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About Marc Rubin, RPh AE-C
Expertise
I have worked directly with patients as well as caregivers for over 30 years. Have made presentations throughout Illinois to public schools to educate teachers and coaches about asthma, and how they should respond to these students needs. Presented a public education program on asthma through the US Department of Public Health. Specialize in helping guide asthmatic patients to take control of their disease in order to live a near-normal, fully active life.

Experience
Practicing pharmacist for 34 years, specializing in asthma for past 7 years. Statewide education to teachers and athletic coaches regarding asthma. In addition, and closer to home. my wife and daughter both have asthma, and my son has exercise induced bronchospasm. I'm also on the advisory board of a medical education company, Emmi Solutions, and directly involved in the creation of public education programs for asthma, COPD and diabetes.

Organizations
Suburban Asthma Consortium (President & Education Chair), American College of Chest Physicians (ACCP), American Academy of Allergy, Asthma and Immunology (AAAAI), American Thoracic Society (ATS). Committee member of the Professional Education Task Force of the Chicago Asthma Consortium.

Education/Credentials
BScPharm, RPh, AE-C (NAECB Certified asthma educator), NIPCO Certified Respiratory Care Pharmacist

You are here: Experts > Health/Fitness > Asthma > Asthma > asthma and h1n1

Asthma - asthma and h1n1

Expert: Marc Rubin, RPh AE-C - 11/1/2009

Question
The pastor's wife at our small church of 30 people caught the H1N1 flu a couple weeks ago. She is still fighting it, and they have 5 children that come to church too. My husband and I haven't been going because we don't want to catch the swine flu (and I have asthma too.) How long (in your opinion) would be advised to stay away from the church? We're afraid it will start spreading to other people. Thanks for your help!

Answer
Hi Merla,

The period of time in which a patient is contagious begins 1 day prior to symptoms, through 7 days following. It is to be cautioned though, that is the patient is symptomatic after 7 days, that they should still be considered contagious.

The difficult issues for you are two-fold: 1) a patient with asthma is at much greater risk of a severe respiratory reaction, and 2) in spite of all the warnings, people will foolishly go to work, school, and church in the belief that THEY don't have the flu, and put everyone else at risk.

In a family with asthma, definitely seek out help from your health department to get the H1N1 vaccine as soon as possible. That would be your greatest protection. Don't forget to get the regular flu vaccine if you haven't done so. If you recently received the regular flu shot, you need to wait 2 weeks before getting the H1N1.

I hope your church has posted a strict policy to adhere to at this time.

Sincerely,

Marc

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