399 East 72nd Street Suite 1A
Between First and York Avenues
New York, NY 10021
(212) 988-8822
(212) 988-8858 Fax

   Simon W Rosenberg, DMD

Prosthodontics and Cosmetic Dentistry
The Center for High Tech Dentistry
"Improving Smiles One Patient at a Time
Using High Tech with a Gentle Touch

Call for your initial exam or for a Free Consultation!

Site Menu                


2009 New York City Dept of Health and Mental Hygiene

Health Alert #20: Novel H1N1 Influenza Update
May 24, 2009

Novel H1N1 influenza is now widespread in New York City. As expected, since there are more persons infected, hospitalized and critically ill cases are also increasing. Patients presenting with influenza-like illness in New York City health care facilities at this time can be presumed to have novel H1N1 infection, as we are seeing very little seasonal influenza A H3N2. Because it is not possible to prevent community transmission of influenza and mild illness at this time, the Health Department is focusing its efforts on reducing and preventing severe outcomes due to infection with novel H1N1 influenza.

Dear Colleague,

In the context of the novel H1N1 influenza outbreak in New York City, the Health Department has developed the attached one page algorithms to assist providers in emergency department and outpatient settings with managing patients with influenza-like illness or severe acute febrile respiratory illness. We hope they are useful for you. Please see our website at www.nyc.gov/health  for detailed and frequently updated information on the epidemiology of the outbreak, as well as guidance on reporting, testing, infection control and clinical management of suspected cases of novel H1N1 influenza, including treatment and prophylaxis recommendations.

In addition we would like to stress the following points:

At this time, although seasonal influenza is continuing to circulate, all patients with influenza-like illness (ILI=documented fever 100.4 (38 C) with cough or sore throat) or with otherwise unexplained, acute febrile respiratory illness (fever with ILI, pneumonia, ARDS or respiratory distress) in New York City can be presumed to have novel H1N1 influenza unless proven otherwise since this is the predominant strain of influenza currently circulating in the city.

Providers should ensure that all people who are below 2 or above 65 years of age, or have asthma, diabetes, emphysema, or other chronic illnesses (see list below) are treated with antiviral medication if they get influenza-like illness. See Treatment and Prophylaxis recommendations on our website for details.

Asthma is the most common chronic illness among children in New York City, and children with asthma are at higher risk for severe illness if they get influenza.

In particular providers should make sure that patients with asthma who have flu-like illness, even if it is mild, are treated with antiviral medication (TamifluÒ is recommended, as RelenzaÒ is contraindicated in persons with chronic respiratory disease, such as asthma or COPD).

Antiviral treatment should be started as soon as possible, ideally within 48 hours after the person first develops symptoms.

Providers should advise people with mild flu NOT to go to the emergency department.

o Office visits may not be necessary for patients with mild ILI.
o Providers can prescribe antiviral medications over the phone for their patients with mild illness, when indicated.

o Only people with more serious symptoms, such as difficulty breathing, shortness of breath, severe chest or abdominal pain, dizziness or confusion, should go to the emergency department.

Providers should consider prescribing antiviral prophylaxis for persons who:

o Have an underlying condition listed below, and

o Have household or other close contact with a person with influenza-like illness during that person’s infectious period (one day before to 7 days after symptom onset).

Children and staff from schools that have been closed due to high or increasing levels of influenzalike illness may be considered to have possibly had exposure to persons with ILI. Such individuals should also be considered for prophylaxis if they have underlying conditions (listed below).

As always, we greatly appreciate your collaboration and cooperation in addressing this outbreak. We will continue to update you with new information as it becomes available,


The DOHMH Novel H1N1 Investigation Team

Underlying conditions that increase the risk for severe influenza:

  1. Age > 65 years
  2. Age < 2 years
  3. Chronic pulmonary disease, such as asthma or COPD
  4. Chronic cardiovascular, renal, or hepatic disease
  5. Hematologic disease, such as sickle cell anemia
  6. Metabolic disorders, such as diabetes
  7. Immunosuppression, including HIV-related or caused by medication
  8. Compromised respiratory function and conditions which increase the risk for aspiration
  9. Persons with neuromuscular disorders, seizure disorders, or cognitive dysfunction that may compromise the handling of respiratory secretions
  10. Pregnancy
  11. Persons requiring long-term aspirin therapy for diseases such as rheumatoid arthritis or Kawasaki disease
    Office Hours   

Mon 8am-6pm
Tue 8am-6pm
Thur 8am-6pm
Wed 8am-5pm
Fri: 8am-3pm
Sat: Closed
Sun: Closed

LinkedIn Professional Connection Profiles
Link to me on Twitter

Click to Go to Secure Website to Complete New Patient Forms which will be sent to us by a secure, encripted method to preserve your confidentiality

 Home Page
 About Us
 Directions and Map
 My Staff
 My Curriculum Vitae
 Choosing a Dentist
 Technology in Our Office
 Fully Computerized Dental Office
 Patient Education
 Infection Control
 Videos of Our Patients
 What our Patient Say
 Survey Results 7-2006 - 10-2007
 Second Survey 10-2007 - 3-2008
 Testimonials From CitySearch.com
 Services We Offer
 CEREC - One-Visit All-Porcelain
 Why CEREC is Best Restoration
 Research on CEREC
 CEREC Videos
 Waterlase MD dental laser
 SNAP Dental Imaging Software
 Choosing Ortho Treatment
 Six Month Smiles
 Problems Treated with 6 Month Smiles
 Six Month Smile Videos
 Six Month Smiles FAQ
 T-Scan Occlusal Analysis
 X-Ray Examinations
 Computerized Digital Radiography
 Composite vs Amalgam Fillings
 Root Canal Endodontic Treatment
 How Dentures are Made
 Immediate Dentures
 Removable Partial Denture
 Denture Care
 Soft Denture Liners
 Oral Medicine
 OsteoNecrosis from Medications
 TMJ and TMD
 Pediatric Dentistry
 Maxillofacial prosthetics
 Cosmetic Dentistry
 Smile Analysis
 Smile Evaluation Form
 Snap Digital Imaging
 Zoom In-Office Whitening
 The Zoom Procedure
 Veneers or Laminates
 da Vinci Labs
 Laser Dentistry
 Biolase Waterlase Dentistry
 Laser Questions & Answers
 Videos of Laser Treatment
 Laser Root Canal on "The Doctors"
 Before and After Photos
 Periodontal Disease Prevention & Treatment
 Periodontal Disease (Gum Disease & Gingivitis)
 A Dental School Explanation of Periodontal Disease
 Periodontal Risk Factors
 The Stages Of Periodontal Disease
 The Role of X-Rays in Periodontal Disease Diagnosis
 Gum Disease Linked with Heart Disease
 Flossing and Brushing
 Fluoride Role in Decay, Periodontitis and Sensitivity
 Deep Scalling and Root Planing
 Occlusal (Bite) Adjustment
 The Latest News in Periodontalogy
 Technology We Use
 Patient Loyalty Program
 Insurance and Financing
 I Hate My Smile What Can I Do
 Why You Need to Know How To Choose A Dentist
 Oral Complications of Cancer Therapies:
 Altered Dental Root Development in 17 Leukemia Patients
 Right in the Kisser: Entrepreneur.com Article
 Web Sites
 Subscribe to My Newsletter
 2008 Newsletters
 January 5 2008 Newsletter
 June 6 2008 Newsletter
 July 4 2008 Newsletter
 July 8, 2008 Newsletter
 August 8, 2008 Newsletter
 August 24, 2008 Newsletter
 September 5 2008 Newsletter
 October 15 2008 Newsletter
 October 23 2008 Newletter
 November 11, 2008 Newsletter
 Thanksgiving Thoughts 2008
 December 5, 2008 Newsletter
 Previous Newsletters
 SmiileLink Newsletter by CAESY
 Dec 24, 2006 Newsletter
 January 14, 2007 Newsletter
 February 19th 2007 Newsletter
 March 24, 2007 Newsletter
 April 6, 2007 Newsletter
 May 6, 2007 Newsletter
 May 20, 2007 Newsletter
 June 5, 2007 Newsletter
 June 15, 2007 News Alert
 July 1 2007 Newsletter
 July 6 2007 Newsletter
 December 2, 2007 Newsletter
 December 12 2007 Newsletter
 From Linked-In
 From YP.com
 Dentistry in the News
 The Doctor's Channel - Dentistry
 The Journal of Prosthetic Dentistry
 New York Times -- Health News
 Contact Us
 Privacy Policy and HIPAA
 Employment Application
 Swine Flu Info
 April 25 2009 NYC Update
 April 26 2009 NYC Update
 April 29 2009 NYC Update
 May 1 2009 NYC Update
 May 12 2009 NYC Update
 May 24 2009 NYC Update
 Making a Video
 Site Map