Swine Flu H1 N1 Info Symptoms Prevention Treatment Version 2

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• Swine Influenza (swine flu) is a
respiratory disease of pigs
pi y di f pi g
caused by Type A i fl
d by Typ influenza
viruses th t causes regular
i that g l
outbreaks in pigs.
tb k i pigs pig

• Swine flu is a type of virus that
S e u s ype o us a
that i f
h infects mainly pigs. It
i ly pigs I
pig
normally does not infect people,
lly d t i f t people,
p pl
but infections t h
b t i f ti to human can do d
happen. i
happen It is a contagious virus
h pp t gi i
and can spread from one h
d df human
to a ot e
another
another.

• V i
Various i t
international agencies (US Centers for
ti l g i ( C t f
Disease Control & Prevention, World Health
Di C t l Prevention W ld H lth
P ti
O ga at o ) a e dete
Organization) have determined that this swine
ed t at t s s e
influenza A (H1N1) virus is contagious and is
i fl ( ) i i t gi di
spreading from human to human
p di g f h t h human.

• WHO has escalated the world Pandemic Phase
orld
from Phase 3 to Phase 4 (in a 6 scale Phase),
f ( 6-scale Phase)
),
)
indicating th t
i di ti g that a worldwide pandemic due to swine
ld id p d i d t i
flu
fl H1N1 is possible
i ppossible.
ibl


• Th symptoms of swine flu in
The t f i fl i
people are similar to the symptoms
l i il t th t
of regular human flu and include
f l h fl di l d
fever, cough,
fever cough sore throat body aches
f gh th t b dy aches,
throat, h
headache,
headache chills and fatigue.
fatigue
f g

• Some p p have reported diarrhea and vomiting
people p g
associated ith s i e flu I t e past, se e e ill ess
associated with swine flu. In the past severe illness
t d t flu th t
(pneumonia and respiratory failure) and deaths have
( i d i t y f il ) d d th h
been reported with swine flu infection in p p
p people
people.

• Like seasonal flu, swine flu may cause a worsening of
flu, s ine fl may ca se
fl orsening
g
underlying chronic medical conditions.
d l i h i di l conditions
diti

• Sp d of this swine i fl
Spread f hi i influenza A
(
(H1N1) virus is thought to be
) g
happening in the same way that
h i i th th t
seasonal flu spreads.
l fl spreads
p d

• Flu viruses are spread mainly from
p y
p
person to p
t person th gh coughing
through ghi g
or sneezing of people with influenza.
i f l ith influenza
i fl

• S
Sometimes p pl may become
ti people yb
infected by touching something with
y g g
live fl i
li flu viruses on it and then
d th
touching their mouth or nose
t hi th i th nose.


• T di g
To diagnose swine influenza A infection,
i i fl infection
i f ti
a respiratory specimen would g
p y p generallyy
need to be collected within the first 4 to
dt b ll t d ithi th fi t t
5ddays of ill
f illness (when an infected
( h i f t d
p
person is most likely to be shedding
y g
virus).
virus)
)

• Ho e e , some persons especially
However,
However so e pe so s, especially
persons,
children,
children may shed virus for 10 days or
hild h d i f d
longer.
longer
g

• Identification as a s ine fl infl en a A
swine flu influenza
virus requires sending the specimen to a
i i di th i t
hospital l b t y f testing
h pit l laboratory for testing.
t ti g

• I f t d p pl may be able to
Infected people y b bl t
infect th
i f t others b gi i g 1 day
beginning d y
before symptoms d
b f t develop and up
l d
to
t 7 or more days after b
d ft becoming
i
sick.
sick
i k

• Th t means that you may b able
That th t be bl
to
t pass on th fl t someone else
the flu to l
before you know you are sick, as
b f y k y sick
i k
well as while you are sick.
ll hil sick
i k


• P pl with swine influenza virus infection
People i h i i fl i i f i
should be considered potentially
p y
contagious as long as they are
g g y
symptomatic and possible for up to 7 days
y p p p y
following ill
f ll i g illness onset.
onset
t

• Children, especially younger children,
Children, p yy g children,
might p t ti lly be contagious for longer
ight potentially b t gi f l g
pe iods
periods.
periods
d


• B
Because the virus is new, there will be no
th i i new, th ill b
vaccine ready to protect against
y p g
p d i flu
pandemic flu.
fl

• V
Vaccine against Swine Flu virus H1N1
i g i S i Fl i
needs at least 6-12 months to be
d tl t 6 12 th t b
p d
produced. E p t d by N
produced Expected by Nov – D 2009
d Dec

• Seasonal flu vaccine or past flu
immunization will not provide protection
i i ti ill t p id protection.
p t ti


Are th
A there medicines to treat swine flu?
di i t t t i fl ?
• Y
Yes. The
Yes Th US CDC recommends the use of
d th f
oseltamivir (Tamiflu®) or zanamivir (Relenza®) for
( f ®)) ( ®) f
)
the treatment and/or p
prevention of infection with
these swine i fl
th i influenza viruses. (Pl
viruses (Please do not do self
i d d self-
lf
medication, y p
medication, any prescription medicine should be taken under
di ti ipti di i h ld b t k d
supervision of a qualified doctor)
f f
• A ti i l d
Antiviral drugs are prescription medicines (pills,
i ti di i (pills
( ill
liquid or an inhaler) that fight against the flu by
q ) fg g f y
keeping flu viruses from reproducing in your body.
p g p g y bodyy

• If you get sick, a t i al drugs can make your
t sick antiviral d ugs ca
sick, ti ake you
illness milder and make you feel better faster They
ill ild d k f l b tt faster. Th
f t
may also p
y prevent serious flu complications
complications.
p

• For treatment, anti iral dr gs work best if started
treatment, antiviral drugs ork
g
soon after getting sick (within 2 days of symptoms)
ft tti i k ( ithi d f symptoms).
t )

• Th virus can b spread when a person
The i be p d h p
touches something that is contaminated
t h thi th t i t i t d
with the virus and then touches his or her
ith th i d th t h hi h
eyes, nose, mouth.
eyes, nose, or mouth
y

• Droplets from a cough or sneeze of an
p g
infected
i f t d person move through the air
th gh th air. i
The i us can t
The virus ca the b sp ead when a
then be spread he
d
p
person touches respiratory droplets from
p y p
another person on a surface like a desk,
th p f lik desk
d k
doorknob, hild’
doorknob child’s t
d k b child s toy or phone handset
h h d t
and then touches their o n eyes, mouth
to ches own eyes, mo th
eyes
or nose before washing their hands
g hands.

• We kno that some viruses and bacteria can
know ir ses
live 2 hours or longer on surfaces like cafeteria
g f f
tables, doorknobs, d desks
tables d k b
t bl , doorknobs, and desks.
d k

• F q
Frequent handwashing will help you reduce the
th d hi g ill h lp y d th
chance of getting contamination from these
common surfaces.
surfaces
f


• C
Cover y
your nose and mouth with a tissue when you cough or
d th ith ti h y gh
sneeze. Th
sneeze Throw the tissue in the trash after you use it
th ti i th t h ft y it.

• W h your h d often with soap and water especially after
Wash hands f ih d water, i ll f
you cough or sneeze Alcohol b
h sneeze. Alcohol-based hand cleaners are also
Al h l based h d l
d l
effective.
effective
ff

• A id t
Avoid touching y
hi g your eyes, nose or mouth The virus can
eyes,
y mouth. Th i
th
spread this way
p d thi way. y

• Try to avoid close contact with sick people
y people.

• If y get sick with i fl
you g t i k ith influenza, stay home from work or school
influenza, t y h f k h l
and limit contact with others t keep from infecting them
d li it t t ith th to k p f i f ti g th
them.

What i th b t
Wh t is the best way to keep from spreading
yt k f di g
the i
th virus through coughing or sneezing?
th gh ghi g i g?
• If you are sick, limit your contact with other
sick li it
i k t t ith th
people as much as possible. Do not go to work
l h possible D
ibl tg t k
or school if ill.
ill

• C
Cover your mouth and nose with a tissue when
y th d ith ti h
coughing or sneezing. It may prevent those
hi sneezing
i t th
around you from getting sick. Put your used
dy f g i g sick P y
i k d
tissue in the waste basket
basket.

• C
Cover your cough or sneeze if you do not have
y gh y d th
a tissue Th
tissue. Then clean your hands and do so
ti Then, l hands, d d
h d
every time y cough or sneeze.
y you g sneeze


What i th b t t h i
Wh t is the best technique for washing my
f hi g y
hands to
h d t avoid getting the flu?
id g tti g th fl ?
• W hi your hands often will help protect you from
Washing h d ft ill h l t t f
g
germs. W h ith
germs Wash with soap and water or clean with
d t l ith
alcohol-based
alcohol based hand cleaner.
cleaner

• Wh y wash your hands -- with soap and warm
When you hy h d ith p d
water -- th t you wash for 15 to 20 seconds When
t that hf t seconds. Wh
d
soap and water are not available alcohol b
p d available, alcohol-based
il bl l h l basedd
disposable hand wipes or gel sanitizers may be
p p g y
used. You can fi d them in ost supermarkets a d
used You ca find t e i most supe a kets and
d th t t
drugstores.
drugstores
d g t

• If using gel, rub your hands until the gel is dry. The
g gel
g y g dry
y
g doesn't
gel doesn t need water to work; the alcohol in it kills
ater ork;
the
th germs on your h dhands.
hands

• If y live in areas where swine influenza cases have been
you
identified d b
id tifi d and become ill with i fl
ith influenza-like symptoms,
influenza lik symptoms
like t
including fever b dy aches
i l di g fever, body aches, runny nose, sore throat,
f h y nose throat
th t
nausea,
nausea, or vomiting or diarrhea, you may want to contact
g diarrhea, y y
their health
th i h lth care provider, particularly if you are worried
p id , p ti l ly y
provider i d
about your symptoms Y
b t symptoms. Your h lth care provider will
t health id ill
determine whether influenza testing or treatment is needed
f g needed.

• If y are sick, you should stay home and avoid contact with
you sick, y y
ot e people
other people as much as possible to keep from sp ead g
th uch possible t keep f o spreading
b di
y
your ill
illness to others
t others.
th

• If y become ill and experience any of the following
you p y g
warning signs (next 2 slides) seek emergency medical care.
arning g (ne t slides),
g ( ), emergency
g care

In hild
I children emergency warning signs that
g y i g ig th t
need urgent medical attention include:
d g t di l tt ti i l d
• Fast breathing trouble breathing
F t b thi g or t bl b thi g
• Bluish ki
Bl i h skin colorl
• Not drinking enough fluids
g g
• Not
N t waking up or not interacting
ki g p ti t ti g
• Being
B i g so i it bl that the child d
irritable th t th hild does
not want t b h ld
t t to be held
• Flu like symptoms improve but then
Flu-like sy pto s p o e
u e t e
return with f
t ith fever and worse cough
d gh
• F
Fever with a rash
ith h

In adults,
I adults emergency warning signs that
d lt g y i g ig th t
need urgent medical attention include:
d g t di l tt ti i l d

• Difficulty breathing or shortness of breath
y g
• Pain or ppressure in the chest or abdomen
• Sudden dizziness
S dd di i
• Confusion
C f i
• Severe or persistent vomiting
S i t t iti g


• Th
Throw away tissues and other di p
y ti d th disposable items used by the
bl it d by th
sick person in the trash. Wash your h d after touching
i k i th trash W h
t h hands ft t hi
used tissues and similar waste
waste.

• Keep surfaces ( p bedside tables, surfaces in the
p (esp tables,
ba
bathroom, children toys,
bathroom children’s toys, pho e ha d es, d k obs) clea
b th oo , child e ’s toys phone handles doorknobs) clean
d handles, doo
dl b )
by i i th
b wiping them down with a household disinfectant
d ith h h ld di i f t t
according to directions on the product label.
g p label

• Linens, eating utensils, and dishes belonging to those who
Linens, g utensils,
tensils g g ho
are sick d not need to b cleaned separately, but
i k do t d t be l d separately b t
t l
importantly th
i p t tly these ititems should not b shared without
h ld t be h d ith t
washing thoroughly first.
g g y first


(
(Contd.)
(Contd
(C td )

• W h li
Wash linens (such as bed sheets and towels) by using
( h b d h d l ) by i g
household laundry soap and tumble dry on a hot setting
y p y setting.
g
Avoid “hugging” laundry prior to washing it to prevent
A id “hhugging” l
i d i t hi t t
contaminating yourself. Clean your hands with soap and
t i ti g yourself Cl
y lf y h d ith d
water or alcohol based hand rub right after handling dirty
alcohol-based g g y
laundry.
laundry
l dy

• E ti utensils should b washed either i a di h
Eating t il h ld be h d ith in dishwasher or
h
by hand i h
by h d with water and soap
d soap.
p


‘Dadi Maa ka Nuskha’
‘D di M k N kh ’
Dadi Nuskha
(Grandma
(Grandma’s home e edy)
(G a d a’s ho e remedy)
d )

• Th
There has b
h been recommendation from Ay
d ti f Ayurveda
d
that taking 5 7 Tulsi leaves empty stomach early
5-7
morning every day, k p the flu at bay
i g y day keeps h fl
d y, bay.
b y
• T made from L
Tea d f Laxmi T
i Taru (b t i l name:
(
(botanical
Simarouba) leaves, T l i A l and A
Si b )l
leaves Tulsi Amla d Amrut
Tulsi, t
(
(Giloy) t
(Gil y) acts as an i
) immunity enhancer
ity enhancer.
h
Alternatively & additionally, Ginger and Turmeric
additionally
(
(haldi) p d
(h ldi) powder mixed with either lime juice or
) i d i h i h li j i
honey can also be taken twice a day
h y l b t k t i d y


List f Hospitals for treatment of Swine Flu
Li t of H it l f t t t f S i Fl
Chennai
Ch i
• Ki g Institute of P e e ti e Med ci e ( / Se ice) G i d Che ai
King I stitute of Preventive Medicine (24/7 Service) Guindy Chennai
di S ) Guindy, C
Gu dy,
- 32 (044) 22501520 22501521 & 22501522
( ) 22501520,
• Comm nicable Diseases Hospital Thondiarpet Chennai (044)
Communicable p Thondiarpet,
p ( )
25912686/87/88,
25912686/87/88, 9444459543
• GGovernment G General Hospital OOpp. Central Railway Station Chennai
Opp C Station, C
S
- 03 (044) 25305000 25305723 25305721 25330300
( ) 25305000, 25305723, 25305721,
Pune
Pune
• N id Hospital N L 'M idi , R j B h d Mill, GPO, P
Naidu H pit l Nr Le'Meridian Raja Bahadur Mill, GPO, Pune -
Le Meridian,
01 (020) 26058243
• National Institute of Virology 20A Ambedkar Road Pune - 11 (020)
Road,
26006290
Kolkata
K lk t
• ID H pit l 57,B li gh t , B li gh t R d, Kolkata - 10 (033)
Hospital 57,Beliaghata, Beliaghata Road K lk t
Beliaghata Road, ( )
23701252


List of Hospitals for treatment of Swine Flu -2
2
Coimbatore
C i b t
• G
Government Gt General Hospital T i hy R d, Coimbatore - 18 (0422)
l H pit l Trichy Road C i b t
Road, ( )
2301393, 2301394, 2301395,
2301393 2301394 2301395 2301396
Hyderabad
• Govt General and Chest Diseases Hospital, Erragadda
Govt. Hospital Erragadda,
Hyderabad (
Hyd b d (040) 23814939
)
Mumbai
M b i
• Kastu ba G dhi Hospital A thu Road N M Joshi Ma g, J
Kasturba Gandhi Hospit l Arthur Road,
t b Ga d ta t Road,
d J hi Marg Jacob
Jos Marg, b
Circle,
Circle Mumbai - 11 (022) 23083901 23092458 23004512
( ) 23083901, 23092458,
• Si J J H pit l J J M g By ll M b i - 08 (022) 23735555
Sir Hospital Marg, Byculla,
Marg Byculla Mumbai ( ) 23735555,
23739031, 23760943, 3
23739031, 23760943 23768400 / 23731144 / 5555 / 23701393 /
3 3 3 3 3, 3 3 3 3 3
1366
• Haffkine Instit te Acharya Donde Marg Parel M mbai - 12 (022)
Institute Acharya Marg, Parel, Mumbai
g ( )
24160947, 24160961,
24160947, 24160961, 24160962


3
Kochi
K hi
• Go e
Government Medical College Gandhi Nagar P O Kottayam - 08 (0481)
e t ed ca Co ege Ga d aga O, ottaya (0 8 )
2597311,2597312
2597311,2597312
• Government Medical College Vandanam P O Allapuzha - 05 (0477) 2282015
O,
• Taluk Hospital R il
T l kH it l Railway St ti Road Al
Station R d Alwaye E k l
Road, Alwaye, Ernakulam (0484) 2624040 S th jit -
Sathyajit
09847840051
• Taluk Hospital P
T l kH it l Perumbavoor PO E k l
b PO, Ernakulam 542 (0484) 2523138 Vi i -
Vipin
09447305200
Gurgaon & Delhi
G
• AIIMS, Ansari N
AIIMS A i Nagar A bi d M
Nagar, Aurobindo Marg Ri Road New Delhi - 29 (011) 26594404,
Ring R d N
Road, D lhi 26594404
26861698
• Prof.
Prof
P f R C D k - 9868397464 N ti
Deka National I tit t for Communicable Diseases 22
l Institute f C i bl Di 22,
Sham N th M
Sh Nath Marg New Delhi - 54 (011) 23971272 /060/ 344/
Marg, N D lhi
• Dr.
Dr R
D Ram M Manohar L hi H pit l Kh k Si gh M g New Delhi - 01 (011)
h Lohia Hospital Kharak Singh Marg NMarg, D lhi ( )
23741640, 23741649,
23741640 23741649 23741639
• Dr.
Dr
D N K Ch t
Chaturvedi - 9811101704 V ll bh i P t l Ch t I tit t U i
di Vallabhai Patel Chest Institute University Enclave
ity Enclave,
E l
New Delhi 07 (011) 27667102, 27667441, 27667667, 27666182
Delhi- ( ) 27667102, 27667441, 27667667,


4

Bangalore
B g l
• Vi t i H pit l K R Market, K l ip l y , B g l
Victoria Hospital Market Kalasipalayam,
M k t, Kalasipalayam Bangalore - 02 (080)
( )
26703294 Dr Gangadhar - 94480 49863
Dr. 94480-49863
• SDS Tuberculosis & Rajiv Gandhi Institute of Chest
Diseases H
Di Hosur R d, H b g d N g , Bangalore - 29 (080)
Road,
Road Hombegowda Nagar B g l
Nagar, ( )
26631923 Dr Shivaraj - 99801 48780
Dr. 99801-48780


• Swine Fl
S i Flu – Sy pt
Symptoms & Prevention
P ti
• How t H dl a S i Flu Pandemic
H to Handle Swine Fl P d i
• CDC Recommendations f S i Flu
R d ti for Swine Fl
• Risk F t
Ri k Factors f S i Flu
for Swine Fl
• Treatment f Swine Flu
T t t for S i Fl
• Difference Bet ee Swine Flu a d
Diffe e ce Between S i e Flu and
t
Seasonal Allergiesg
• Eff ti
Effectiveness of M k I Swine Flu
f Mask In S i Fl
• Recommendations for Travel to Areas
Reporting N
R p ti g Novel H1N1 Flu
l Fl

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