Frequently-Asked Questions on Influenza A (H1N1) — Stepping Down Precautionary Measures in Kindergartens

1. Why are control measures being stepped down in kindergartens?

   According to the Ministry of Health (MOH), the current flu strain is mild, except for complications among some high risk patients. The influenza surveillance data suggest that H1N1 transmission has slowed down after a peak. Hence, control measures are gradually being stepped down in various sectors. In alignment with MOH’s approach, the Ministry of Education has reviewed the precautionary measures for H1N1 in schools and kindergartens and has adjusted some measures from 27 July 09. Kindergartens will remain vigilant in their efforts to slow down the spread of the H1N1 within the kindergarten community.

2. What measures are in place to protect the well-being of kindergarten children?

   Kindergartens are encouraged to adopt the following measures to remain vigilant to slow the spread of the virus in kindergartens:

   • visually screen children and staff for fever and flu-like symptoms
   • keep their premises clean
   • track children with Medical Certificates (MCs) to reduce the risk of a spread of flu-like illnesses within the kindergarten community
   • remind parents and children to maintain high standards of personal hygiene and exercise social responsibility

3. How are kindergartens monitoring the H1N1 situation since not all children with influenza-like illness may be tested for H1N1?

   MOH has revised its approach in tracking H1N1 cases, testing suspected cases only when there is a clinical indication (e.g. severely ill patients). For patients with influenza-like illness who do not require hospitalisation and are not likely to be tested for H1N1, doctors will issue MCs of up to 7 days for staff and students above 12 years old, and up to 10 days for children 12 years and below from onset of symptoms.

   It has been an on-going practice for children and staff to submit their MCs to kindergartens. In view of MOH’s revised approach, kindergartens are closely monitoring the number of children and staff with MCs due to influenza-like illnesses.

   In the event that a significant number of children in a class are issued MCs due to influenza-like illnesses, the kindergarten would consider taking precautionary measures, such as segregating the class into groups or temporarily suspending lessons for the class.

   MOE will continue to monitor the situation closely and review measures as the situation develops, in consultation with the Ministry of Health.