We woke up, as any normal day. Chris had duty last night, so it was just me and Emily this morning. I planned on going to work late so that she could sleep in a bit this morning, but as soon as 8:30am hit - my phone was blazing with call, after call, after call. My phone actually died mid-afternoon because it had too much activity today.
It all started with a phone call from Chris from the Coast Guard Base. He called me to tell me that there was a child at Emily's school with a confirmed case of the Swine Flu. At that point the question becomes: Do we take Emily to school? Chris was on duty still, so he couldn't get off work to look after her...and, although I had a ton of work waiting at the office, I was the only person available to stay home with Emily. Don't worry, Emily isn't sick...but after much discussion, we couldn't take the chance of her getting sick by entering an infected building.
Emily's school is like any other "government agency" - they are very secretive about any diseases spreading through the facility, and they don't say anything to confirm or deny the existence of a widespread disease. The bad part is, however, that we're a small community...their lack of explanation only causes more panic because everyone talks about what's going on!
So, 8:30am this morning I get the swine flu phone call. Which kid is it? Is that kid in Emily's class? Has Emily already been exposed? Should we take her to school anyway? No answers from the school...in fact, no one even picked up the phone at her school. About 6-10 people that work with Chris were pulling their kids from school and taking them home - this only causes more panic! In addition, the school was requesting an emergency closure from the Base Command. It wasn't an environment I wanted to send my child into.
I called the doctor's office to see if we could get a vaccine. Nope. There are NO H1N1 vaccines on the island. I called them a week or so ago about getting a vaccine for myself...at the time they had only 7 vaccines and ALL were gone within 2 hours time. So, the chances of getting an H1N1 vaccine are extremely limited, even though we're in the high risk group. It doesn't matter...there just isn't enough to go around.
The Base suggested getting the regular flu vaccine to help ward off any flu symptoms. I called doctor's office again about getting Emily a regular flu vaccine (I got mine weeks ago) and the earliest I can get an appointment for a flu shot is sometime next week...LIKE IN 10 DAYS! Screw That! We switched doctors...we didn't like that old doctor much anyway. So, the new doctor's office tells us that they don't do flu vaccines for children as young as Emily. We're going to try to go to the Base Clinic tomorrow and beg for a flu shot for Emily...it's our last resort.
A few hours later...Emily and I home for the day...a few hours later I learn that 133 high school students were home sick yesterday with flu-like symptoms, and 60 elementary school kids were home sick with the same thing. Yes, that may not seem like a lot to you - but, we're on an island with only 6,000 people in total...190 kids out of school is SIGNIFICANT!!!!
I also learned that a 3-year old co-worker's child from the Base was airlifted off the island yesterday because his airways closed due to the swine flu that he had contracted. In addition, Wal-Mart is out of Children's Ibuprofen. If Wal-Mart's out of medicine, the island is out of medicine!
This may sound a little silly in your world, but we're on an isolated island. It is a small island and everyone knows everyone. When a "cold" comes to the island, everyone gets sick. It may take a month or two to spread...but, guaranteed, everyone on the island will get sick. It's not like back in California where you can take your chances of encountering someone with the an infectious disease - it is guaranteed that if someone on the island has IT, you will have IT.
I've been an emotional wreck all day today! I've been stuck at home, not being able to do anything but sit here in panic and wait for more information. I can't get any flu shots for my family and the Island is Sick. The only information I have is information of panic. And, being 8 months pregnant, every nerve in my body is shot! I'm on the verge of a meltdown.
It's an epidemic and I am truly scared about "what to do" - I think the scarier thing is that we do not have the resources needed to try to protest ourselves. We're all just waiting to get sick.
This afternoon I got an email from the Coast Guard Command calling this epidemic "FLUCON LEVEL IV" Here's the email as they describe what's happening:
The clinic will begin to use a 5 point influenza condition scale (FlUCON)for future updates detailing our local level:
FLUCON 1- no reported casesCommand response- none needed
FLUCON 2- sporadic cases in the communityCommand response- institute social distancing when able, reinforce need forproper personal hygiene techniques (coughing into sleeve, hand washing, act)
FLUCON 3- sporadic cases in the local Coast Guard populationCommand response- plan for a possible reduction in key personal, personnelare able to either utilize the clinic for sick call or may stay at homeafter notifying their supervisor(preferable)
FLUCON 4- wide spread sustained illness reported in the local Coast Guardpopulation.Command response- consider canceling previously planned large meetings oractivities, institute work from home measures if possible, ill people shouldnot report to the clinic for sick call- the clinic will institute phonetriage of ill people (sick people call 487-5757 ext 155) and they will bedirected to stay home, come in to clinic, or head to the hospital dependingon the severity of their symptoms. However, no one would be turned awayfrom the clinic if the showed up.
FLUCON 5- Widespread contact and death reported in the community or in theCoast GuardCommand response- same as level 4
Based on the above proposed scale, we are at FLUCON 3. (this was before they advanced it to Level 4) I therefore recommend to all commands that you plan for a possible reductionin key personal in the near future, that you continue to encourage socialdistancing when able, reinforce need for proper personal hygiene techniques,and expect that personnel who are ill to come to the clinic for sick callunless you otherwise direct them.This clinic will update you periodically as the situation warrants.