H1N1 Flu information
State of NH DHHS
WMUR Channel 9
Centers for Disease Control and Prevention
Mid-State is following the State of NH's Department of Health & Human Services guideline for vaccinating against H1N1
H1N1 vaccine will be given to the following groups in order of priority and based on availability of vaccine:
- Priority One:
- Pregnant women
- Persons age 6 months - 24 years with a chronic medical condition that puts them at high risk for complications from influenza1
- Health care workers2 and EMS personnel with direct patient contact3
- Priority Two:
- All children 6 months - 4 years old
- Household contacts and caregivers of children under 6 months old (especially siblings)
- Priority Three:
- Healthy persons age 6 months - 24 years
- Persons age 25-64 with a chronic medical condition that puts them at high risk for complications from influenza1
- All health care workers and EMS personnel
- Priority Four:
1 Medical conditions include but are not limited to: chronic renal, heart (except hypertension), liver, or
lung disease (including asthma), cancer, immunosuppression (medication-induced or disease), cognitive, neuralgic/neuromuscular,
hematologic, or metabolic disorders (including diabetes mellitus), sickle cell, cystic fibrosis, organ transplant, MS, or spinal
cord injury.
2 Healthcare Worker: nurses, physicians, respiratory therapists, ancillary workers, students, and volunteers who
have direct contact3 with patients or infectious respiratory material in acute care hospitals, long term care facilities,
ambulatory care clinics, outpatient surgery clinics, dialysis centers, physician offices and home care agencies.
3 Direct patient contact: coming into close proximity (within 6 feet or in a hospital room) of a person ill with
influenza-like illness (and/or their respiratory secretions) during the course of caring for or living with them. Close
contact typically does not include activities such as walking by an infected person or sitting across from a symptomatic
patient in a waiting room or office.
* Many persons who do not fit into these criteria may have some level of patient contact and would benefit from
H1N1 vaccine. Given the limited early supply of vaccine, those with direct patient contact as defined above are prioritized,
but within the coming weeks there will be sufficient supply for all health care workers, even those without direct patient
contact.
H1N1 Vaccines:
Live attenuated influenza vaccine (nasal spray)
- Dose: 0.2 ml intranasal
- Approved for healthy persons age 2-49 who are not pregnant.
- Can be given to health care workers and contacts to pregnant women.
Inactivated vaccine (injectable)
- Dose for persons age 36 months and over: 0.5 ml IM
- Pregnant woman can receive vaccine with or without preservative.
- The minimum age varies by vaccine manufacturer as follows:
- Sanofi Pasteur 0.25 ml pre-filled syringe preservative-free:
6-35 months old
- Sanofi Pasteur 0.5 ml pre-filled syringe preservative-free:
3+ yrs old
- Sanofi Pasteur 5 ml multi-dose vial:
6+ months old
- Novartis 0.5 ml pre-filled syringe:
4+ yrs old
- Novartis 5 ml multi-dose vial:
4+ yrs old
- CSL Limited 0.5 ml pre-filled syringe preservative-free:
18+ yrs old
- CSL Limited 5 ml multi-dose vial:
18+ yrs old
Note: children under 10 years of age should receive 2 doses of H1N1 vaccine (live attenuated or inactivated vaccine) 28 days apart.
Vaccine contraindications: age <6 months, serious egg allergy, history of serious reaction to flu vaccine, history of
Guillain-Barré Syndrome.
Simultaneous vaccination with H1N1 live attenuated vaccine and other live vaccines:
- H1N1 flu nasal spray vaccine & seasonal flu nasal spray vaccine - must be given at least 28 days apart
- H1N1 LAIV & other live vaccines (e.g. MMR) - can either be given the same day or separated by at least 28 days
Should a person who already had the flu be vaccinated? Yes, unless it was confirmed by RT-PCR or viral culture that the person
had H1N1 influenza.
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