Dear Clinician Outreach and Communication Activity (COCA) Partner,

As of 11:00AM ET on May 3, 2009 the Centers for Disease Control and Prevention (CDC) has confirmed 226 cases and 1 death from novel H1N1 influenza in the United States.  Human infections with this new virus have been confirmed in 30 states at this time.  Investigations and surveillance are ongoing.  As this situation unfolds, the CDC is committed to providing information to its partners, so that you can stay informed and communicate accurate information to your constituents.

Please remember to send any questions or comments to coca@cdc.gov.  We want to ensure that these updates are timely and helpful.

To assist in your efforts, please see the following materials and resources:

Key Points to Share with Members

• Updated and Cleared Novel H1N1 Flu Key Points - May 3, 2009 11:00 AM ET (Attached)
  

A. New and Updated Interim Guidance and Recommendations

• Locate all H1N1 Flu guidance documents at http://www.cdc.gov/h1n1flu/guidance/
  
• Novel H1N1 Flu (Swine Flu) and Feeding your Baby: What Parents Should Know - May 2, 2009 8:43 PM ET
  http://www.cdc.gov/h1n1flu/breastfeeding.htm
  
• H1N1 Flu: Interim Guidance for People With Heart Disease, Stroke, or Cardiovascular Disease - May 2, 2009 10:32 PM ET
  http://www.cdc.gov/h1n1flu/heart.htm
  
• H1N1 Flu and Patients With Cardiovascular Disease (Heart Disease and Stroke): Interim Guidance and Considerations for Health Care Providers and for State and Local Public Health Agencies - May 2, 2009 10:32 PM ET
  http://www.cdc.gov/h1n1flu/guidance/cardiovascular.htm
  
• Use of Rapid Influenza Diagnostic Tests for Patients with Influenza-like Illness during the Novel H1N1 Influenza Virus (Swine Flu) Outbreak - Information for Health Care Professionals - May 2, 2009, 10:00 PM ET
  http://www.cdc.gov/h1n1flu/guidance/rapid_testing.htm
  
• Interim Novel Influenza A (H1N1) Guidance for Cruise Ships - May 2, 2009 9:03 PM ET
  This document provides interim guidance for crew members and passengers of cruise ships originating from or stopping in ports in areas affected by the new H1N1 influenza virus outbreak. It will be updated as needed.
  http://www.cdc.gov/h1n1flu/guidance/cruiseships.htm
  

B. New and Updated Novel H1N1 Influenza Emergency Use Authorization (EUA) of Medical Products and Devices

• FDA Issuance Letter for N95 Respirators - May 2, 2009
  http://www.cdc.gov/h1n1flu/eua/pdf/N95-amendment-letters.pdf
  
• Reasons for Tamiflu EUA - May 2, 2009
  http://www.cdc.gov/h1n1flu/eua/reasons_tamiflu.htm
  
• Reasons for Relenza EUA - May 2, 2009
  http://www.cdc.gov/h1n1flu/eua/reasons_relenza.htm
  
  

C. New and Updated Information for Consumers

• Questions & Answers - H1N1 Flu (Swine Flu) and You - May 3, 2009 10:15 AM ET
  http://www.cdc.gov/h1n1flu/swineflu_you.htm
  
• H1N1 Flu (Swine Flu) Press Briefings - May 1, 2009 1:15 PM ET
  http://www.cdc.gov/h1n1flu/press/
  
• What to Do If You Get Flu-Like Symptoms - May 2, 2009 10:42 PM ET
  http://www.cdc.gov/h1n1flu/sick.htm
  
• Advice for Parents on Talking to Children About Novel H1N1 Flu (Formerly Swine Flu) Concerns - May 2, 2009, 9:00 PM ET
  http://www.cdc.gov/h1n1flu/talkingtokids.htm