandemic is. 3. Know how to protect yourself and others from the flu. 4. Know what to do if you get sick with the flu. 5. Know how life will be different during a flu pandemic. Flu pandemic: 1. Classes may be cancelled, schools may be closed, more people sick, more flu deaths, people wearing masks, events may be cancelled. 2. Delivering meals, babysitting siblings, helping out around the house, caring for someone who is sick. 3. Food, water. 4. Difficulty breathing, fever with a rash, difficulty responding, dizziness or confusion, signs of dehydration (such as increased thirst, dry mouth, urinating less than three times a day), pain or pressure in the chest or abdomen, person feels worse after starting to feel better. 5. False. 6. True. Be a Flu Fighter: Grades 9 12 Education Unit 29

32 Teacher key to student handout 9 Pandemic crossword key F F S T H R O A T 7 A L O E W C O V E R Y O U R C O U G H S E E P T N 8 I M M U N E 9 V T A 10 N 11 A S A L S P R A Y 12 F L U S H O 13 T N C I K I 14 F T C 15 H O M E R 16 S C H O O L I I E S S U V N A T U 17 P I I E L E A D R T N S A H D L 18 S L E E V E D O M R 19 S 20 W 21 P L A N 22 I N 23 F L U E N Z A P C L G E S U E H E Z 24 E Y E S 30 Be a Flu Fighter: Grades 9 12 Education Unit

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34 This document can be provided upon request in alternative formats for individuals with disabilities. Other formats may include (but are not limited to) large print, Braille, audio recordings, Web-based communications and other electronic formats. call or fax to arrange for the alternative format that will work best for you. Oregon Department of Human Services Public Health Division Emergency Preparedness Program 800 NE Oregon St., Suite 465-A Portland, OR Phone: Fax: DHS 9842