<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii">
<meta name=Generator content="Microsoft Word 11 (filtered medium)">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><o:SmartTagType
namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PlaceName"
downloadurl="http://www.5iantlavalamp.com/"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="PlaceType" downloadurl="http://www.5iantlavalamp.com/"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="date" downloadurl="http://www.5iantlavalampft-com:office:smarttags"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="PostalCode"
downloadurl="http://www.5iamas-microsoft-com:office:smarttags"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="State" downloadurl="http://www.5iamas-microsoft-com:office:smarttags"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="City" downloadurl="http://www.5iamas-microsoft-com:office:smarttags"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="place" downloadurl="http://www.5iantlavalamp.com/"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman";}
a:link, span.MsoHyperlink
{color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{color:purple;
text-decoration:underline;}
span.EmailStyle17
{mso-style-type:personal-compose;
font-family:Arial;
color:windowtext;}
@page Section1
{size:8.5in 11.0in;
margin:.4in .6in .3in .7in;}
div.Section1
{page:Section1;}
-->
</style>
<!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1027" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang=EN-US link=blue vlink=purple>
<div class=Section1>
<p class=MsoNormal><st1:place w:st="on"><st1:PlaceName w:st="on"><b><i><font
size=4 face="Times New Roman"><span style='font-size:14.0pt;font-weight:bold;
font-style:italic'>Moscow</span></font></i></b></st1:PlaceName><b><i><font
size=4><span style='font-size:14.0pt;font-weight:bold;font-style:italic'> <st1:PlaceType
w:st="on">School District</st1:PlaceType></span></font></i></b></st1:place><b><i><font
size=4><span style='font-size:14.0pt;font-weight:bold;font-style:italic'> 281<o:p></o:p></span></font></i></b></p>
<p class=MsoNormal><i><font size=1 face="Times New Roman"><span
style='font-size:9.0pt;font-style:italic'>650 N. <st1:City w:st="on">Cleveland</st1:City>,
<st1:place w:st="on"><st1:City w:st="on">Moscow</st1:City>, <st1:State w:st="on">ID</st1:State>
<st1:PostalCode w:st="on">83843</st1:PostalCode></st1:place> (208)
882-1120 fax (208) 883-4440
www.msd281.org <o:p></o:p></span></font></i></p>
<p class=MsoNormal><!--[if gte vml 1]><v:line id="_x0000_s1026" style='position:absolute;
z-index:1' from="0,6.45pt" to="465pt,7.45pt" o:allowincell="f" strokecolor="red"
strokeweight="2.25pt" /><![endif]--><![if !vml]><span style='mso-ignore:vglayout;
position:relative;z-index:1;left:-2px;top:7px;width:624px;height:12px'><img
width=624 height=5 src="cid:image001.gif@01CA36B5.00E72810" v:shapes="_x0000_s1026"></span><![endif]><i><font
size=2><span style='font-size:11.0pt;font-style:italic'><o:p> </o:p></span></font></i></p>
<br style='mso-ignore:vglayout' clear=ALL>
<p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:
8.0pt'>Dr. Candis R. Donicht, Superintendent Kevin
McDonough, Director of Special Services/Human Resources<i><span
style='font-style:italic'> <o:p></o:p></span></i></span></font></p>
<p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:
8.0pt'>Debora Adair, Business Manager Dr.
Cindy Bechinski, Director of Curriculum<i><span style='font-style:italic'><o:p></o:p></span></i></span></font></p>
<p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:
8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><st1:date Year="2009" Day="15" Month="9" w:st="on"><font
size=2 face="Times New Roman"><span style='font-size:11.0pt'>September 15,
2009</span></font></st1:date><font size=2><span style='font-size:11.0pt'><o:p></o:p></span></font></p>
<p class=MsoNormal align=center style='text-align:center'><b><font size=2
face="Times New Roman"><span style='font-size:11.0pt;font-weight:bold'>Update
on the H1N1 Flu Virus in our School Community<o:p></o:p></span></font></b></p>
<p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:
8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>To the Parents and Guardians
of Children in <st1:place w:st="on"><st1:PlaceName w:st="on">Moscow</st1:PlaceName>
<st1:PlaceType w:st="on">School District</st1:PlaceType></st1:place> 281:<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:6.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>As of today, <st1:date
Year="2009" Day="15" Month="9" w:st="on">September 15, 2009</st1:date>, we are
seeing moderate flu like activity in our local community thus affecting our
schools. As I wrote in my first mailing, we ask you as a parent to take charge
of your child when it comes to him/her being sick. If your child is suffering
from flu illness they need to stay home. The classic symptoms that I have been
seeing are high fever, headache, severe body aches, and some respiratory
symptoms such as sore throat, congestion, cough, and stuffy nose. Although
nausea, vomiting, and diarrhea are seen less frequently with this illness, it
can be present secondary to a high fever.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>In my observation the
past week and a half these are some of my concerns. Children are coming to
school with fevers. Children and staff are coming back to school too soon and
rebounding back in to illness. This is not a short lived illness. It is not
unusual for a child/adult to miss a full week of school/work and still it
taking another week to feel back to normal. I understand the strain of missing
work, missing school, and the stress that goes along with that, but we must get
completely well before we return to our normal activities. You must be free of
a fever for at least 24 hours without the use of fever reducing medications.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>I have seen a terrific
effort by all <st1:place w:st="on"><st1:PlaceName w:st="on">Moscow</st1:PlaceName>
<st1:PlaceType w:st="on">School District</st1:PlaceType></st1:place> staff to
combat germs as best as we can. Thank you to the many of you who have sent
Kleenex, and other items to help keep the spread of the virus at a minimum.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>When taking care of
yourself, your sick child, or other family member, please remember the
importance of keeping hydrated. With a high fever, dehydration is the number
one concern. Other than the importance of hydration, comfort, and observation
for secondary infection (strep throat, bronchitis, pneumonia), time and
patience are the best medicine. Usually what we see with the typical flu
scenario is aches, headache, followed by fever. Often sore throat and/or cough
come next. The fever can last up to a week, with it going up and down
throughout the day. It is not uncommon for there to be no fever through the
morning hours but as the day goes on into afternoon and evening there is often
a spike in temperature is seen. Rebound has also been common with this
illness. There might be a couple days of fever and aches followed by feeling
much better. You think you are ready to return to normal activity and you are
down again. This is why I stress the importance of letting the virus run its
course before resuming normal activity.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>As far as going to the
doctor, this is my recommendation. If you go to the doctor with early symptoms
there is not a lot they can do for you. There is the use of antivirals that
have the best results in the first two days of illness, but this is something
that I recommend you discuss with your doctor before hand. Antivirals are not
given to everyone that is seen and suspects that they have the flu. High risk
individuals and individuals with immuno-suppression will be at the top of the
list. If after four to five days of symptoms along with a sore throat or cough
that is not resolving, a doctors appointment might be necessary. This is a
decision that is totally up to each parent or guardian and must be made
according to each person’s comfort level. Of course, if there is ever
any severe respiratory distress I recommend medical care immediately.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>The latest information I
have about vaccine is as follows. The annual flu shot is now available at many
locations. Please check with your personal care provider with any concerns or
questions you might have. The H1N1 vaccine is still in the production
process. The latest news from Center for Disease Control is it will be
available between the beginning and mid-part of October. Please continue to
get the most up-to-date information from the Web site <a
href="http://www.cdc.gov/">www.cdc.gov</a> or the Moscow School District Web
site <a href="http://www.msd281.org/">www.msd281.org</a>.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>I again stress the
importance of staying home if you are sick! This is our number one combatant
against spreading this virus. Please work with us to make this school year not
only healthy but successful for all.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=1
face="Times New Roman"><span style='font-size:8.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>Thank you,<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>Beth Papineau, RN<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><st1:place w:st="on"><st1:PlaceName
w:st="on"><font size=2 face="Times New Roman"><span style='font-size:11.0pt'>Moscow</span></font></st1:PlaceName><font
size=2><span style='font-size:11.0pt'> <st1:PlaceType w:st="on">School
District</st1:PlaceType></span></font></st1:place><font size=2><span
style='font-size:11.0pt'> Nurse<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>208-310-3212</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><o:p> </o:p></span></font></p>
</div>
</body>
</html>