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StartedThe virus was first reported in two U.S.

children in March, but health officials have said that it apparently infected people as early as last January in Mexico. The outbreak was first detected in Mexico City on March 18, 2009 Virus Characteristics The virus is a novel strain of influenza. Existing vaccines against seasonal flu provide no protection, and there is no vaccine for this strain. A study at the U.S. Centers for Disease Control and Prevention published in May 2009 found that children had no preexisting immunity to the new strain but that adults, particularly those over 60, had some degree of immunity. Children showed no cross-reactive antibody reaction to the new strain, adults aged 18 to 64 had 6-9%, and older adults 33%. Symptoms, which can last up to a week, are similar to those of seasonal flu, and may include fever, sneezes, sore throat, coughs, headache, and muscle or joint pains. Symptoms that may require medical attention Certain symptoms may require emergency medical attention. In children signs of respiratory distress, for instance, those might include blue lips and skin, dehydration, rapid breathing, excessive sleeping, seizures and significant irritability that includes a lack of desire to be held. In adults, shortness of breath, pain in the chest or abdomen, sudden dizziness or confusion may indicate the need for emergency care. In both children and adults, persistent vomiting or the return of flu-like symptoms that include a fever and cough may require medical attention. personal measures to avoid seasonal flu infection vaccination when available, thorough and frequent hand-washing, a balanced diet with fresh fruits and vegetables, whole grains, and lean protein, sufficient sleep, regular exercise, and avoiding crowds. School Closure Schools are closed now (August 10, 2009) in many cities Like Pune, Mumbai, New Delhi etc. In Pune Multiplexes are also closed for 7 10 days and are currently closed.

The flu pandemic is a global outbreak of a new strain of a influenza A virus subtype H1N1, referred to as the "new H1N1" first identified in April 2009, and commonly called "Swine flu." It is thought to be a reassortment of four known strains of influenza A virus[108]: one endemic in (normally infecting) humans, one endemic in birds, and two endemic in pigs (swine). Transmission of the new strain is human-tohuman, with cooked pork products safe to eat as the virus cannot be transmitted by eating foods.

What is the swine flu? The swine influenza A (H1N1) virus that has infected humans in the U.S. and Mexico is a novel influenza A virus that has not previously been identified in North America. This virus is resistant to the antiviral medications amantadine (Symmetrel) and rimantadine (Flumadine), but is sensitive to oseltamivir (Tamiflu) and zanamivir (Relenza). Investigations of these cases suggest that on-going human-to-human swine influenza A (H1N1) virus is occurring. What are the symptoms of swine flu? Although uncomplicated influenza-like illness (fever, cough or sore throat) has been reported in many cases, mild respiratory illness (nasal congestion, rhinorrhea) without fever and occasional severe disease also has been reported. Other symptoms reported with swine influenza A virus infection include vomiting, diarrhea, myalgia, headache, chills, fatigue, and dyspnea. Conjunctivitis is rare, but has been reported. Severe disease (pneumonia, respiratory failure) and fatal outcomes have been reported with swine influenza A virus infection. The potential for exacerbation of underlying chronic medical conditions or invasive bacterial infection with swine influenza A virus infection should be considered. How can the swine flu infection be controlled? Separation from others in single room if available. If the ill person needs to move to another part of the house, they should wear a mask. The ill person should be encouraged to wash hand frequently and follow respiratory hygiene practices. Cups and other utensils used by the ill person should be thoroughly washed with soap and water before use by other persons. Antiviral Treatment Suspected Cases Empiric antiviral treatment is recommended for any ill person suspected to have swine influenza A (H1N1) virus infection. Antiviral treatment with either zanamivir alone or with a combination of oseltamivir and either amantadine or rimantadine should be initiated as soon as possible after the onset of symptoms. Recommended duration of treatment is five days. Recommendations for use of antivirals may change as data on antiviral susceptibilities become available. Will a face mask protect me from getting the swine flu, and are there differences in face masks? Information on the effectiveness of facemasks and respirators for the control of influenza in community settings is extremely limited. Thus, it is difficult to assess their potential effectiveness in controlling swine influenza A (H1N1) virus transmission in these settings. In the absence of clear scientific data, the interim recommendations below have been developed on the basis of public health judgment and the historical use of facemasks and respirators in other settings.

How can swine (H1N1) flu be prevented? The best way to prevent swine flu would be the same best way to prevent other influenza infections, and that is vaccination. When a safe vaccine is developed (projected to happen in a few months), people should get vaccinated if the disease is still causing infections. The CDC says that a good way to prevent any flu disease is to avoid exposure to the virus; this is done by frequent hand washing, not touching your hands to your face (especially the nose and mouth), and avoiding any close proximity to or touching any person that may have flu symptoms.

Swine Flu (H1N1 Influenza Virus) At A Glance


Swine flu (swine influenza) is a respiratory disease caused by viruses (influenza viruses) that infect the respiratory tract of pigs and result in nasal secretions, a barking-like cough, decreased appetite, and listless behavior. y Swine flu viruses may mutate (change) so that they are easily transmissible among humans. y The 2009 swine flu outbreak is due to infection with the so-called H1N1 virus and was first observed in Mexico. y Symptoms of swine flu in humans are similar to most influenza infections: fever (100F or greater), cough, nasal secretions, fatigue, and headache. y Two antiviral agents, zanamivir (Relenza) and oseltamivir (Tamiflu), have been reported to help prevent or reduce the effects of swine flu if taken within 48 hours of the onset of symptoms. y There is no vaccine currently available against swine flu, but vaccine development is underway.

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