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Influenza
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Influenza
Influenza is a highly
contagious
respiratory illness
caused by influenza
viruses. It affects
millions of people
worldwide each year,
leading to significant
illness,
hospitalization, and
even death. Medical
professionals play a
crucial role in
understanding
influenza, its
characteristics,
types, and risk
factors. This
presentation will
provide an overview
of this important
topic
Influenza Characteristics
โ€ข Segmented,
negative-strand
RNA genome
โ€ข Eight segments
encoding 11
proteins
โ€ข Enveloped virus
with two major
surface
glycoproteins:
Hemagglutinin (H)
and
Neuraminidase
(N)
โ€ข Highly mutable:
undergoes
antigenic drift and
shift
Influenza The flu
โ€ข Highly contagious
respiratory illness
โ€ข Symptoms: sudden
onset of fever, chills,
cough, sore throat,
headache, muscle
aches, fatigue, and
runny nose
โ€ข Transmission:
through respiratory
droplets produced
by coughing or
sneezing
โ€ข Duration: typically,
5-7 days
โ€ข Complications:
pneumonia, ear
infections, sinus
infections,
bronchitis, and
hospitalization
Influenza Types A , B , C
Influenza Types A
โ€ข Subtypes: H1N1 and
H3N2
โ€ข Responsible for
most seasonal
influenza outbreaks
โ€ข Capable of causing
both mild and
severe illness
โ€ข Can infect humans
and animals
โ€ข Can undergo
antigenic shift,
leading to
pandemics
Influenza Types
โ€ข Uncommon type
of influenza
virus
โ€ข Causes mild
illness similar to
the common
cold
โ€ข Does not
undergo
antigenic shift
โ€ข Does not cause
seasonal
outbreaks
โ€ข Can infect
humans only
Influenza Types
โ€ข Less common
than influenza A
โ€ข Responsible for
seasonal
outbreaks and
sporadic cases
โ€ข Usually causes
milder illness
โ€ข Does not
undergo
antigenic shift
โ€ข Can infect
humans only
Influenza Physiology
Normal respiration physiology
โ€ข Inspiration: diaphragm
contracts, lowering
pressure in lungs, air
flows in
โ€ข Expiration: diaphragm
relaxes, pressure in
lungs increases, air
flows out
โ€ข Exchange of gases:
oxygen diffuses into
blood, carbon dioxide
diffuses out
โ€ข Regulation by
respiratory centers in
brain stem
Influenza Risk factors
Influenza Risk factors
โ€ข Age: infants,
young children,
older adults
โ€ข Underlying
medical
conditions: chronic
respiratory
disease, heart
disease, diabetes,
immunosuppressi
on
โ€ข Pregnancy
โ€ข Obesity
โ€ข Smoking
โ€ข Lack of
vaccination
Influenza Pathogenesis - contact
โ€ข Respiratory
transmission:
Influenza virus
spreads through
respiratory droplets
expelled by infected
individuals when
coughing, sneezing,
or talking.
โ€ข Binding to sialic acid
receptors: The virus
attaches to sialic acid
receptors on the
surface of respiratory
epithelial cells.
โ€ข Viral entry: The virus
enters the cell
through endocytosis.
Influenza Pathogenesis- spread
โ€ข Viral replication:
Once inside the cell,
the virus utilizes the
host cell's machinery
to replicate and
produce new viral
particles.
โ€ข Cell lysis and spread:
The infected cell
lyses, releasing new
viral particles that can
infect neighboring
cells.
โ€ข Immune response:
The host's immune
system mounts an
inflammatory
response to combat
the virus, further
contributing to tissue
damage.
Influenza Pathogenesis - inflammation
โ€ข Cytokine
release: Infected cells
release inflammatory
cytokines, such as IL-6
and TNF-ฮฑ, that attract
immune cells to the
site of infection.
โ€ข Immune
cell infiltration:
Neutrophils,
macrophages, and
lymphocytes infiltrate
the infected tissue,
contributing to
inflammation and
tissue damage.
โ€ข Alveolar
damage: In severe
cases, the virus can
damage the alveoli,
leading to respiratory
failure.
Influenza Pathogenesis
Influenza virulence factor
โ€ข Hemagglutinin (H)
protein: The
hemagglutinin (H)
protein plays a
critical role in viral
attachment and
entry into host cells.
โ€ข Neuraminidase (N)
protein: The
neuraminidase (N)
protein facilitates
the release of
newly formed viral
particles from
infected cells.
โ€ข Mutations in H and
N proteins:
Mutations in the H
and N proteins can
lead to antigenic
drift and shift,
allowing the virus to
evade the immune
system and cause
new outbreaks.
Influenza Symptoms
โ€ข Sudden onset of
fever
โ€ข Cough
โ€ข Sore throat
โ€ข Runny or stuffy
nose
โ€ข Headache
โ€ข Muscle aches and
fatigue
โ€ข Loss of appetite
โ€ข Nausea and
vomiting
Influenza Prevention
โ€ข
Vaccinati
on: Vaccination is the
most effective way to
prevent influenza.
โ€ข Annual
vaccination: Annual
vaccination is
recommended for all
individuals 6 months of
age and older.
Influenza Prevention
โ€ข Increase
immunity:
vitamins,
sleep,
exercise,
hydration.
โ€ข Reduce
alcohol intake.
โ€ข Wash hands
regularly.
โ€ข Avoid close
contact with
infected
individuals.
โ€ข See a doctor
if
experiencing
symptoms.
Influenza Vaccine
Influenza
vaccination is the
most effective way
to prevent influenza
illness,
hospitalization, and
complications.
Influenza Vaccine
Antigenic draft
โ€ข Gradual
accumulation of
mutations in the
influenza virus
over time.
โ€ข Leads to slight
changes in the
virus's surface
proteins (H and
N).
โ€ข Can result in
decreased
vaccine
effectiveness,
requiring
updated
vaccines each
year.
Antigenic shift
โ€ข Major change in
the influenza virus
due to the
introduction of
new H or N
subtypes.
โ€ข Can occur when
human influenza
viruses mix with
animal influenza
viruses.
โ€ข Can lead to
pandemics,
causing
widespread illness
and death.
Influenza Vaccine valency
โ€ข Trivalent vaccine
(TIV): Protects
against three
influenza strains โ€“
two A strains and
one B strain.
โ€ข Quadrivalent
vaccine (QIV):
Protects against
four influenza
strains โ€“ two A
strains and two B
strains.
Vaccine โ€“ inactivated form
โ€ข Made from
killed influenza
viruses.
โ€ข Cannot cause
influenza.
โ€ข Safer for
people with
weakened
immune
systems.
โ€ข Can cause mild
side effects like
soreness,
redness, and
swelling at the
injection site.
Attenuated live Vaccine
โ€ข Made from
weakened influenza
viruses.
โ€ข Can cause mild flu-
like symptoms in a
small percentage of
recipients.
โ€ข Not recommended
for people with
weakened immune
systems.
โ€ข Offers a broader
immune response
than inactivated
vaccines.
Live attenuated Vs. inactivated form
โ€ข Inactivated vaccine
(IIV): Made from
killed influenza
viruses, cannot
cause influenza.
โ€ข Live attenuated
influenza vaccine
(LAIV): Made from
weakened influenza
viruses, can cause
mild flu-like
symptoms in a
small percentage of
recipients.
Influenza Vaccine

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Influenza

  • 2. Influenza Influenza is a highly contagious respiratory illness caused by influenza viruses. It affects millions of people worldwide each year, leading to significant illness, hospitalization, and even death. Medical professionals play a crucial role in understanding influenza, its characteristics, types, and risk factors. This presentation will provide an overview of this important topic
  • 3. Influenza Characteristics โ€ข Segmented, negative-strand RNA genome โ€ข Eight segments encoding 11 proteins โ€ข Enveloped virus with two major surface glycoproteins: Hemagglutinin (H) and Neuraminidase (N) โ€ข Highly mutable: undergoes antigenic drift and shift
  • 4. Influenza The flu โ€ข Highly contagious respiratory illness โ€ข Symptoms: sudden onset of fever, chills, cough, sore throat, headache, muscle aches, fatigue, and runny nose โ€ข Transmission: through respiratory droplets produced by coughing or sneezing โ€ข Duration: typically, 5-7 days โ€ข Complications: pneumonia, ear infections, sinus infections, bronchitis, and hospitalization
  • 6. Influenza Types A โ€ข Subtypes: H1N1 and H3N2 โ€ข Responsible for most seasonal influenza outbreaks โ€ข Capable of causing both mild and severe illness โ€ข Can infect humans and animals โ€ข Can undergo antigenic shift, leading to pandemics
  • 7. Influenza Types โ€ข Uncommon type of influenza virus โ€ข Causes mild illness similar to the common cold โ€ข Does not undergo antigenic shift โ€ข Does not cause seasonal outbreaks โ€ข Can infect humans only
  • 8. Influenza Types โ€ข Less common than influenza A โ€ข Responsible for seasonal outbreaks and sporadic cases โ€ข Usually causes milder illness โ€ข Does not undergo antigenic shift โ€ข Can infect humans only
  • 10. Normal respiration physiology โ€ข Inspiration: diaphragm contracts, lowering pressure in lungs, air flows in โ€ข Expiration: diaphragm relaxes, pressure in lungs increases, air flows out โ€ข Exchange of gases: oxygen diffuses into blood, carbon dioxide diffuses out โ€ข Regulation by respiratory centers in brain stem
  • 12. Influenza Risk factors โ€ข Age: infants, young children, older adults โ€ข Underlying medical conditions: chronic respiratory disease, heart disease, diabetes, immunosuppressi on โ€ข Pregnancy โ€ข Obesity โ€ข Smoking โ€ข Lack of vaccination
  • 13. Influenza Pathogenesis - contact โ€ข Respiratory transmission: Influenza virus spreads through respiratory droplets expelled by infected individuals when coughing, sneezing, or talking. โ€ข Binding to sialic acid receptors: The virus attaches to sialic acid receptors on the surface of respiratory epithelial cells. โ€ข Viral entry: The virus enters the cell through endocytosis.
  • 14. Influenza Pathogenesis- spread โ€ข Viral replication: Once inside the cell, the virus utilizes the host cell's machinery to replicate and produce new viral particles. โ€ข Cell lysis and spread: The infected cell lyses, releasing new viral particles that can infect neighboring cells. โ€ข Immune response: The host's immune system mounts an inflammatory response to combat the virus, further contributing to tissue damage.
  • 15. Influenza Pathogenesis - inflammation โ€ข Cytokine release: Infected cells release inflammatory cytokines, such as IL-6 and TNF-ฮฑ, that attract immune cells to the site of infection. โ€ข Immune cell infiltration: Neutrophils, macrophages, and lymphocytes infiltrate the infected tissue, contributing to inflammation and tissue damage. โ€ข Alveolar damage: In severe cases, the virus can damage the alveoli, leading to respiratory failure.
  • 17. Influenza virulence factor โ€ข Hemagglutinin (H) protein: The hemagglutinin (H) protein plays a critical role in viral attachment and entry into host cells. โ€ข Neuraminidase (N) protein: The neuraminidase (N) protein facilitates the release of newly formed viral particles from infected cells. โ€ข Mutations in H and N proteins: Mutations in the H and N proteins can lead to antigenic drift and shift, allowing the virus to evade the immune system and cause new outbreaks.
  • 18. Influenza Symptoms โ€ข Sudden onset of fever โ€ข Cough โ€ข Sore throat โ€ข Runny or stuffy nose โ€ข Headache โ€ข Muscle aches and fatigue โ€ข Loss of appetite โ€ข Nausea and vomiting
  • 19. Influenza Prevention โ€ข Vaccinati on: Vaccination is the most effective way to prevent influenza. โ€ข Annual vaccination: Annual vaccination is recommended for all individuals 6 months of age and older.
  • 20. Influenza Prevention โ€ข Increase immunity: vitamins, sleep, exercise, hydration. โ€ข Reduce alcohol intake. โ€ข Wash hands regularly. โ€ข Avoid close contact with infected individuals. โ€ข See a doctor if experiencing symptoms.
  • 21. Influenza Vaccine Influenza vaccination is the most effective way to prevent influenza illness, hospitalization, and complications.
  • 23. Antigenic draft โ€ข Gradual accumulation of mutations in the influenza virus over time. โ€ข Leads to slight changes in the virus's surface proteins (H and N). โ€ข Can result in decreased vaccine effectiveness, requiring updated vaccines each year.
  • 24. Antigenic shift โ€ข Major change in the influenza virus due to the introduction of new H or N subtypes. โ€ข Can occur when human influenza viruses mix with animal influenza viruses. โ€ข Can lead to pandemics, causing widespread illness and death.
  • 25. Influenza Vaccine valency โ€ข Trivalent vaccine (TIV): Protects against three influenza strains โ€“ two A strains and one B strain. โ€ข Quadrivalent vaccine (QIV): Protects against four influenza strains โ€“ two A strains and two B strains.
  • 26. Vaccine โ€“ inactivated form โ€ข Made from killed influenza viruses. โ€ข Cannot cause influenza. โ€ข Safer for people with weakened immune systems. โ€ข Can cause mild side effects like soreness, redness, and swelling at the injection site.
  • 27. Attenuated live Vaccine โ€ข Made from weakened influenza viruses. โ€ข Can cause mild flu- like symptoms in a small percentage of recipients. โ€ข Not recommended for people with weakened immune systems. โ€ข Offers a broader immune response than inactivated vaccines.
  • 28. Live attenuated Vs. inactivated form โ€ข Inactivated vaccine (IIV): Made from killed influenza viruses, cannot cause influenza. โ€ข Live attenuated influenza vaccine (LAIV): Made from weakened influenza viruses, can cause mild flu-like symptoms in a small percentage of recipients.