From the Prefecture de Montpellier

La vaccination est importante pour tous.
Plus nous serons nombreux à nous faire vacciner,
moins le virus se développera. Pour toute information
complémentaire : www.herault.pref.gouv.fr
0 825 302 302
lundi mardi mercredi jeudi vendredi

Agde
Palais des congrès
Avenue Sergents
34 300 Le Cap d’Agde
9h – 17 h
9h-17h 14h-17h Horaires à définir fermé

Bédarieux
Salle Léo Ferré Place Ferdinand Fabre
34 600 Bédarieux fermé
8h30-12h30
14h-18h
8h30-12h30 14h- 18h
8h30-12h30 fermé

Béziers
Ancien foyer logement gare du Nord
Rue du 6 juin 1944
34 500 Béziers 13h – 17 h 9h-17h 9h-17h 9h-13h fermé
Béziers Stade de la
Méditerranée 34 500 Béziers 13 h – 17 h 9h-17h 9h-17h 9h-13h fermé

Lodève
Salle des fêtes Ramadier
Boulevard Joseph Maury
34 700 Lodève
14 h–17h45
14h-20h45 9h-12h45
14h-17h45 9h-12h45 fermé

Lunel
Bâtiment communauté de commune Zone Luneland
130 chemin des merles
route de montpellier
34400 Lunel
9h – 17h 9h-17h 9h-17h 9h-13h fermé

Montpellier
Salles des rencontres
Mairie de Montpellier ��
1 Place Francis Ponge
34 00 Montpellier 9h – 17 h 9h-17h 9h-17h 9h-13h fermé
Montpellier agglo
Le Corum
��
Esplanade Charles de
Gaulle
34 027 Montpellier
9 h -17h 9h-17h 9h-17h 9h-13h fermé

Montpellier agglo
Stade de la Mosson
645 avenue Heidelberg
34 080 Montpellier 9h – 17 h 9h-17h 9h-17h 9h-13h Fermé
Montpellier agglo
Stade Yves duManoir
500 avenue Vanières
34 070 Montpellier 9h – 21 h 9h-21h 9h-21h 9h-13h fermé

Saint Pons Salle des fêtes
Complexe sportif de
Ponderache route de
narbonne
34 220

Saint-Pons-de-Thomières
fermé Fermé
8h30-12h30
14h-20h
Fermé fermé

Sète
Ancienne école Victor Hugo
3 rue Raspail
34 200 Sète
8h30– 12h
14h30 – 20h
8h30-12h - 14h30-20h
8h30-12h
14h30-20h 9h-13h fermé

Saint hippolytedu-Fort Espace Marti
Les Casernes
30 170 Saint-Hippolytedu-Fort (Gard) fermé fermé 14h30-
17h30
9h30-
12h30 Fermé
Horaires des centres de vaccination de l’Hérault contre la grippe pandémique A (H1N1)
Du 19 au 25 décembre

~~~

H1N1 NEWS FROM OUR LOCAL ENGISH DOCTOR - DR SARAH (can't say more - French forbid it!)

The vaccination programme against seasonal flu began this week. The vaccination is given annually, free of charge to those aged over 65 and those below the age of 65 who have additional health problems including diabetes, chronic kidney complaints and respiratory problems. Those eligible for the vaccine will receive the necessary paperwork automatically by post. If you think you may be eligible but haven’t received this communication contact your GP. Patients wishing to take up this vaccine are advised to do so as soon as possible as to allow a suitable gap between this and a subsequent vaccine against H1N1.

The seasonal flu vaccine is given IN ADDITION to vaccination against avian H1N1, which will be available in mid-October. Vaccination against H1N1 will take place in dedicated vaccination centres and will not be performed by individual GP practices; unlike the season flu vaccine, which will be provided by GPs. Vaccination will start with health personnel. The next wave of patients to be offered the vaccine will be pregnant women followed by: "the entourage” of infants under 6 months, professionals responsible for care of small children, infants of 6-23 months with additional risk factors, patients aged 2 to 64 years with additional risk factors. After which those aged over 65 with risk factors, finally followed by those aged 2-18 years without risk factors and those aged over 18 years without risk factors. Experience in the United States indicates that a single dose will suffice. Earlier this week, the Health Minister gave assurance that the vaccines had been fully tested for their effectiveness and their safety.


AND A RELEASE FROM THE FRENCH HEALTH DEPARTMENT

Grippe A(H1N1) : François Fillon présente l’ordre de priorité des personnes invitées à se faire vacciner

François Fillon et Roselyne Bachelot ont annoncé l’ordre de priorité des personnes qui seront invitées à se faire vacciner au cours d'un point presse commun le 24 septembre 2009 à Matignon, sous réserve des autorisations de mise sur le marché à venir. C’est après obtention de ces autorisations que la campagne de vaccination débutera, probablement autour de la mi-octobre.

La stratégie vaccinale arrêtée s'appuie sur les recommandations du HCSP (Haut conseil de santé publique), rendues le 7 septembre dernier. Le Premier ministre a précisé que les indications préconisées lors des autorisations de mise sur le marché (AMM) pour chaque vaccin seront "strictement" respectées.

"Tous les Français sont sur la liste", a déclaré Roselyne Bachelot. Mais la stratégie vaccinale vise à donner une protection maximale le plus tôt possible à certaines populations dans le souci de :

protéger les personnes identifiées comme vulnérables par le Haut conseil, c'est-à-dire susceptibles de développer des complications pour cette grippe ;
protéger les personnels de santé, médico-sociaux et de secours. Objectif : éviter qu’ils contaminent les patients dont ils ont la charge mais également préserver les capacités de prise en charge du secteur sanitaire et médico-social ;



Personnes invitées à se faire vacciner par ordre de priorité

(sous réserve des autorisations de mise sur le marché à venir)
Personnels de santé de réanimation néonatale et pédiatrique
Personnels médical, paramédical et aide-soignant des établissements de santé ainsi que médecins et infirmiers du secteur ambulatoire exposés à des patients grippés ou en contact avec des patients porteurs de facteurs de risque
Femmes enceintes (à partir du 2nd trimestre)
Entourage des nourrissons de moins de 6 mois (famille et personnes assurant la garde de ces nourrissons)
Professionnels chargés de l'accueil de la petite enfance (jusqu'à 3 ans)
Nourrissons âgés de 6-23 mois révolus avec des facteurs de risque (atteints de pathologies chroniques sévères)
Sujets âgés de 2 à 64 ans avec facteurs de risque
Autres professionnels de santé, professionnels de secours et transporteurs sanitaires
Nourrissons de 6-23 mois révolus sans facteur de risque
Personnels d'accueil des pharmacies
Personnels des établissements médico-sociaux
Plus de 65 ans avec facteurs de risque
2-18 ans sans facteur de risque
Plus de 18 ans sans facteur de risque



"Je veux rappeler que la vaccination n'est pas obligatoire. Mais je fais appel à la responsabilité de chacun, et notamment, parce que c'est le plus important, à celle des personnels de santé. Nous avons besoin d'eux pour protéger l'ensemble des Français, nous avons donc besoin, naturellement, qu'ils soient vaccinés", a déclaré François Fillon.

La vaccination sera proposée à tout Français souhaitant se faire vacciner. 94 millions de doses de vaccin ont été commandées. À la mi-octobre, 1 à 1,2 million de doses seront disponibles. La campagne de vaccination se fera "au fur et à mesure de l'arrivée des vaccins", a expliqué François Fillon.

Le Gouvernement a décidé que le tiers-payant sera intégral –c'est-à-dire sans aucune avance de frais- afin de permettre l'accès de la vaccination au plus grand nombre. "Les organismes complémentaires seront amenés à couvrir l'équivalent du ticket modérateur selon des modalités définies dans le cadre du PLFSS", comme l'a rappelé Roselyne Bachelot lors de son audition devant la commission des Affaires sociales de l'Assemblée nationale, le 6 septembre.

-----------------------------------------------------------------------

Une ou deux injections ?
Le schéma vaccinal envisagé aujourd'hui est de deux injections espacées de 21 jours. Toufefois, l'Agence européenne du médicament (Emea) pourrait retenir un schéma à une injection pour certaines catégories de population. Les AMM qui seront délivrées, probablement avant mi-octobre, par les autorités sanitaires européennes, apporteront des précisions en ce domaine.


----------------------------------------------------------------------


MAIRIE OF PEZENAS - note using Google translate - so may be a bit clunky!

Influenza A/H1N1 and education of your children
The Ministry of Education has a plan of prevention and fight against the pandemic influenza. All teaching staff as the territorial officers were mobilized to minimize health risks and ensure continuity of service.

The Municipality of Pezenas endowed primary schools and public kindergartens in the City of liquid soap dispensers, towel dispensers hands Disposable handkerchiefs disposable, water-alcohol solution and closed bins for $ 14 474 €.

If children meet all the basic rules of hygiene at school, at home, this will limit the spread of the virus.

The inspector of schools, person referent, provides a link between the Prefecture, school leaders, the City, health services and parents.

The decision to close and reopen classes or schools belong to the regional prefect.

What to do in case of contagion

The transmission of influenza A highly contagious respiratory infection, works the same way as that of seasonal influenza in the air through coughing, sneezing or postilions by the close contact with a sick person or by contact with objects contaminated by an ill person.

=> If you cough, body aches, chills and fever, contact your doctor by describing your symptoms. After your appointment if the doctor confirms the diagnosis of influenza without detecting any risk of complications and no risk of acute respiratory infection, this is a case Benin. Treatment with paracetamol and rest will be completed, depending on your state, an antiviral.

The right thing to protect / Precautions to take

Compliance with good basic hygiene rules limit the risk of contamination. Do this:

1 - cover mouth and nose with a tissue disposable when coughing or sneezing. Then throw in a closed trash and washing hands carefully.

2 - wash your hands regularly and thoroughly with soap or water-alcohol solution.

3 - avoid contact with a sick person.

Learn more
The information provided by the Government will be regularly updated on the following sites:

www.education.gouv.fr, www.pandemie-grippale.gouv.fr ou www.pandemie-grippale.gouv.fr/monquotidienenpandemie, www.inpes.fr

~~~

MESSAGE FROM THE PREFET of HERAULT

Face à la menace de pandémie grippale, le gouvernement prévoit la mise en place d'une campagne de vaccination de masse qui se déroulera sur 4 mois, d'octobre à janvier prochain, dès réception des premières doses de vaccin.

La vaccination constitue l'un des éléments majeur de la réponse sanitaire à la pandémie, préventif et complémentaire des mesures barrières (lavage des mains, port de masques...).

Plusieurs centres de vaccinations seront installés dans le département de l'Hérault.

Afin d'occuper les postes qui composent les équipes de vaccination, il est nécessaire de faire appel au volontariat de certains professionnels de santé.

L'Etat lance donc un appel auprès des les professionnels de santé (actifs et retraités) : médecins, internes en médecine, infirmiers, étudiants en médecine ayant validé la 2ème année du 2ème cycle des études médicales et étudiants infirmiers de 3ème année, afin d'occuper les postes qui composent les équipes de vaccination.

Les personnes intéressées peuvent s'inscrire auprès de la DDASS le plus rapidement possible
en priorité par messagerie à dd34-volontariat-vaccination@sante.gouv.fr
ou à défaut par courrier à l'adresse suivante : DDASS de l'Hérault - Secrétariat de Direction, 28 Parc Club du Millénaire - 1025, rue Henri Becquerel - CS 30001 - 34067 Montpellier Cedex 2 ou par télécopie au 04 67 07 22 64

en précisant nom, prénom, statuts, numéros de téléphone, adresses messagerie, numéros d'inscription à l'ordre (pour les médecins), en précisant les centres dans lesquels vous souhaitez assurer votre participation (liste jointe) et les dates (matin et/ou après-midi) auxquelles vous êtes disponibles.

la participation repose sur une base d'au moins une demi-journée par semaine (tranche horaire de 4 heures, matin ou après-midi) à préciser (entre le 1er octobre 2009 et le 31 janvier 2010).

La couverture juridique sera apportée par la mise œuvre d'une procédure de réquisition des volontaires.


~~~

Grippe A
La Ville de Montpellier active sa cellule de veille permanente demain mardi 15 septembre

Dans le cadre du plan de lutte contre la grippe A (H1N1), la Ville de Montpellier activera demain mardi 15 septembre une cellule de veille permanente qui permettra de centraliser en temps réel l’ensemble des données relatives à l’évolution de l’épidémie et ses conséquences notamment pour les services municipaux.
Ce dispositif est mis en place en complément des mesures déjà prises depuis deux mois par la Ville.

La Ville s’est déjà dotée d’un plan de continuité afin de maintenir ses services à la population, en les adaptant si besoin ainsi que d’un plan de prévention destiné à ses personnels notamment ceux en contact avec le public (guichets, crèches, écoles, police municipale, Maison de la prévention santé…), aux personnels du CCAS mais aussi à l’ensemble des Montpelliérains, usagers de ces services.

Ces dernières semaines, la Ville a ainsi relayé dans ses locaux ainsi qu’auprès des agents, les messages de prévention (lavage des mains…) et de conduites à tenir (port du masque, de gants…), afin de limiter la contagion.

A Montpellier, 4 sites ont été retenus par la préfecture pour réaliser la vaccination : la salle des rencontres de l’Hôtel de Ville, les stades de la Mosson et Yves du Manoir et le Courm. La Ville apportera toute l’aide nécessaire à la mise en place de ces centres de vaccination, au travers de prêt de matériels et d’aménagements.

Afin de limiter la contamination, tous les services de la Ville seront par ailleurs dotés prochainement d’une réserve de masques jetables pour pouvoir assurer leur protection et celle du public si nécessaire.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Europe Braces for Swine Flu's Potential

BRUSSELS — As children across Europe go back to class and staff return from vacation, governments are keeping a watchful eye on the H1N1 virus and are preparing for possible vaccinations, home schooling and the prospect of widespread absenteeism.

Times Topics: Swine Flu (AH1N1 Virus)For now, governments have resisted closing schools preemptively, judging that the virus has not yet reached the scale where such a move would be beneficial. But they have been circulating contingency plans for schools and companies — an approach broadly supported by health experts.
Simon Cauchemez, an epidemiologist at Imperial College London, said that evidence from the spread of the virus in past months in the southern hemisphere, where it has been winter and where he said the disease had been mild in most cases, showed that there was no reason to shut schools ahead of time.
“I think the view is that we don’t want this kind of intervention unless your health system really cannot cope,” he said, referring to school closures.
Localities should wait and see whether health care systems in specific areas were able to handle the volume of swine flu cases, he said. If the volume of cases began rising to unmanageable levels, only then might it be sound policy to shut schools, he said.
“By shutting schools we don’t expect huge reductions in the total numbers of cases,” Dr. Cauchemez said. “But it could slow the spread of the virus, spacing out infections and relieving pressure on health care systems.”
Albert Osterhaus, the head of virology at the Erasmus Medical Center in Rotterdam, agreed that temporary closures could become a useful tool, but only during a “bridging period.”
A group of E.U. health experts said in August that there was no need to delay the return to school after the summer break. Even so, E.U. officials acknowledged that schools in some areas could be forced to close if outbreaks were particularly severe.
In the United States, Health and Human Services Secretary Kathleen Sebelius reached a similar verdict last week, saying that large-scale school closings would be ineffective in halting the spread of the virus.
Through Friday, the European Center for Disease Prevention and Control had recorded 45,625 cases and 103 deaths in European countries, part of a total of 268,609 confirmed cases and 2,873 deaths worldwide.
In Britain, through Friday, there had been 13,095 cases and 65 deaths, according to the E.C.D.C. Britain has been hit hardest in Europe by the flu partly because of its contacts with North Americas, where the virus spread quickly this year.
Even as it continued to report global figures for cases of infection, a spokeswoman for the E.C.D.C. said that numbers could not be measured accurately because most countries are no longer trying to test all the cases and are only testing and confirming a sample of people. The figures also “will be a considerable underestimate to the true deaths caused directly or indirectly by this virus,” she said.
A similar group of E.U. health experts said in August that vaccines should be prioritized for those at risk of severe disease, pregnant women and health care workers — but not schoolchildren.
The British and French governments received their first vaccinations last week and are awaiting regulatory approval, which could come as early as the end of September, before proceeding with inoculations. French officials was finalizing which parts of the population should receive priority vaccination.
Meanwhile the Spanish government has prepared a prioritization program that included children up to the age of 14, said Mario Vaillo de Mingo, a spokesman for the Health Ministry in Madrid. Governments have also been reaching out to companies to advise them on steps like how to deal with absenteeism in the event of a surge of infections.
In July, the French Employment Ministry sent a document to regional officials advising them that if the flu became a pandemic level, companies would be able to negotiate temporary changes to work conditions, including asking employees to perform extra tasks and work longer hours. Employers also could make it compulsory for their employees to wear surgical masks.
Economists have shown that output could be severely affected by a pandemic. In a study on the global macroeconomic consequences of pandemic influenza, the Brookings Institution in 2006 estimated that even a mild pandemic could kill 1.4 million people and might result in 0.8 percent of G.D.P., or about $330 billion, in lost output. And as the scale of the pandemic increased, so would the economic costs. A massive global economic slowdown occurs in the “ultra” scenario with more than 142.2 million people killed and a G.D.P. loss of $4.4 trillion, according to Brookings.
Neither scenario, of course, would be good news for a global economy only now tentatively emerging from the severe economic contraction caused by the financial crisis.
While the share prices of certain drug makers have benefited as the virus spread, some airlines, and consumer stocks, suffered before the summer because of swine flu-related concerns.


~~~

INFLUENZA A (H1N1): France is prepared to close all schools to combat swine flu
France's ministry of education is considering closing all schools in the event of a major swine flu outbreak in September. Authorities are also currently working on distance-learning material to help students who may be forced to stay at home.
14.08.2009


~~~

The H1N1 virus has caused the deaths of more than 400 people worldwide and the number of cases is nearing 100,000.

In France, the government has announced a mass programme of vaccinations - 94 million doses of the vaccine to the tune of one billion euros. It also has an option on a further 44 million doses.
France's Health Minister, Roselyne Bachelot, says it is money well spent: "You've got to look at the loss to the economy in terms of time off work and sick leave. There are statistics showing that a flu epidemic could cost billions in lost earnings.
Investing in health is always a good investment."
France hopes to vaccinate the whole country directly after the summer holidays, but the goal is now for vaccinations to take between this October and January next year. The delay is partly due to the fact that producing the vaccine involves growing the virus on eggs.
Patrick Berche, head of microbiology at the Necker hospital, said, "It's possibly going to be a question of arriving after the damage has been done in terms of mass vaccination and avoiding an epidemic that hits hundreds of thousands of
people in the country."

The French government will decide in September which parts of the population will be vaccinated first. It's likely the priority will go to pregnant women and children under 18.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The World Health Organisation (WHO) has warned that the A(H1N1) virus was moving around the globe at “an unprecedented speed”, as it stopped giving figures flu cases worldwide
In its latest report on July 6, the WHO said virus has infected more than 94,500 people in 120 countries and territories, and caused 429 deaths worldwide. The WHO has stopped tallying flu cases, saying registering and reporting individual cases was a huge waste of resources.
The virus is now considered the first global pandemic of the 21st century. As of June 11, the WHO has ratcheted up the alert level to the maximum of 6 on a 6-point scale.

The majority of serious or fatal cases have struck people who were already suffering from other illnesses. Scientists and public health experts say the impact of the virus is likely to worsen over the summer and into the autumn as the new school year begins.

The WHO does not recommend any travel restrictions.
General precautions include:
• Limit going to non-ventilated areas
• Wash your hands regularly
• Pay particular attention to the most vulnerable groups, particularly children, elderly
• See a doctor if fever or flu symptoms occur
• Stay well informed about the spread of the virus
Regularly check for updates on such sites as the WHO, and the Centers for Disease Control in the USA.
Mexico, the epicentre of the epidemic, is the second most affected nation, with 119 deaths, just behind the US figure of 170, according to WHO figures. The North American continent, which has the highest number of confirmed cases, has sufficient antiviral drugs to treat the illness for the next few months.

Travelling to and from the UK
Peak holiday travel could be thrown into chaos in the UK, as British airlines have stepped up measures against suspected swine flu carriers. Both British Airways and Virgin Atlantic said they have put in place measures to turn back passengers showing symptoms.
The UK, the worst-hit European country, released estimates last week that there were 55,000 new swine flu cases in the country.
The British health service has identified high-risk groups who should take particular care when travelling. These include include people with long-term conditions, those over 65, children under five and pregnant women.

In France
Those returning to France from abroad are advised to avoid contact with infants aged one year or younger for a period of seven days. In the event that you begin to suffer from a fever or flu symptoms, immediately call your doctor or emergency services (dial 15).
The health ministry recommends that French travellers should check advice given by local authorities when travelling abroad.
Several hundreds cases of A(H1N1) flu have been confirmed in France, where seven flu patients have been hospitalized. No deaths from swine flu have been reported.
According to French health minister, Roselyne Bachelot, France had procured a billion “anti-projection” masks (for those already infected) and 723 million protective masks (for preventative use), as well as 33 million antiviral treatments.