OPA NOTICE A MESSAGE FROM THE CIA xxxxxxxxxxxxxxxxxxxxxx (UPDATE #4)

• Document Type: FOIA
• Keywords: OPA NOTICES
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0005393004
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: June 23, 2015
• Document Release Date: September 21, 2009
• Case Number: F-2009-00993
• Publication Date: May 7, 2009

SEEET
OPA NOTICE
05/07/2009
A Message from the CIA (Update #4)
(U) The worldwide outbreak o 2009 H1N1 continues to evolve in geography,
understanding of severity, affected populations and international responses. The HIN1
outbreak now includes at least 38 states and 20 other countries.
(U) Current information does suggest some reassuring common patterns:
? Transmission among humans appears to be by aerosol, just as with
seasonal flu, and the ability of the virus to infect humans also tracks with
recent seasonal flu outbreaks.
? The severity of HINT is also similar to seasonal influenza. Young people
do appear to be at greater risk of contracting this illness; the reasons are
unclear.
? How widespread this flu becomes in our populations is yet to be
determined, but should become clear over the next 2-3 weeks. US
outbreaks thus far have been clustered, and not widespread, outside of a
high school in New York City.
? Fever (an essential symptom)
? Cough
? Sore throat
? Head and body aches
? Fatigue
APPROVED FOR RELEASED
DATE: 16-Sep-2009
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(U) In addition to guidance regarding hand washing, staying home when ill, and
minimizing risk to others, OMS wants to highlight several other points:
? Employees and contractors who become ill away from the workplace
should seek treatment from their primary care provider instead of coming
in to OMS.
? Treatment with oseltamivir (Tamiflu) and zanamivir (Relenza) continues
to be very effective in reducing severity and duration of illness. Tamiflu
and Relenza are available from pharmacies for treating both adults and
children.
? If you have the flu, either HINT or seasonal, do not take aspirin because of
the uncommon but serious complication of Reyes syndrome.
Acetaminophen or ibuprofen are preferable for symptomatic relief.
? CDC continues to recommend against using the available antiviral
medications toprevent illness in asymptomatic individuals, for two
reasons. First, they wish to slow the development of resistant strains,
which becomes probable once a drug is being widely used; and second,
the severity of the illness does not warrant such use at this time. Regular
use of Tamiflu since 2005 resulted in 99% of seasonal HINT strains being
resistant to the drug during the 2008-2009 influenza season.
Employees should continue to consult the internet for guidance from CDC, WHO and
their local and state governments. On the internet, we recommend:
? Center for Disease Control: www.cdc.gov/swineflu
? World Health Organization: www.who.int/crs/diseases/swineflu
For Maryland residents: www.dhmh.state.md.us
? For District of Columbia residents: www.dchealth.dc.gov
? For Virginia residents: www.wdh.state.va.us
For other states, search for your state department of health website
SE ET