PURSUANT TO THE AUTHORITY IN CALIFORNIA HEALTH AND SAFETY CODE SECTION 101040 AND GOVERNMENT CODE SECTION 8558, THE HEALTH OFFICER OF THE COUNTY OF SANTA CLARA, HEREBY ISSUES THE FOLLOWING ORDER(S).
ALL LICENSED HEALTH CARE PROFESSIONALS* AND PHARMACISTS WHO ARE LOCATED WITHIN SANTA CLARA COUNTY MUST USE INFLUENZA ANTIVIRAL MEDICATIONS FROM THE SANTA CLARA COUNTY STOCKPILE FOR TREATMENT OR PROPHYLAXIS OF INFLUENZA-LIKE ILLNESS ACCORDING TO THE FOLLOWING PROTOCOL:
Healthcare providers in Santa Clara County are hereby directed to utilize oseltamivir (Tamiflu) and/or zanamivir (Relenza) from the Santa Clara County stockpile for treatment strictly in accordance with the following guidelines:
Treatment should be considered for patients with confirmed, probable, or suspected novel influenza A (H1N1) virus infection who are:
Healthcare providers in Santa Clara County are hereby directed to utilize oseltamivir (Tamiflu) and/or zanamivir (Relenza) from the Santa Clara County stockpile for prophylaxis strictly in accordance with the following guidelines:
Antiviral chemoprophylaxis should be considered for the following individuals:
For CDC antiviral dosing recommendations, see www.cdc.gov/h1n1flu/recommendations.htm. Specific CDC guidelines on antiviral use in patients with cardiovascular disease, HIV-infected adults and adolescents, pregnant women, and young children are available under “Clinician Guidance for Specific Audience” at www.cdc.gov/h1n1flu/guidance.
Influenza-Like Illness (ILI): Fever >37.8°C [100°F] AND at least two of the following: rhinorrhea or nasal congestion, sore throat or cough.
Persons at high risk for complications of influenza include any of the following:
Appropriate personal protective equipment (PPE) for healthcare workers interacting with patients with ILI is PPE required for Standard and Droplet precautions, including a surgical mask. For complete information on appropriate PPE, please see www.sccphd.org.
This order must be prominently posted in locations where influenza-like illness is evaluated and treated, and in places visible to the general public. If you have any questions regarding this order, please call the Public Health Information Line at 408.885.3980.
THIS ORDER TAKES EFFECT IMMEDIATELY AND REMAINS IN EFFECT UNTIL RESCINDED BY THE HEALTH OFFICER. IT IS SO ORDERED.
* Licensed Health Care Professional is defined as: Persons Licensed and Certified Pursuant to Division 2 (Commencing with Section 500) of The Business and Professions Code, The Osteopathic Initiative Act or The Chiropractic Initiative Act, or Division 2.5 (Commencing with Section 1797) of The Health and Safety Code.