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๐๐๐๐ข๐ง๐ข๐ญ๐ข๐จ๐ง:
Influenza viruses cause the flu, a contagious respiratory tract infection.
โข Segmented, negative-strand RNA genome
โข Eight segments encoding 11 proteins
โข Enveloped virus with two major surface glycoproteins: Hemagglutinin (H) and Neuraminidase (N)
๐๐ฒ๐ฉ๐๐ฌ:
โข Influenza A: Can cause pandemics.
โข Influenza B: Responsible for seasonal flu (September-April).
โข Influenza C: Mild illness, not linked to epidemics.
๐๐ซ๐๐ง๐ฌ๐ฆ๐ข๐ฌ๐ฌ๐ข๐จ๐ง:
โข Droplets and aerosols from the respiratory tract.
โข Contact with contaminated surfaces.
๐๐๐ญ๐ก๐จ๐ฉ๐ก๐ฒ๐ฌ๐ข๐จ๐ฅ๐จ๐ ๐ฒ
1. Virus enters respiratory tract.
2. Spreads through cells, causing inflammation.
3. Potential complications: pneumonia, bacterial infections.
4. Virulence factor: Hemagglutinin binding to sialic acid on cells.
๐๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ
โข Headache
โข Runny nose
โข Chills
โข Fever
โข Other possible symptoms: cough, sore throat, fatigue, muscle aches, nausea, vomiting, diarrhea.
๐๐ซ๐๐ฏ๐๐ง๐ญ๐ข๐ฏ๐ ๐๐๐ญ๐ก๐จ๐๐ฌ
โข Increase immunity: vitamins, sleep, exercise, hydration.
โข Reduce alcohol intake.
โข Wash hands regularly.
โข Avoid close contact with infected individuals.
โข See a doctor if experiencing symptoms.
Characteristics:
โข Rapid evolution and significant variability.
โข Frequent mutations require vaccine updates twice a year.
โข Mutations lead to subtype drift and antigenic shift.
๐๐๐๐๐ข๐ง๐๐ฌ:
โข Classified by valency: number of viruses subtypes they contain.
โข Trivalent: 2 influenza A subtypes and 1 influenza B subtype.
โข Quadrivalent: 2 influenza A subtypes and 2 influenza B subtypes.
โข Inactivated: killed virus, weaker immunity, subcutaneous injection.
โข Live attenuated: weakened virus, stronger immunity, single dose, requires cool storage.
๐๐ง๐ญ๐ข๐ ๐๐ง๐ข๐ ๐๐ซ๐ข๐๐ญ
โข Gradual accumulation of mutations in the influenza virus over time.
โข Leads to slight changes in the virus's surface proteins (H and N).
โข Can result in decreased vaccine effectiveness, requiring updated vaccines each year.
๐๐ง๐ญ๐ข๐ ๐๐ง๐ข๐ ๐ฌ๐ก๐ข๐๐ญ
โข Major change in the influenza virus due to the introduction of new H or N subtypes.
โข Can occur when human influenza viruses mix with animal influenza viruses.
โข Can lead to pandemics, causing widespread illness and death.
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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
โข Segmented,
negative-strand
RNA genome
โข Eight segments
encoding 11
proteins
โข Enveloped virus
with two major
surface
glycoproteins:
Hemagglutinin (H)
and
Neuraminidase
(N)
โข Highly mutable:
undergoes
antigenic drift and
shift
4. Influenza The flu
โข Highly contagious
respiratory illness
โข Symptoms: sudden
onset of fever, chills,
cough, sore throat,
headache, muscle
aches, fatigue, and
runny nose
โข Transmission:
through respiratory
droplets produced
by coughing or
sneezing
โข Duration: typically,
5-7 days
โข Complications:
pneumonia, ear
infections, sinus
infections,
bronchitis, and
hospitalization
6. Influenza Types A
โข Subtypes: H1N1 and
H3N2
โข Responsible for
most seasonal
influenza outbreaks
โข Capable of causing
both mild and
severe illness
โข Can infect humans
and animals
โข Can undergo
antigenic shift,
leading to
pandemics
7. Influenza Types
โข Uncommon type
of influenza
virus
โข Causes mild
illness similar to
the common
cold
โข Does not
undergo
antigenic shift
โข Does not cause
seasonal
outbreaks
โข Can infect
humans only
8. Influenza Types
โข Less common
than influenza A
โข Responsible for
seasonal
outbreaks and
sporadic cases
โข Usually causes
milder illness
โข Does not
undergo
antigenic shift
โข Can infect
humans only
10. Normal respiration physiology
โข Inspiration: diaphragm
contracts, lowering
pressure in lungs, air
flows in
โข Expiration: diaphragm
relaxes, pressure in
lungs increases, air
flows out
โข Exchange of gases:
oxygen diffuses into
blood, carbon dioxide
diffuses out
โข Regulation by
respiratory centers in
brain stem
12. Influenza Risk factors
โข Age: infants,
young children,
older adults
โข Underlying
medical
conditions: chronic
respiratory
disease, heart
disease, diabetes,
immunosuppressi
on
โข Pregnancy
โข Obesity
โข Smoking
โข Lack of
vaccination
13. Influenza Pathogenesis - contact
โข Respiratory
transmission:
Influenza virus
spreads through
respiratory droplets
expelled by infected
individuals when
coughing, sneezing,
or talking.
โข Binding to sialic acid
receptors: The virus
attaches to sialic acid
receptors on the
surface of respiratory
epithelial cells.
โข Viral entry: The virus
enters the cell
through endocytosis.
14. Influenza Pathogenesis- spread
โข Viral replication:
Once inside the cell,
the virus utilizes the
host cell's machinery
to replicate and
produce new viral
particles.
โข Cell lysis and spread:
The infected cell
lyses, releasing new
viral particles that can
infect neighboring
cells.
โข Immune response:
The host's immune
system mounts an
inflammatory
response to combat
the virus, further
contributing to tissue
damage.
15. Influenza Pathogenesis - inflammation
โข Cytokine
release: Infected cells
release inflammatory
cytokines, such as IL-6
and TNF-ฮฑ, that attract
immune cells to the
site of infection.
โข Immune
cell infiltration:
Neutrophils,
macrophages, and
lymphocytes infiltrate
the infected tissue,
contributing to
inflammation and
tissue damage.
โข Alveolar
damage: In severe
cases, the virus can
damage the alveoli,
leading to respiratory
failure.
17. Influenza virulence factor
โข Hemagglutinin (H)
protein: The
hemagglutinin (H)
protein plays a
critical role in viral
attachment and
entry into host cells.
โข Neuraminidase (N)
protein: The
neuraminidase (N)
protein facilitates
the release of
newly formed viral
particles from
infected cells.
โข 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
โข Sudden onset of
fever
โข Cough
โข Sore throat
โข Runny or stuffy
nose
โข Headache
โข Muscle aches and
fatigue
โข Loss of appetite
โข Nausea and
vomiting
19. Influenza Prevention
โข
Vaccinati
on: Vaccination is the
most effective way to
prevent influenza.
โข Annual
vaccination: Annual
vaccination is
recommended for all
individuals 6 months of
age and older.
23. Antigenic draft
โข Gradual
accumulation of
mutations in the
influenza virus
over time.
โข Leads to slight
changes in the
virus's surface
proteins (H and
N).
โข Can result in
decreased
vaccine
effectiveness,
requiring
updated
vaccines each
year.
24. Antigenic shift
โข Major change in
the influenza virus
due to the
introduction of
new H or N
subtypes.
โข Can occur when
human influenza
viruses mix with
animal influenza
viruses.
โข Can lead to
pandemics,
causing
widespread illness
and death.
25. Influenza Vaccine valency
โข Trivalent vaccine
(TIV): Protects
against three
influenza strains โ
two A strains and
one B strain.
โข Quadrivalent
vaccine (QIV):
Protects against
four influenza
strains โ two A
strains and two B
strains.
26. Vaccine โ inactivated form
โข Made from
killed influenza
viruses.
โข Cannot cause
influenza.
โข Safer for
people with
weakened
immune
systems.
โข Can cause mild
side effects like
soreness,
redness, and
swelling at the
injection site.
27. Attenuated live Vaccine
โข Made from
weakened influenza
viruses.
โข Can cause mild flu-
like symptoms in a
small percentage of
recipients.
โข Not recommended
for people with
weakened immune
systems.
โข Offers a broader
immune response
than inactivated
vaccines.
28. Live attenuated Vs. inactivated form
โข Inactivated vaccine
(IIV): Made from
killed influenza
viruses, cannot
cause influenza.
โข Live attenuated
influenza vaccine
(LAIV): Made from
weakened influenza
viruses, can cause
mild flu-like
symptoms in a
small percentage of
recipients.