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Based on new information on circulation of a new influenza A (H1N1) virus among people in the US and Mexico first detected in April, 2009, this document provides updated interim planning guidance for State, territorial, tribal, and local communities. This guidance includes recommendations on school dismissal for K – 12 schools and closure of childcare programs and facilities and updates previously issued guidance on community mitigation interventions for this disease (April 28, 2009, www.cdc.gov...). School dismissal and childcare closures are an important part of a comprehensive, layered mitigation approach aimed at reducing disease transmission and associated morbidity and mortality during the 2009 H1N1 virus outbreak in the US.
The goals of these strategies are to slow the spread of the disease in a community to 1) delay the peak of the disease in order to “buy time” for the production and distribution of a vaccine against this new virus, 2) decrease the number of people who get sick from this virus in a given community, thus reducing the “surge” on healthcare systems, and 3) reduce the total number of people who get sick or die.