8. INFLUENZA VIRUS

9. ELECTRON MICROSCOPY

10. TYPES

11. PIG THE CREATOR

16. Emergency hospital, Camp Funston, Kansas 1918

21. Global pandemic

23. Transmission

36. COMPARISION SEASONAL INFLUENZA H1N1 INFLUENZA AGE <5 YRS >60 YRS YOUNG & MIDDLE AGE SEVERITY LESS SEVERE PNEUMONIA ARDS MORBIDITY LESS MORE BUT >60 YRS LESS LIKELY TO HAVE SEVERE PNEUMONIA

37. contd SEASONAL INFLUENZA H1N1 INFLUENZA SYMPTOMS RESPIRATORY RESPIRATORY & GASTROINTESTINAL SECONDARY ATTACK RATE 5-15 % 22-33 % VACCINE PROTECTIVE UNDER DEVELOPMENT

42. DIAGNOSTIC TESTS RT PCR QUIDEL CULTURE DFA/IFA

47. CLINICAL FEATURES Vomiting or diarrhea (not typical for influenza but reported by recent cases of swine influenza infection)

48. Mexican data in MV patients

49. Mexican data in MV patients

50. Younger people at risk

51. 10-50 yrs Severe Respiratory Disease Concurrent with the Circulation of H1N1 Influenza Gerardo Chowell, Ph.D., Stefano M. Bertozzi, M.D., Ph.D., NEJM August 2009

63. H1 N1 Pneumonia

70. Tamiflu

71. Tamiflu

80. prevention

82. N95 Mask

87. Is Negative Pressure Room Must ? Place patients in a single-patient room with the door kept closed & droplet and contact isolation

88. Is BIA ready?

89. Why do we need vaccine COST EFFECTIVE TARGET AT RISK PEOPLE VACCINE WINTER SEASON TO COME(LOW HUMIDITY,TEMP) RAPID GLOBAL SPREAD SEASONAL VACCINE PROTECTION?

92. THANK YOU Department of critical care medicine