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Swineflu rotary


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Facts about swine flu & its prevention

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Swineflu rotary

  1. 1. <ul><li>DR. AVINASH BHONDWE </li></ul><ul><li>PAST PRESIDENT </li></ul><ul><li>I.M.A.,PUNE </li></ul><ul><li>G.P.A.,PUNE </li></ul>Get the Facts About Novel H1N1 Influenza
  2. 2. H1N1 Outbreaks <ul><li>1918 pandemic in humans </li></ul><ul><li>1976 U.S. outbreak </li></ul><ul><li>1988 zoonosis </li></ul><ul><li>1998 US outbreak in swine </li></ul><ul><li>2007 Philippine outbreak in swine </li></ul><ul><li>The 2009 flu pandemic </li></ul>
  3. 3. Novel H1N1 Influenza <ul><li>Novel H1N1 (referred to a swine flu early on) is a new influenza virus that is spreading from person-to-person. </li></ul><ul><li>W.H.O. has declared it as a Pandemic with alert level 5, on 11 June 2009 </li></ul><ul><li>The Govt. Of India has declared a public health emergency in response to the H1N1 outbreak. </li></ul><ul><li>Our response goals are to: </li></ul><ul><ul><ul><li>reduce transmission and illness severity </li></ul></ul></ul><ul><ul><ul><li>provide information to help health care providers, public health officials, and the public address the challenges posed by this emergency . </li></ul></ul></ul>
  4. 4. Novel H1N1 Influenza <ul><li>The first cases of human infection with novel H1N1 influenza virus were detected in April 2009 in San Diego and Imperial County, California and in Guadalupe County, Texas. </li></ul><ul><li>The virus has spread rapidly. </li></ul><ul><li>The virus is widespread in the United States at this time and has been detected internationally as well. </li></ul>
  5. 5. Novel H1N1 Influenza <ul><li>We expect that more cases, more hospitalizations, and more deaths from this outbreak will occur over the coming days and months. </li></ul><ul><li>Influenza is always serious – each year in the United States, seasonal influenza results, on average, in an estimated 36,000 deaths and more than 200,000 hospitalizations from flu-related causes. </li></ul><ul><li>. </li></ul>
  6. 6. Novel H1N1 Influenza <ul><li>This outbreak certainly poses the potential to be at least as serious as seasonal flu, if not more so, especially given the fact that there currently is no vaccine against this virus. </li></ul><ul><li>Because this is a new virus, most people will not have immunity to it, and illness may be more severe and widespread as a result </li></ul>
  7. 7. Spread of novel H1N1 virus <ul><li>Spread of novel H1N1 virus is thought to be happening in the same way that seasonal flu spreads. </li></ul><ul><li>Flu viruses are spread mainly from person to person through coughing or sneezing by people with influenza. </li></ul><ul><li>Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose. </li></ul>
  8. 8. How long can an infected person spread this virus to others? <ul><li>At the current time, this virus has the same properties in terms of spread as seasonal flu viruses. </li></ul><ul><li>With seasonal flu, studies have shown that people may be contagious from one day before they develop symptoms to up to 7 days after they get sick.  </li></ul><ul><li>Children, especially younger children, might potentially be contagious for longer periods. </li></ul>
  9. 9. Signs and symptoms <ul><li>Symptoms of novel H1N1 flu in people are similar to those associated with seasonal flu. </li></ul><ul><ul><li>Fever </li></ul></ul><ul><ul><li>Cough </li></ul></ul><ul><ul><li>Sore throat </li></ul></ul><ul><ul><li>Runny or stuffy nose </li></ul></ul><ul><ul><li>Body aches </li></ul></ul><ul><ul><li>Headache </li></ul></ul><ul><ul><li>Chills </li></ul></ul><ul><ul><li>Fatigue </li></ul></ul><ul><ul><li>In addition, vomiting (25%) and diarrhea (25%) have been reported. (Higher rate than for seasonal flu.) </li></ul></ul>
  10. 10. How does novel H1N1 Influenza spread? <ul><li>This virus is thought to spread the same way seasonal flu spreads </li></ul><ul><li>Primarily through respiratory droplets </li></ul><ul><ul><li>Coughing </li></ul></ul><ul><ul><li>Sneezing </li></ul></ul><ul><ul><li>Touching respiratory droplets on yourself, another person, or an object, then touching mucus membranes (e.g., mouth, nose, eyes) without washing hands </li></ul></ul>
  11. 11. Can you get novel H1N1 Influenza from eating pork? <ul><li>No. The novel H1N1 influenza virus (formerly referred to as swine flu) virus is not spread by food. </li></ul><ul><li>You cannot get novel H1N1 flu from eating pork or pork products. Eating properly handled and cooked pork products is safe. </li></ul>
  12. 12. What can you do to protect Yourself from getting sick? <ul><li>There is no vaccine right now to protect against this new H1N1 virus. </li></ul><ul><li>However, everyday actions can help prevent spread of germs that cause respiratory illnesses like influenza. </li></ul>
  13. 13. Take these everyday steps to protect your health <ul><li>Wash your hands often with </li></ul><ul><li>soap and warm water, </li></ul><ul><li>especially after you cough </li></ul><ul><li>or sneeze. Wash for 15 – 20 </li></ul><ul><li>seconds. </li></ul><ul><li>Alcohol-based hand </li></ul><ul><li>wipes or gel sanitizers are also </li></ul><ul><li>effective. </li></ul>
  14. 14. Take these everyday steps to protect your health <ul><li>Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. </li></ul><ul><li>Avoid touching your eyes, nose or mouth. </li></ul><ul><li>Germs spread this way. </li></ul><ul><li>Avoid contact with sick people. </li></ul>
  15. 15. Steps to protect Your health <ul><li>Avoid going to Cinema Theatres </li></ul><ul><li>Avoid going to Malls </li></ul><ul><li>Avoid travel and </li></ul><ul><li>Avoid going to Railway Station , Bus stands, Temples on holy days </li></ul>
  16. 16. What You Can Do to Stay Healthy <ul><li>Stay informed. </li></ul><ul><li>Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people. </li></ul><ul><li>Take everyday actions to stay healthy. </li></ul><ul><ul><li>Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. </li></ul></ul><ul><ul><li>. </li></ul></ul>
  17. 17. What You Can Do to Stay Healthy <ul><ul><li>Stay home if you get sick. It is recommended that you stay home from work or school and limit contact with others to keep from infecting them. </li></ul></ul><ul><li>Follow public health advice regarding school closures, avoiding crowds and other social distancing measures. </li></ul><ul><li>Find healthy ways to deal with stress and anxiety . </li></ul>
  18. 18. If you get sick… <ul><li>Stay home if you’re sick </li></ul><ul><li>for 7 days after your symptoms </li></ul><ul><li>begin or until you’ve been </li></ul><ul><li>symptom-free for 24 hours, </li></ul><ul><li>whichever is longer. </li></ul><ul><li>If you are sick, limit your contact </li></ul><ul><li>with other people as much as possible. </li></ul>
  19. 19. If your child gets sick… <ul><li>Do not send him/her to school </li></ul><ul><li>Ask him to take rest </li></ul><ul><li>Carefully observe the symptoms </li></ul><ul><li>Contact your doctor </li></ul><ul><li>The child may be sent to school after 7 days or a day after his fever and other symptoms are covered </li></ul>
  20. 20. Watch for emergency warning signs <ul><li>Most people should be able to recover at </li></ul><ul><li>home, but watch for emergency warning </li></ul><ul><li>signs that mean you should seek </li></ul><ul><li>immediate medical care. </li></ul>
  21. 21. Watch for emergency warning signs <ul><li>In adults: </li></ul><ul><ul><ul><ul><li>Difficulty in breathing or shortness of breath </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Pain or pressure in the chest or abdomen </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Sudden dizziness </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Confusion </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Severe or persistent vomiting </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Flu-like symptoms improve but then return with </li></ul></ul></ul></ul><ul><ul><ul><ul><li>fever and worse cough </li></ul></ul></ul></ul>
  22. 22. Emergency warning signs in children <ul><li>If a child gets sick and experiences any of these warning signs, seek emergency medical care. </li></ul><ul><ul><li>In children: </li></ul></ul><ul><ul><li>Fast breathing or trouble breathing </li></ul></ul><ul><ul><li>Bluish or gray skin color </li></ul></ul><ul><ul><li>Not drinking enough fluids </li></ul></ul><ul><ul><li>Severe or persistent vomiting </li></ul></ul><ul><ul><li>Not waking up or not interacting </li></ul></ul><ul><ul><li>Irritable, the child does not want to be held </li></ul></ul><ul><ul><li>Flu-like symptoms improve but then return </li></ul></ul><ul><ul><li> with fever and worse cough </li></ul></ul>
  23. 23. Taking Care of a Sick Person in Your Home <ul><li>check with their health care provider about any special care they might need if they are pregnant or have a health condition such as diabetes, heart disease, asthma, or emphysema </li></ul><ul><li>check with their health care provider about whether they should take antiviral medications </li></ul><ul><li>stay home for 7 days after your symptoms begin or until you have been symptom-free for 24 hours, whichever is longer, except to seek medical care or for other necessities </li></ul><ul><li>get plenty of rest </li></ul>
  24. 24. Taking Care of a Sick Person in Your Home <ul><li>drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated </li></ul><ul><li>cover coughs and sneezes. Clean hands with soap and water or an alcohol-based hand rub often and especially after using tissues and after coughing or sneezing into hands </li></ul><ul><li>Use Mask/ Handkerchief/ Scarf to cover nose & mouth </li></ul>
  25. 25. Taking Care of a Sick Person in Your Home <ul><li>wear a facemask – if available and tolerable – when sharing common spaces with other household members to help prevent spreading the virus to others. This is especially important if other household members are at high risk for complications from influenza.  For more information </li></ul>
  26. 26. Medications <ul><li>Check ingredient labels on over-the-counter cold and flu medications to see if they contain aspirin. </li></ul><ul><li>Children 5 years of age and older and teenagers with the flu can take medicines without aspirin, such as acetaminophen (Crocin®) and ibuprofen (Brufen®), to relieve symptoms. </li></ul><ul><li>Children younger than 4 years of age should NOT be given over-the-counter cold medications without first speaking with a health care provider. </li></ul>
  27. 27. Medications <ul><li>The safest care for flu symptoms in children younger than 2 years of age is using a cool-mist humidifier and a suction bulb to help clear away mucus. </li></ul><ul><li>Fevers and aches can be treated with acetaminophen (Tylenol®) or ibuprofen (Advil®, Motrin®, Nuprin®) or nonsteroidal anti-inflammatory drugs (NSAIDS). Examples of these kinds of medications include: </li></ul>
  28. 28. Medications <ul><li>Over-the-counter cold and flu medications used according to the package instructions may help lessen some symptoms such as cough and congestion. Importantly, these medications will not lessen how infectious a person is. </li></ul>
  29. 29. Medications <ul><li>Check the ingredients on the package label to see if the medication already contains acetaminophen or ibuprofen before taking additional doses of these medications—don’t double dose! Patients with kidney disease or stomach problems should check with their health care provider before taking any NSAIDS. </li></ul>
  30. 30. Steps to Lessen the Spread of Flu in the Home <ul><li>keep the sick person away from other people as much as possible (see “placement of the sick person”) especially others who are at high risk for complications from influenza </li></ul><ul><li>remind the sick person to cover their coughs, and clean their hands with soap and water or an alcohol-based hand rub often, especially after coughing and/or sneezing </li></ul>
  31. 31. Steps to Lessen the Spread of Flu in the Home <ul><li>have everyone in the household clean their hands often, using soap and water or an alcohol-based hand rub. Children may need reminders or help keeping their hands clean </li></ul><ul><li>ask your health care provider if household contacts of the sick person—particularly those contacts who may be pregnant or have chronic health conditions—should take antiviral medications such as oseltamivir (Tamiflu®) or zanamivir (Relenza®) to prevent the flu </li></ul>
  32. 32. Steps to Lessen the Spread of Flu in the Home <ul><li>If persons with the flu need to leave the home (for example, for medical care), they should wear a facemask, if available and tolerable, and cover their nose and mouth when coughing or sneezing </li></ul><ul><li>Have the sick person wear a facemask – if available and tolerable – if they need to be in a common area of the house near other persons. </li></ul><ul><li>If possible, sick persons should use a separate bathroom & bedroom. They should be cleaned daily with household disinfectant (Lysol). </li></ul>
  33. 33. Steps to Lessen the Spread <ul><li>Use paper towels for drying hands after hand washing or dedicate cloth towels to each person in the household. For example, have different colored towels for each person </li></ul><ul><li>If you are in a high risk group for complications from influenza, you should attempt to avoid close contact (within 6 feet) with household members who are sick with influenza. If close contact with a sick individual is unavoidable, consider wearing a facemask or respirator, if available and tolerable. For more information </li></ul>
  34. 34. Household Cleaning, Laundry, and Waste Disposal <ul><li>Throw away tissues and other disposable items used by the sick person in the trash. Wash your hands after touching used tissues and similar waste. </li></ul><ul><li>Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant according to directions on the product label. </li></ul>
  35. 35. Household Cleaning, Laundry, and Waste Disposal <ul><li>Linens, eating utensils, and dishes belonging to those who are sick do not need to be cleaned separately, but importantly these items should not be shared without washing thoroughly first. </li></ul><ul><li>Wash linens (such as bed sheets and towels) by using household laundry soap and tumble dry on a hot setting. </li></ul><ul><li>Avoid “hugging” laundry prior to washing it to prevent contaminating yourself. </li></ul>
  36. 36. <ul><li>Clean your hands with soap and water or alcohol-based hand rub right after handling dirty laundry. </li></ul><ul><li>Eating utensils should be washed either in a dishwasher or by hand with water and soap </li></ul>Household Cleaning, Laundry, and Waste Disposal
  37. 37. Talking to Children About Novel H1N1 Flu <ul><li>As a parent you know how hard it can be for children to understand stressful situations, such as the current situation of novel H1N1 flu. </li></ul><ul><li>Stressful situations often cause children to worry and have many questions as to why it is happening and how it can be fixed. </li></ul><ul><li>It is important to remember to take care of your health and well-being as well as the health of your children. </li></ul>
  38. 38. Talking to Children About Novel H1N1 Flu <ul><li>If you cope with a stressful situation well, your children will also cope better. Your confidence and calm attitude will help your children ease their worries and feel safe and secure </li></ul><ul><li>Ask your children what they have heard about novel H1N1 flu. Answer questions openly and honestly, at a level they can understand. Be concrete and do not avoid difficult questions </li></ul>
  39. 39. Talking to Children <ul><li>Allow your children to express their feelings and concerns. Let them know it is okay to be afraid or mad. Ask questions so you can help them identify and cope with their feelings. </li></ul><ul><li>Limit exposure to media and adult conversations about novel H1N1 flu . If your children are watching T.V. try to watch with them or make sure you are available to answer questions about what they have heard </li></ul>
  40. 40. Talking to Children <ul><li>As appropriate, encourage healthy behaviors: eating well, sleeping well, and playing outside. </li></ul><ul><li>Use their questions as an opportunity to let them know what they can do to avoid getting novel H1N1 flu. </li></ul>
  41. 41. About Schools <ul><li>School dismissal is not advised for a suspected or confirmed case of novel influenza A (H1N1) and, in general, is not advised unless there is a magnitude of faculty or student absenteeism that interferes with the school’s ability to function. </li></ul><ul><li>Students, faculty or staff with influenza-like illness (fever with a cough or sore throat) should stay home and not attend school or go into the community except to seek medical care for at least 7 days even if symptoms resolve sooner. </li></ul>
  42. 42. About Schools <ul><li>Students, faculty and staff who are still sick 7 days after they become ill should continue to stay home from school until at least 24 hours after symptoms have resolved. </li></ul><ul><li>Students, faculty and staff who appear to have an influenza-like illness at arrival or become ill during the day should be isolated promptly in a room separate from other students and sent home. </li></ul>
  43. 43. About Schools <ul><li>Aspirin or aspirin-containing products should not be administered to any confirmed or suspected ill case of novel H1N1 influenza virus infection aged 18 years old and younger due to the risk of Reye syndrome </li></ul><ul><li>Ill students should not attend alternative child care or congregate in other neighborhood and community settings outside of school </li></ul>
  44. 44. About Schools <ul><li>School administrator’s should communicate regularly with local public health officials to obtain guidance about reporting of influenza-like illnesses in the school </li></ul><ul><li>Schools can help serve as a focus for educational activities aimed at promoting ways to reduce the spread of influenza, including hand hygiene and cough etiquette. </li></ul>
  45. 45. About Schools <ul><li>Any benefit depends on the circumstances. School closing is an aggressive strategy for slowing the spread of communicable disease. Closing schools may help a community contain an outbreak, but less drastic measures may be just as effective. </li></ul><ul><li>Outbreaks of viral infection often center on schools. Children have less immunity than adults do, and the school environment is rife with opportunities for sharing germs. In a busy classroom, one child with the flu can expose dozens of others. </li></ul>
  46. 46. About Schools <ul><li>Each child infected at school carries the infection from the classroom to a much wider pool of contacts. After gaining a foothold in a school, a virus with a 1 percent attack rate — meaning it infects one out of every 100 people exposed — can quickly spread in the surrounding community. The goal of school closing is to prevent this amplification by limiting contact between infected and uninfected children. For school closing to be effective, other group activities, such as sports, have to be canceled too. </li></ul>
  47. 47. What is PMC doing? <ul><li>PMC is working closely with state & Central officials </li></ul><ul><li>PMC teams are deployed and many other activities and studies are underway or are being planned. </li></ul><ul><li>PMC also is coordinating closely with the World Health Organization and other international partners. </li></ul>
  48. 48. How long can influenza virus remain viable? <ul><li>Studies have shown that influenza virus can survive on environmental surfaces like doorknobs, books, desks </li></ul><ul><li>It can infect a person for up to 2-8 hours after being deposited on the surface </li></ul><ul><li>Germs can be spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth. </li></ul>
  49. 49. What kills influenza virus? <ul><li>Influenza virus is destroyed by heat (167-212°F [75-100°C]). </li></ul><ul><li>In addition, several chemical germicides, including chlorine, hydrogen peroxide, detergents (soap), iodophors (BETADINE), and alcohols are effective against human influenza viruses if used in proper concentration for a sufficient length of time. </li></ul><ul><li>For example, wipes or gels with alcohol in them can be used to clean hands. The gels should be rubbed into hands until they are dry </li></ul>
  50. 50. What is GPA doing? <ul><li>GPA has implemented its emergency response. </li></ul><ul><li>GPA & Other doctors’ continues to issue new interim guidance for clinicians and public health professionals. </li></ul>
  51. 51. Summary <ul><li>We anticipate that there will be more cases, more hospitalizations and more deaths associated with this new virus in the coming days and weeks because the population has little to no immunity against it. </li></ul><ul><li>Ganesh Festival </li></ul><ul><li>We must all work together to limit and control the transmission of novel H1N1 influenza. </li></ul>
  52. 52. Summary <ul><li>For the most current information on the H1N1 influenza outbreak, visit </li></ul><ul><li>CDC, WHO, and public health officials worldwide are carefully monitoring the situation. </li></ul><ul><li>Follow all recommendations for preventing the spread of influenza. </li></ul><ul><li>For local guidance, contact your Family Doctor or Health Provider </li></ul>
  53. 53. FUTURE CHALLENGES <ul><li>Masks- </li></ul><ul><li>2 Ply or 3 Ply won’t be sufficient </li></ul><ul><li>N95 Only for Treating Doctors </li></ul><ul><li>Epidemic will contniue for few months & May recur every year </li></ul><ul><li>Cotton Masks- Reusable & Washable </li></ul><ul><li>Can be Ordered in Bulk </li></ul><ul><li>Bachat Gat </li></ul><ul><li>Free Distribution </li></ul>
  54. 54. FUTURE CHALLENGES <ul><li>Vaccine ready by End of November 2009 </li></ul><ul><li>Has to be given to all </li></ul><ul><li>School Children- All workers coming in public contacts </li></ul><ul><li>Adoption of schools </li></ul><ul><li>Free Inoculation </li></ul><ul><li>Preparation </li></ul>