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HUMAN SWINE FLU - HUMAN SWINE FLU - H1N1 INFLUENZA H1N1 INFLUENZA

ALL YOU NEED TO KNOW ABOUT SWINE FLU .. H1N1 InfluenzaALL YOU NEED TO KNOW ABOUT SWINE FLU .. H1N1 Influenza

PRECAUTIONS AND PREVENTIONSPRECAUTIONS AND PREVENTIONS

In Public Interest : In Public Interest :

Compiled byCompiled by : :

Dr. A. M. HAJWANEDr. A. M. HAJWANE Occupational Health &Occupational Health &Maritime Medicine PhysicianMaritime Medicine Physician

Hajwane’s Healthcare Hajwane’s Healthcare Marine, offshore & Industrial Healthcare Services Marine, offshore & Industrial Healthcare Services www.hajwaneshealthcare.comwww.hajwaneshealthcare.com

No permission required to forward this presentation. Please forward to as many contacts as possible.No permission required to forward this presentation. Please forward to as many contacts as possible.

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What is Swine Flu ? What is Swine Flu ?

Although the name 'swine Although the name 'swine flu' brings up a lot of extra flu' brings up a lot of extra fear and worry, it is fear and worry, it is important to note that important to note that swine flu is just an swine flu is just an influenza A H1N1 virus.influenza A H1N1 virus.

That means that it is just That means that it is just another type of flu virus, another type of flu virus, just like that causes our just like that causes our typical seasonal flu typical seasonal flu symptoms….. But….symptoms….. But….

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What is the difference between What is the difference between ordinary flu and swine flu ? ordinary flu and swine flu ?

The big difference is that the The big difference is that the current swine influenza A (H1N1) current swine influenza A (H1N1) virus has components of pig and virus has components of pig and bird influenza viruses in it, so that bird influenza viruses in it, so that humans don't have any immunity humans don't have any immunity to it. That is what made it more to it. That is what made it more likely that it would become a likely that it would become a pandemic virus (have the ability to pandemic virus (have the ability to cause a global outbreak) because cause a global outbreak) because it could easily spread from person-it could easily spread from person-to-person.to-person.

So far, even the experts don't So far, even the experts don't know if this swine influenza A know if this swine influenza A (H1N1) virus will return in the fall (H1N1) virus will return in the fall for another wave. for another wave.

It could or we just continue to see It could or we just continue to see sporadic cases for a few weeks or sporadic cases for a few weeks or months until it stops.months until it stops.

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HOW DOES IT SPREAD ?HOW DOES IT SPREAD ?

Swine flu is transmitted by airborne droplets Swine flu is transmitted by airborne droplets from an infected person’s sneeze or cough; from an infected person’s sneeze or cough; or from germs on hands, or germ-laden or from germs on hands, or germ-laden surfaces. Eating pork will not give you swine surfaces. Eating pork will not give you swine flu any more than eating chicken will give flu any more than eating chicken will give you bird flu.you bird flu.


Swine Flu: What You Need to KnowSwine Flu: What You Need to KnowDon't believe rumors; listen to the experts Don't believe rumors; listen to the experts

DON’T PANIC.DON’T PANIC. The number of known cases of swine flu around the world is increasing The number of known cases of swine flu around the world is increasing

daily. With regard to India, it is Mumbai, Pune, Delhi and few other cities we daily. With regard to India, it is Mumbai, Pune, Delhi and few other cities we are seeing a rapid rise in cases being reported including few deaths. The are seeing a rapid rise in cases being reported including few deaths. The numbers are changing on daily basis.numbers are changing on daily basis.

With more outbreaks of the new strain of swine flu come outbreaks of With more outbreaks of the new strain of swine flu come outbreaks of misinformation and rumor. misinformation and rumor.

Below are some questions answered for good understanding and explains Below are some questions answered for good understanding and explains common sense preparedness and prevention of illnesscommon sense preparedness and prevention of illness

Inputs from WHO & infectious disease expert Charles Ericsson, M.D., professor of internal medicine and director Inputs from WHO & infectious disease expert Charles Ericsson, M.D., professor of internal medicine and director of Travel Medicine at The University of Texas Medical School at Houston.of Travel Medicine at The University of Texas Medical School at Houston.


Symptoms of Swine Flu :Symptoms of Swine Flu :

We do know that swine flu symptoms are just like seasonal flu symptoms.We do know that swine flu symptoms are just like seasonal flu symptoms.Swine Flu SymptomsSwine Flu Symptoms

Like seasonal flu, symptoms of swine flu infections can include:Like seasonal flu, symptoms of swine flu infections can include:

* * fever, which is usually high, but unlike seasonal flu, is sometimes absentfever, which is usually high, but unlike seasonal flu, is sometimes absent * cough * cough * runny nose or stuffy nose * runny nose or stuffy nose * sore throat * sore throat * headache & body aches * headache & body aches

* fatigue or tiredness, which can be extreme* fatigue or tiredness, which can be extreme * diarrhea and vomiting, sometimes, but more commonly seen than with seasonal flu * diarrhea and vomiting, sometimes, but more commonly seen than with seasonal flu

Signs of a more serious swine flu infection might include Signs of a more serious swine flu infection might include pneumonia and pneumonia and respiratory failure. ( Breathlessness).respiratory failure. ( Breathlessness).

If your child has symptoms of swine flu, you should avoid other people and call your If your child has symptoms of swine flu, you should avoid other people and call your pediatrician who might do a rapid flu test to see if he has an influenza A infection. pediatrician who might do a rapid flu test to see if he has an influenza A infection.


How do symptoms of swine flu differ How do symptoms of swine flu differ from other types of flu?from other types of flu?

None, really, although this flu might include gastrointestinal None, really, although this flu might include gastrointestinal symptoms (diarrhea and vomiting), as well as the usual symptoms (diarrhea and vomiting), as well as the usual respiratory symptoms. The basic symptoms for swine flu respiratory symptoms. The basic symptoms for swine flu are similar to the seasonal flu we are vaccinated for each are similar to the seasonal flu we are vaccinated for each year, which may include:year, which may include:

• Fever (greater than 100°F or 37.8°C) • Fever (greater than 100°F or 37.8°C) • Sore throat • Sore throat • Cough • Cough • Stuffy nose • Stuffy nose • Chills • Chills • Headache and body aches • Headache and body aches • Fatigue• Fatigue


Emergency warning signsEmergency warning signsIf you become ill and experience any of the If you become ill and experience any of the following warning signs, seek emergency following warning signs, seek emergency

medical care.medical care. In children emergency In children emergency

warning signs that need warning signs that need urgent medical attention urgent medical attention include: include:

• Fast breathing or trouble • Fast breathing or trouble breathing breathing • Bluish or gray skin color • Bluish or gray skin color • Not drinking enough fluids • Not drinking enough fluids • Severe or persistent vomiting • Severe or persistent vomiting • Not waking up or not interacting • Not waking up or not interacting

• Being so irritable that the child • Being so irritable that the child does not want to be held does not want to be held • Flu-like symptoms improve but • Flu-like symptoms improve but then return with fever and worse then return with fever and worse coughcough

In adults, emergency warning In adults, emergency warning signs that need urgent signs that need urgent medical attention include: medical attention include:

• Difficulty breathing or • Difficulty breathing or shortness of breath shortness of breath • Pain or pressure in the chest or • Pain or pressure in the chest or abdomen abdomen • Sudden dizziness • Sudden dizziness • Confusion • Confusion • Severe or persistent vomiting • Severe or persistent vomiting • Flu-like symptoms improve but • Flu-like symptoms improve but then return with fever and worse then return with fever and worse coughcough


Are the symptoms in children Are the symptoms in children different from adult symptoms?different from adult symptoms?

Though the basic symptoms are similar, the signs of potentially life-Though the basic symptoms are similar, the signs of potentially life-threatening complications differ.threatening complications differ.

It is advised that those with these symptoms to seek emergency care It is advised that those with these symptoms to seek emergency care immediately: immediately: Emergency warning signs in children areEmergency warning signs in children are::

• Fast breathing or trouble breathing • Fast breathing or trouble breathing • Bluish skin color • Bluish skin color • Not drinking enough fluids • Not drinking enough fluids • Not waking up or interacting • Not waking up or interacting • Being very irritable • Being very irritable • Fever with a rash Emergency warning signs in adults are: • Fever with a rash Emergency warning signs in adults are: • Difficulty breathing or shortness of breath • Difficulty breathing or shortness of breath • Pain or pressure in the chest or abdomen • Pain or pressure in the chest or abdomen • Sudden dizziness • Sudden dizziness • Confusion • Confusion • Severe or persistent vomiting• Severe or persistent vomiting


Swine Flu High Risk GroupsSwine Flu High Risk Groups

The high risk groups for H1N1 fluThe high risk groups for H1N1 flu are not known at this time but it’s are not known at this time but it’s possible that they may be the same as for seasonal influenza. possible that they may be the same as for seasonal influenza. With regular seasonal flu, infants and the elderly are usually thought to With regular seasonal flu, infants and the elderly are usually thought to be most at risk for serious infections, in addition to people with chronic be most at risk for serious infections, in addition to people with chronic medical problems. medical problems.

Swine flu high risk groups, people who are thought to be at risk for Swine flu high risk groups, people who are thought to be at risk for serious, life-threatening infections, are a little different and can include:serious, life-threatening infections, are a little different and can include:

* pregnant women * pregnant women * people with chronic medical problems, such as chronic lung * people with chronic medical problems, such as chronic lung disease, like asthma, cardiovascular disease, diabetes, and disease, like asthma, cardiovascular disease, diabetes, and immunosuppression (HIV), Renal Failure, immunosuppression (HIV), Renal Failure,

* children and adults with obesity * children and adults with obesity


If I felt flu-like, how would I know if I If I felt flu-like, how would I know if I had swine flu?had swine flu?

You wouldn't really know, nor would your physician know for sure without a You wouldn't really know, nor would your physician know for sure without a respiratory specimen taken within the first 4-5 days. respiratory specimen taken within the first 4-5 days.

Please call your doctor if you think you have the flu. Please call your doctor if you think you have the flu. Prescription anti-viral drugs such as TamiFlu or Relenza can be called in by Prescription anti-viral drugs such as TamiFlu or Relenza can be called in by

your doctor. Unless you are: your doctor. Unless you are:

• exceptionally ill with flu-like symptoms • exceptionally ill with flu-like symptoms • are chronically ill • are chronically ill • immune-suppressed • immune-suppressed • quite elderly • quite elderly • or have a very young child, under age 2.• or have a very young child, under age 2.

It is best not to report to the hospital, clinic or doctor's office, where you It is best not to report to the hospital, clinic or doctor's office, where you could risk spreading the disease. Again, call your doctor first to get could risk spreading the disease. Again, call your doctor first to get instructions as to what you need to do next.instructions as to what you need to do next.


How long are people contagious?How long are people contagious?

Adults are potentially contagiousAdults are potentially contagious for the length of for the length of time one has symptoms, up to 7 days following time one has symptoms, up to 7 days following the beginning of illness. The “shedding stage” of the beginning of illness. The “shedding stage” of the virus is during the the virus is during the first 4-5 days of illnessfirst 4-5 days of illness. .

ChildrenChildren can be considered contagious can be considered contagious longerlonger, , up to 10 days. up to 10 days.

The initial incubation period is 24-48 hours.The initial incubation period is 24-48 hours.


Is there medication for this?Is there medication for this?

Yes, Tamiflu or Relenza have shown to be Yes, Tamiflu or Relenza have shown to be effective against these recently reported effective against these recently reported strains of swine flu. Altogether, there are strains of swine flu. Altogether, there are four anti-viral drugs that we commonly use four anti-viral drugs that we commonly use to treat various strains of flu.to treat various strains of flu.


Can I start taking medicine for it Can I start taking medicine for it now, just in case I get it later?now, just in case I get it later?

That is not presently advised. Preventative medication That is not presently advised. Preventative medication might be advised for very special circumstances where a might be advised for very special circumstances where a person had to expose themselves to potentially ill people person had to expose themselves to potentially ill people during an epidemic (which we do not yet have here). Such during an epidemic (which we do not yet have here). Such people might include ER workers. An outbreak in a nursing people might include ER workers. An outbreak in a nursing home, for instance, might lead to protecting all the other home, for instance, might lead to protecting all the other residents with a drug like TamiFlu.residents with a drug like TamiFlu.

For the general public, the current answer is no to For the general public, the current answer is no to prophylactic (preventative) use with anti-viral medications. prophylactic (preventative) use with anti-viral medications. Its coverage time is limited.Its coverage time is limited.

Do not confuse over-the-counter “cold and flu” preparations Do not confuse over-the-counter “cold and flu” preparations for anti-flu medications that require a prescription.for anti-flu medications that require a prescription.


Is there a vaccine?Is there a vaccine?

Not yet, but the government labs are Not yet, but the government labs are working over time to make it available by working over time to make it available by this year end. this year end.

It is unlikely that vaccine would be available It is unlikely that vaccine would be available before this period.before this period.


If I took the flu vaccine last year would that If I took the flu vaccine last year would that cover me? What about this year's flu shot I cover me? What about this year's flu shot I

just took?just took?

We don’t know yet. Previous vaccines could be expected to We don’t know yet. Previous vaccines could be expected to afford only partial, incomplete protection at best.afford only partial, incomplete protection at best.

This new strain of the swine flu virus (H1N1) actually has a This new strain of the swine flu virus (H1N1) actually has a mixture of swine and avian components (not to be mixture of swine and avian components (not to be confused with the deadly avian flu of Southeast Asia).confused with the deadly avian flu of Southeast Asia).


Can I catch it from pigs?Can I catch it from pigs?

No. This strain is one that is communicable No. This strain is one that is communicable through human-to-human contact. It is a through human-to-human contact. It is a mutated form of a swine virus.mutated form of a swine virus.


Can I catch it from eating pork?Can I catch it from eating pork?

Absolutely not! Swine flu is not transmitted by food. It is not Absolutely not! Swine flu is not transmitted by food. It is not a so-called foodborne illness. Bacon, ham and other pork a so-called foodborne illness. Bacon, ham and other pork products are safe to eat, assuming they are prepared products are safe to eat, assuming they are prepared properly. An internal temperature of 160 degrees for properly. An internal temperature of 160 degrees for cooked meat will kill any bacteria or virus.cooked meat will kill any bacteria or virus.

Swine flu is transmitted by airborne droplets from an Swine flu is transmitted by airborne droplets from an infected person’s sneeze or cough; or from germs on infected person’s sneeze or cough; or from germs on hands, or germ-laden surfaces. Eating pork will not give hands, or germ-laden surfaces. Eating pork will not give you swine flu any more than eating chicken will give you you swine flu any more than eating chicken will give you bird flu.bird flu.


How does it cross from a pig to a How does it cross from a pig to a human?human?

The swine virus mutates so that it can infect The swine virus mutates so that it can infect humans and be spread by humans.humans and be spread by humans.


Can it kill me?Can it kill me?

Deaths have been reported from many Deaths have been reported from many parts of the world. parts of the world.

We do not know all the factors We do not know all the factors geographically and demographically that geographically and demographically that may contribute to the mildness or severity may contribute to the mildness or severity of this flu. But, like seasonal flu, there is the of this flu. But, like seasonal flu, there is the potential for serious outcomes.potential for serious outcomes.


Why the big concern if the regular flu kills 35,000 Why the big concern if the regular flu kills 35,000 people a year, which is why we are all people a year, which is why we are all

encouraged to get a flu shot?encouraged to get a flu shot?

This is a new flu strain that our bodies have not been This is a new flu strain that our bodies have not been exposed to before. The flu strains that the CDC creates a exposed to before. The flu strains that the CDC creates a vaccine for each year all have the potential to cause great vaccine for each year all have the potential to cause great harm, especially in elderly, pediatric and chronically ill harm, especially in elderly, pediatric and chronically ill

patientspatients..

This particular flu strain has struck seemingly healthy, This particular flu strain has struck seemingly healthy, young adults, with some resulting in death in many young adults, with some resulting in death in many countries. It also appears to be quite contagious. We will countries. It also appears to be quite contagious. We will know more about this strain in the coming days.know more about this strain in the coming days.


How is it different from avian How is it different from avian (bird) flu?(bird) flu?

Avian flu so far has had difficulty infecting humans Avian flu so far has had difficulty infecting humans unless they are exposed intensely to birds, unless they are exposed intensely to birds, because the virus has not mutated in a way that because the virus has not mutated in a way that makes it transmissible by humans to other makes it transmissible by humans to other humans. This virus has origins genetically from humans. This virus has origins genetically from both pigs and birds, and the big difference from both pigs and birds, and the big difference from the avian flu is that this swine virus can be the avian flu is that this swine virus can be transmitted readily from human to human.transmitted readily from human to human.


Is this just another scare that will Is this just another scare that will go away like bird flu?go away like bird flu?

Bird flu is a theoretical threat and will need a mutation to be Bird flu is a theoretical threat and will need a mutation to be able to be transmitted among humans to become a serious able to be transmitted among humans to become a serious threat. The present "swine/avian" virus clearly has already threat. The present "swine/avian" virus clearly has already caused a major outbreak in many parts of the world and is caused a major outbreak in many parts of the world and is spreading…spreading…

What is not clear yet is whether this virus will result in a so-What is not clear yet is whether this virus will result in a so-called pandemic—worldwide spread with major outbreaks called pandemic—worldwide spread with major outbreaks — or whether it will fizzle out. But, even if it fizzles out, — or whether it will fizzle out. But, even if it fizzles out, there is logical concern that it might re-emerge next flu there is logical concern that it might re-emerge next flu season.season.


Should I cancel my travel Plans ?Should I cancel my travel Plans ?

At this writing, the situation is very fluid, At this writing, the situation is very fluid, changeable. We suggest one should frequently changeable. We suggest one should frequently check with the WHO / CDC Website / Govt. health check with the WHO / CDC Website / Govt. health sites for possible Travel Alerts. I probably would sites for possible Travel Alerts. I probably would not travel to places with swine flu outbreaks for a not travel to places with swine flu outbreaks for a vacation that could easily be rescheduled.vacation that could easily be rescheduled.

It is best to post-pone or cancel travel to infected It is best to post-pone or cancel travel to infected areas as far as possible.areas as far as possible.


What if I'm on a plane? What if I'm on a plane? Should I wear a mask?Should I wear a mask?

Not necessary. The air on a plane is filtered. Not necessary. The air on a plane is filtered. Transmission might occur if someone sitting close Transmission might occur if someone sitting close to you coughs or sneezes on you. The newer to you coughs or sneezes on you. The newer designs of aircraft airflow keep the air in a top-designs of aircraft airflow keep the air in a top-down flow, not forced air from front to back. down flow, not forced air from front to back. However, if you do have a respiratory illness, it However, if you do have a respiratory illness, it might be best not to travel.might be best not to travel.


What if I'm on a Train / Bus ? What if I'm on a Train / Bus ? Should I wear a Face mask?Should I wear a Face mask?

Yes. It is best to wear face masks while you Yes. It is best to wear face masks while you are traveling in public transport system.are traveling in public transport system.

However, if you do have a respiratory However, if you do have a respiratory illness, it might be best not to travel.illness, it might be best not to travel.


How long does the germ live on surfaces, How long does the germ live on surfaces, like on my desk if someone sneezes in my like on my desk if someone sneezes in my

office?office?

Influenza virus survives only minutes on inanimate Influenza virus survives only minutes on inanimate objects or hands, so these are very inefficient ways to objects or hands, so these are very inefficient ways to spread the illness. Influenza is most easily spread by spread the illness. Influenza is most easily spread by droplets that come into contact with our mucus droplets that come into contact with our mucus membranes such as when someone coughs or sneezes membranes such as when someone coughs or sneezes in our faces.in our faces.

If we shake hands with an infected person who has just If we shake hands with an infected person who has just wiped their nose and then we rather quickly rub our nose wiped their nose and then we rather quickly rub our nose or eyes with our own hand, then we could get the flu. So, or eyes with our own hand, then we could get the flu. So, good hand washing does play a role in diminishing the good hand washing does play a role in diminishing the spread of the disease.spread of the disease.


What else can I do?What else can I do?Other than hand washing and covering my mouth if I Other than hand washing and covering my mouth if I

sneeze or cough, what can I do to take care of myself and sneeze or cough, what can I do to take care of myself and others?others?

If you are ill, stay home. Control If you are ill, stay home. Control your sneezes and coughs. If you your sneezes and coughs. If you cough into your hand, cough into your hand, remember the virus could be remember the virus could be live on your hand at least for a live on your hand at least for a few minutes, so wash your few minutes, so wash your hands before touching anyone hands before touching anyone else. If you get symptoms else. If you get symptoms suggesting the flu, call your suggesting the flu, call your doctor, who can call in a doctor, who can call in a prescription for medication to prescription for medication to treat the flu.treat the flu.

Resist going to the doctor’s Resist going to the doctor’s office or a hospital ER for office or a hospital ER for influenza symptoms unless you influenza symptoms unless you are seriously ill. are seriously ill.

You do not want to spread the You do not want to spread the disease to others.disease to others.


What else can I do?What else can I do?

Keep in touch with the most recent health alert messages through the Keep in touch with the most recent health alert messages through the following links: following links:

Go to the sources of verifiable information such as WHO (World Health Go to the sources of verifiable information such as WHO (World Health Organization) or the CDC (Centre for Disease Control, US)Organization) or the CDC (Centre for Disease Control, US)

www.who.int/csr/disease/swinefluwww.who.int/csr/disease/swineflu www.cdc.gov/swineflu/general_info.htmwww.cdc.gov/swineflu/general_info.htm

www.cdc.gov/swineflu/whatsnew.htmwww.cdc.gov/swineflu/whatsnew.htm

Most important, be alert, don’t panick.Most important, be alert, don’t panick.

““There is a huge difference between preparedness and paranoia”, says Dr. There is a huge difference between preparedness and paranoia”, says Dr. Robert Emery, occupational health expert at the UT School of Public Health at Robert Emery, occupational health expert at the UT School of Public Health at Houston. “Although we’re dealing with a new strain of flu, a set of universally Houston. “Although we’re dealing with a new strain of flu, a set of universally applicable preventive measures exist that can be employed right away by applicable preventive measures exist that can be employed right away by everyone to help stop the spread of this disease”everyone to help stop the spread of this disease”

http://www.who.int/csr/disease/swineflu

http://www.cdc.gov/swineflu/general_info.htm

http://www.cdc.gov/swineflu/whatsnew.htm


What else can I do? What else can I do? A. A. Proper hand hygiene:Proper hand hygiene:

There’s a right way and useless way to There’s a right way and useless way to wash hands — and wash away — micro-wash hands — and wash away — micro-organisms. The object is to break down the organisms. The object is to break down the protective membranes of germs, dislodge protective membranes of germs, dislodge them from your hands and let them go down them from your hands and let them go down the drain. the drain. Plain soap in the right hands is Plain soap in the right hands is strong stuffstrong stuff.(LifeBouy, Dettol is still better)..(LifeBouy, Dettol is still better).

• • Lather well with a bar of soap or squirt a Lather well with a bar of soap or squirt a coin size of liquid soap in the palm of your coin size of liquid soap in the palm of your hand. hand. • Vigorously rub your hands together, soap • Vigorously rub your hands together, soap up between your fingers, AND your wrists, up between your fingers, AND your wrists, front and back for 15 seconds. Sing the first front and back for 15 seconds. Sing the first chorus of any song you know and that’ll chorus of any song you know and that’ll take you through the 15 seconds. take you through the 15 seconds.

• • Rinse under warm, RUNNING water. Rinse under warm, RUNNING water. Remember, the object is to dislodge germs. Remember, the object is to dislodge germs. The force of water is key. The force of water is key.

• • Dry thoroughly your hands with a Dry thoroughly your hands with a disposable towel or under the blower, again, disposable towel or under the blower, again, rubbing your hands together. rubbing your hands together.

• • Discard the towel. Discard the towel.


What else can I do? What else can I do? Cont’d…Cont’d…

B. B. Proper hand hygiene:Proper hand hygiene:

If you’re using alcohol-based If you’re using alcohol-based gels as hand cleansers:gels as hand cleansers:• Put a dime-sized amount in • Put a dime-sized amount in one hand: one hand: • Vigorously rub your hands • Vigorously rub your hands together and in between your together and in between your fingers until the GEL IS DRY—fingers until the GEL IS DRY—about 30 seconds. about 30 seconds. • DO NOT touch your face!• DO NOT touch your face!

Once your hands are clean, do Once your hands are clean, do not touch your face, nose, eyes not touch your face, nose, eyes or lips. Rubbing your eyes and or lips. Rubbing your eyes and nose provides a freeway for nose provides a freeway for micro-organisms and good micro-organisms and good breeding ground once they’ve breeding ground once they’ve arrived.arrived.


What else can I do? What else can I do? Cover your coughCover your cough

If you must cough or sneeze, cover your mouth with If you must cough or sneeze, cover your mouth with a tissue, your sleeve or your hand. a tissue, your sleeve or your hand.

Throw the tissue away in a waste basket. Do not Throw the tissue away in a waste basket. Do not leave discarded tissues on your desk or other leave discarded tissues on your desk or other surfaces.surfaces.

Then, wash you hands thoroughly. Then, wash you hands thoroughly.

The throw-it-away part is essential. Micro-The throw-it-away part is essential. Micro-organisms live a life span from a few seconds to organisms live a life span from a few seconds to days on inanimate surfaces such as desks, table days on inanimate surfaces such as desks, table tops, faucets…tissues. If your tissues are scattered tops, faucets…tissues. If your tissues are scattered on your coffee table, they then are in contact with on your coffee table, they then are in contact with community surfaces. Both the tissues and the community surfaces. Both the tissues and the surface it sits on can spread germs to the person surface it sits on can spread germs to the person who touches the coffee table. who touches the coffee table.

If you begin to feel ill: feverish, achy, have a dry, painful cough, If you begin to feel ill: feverish, achy, have a dry, painful cough, sore throat, go home from school or work and call your health care sore throat, go home from school or work and call your health care

provider for further instructions.provider for further instructions.


KEY PREVETIVE MEASURESKEY PREVETIVE MEASURES

Key prevention measures for individuals and communities

Social distancing (keeping at least an arm's length distance from others, minimizing gatherings),

respiratory etiquette (covering coughs and sneezes),

hand hygiene, and household ventilation, are likely to be the most

effective public health measures and are highly recommended.


PREVENTION PREVENTION Avoid contact with othersAvoid contact with others

If you are sick, you may be ill for a week or longer. You should stay If you are sick, you may be ill for a week or longer. You should stay home and avoid contact with other persons, except to seek medical home and avoid contact with other persons, except to seek medical care. If you leave the house to seek medical care, wear a mask or care. If you leave the house to seek medical care, wear a mask or cover your coughs and sneezes with a tissue. In general you should cover your coughs and sneezes with a tissue. In general you should avoid contact with other people as much as possible to keep from avoid contact with other people as much as possible to keep from spreading your illness.spreading your illness.

You can spread the flu to others starting 1 day before you have You can spread the flu to others starting 1 day before you have symptoms to at least 7 days after you become ill (children can be up to symptoms to at least 7 days after you become ill (children can be up to at least 10 days).at least 10 days).

Avoid going to crowded public places like Theatre, malls, Avoid going to crowded public places like Theatre, malls, gardens, religious places, super markets etc.gardens, religious places, super markets etc.


What to Do If You Get Flu-Like What to Do If You Get Flu-Like SymptomsSymptoms

Protect yourself & others -- Prevent Spread Protect yourself & others -- Prevent Spread

Stay touching your eyes, nose or mouth. Germs spread this way. Stay touching your eyes, nose or mouth. Germs spread this way. Cover your nose and mouth with a tissue when you cough or sneeze. Throw Cover your nose and mouth with a tissue when you cough or sneeze. Throw

the tissue in the trash after you use it. the tissue in the trash after you use it. Wash your hands often with soap and water, especially after you cough or Wash your hands often with soap and water, especially after you cough or

sneeze. Alcohol-based hand cleaners are also effective. sneeze. Alcohol-based hand cleaners are also effective. Avoid close contact with sick people. Avoid close contact with sick people. If you are sick with a flu-like illness, stay home for 7 days after your symptoms If you are sick with a flu-like illness, stay home for 7 days after your symptoms

begin or until you have been symptom-free for 24 hours, whichever is longer. begin or until you have been symptom-free for 24 hours, whichever is longer. Keep away from other household members as much as possible. This is to Keep away from other household members as much as possible. This is to keep you from infecting others and spreading the virus further. keep you from infecting others and spreading the virus further.


Available treatmentAvailable treatment

It is expected that most people will recover without needing medical care.It is expected that most people will recover without needing medical care. If you have severe illness or you are at high risk for flu complications, contact If you have severe illness or you are at high risk for flu complications, contact

your health care provider or seek medical care. Your health care provider will your health care provider or seek medical care. Your health care provider will determine whether flu testing or treatment is needed. Be aware that if the flu determine whether flu testing or treatment is needed. Be aware that if the flu becomes widespread, there will be little need to continue testing people, so becomes widespread, there will be little need to continue testing people, so your health care provider may decide not to test for the flu virus.your health care provider may decide not to test for the flu virus.

Antiviral drugs can be given to treat those who become severely ill with Antiviral drugs can be given to treat those who become severely ill with influenza. These antiviral drugs are prescription medicines (pills, liquid or an influenza. These antiviral drugs are prescription medicines (pills, liquid or an inhaler) with activity against influenza viruses, including H1N1 flu virus. These inhaler) with activity against influenza viruses, including H1N1 flu virus. These medications must be prescribed by a health care professional.medications must be prescribed by a health care professional.

There are two influenza antiviral medications that are recommended for use There are two influenza antiviral medications that are recommended for use against H1N1 flu. The drugs that are used for treating H1N1 flu are called against H1N1 flu. The drugs that are used for treating H1N1 flu are called oseltamivir (trade name Tamiflu) and zanamivir (Relenza). As the H1N1 flu oseltamivir (trade name Tamiflu) and zanamivir (Relenza). As the H1N1 flu spreads, these antiviral drugs may become in short supply. Therefore, the spreads, these antiviral drugs may become in short supply. Therefore, the drugs will be given first to those people who have been hospitalized or are at drugs will be given first to those people who have been hospitalized or are at high risk of complications. The drugs work best if given within 2 days of high risk of complications. The drugs work best if given within 2 days of becoming ill, but may be given later if illness is severe or for those at a high risk becoming ill, but may be given later if illness is severe or for those at a high risk for complications.for complications.


Swine Flu Vaccine -Swine Flu Vaccine -who should be vaccinated First who should be vaccinated First

When vaccine is first availableWhen vaccine is first available, WHO recommends that programs and , WHO recommends that programs and providers try to vaccinate:providers try to vaccinate:

• • Pregnant womenPregnant women • • People who live with or care for children younger than 6 months of agePeople who live with or care for children younger than 6 months of age • • Health care and emergency services personnelHealth care and emergency services personnel • • Persons between the ages of 6 months through 24 years of age andPersons between the ages of 6 months through 24 years of age and • • People from ages 25 through 64 years who are at higher risk for novel H1N1 People from ages 25 through 64 years who are at higher risk for novel H1N1

because of chronic health disorders or compromised immune systemsbecause of chronic health disorders or compromised immune systems

The novel H1N1 vaccine is not intended to replace the seasonal flu vaccine. It The novel H1N1 vaccine is not intended to replace the seasonal flu vaccine. It is intended to be used alongside seasonal flu vaccine to protect people. is intended to be used alongside seasonal flu vaccine to protect people. Seasonal flu and swine flu vaccines may be administered on the same day.Seasonal flu and swine flu vaccines may be administered on the same day.


At office entry points : At office entry points :

Take body temp of all visitors visiting your office and Take body temp of all visitors visiting your office and log it .. ( Please use Infra Red Thermometers). log it .. ( Please use Infra Red Thermometers).

Keep Alcohol based hand cleaners at reception / front Keep Alcohol based hand cleaners at reception / front desk counters.desk counters.

Request all visitors to wash hands with these. Request all visitors to wash hands with these.

Alternatively ask all visitors to wash hands thoroughly Alternatively ask all visitors to wash hands thoroughly with soap and water and dry with blowers / disposable with soap and water and dry with blowers / disposable tissue papers. tissue papers.

Receptionist / front Desk people should preferably Receptionist / front Desk people should preferably wear face masks.wear face masks.

Avoid touching your eyes, nose and mouth Avoid touching your eyes, nose and mouth

Avoid close contact (i.e. being within about 6 feet) Avoid close contact (i.e. being within about 6 feet) with persons with ILI. with persons with ILI.

For Offices / Work Places :

http://www.pandemicflu.gov/


H1N1 Testing Centres in Mumbai.H1N1 Testing Centres in Mumbai.Central Region : Central Region : Kasturba Hospital at Arthur Road, Chinchpokli , Mumbai Central.Kasturba Hospital at Arthur Road, Chinchpokli , Mumbai Central. Tel- 23027700 / 23083901 / 23054831 / 23000889Tel- 23027700 / 23083901 / 23054831 / 23000889

Eastern Suburbs :Eastern Suburbs : Rajawadi Hospital at Ghatkopar. Tel- 25094149 / 50 / 52Rajawadi Hospital at Ghatkopar. Tel- 25094149 / 50 / 52 A.K. Agarwal Hospital at Mulund- West. Tel- 25605728A.K. Agarwal Hospital at Mulund- West. Tel- 25605728Western Suburbs : Western Suburbs : Bhabha Hospital at Bandra West. Tel- 26422541/ 42Bhabha Hospital at Bandra West. Tel- 26422541/ 42 Siddharth Muncipal Hospital at Goregaon West. Tel- 28766885Siddharth Muncipal Hospital at Goregaon West. Tel- 28766885 Bhagwati Hospital at Borivali West. Tel- 28932461/ 62 / 63 Bhagwati Hospital at Borivali West. Tel- 28932461/ 62 / 63

Maharashtra Govt. is in the process of increasing the sample collection and testing Maharashtra Govt. is in the process of increasing the sample collection and testing centres in Mumbai and other regions of Maharashtra. centres in Mumbai and other regions of Maharashtra.

For out of Mumbai info:, please contact with your concerned area health authorities.For out of Mumbai info:, please contact with your concerned area health authorities.


Please forward to everyone you knowPlease forward to everyone you knowLet the awareness travel faster than the Flu…Let the awareness travel faster than the Flu…

Now that you have understood what is Swine flu, Now that you have understood what is Swine flu, spread the word tospread the word toSTOP THE SPREAD !!!! STOP THE SPREAD !!!!

Thank you. Thank you.

For general public awareness : For general public awareness :

Compiled byCompiled by : :Dr. A. M. HAJWANEDr. A. M. HAJWANE Occupational Health &Occupational Health &Maritime Medicine PhysicianMaritime Medicine Physician

Hajwane’s Healthcare Hajwane’s Healthcare Marine, offshore & Industrial Healthcare Services Marine, offshore & Industrial Healthcare Services www.hajwaneshealthcare.comwww.hajwaneshealthcare.com

http://www.hajwaneshealthcare.com/

hajwane's healthcare marine, offshore & industrial healthcare services human swine flu -...

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