Individuals, Parents and Caregivers
Two types of contagious flu viruses are active in South Carolina this year — seasonal flu and novel H1N1 flu (swine flu). Both types can cause mild to severe respiratory illness and can even lead to death.
While the flu is different from the common cold, symptoms of seasonal flu and novel H1N1 flu are very similar. With flu, one or more of these symptoms may come on suddenly — about 48 to 72 hours after contact with the virus:
- Fever (usually high)
- Headache
- Extreme tiredness
- Dry cough
- Sore throat
- Runny or stuffy nose
- Muscle aches
- Occasionally, nausea, vomiting, or diarrhea.
Self- Assessment tool. Do I have the flu?
Urgent Warning Signs
If you or loved are sick and you have any of these symptoms, seek medical attention immediately:
In children:
- Fast breathing or trouble breathing
- Bluish skin color
- Not drinking enough fluids
- Not waking up or not interacting
- Being so irritable that the child does not want to be held
- Flu-like symptoms improve but then return with fever and worse cough
- Fever with a rash.
In adults:
- Difficulty breathing or shortness of breath
- Pain or pressure in the chest or abdomen
- Sudden dizziness
- Confusion
- Severe or persistent vomiting.
Flu Vaccines
Flu vaccines are your best protection against seasonal and novel H1N1 flu. To protect yourself from both strains, you’ll need a separate vaccine for each type of flu.
Fortunately, drug makers have recently developed a vaccine for novel H1N1 flu and that vaccine began to become available in South Carolina in mid-October 2009.
SCDHEC urges all South Carolinians to get both the seasonal and novel H1N1 flu vaccines, but especially people who are in greater danger of life-threatening health problems from novel H1N1 flu or seasonal flu should get vaccinated as soon as possible. (See chart below.)
Remember, babies younger than 6 months of age can’t be vaccinated for seasonal flu or novel H1N1 flu. If you live with a young child, we urge you to get vaccinated against both types of flu to protect the child as well as yourself.
These Groups Need Flu Vaccines the Most
The CDC identified certain groups of people who are particularly susceptible to influenza viruses. SCDHEC urges all South Carolinians to get seasonal influenza vaccines.
The following persons should seek an influenza vaccine as soon as possible:
- All persons aged >50 years
- All children aged 6 months to 4 years (59 months)
- Adults and children who have chronic pulmonary (including asthma), cardiovascular (except isolated hypertension), renal, hepatic, neurological, hematological or metabolic disorders (including diabetes mellitus)
- Adults and children who are immunosuppressed (including immunosuppression caused by medications or by human immunodeficiency virus
- Women who are or will be pregnant during the influenza season
- Children and adolescents (aged 6 months-18 years) who are receiving long-term aspirin therapy and therefore might be at risk for experiencing Reye syndrome after influenza virus infection
- Residents of nursing homes and other long-term care facilities
- American Indians/Alaska Natives
- Persons who are morbidly obese (BMI>40)
- Healthcare personnel
- Household contacts and caregivers of children aged <5 years and adults aged >50 years, with particular emphasis on vaccinating contacts of children aged <6 months
- Household contacts and caregivers of persons with medical conditions that put them at high risk for severe complications from influenza.
Get updates on vaccine availability in South Carolina, learn more about vaccine safety, and find a flu vaccine clinic in your local area.
Additional Information on Flu Vaccines from the CDC:
- Update: Vaccine Against 2009 H1N1 Influenza Virus
- Open Letter to the American People about the H1N1 Flu Vaccine
- Flu Myths and Realities
- General Questions and Answers on H1N1 Vaccine Safety
- Children, the Flu, and the Flu Vaccine
- General Questions and Answers on Thimerosal
- 2009 H1N1 Influenza Vaccine and Pregnant Women
- H1N1 Flu Vaccination Resources
- Asthma Information for Patients and Parents of Patients
Everyday Flu Prevention
Wash your hands often with soap and water. Wash them for as long as it takes to sing the Happy Birthday song twice.- Cover your nose and mouth with a tissue when you cough or sneeze, then throw the tissue in the trash.
- Stay home if you are sick until you have been symptom-free without taking fever reducing medicine for 24 hours.
- Try to avoid close contact with sick people.
- Eat a healthy diet and get plenty of rest.
Treating Seasonal Flu and Novel H1N1 Flu
If despite your best efforts you get the flu, but your symptoms are mild and you don’t fall into a high risk category, you may not need to visit your healthcare provider.
If you have more severe symptoms, are at risk of complications or have close contact with someone in a high risk group, your healthcare provider has antiviral medications to help you recover faster and lower your risk of passing the virus on to others.
If you're caring for someone who has the flu:
- Never give aspirin (acetylsalicylic acid) to children or teenagers who have the flu; this can cause a rare but serious illness called Reye’s syndrome.
- Frequently wipe down commonly touched surfaces like stairway railings, telephones, and door handles. Other than that, follow your normal housekeeping routine.
- Caring for Someone Sick at Home - Will you know what to do if someone in your home gets the flu? This new online guide from CDC provides step-by-step instructions on how to care for someone sick in your home. Learn what you can do to help your family this flu season.
- Get additional information on environmental disinfection to prevent flu from the CDC.
- Also see the CDC’s What Should Pregnant Women Know About 2009 H1N1 Flu (Swine Flu)?
Medicines for Novel H1N1 Flu from the Food and Drug Administration
- Zanamivir (Relenza) Fact Sheets
- Tamiflu Fact Sheets
- Informe De Zanamivir (Relenza)
- Informe De Tamiflu
Information for Parents:
- Questions and Answers: Opening and Mixing Tamiflu Capsules with Liquids if Child Cannot Swallow Capsules (CDC)
- Frequently Asked Questions about Novel H1N1 Flu for Parents (pdf)
- Novel H1N1 flu (swine flu) letter to parents of children in child care (pdf)
- Novel H1N1 flu (swine flu) letter to parents of children in school (pdf)
- For Kids (En Español)
- Information on staying well while traveling from the CDC.
Information for Specific Groups
- Five Things Caregivers of People with Disabilities Need To Know About the Flu
- 2009 H1N1 and Seasonal Influenza and Hispanic Communities: Questions and Answers
- 2009 H1N1 and Seasonal Flu and African American Communities: Questions and Answers
School Closings
For information on school closings, contact your local public school district or private school.
If, after reading the information available here, you have questions about the vaccine,
please call 1-800-27SHOTS (1-800-277-4687).

