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<P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center><SPAN style="FONT-SIZE: 14pt; LINE-HEIGHT: 115%; mso-bidi-font-size: 18.0pt"><FONT face=Calibri>Press Release<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><FONT size=3><FONT face=Calibri>September 14, 2009<o:p></o:p></FONT></FONT></B></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: right" align=right><FONT face=Calibri size=3>Contact: Geni Alexander, Public Information Officer</FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: right" align=right><FONT face=Calibri size=3>573.268.6265 or </FONT><A href="mailto:grw@gocolumbiamo.com"><FONT face=Calibri size=3>gaalexan@gocolumbiamo.com</FONT></A><FONT face=Calibri size=3> </FONT></P>
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<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><FONT face=Calibri><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 16pt; LINE-HEIGHT: 115%; mso-bidi-font-size: 11.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri">What To Do If You Think You Have The Flu<BR style="mso-special-character: line-break"><BR style="mso-special-character: line-break"></SPAN></B><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>We’re quickly approaching seasonal flu season and Influenza A (H1N1), also known as the swine flu, is now in our community. The Columbia/Boone County Department of Public Health and Human Services reminds residents to take the following steps if you think you have the flu:<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpFirst style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l0 level1 lfo1"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Stay home from work or school.<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l0 level1 lfo1"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Get lots of rest, drink plenty of liquids and avoid using alcohol and tobacco.<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpLast style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l0 level1 lfo1"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Take over-the-counter (OTC) medications to relieve the symptoms of the flu. Never give aspirin to children or teenagers who have flu-like symptoms, particularly fever.<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Serious illness from the flu is more likely in people 65 and older (seasonal flu), pregnant women, people with certain chronic medical conditions and young children.<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><o:p><FONT face=Calibri size=3> </FONT></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Not all patients with the flu need anti-viral medication (Tamiflu or Relenza). A doctor needs to make that determination. Seek immediate medical attention if you have any of the following symptoms:<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>In adults:<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpFirst style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l1 level1 lfo2"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Difficulty breathing or shortness of breath<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l1 level1 lfo2"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Pain or pressure in the chest or abdomen<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l1 level1 lfo2"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Worsening headache, stiff neck or confusion<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l1 level1 lfo2"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Sudden dizziness<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpLast style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l1 level1 lfo2"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Severe or persistent vomiting<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>In children:<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpFirst style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Fever in a child under 2 months of age<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Fever lasting more than 3 days in a child over 2 months old<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Fast breathing or trouble breathing<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Bluish skin color<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Not drinking enough fluids<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Not waking up or not interacting<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Being so irritable that the child does not want to be held<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Flu-like symptoms improve but then return with fever and worse cough<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Fever with a rash<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpMiddle style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>Stiff neck or severe headache<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoListParagraphCxSpLast style="MARGIN: 0in 0in 0pt 0.5in; TEXT-INDENT: -0.25in; mso-add-space: auto; mso-list: l2 level1 lfo3"><SPAN style="FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN style="mso-list: Ignore"><FONT size=3>·</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>If a baby has a dry diaper (no urine) for 8 hours or more<o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><o:p><FONT face=Calibri size=3> </FONT></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt"><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT face=Calibri size=3>For further information, please visit </FONT><A href="http://www.flu.gov/"><FONT face=Calibri size=3>www.flu.gov</FONT></A><FONT face=Calibri size=3> or </FONT><A href="http://www.fighttheflumo.com/"><FONT face=Calibri size=3>www.fightthefluMO.com</FONT></A><FONT size=3><FONT face=Calibri>. <o:p></o:p></FONT></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><o:p><FONT face=Calibri size=3> </FONT></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center><SPAN style="mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri"><FONT size=3><FONT face=Calibri>-###-<o:p></o:p></FONT></FONT></SPAN></P></BODY></HTML>