Dear Parents/Guardians: 

The Orange County Department of Health and the Orange County Medical Society want you to be aware that Influenza (flu) season is on its way. Flu is a serious contagious respiratory illness that can be mild to severe, and can sometimes lead to death. Some people are considered to be at high risk of developing serious flu-related complications including young children, pregnant women, people with chronic health conditions such as asthma, diabetes, heart disease, lung disease, and people 65 years of age and older. The Centers for Disease Control and Prevention (CDC) recommend that everyone six months of age and older without contraindications receive seasonal flu vaccine. Vaccination is the best protection. 

We would also like to take this opportunity to emphasize everyday preventive actions to help you stay healthy and avoid spreading germs.

• Wash your hands often with soap and warm water for 20 seconds
• If you are sick, stay home from school or work and limit your contact others
• Remain home until fever-free for 24 hours without the use of fever-reducing medication
• Cover your nose and mouth with a tissue when you cough or sneeze
• Avoid touching your eyes, nose and mouth
• Clean and disinfect surfaces and objects that may be contaminated with germs

We strongly encourage you to speak with your physician or health care provider regarding flu vaccination for you and your family. We urge you to be vaccinated before flu begins spreading in our communities.

Sincerely, 

Dr. Irina Gelman, DPM, MPH, PhDc
Commissioner of Health 

Stephanie L. Zeszutek, DO, F ACOG, RPh 
President, Orange County Medical Society 

124 Main Street, Goshen, New York 10924
(845) 291-2332 • Fax (845) 291-2341 • www.orangecountygov.com 

October often brings with it the first documented cases of influenza – commonly known as “flu.” Please consider these facts and tips to help prevent the spread of flu.

Flu Facts

Influenza (the flu) is an infection of the nose, throat and lungs caused by influenza viruses. There are many different strains of the flu virus, and they are constantly changing. These viruses cause illness, hospital stays and deaths in the United States each year.

Most experts believe that flu viruses spread mainly by droplets made when people with the flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby. Less often, a person might get the flu by touching something that has flu virus on it and then touching their own mouth, eyes or nose.

The flu can be very dangerous for children. Since 2010, the U.S. Centers for Disease Control (CDC) and Prevention estimates that flu-related hospitalizations among children younger than 5 years ranged from 7,000 to 26,000 in the United States.

How can I protect my child against the flu?

According to the CDC, the first and most important thing you can do is to get a flu vaccine for yourself and your child. Talk to your doctor.

• Vaccination is recommended for everyone 6 months of age and older.

What can I do if my child gets sick?

Talk to your doctor early if you are worried about your child’s illness.

• Children 5 years and older without other health problems: Consult your doctor as needed and make

sure your child gets plenty of rest and drinks enough fluids.

• Children younger than 5 — and especially those younger than 2 — and those of any age who have a long-term health condition such as asthma or diabetes are at greater risk for serious complications from the flu. Talk with your doctor.

What if my child seems very sick?

Seek emergency care or take your child to a doctor right away if he/she has any of the warning or emergency signs below:

• Fast breathing or trouble breathing
• Bluish or gray skin color
• Not drinking enough fluids (not going to the bathroom or making as much urine as he or she normally does)
• Severe or persistent vomiting
• Not waking up or not interacting
• Being so irritable that the child does not want to be held
• Flu-like symptoms improve but then return with fever and worse cough

What are the symptoms of the flu?

Symptoms of the flu can include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, fatigue and sometimes vomiting and diarrhea. Some people with the flu will not have a fever.

IMPORTANT!

Teach children to cover coughs and sneezes with a tissue, or to cough into their sleeve, not their hand! Throw tissues in the trash after you use them.

Can my child go to school or day care if he or she is sick?

No. Your child should stay home to rest and to avoid giving the flu to other children or caregivers.

When can my child go back to school after having the flu?

Keep children home for at least 24 hours after their fever is gone. (Fever should be gone without the use of a fever-reducing medicine.) A fever is defined as 100°F (37.8°C) or higher.

Content source: Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases (NCIRD). Learn more at www.cdc.gov/flu/