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SWINE -FLU
The Cause
Any strain of influenzaAny strain of influenza
endemic inendemic in
swines(pigs), causeswines(pigs), cause
SWINE FLUESWINE FLUE..
The 2009 flu outbreak inThe 2009 flu outbreak in
humans is due to a newhumans is due to a new
strain of influenza A virusstrain of influenza A virus
subtype H1N1 thatsubtype H1N1 that
derives in part fromderives in part from
human influenza, avianhuman influenza, avian
influenza, and twoinfluenza, and two
separate strains of swineseparate strains of swine
influenza.influenza.
--WikipediaWikipedia
As the swine fluAs the swine flu
spread throughoutspread throughout
the world, countriesthe world, countries
and citizens movedand citizens moved
quickly to protectquickly to protect
themselves,themselves,
donning facedonning face
masks, cancellingmasks, cancelling
trips, and stayingtrips, and staying
out of crowdedout of crowded
areas.areas.
--FT.comFT.com
This week, one storyThis week, one story
has been prominent inhas been prominent in
our output: Swine Fluour output: Swine Flu..
--BBC NewsBBC News
The World Health Organization raisedThe World Health Organization raised
the alert level of the fastthe alert level of the fast--spreadingspreading
swine flu virus, indicating that aswine flu virus, indicating that a
"pandemic is imminent.""pandemic is imminent."
--NY TimesNY Times
Swine fluSwine flu (also called(also called swine influenzaswine influenza) is) is aa
respiratory disease of pigs caused by type Arespiratory disease of pigs caused by type A
influenza viruses that causes regular outbreaks ininfluenza viruses that causes regular outbreaks in
pigs.pigs.
People do not normally get swine flu, but humanPeople do not normally get swine flu, but human
infections can and do happen. Swine flu virusesinfections can and do happen. Swine flu viruses
have been reported to spread from personhave been reported to spread from person--toto--
person, but in the past, this transmission wasperson, but in the past, this transmission was
limited and not sustained beyond three people.limited and not sustained beyond three people.
What is Swine Flu?
The symptoms of swine flu in people are similar to the symptoms of regular human
flu and include feverfever, coughcough, sore throatsore throat, body achesbody aches, headacheheadache, chillschills,
diarrheadiarrhea, fatiguefatigue and vomitingvomiting.
Symptoms of Swine Flu
How does swine flu spread?
Being in closeBeing in close
proximity withproximity with
infected pigsinfected pigs
Person to person transmission throughPerson to person transmission through
coughing or sneezingcoughing or sneezing
Touching something withTouching something with
swine flu influenza on itswine flu influenza on it
If you have symptomsIf you have symptoms andand
especiallyespecially if you have traveledif you have traveled
to where there have beento where there have been
human cases of swine fluhuman cases of swine flu
––Call your doctorCall your doctor
––Your doctor will know how toYour doctor will know how to
test youtest you
How do I know if I have it?
If you recently traveled to an areaIf you recently traveled to an area
affected by swine fluaffected by swine flu
–– Watch for any flu like symptomsWatch for any flu like symptoms
–– Call your doctorCall your doctor if you developif you develop
flu like symptomsflu like symptoms
–– Identification of swine flu requiresIdentification of swine flu requires
special laboratory testingspecial laboratory testing
What if I traveled recently?
What is it?What is it?
What can I do?What can I do?
Don’t Panic…stay tuned
Right now, there is vaccine forRight now, there is vaccine for
swine fluswine flu
You cannot get swine flu fromYou cannot get swine flu from
eating pork or pork productseating pork or pork products
RespiratoryRespiratory
specimen should bespecimen should be
collected within 4 tocollected within 4 to
5 days of illness.5 days of illness.
The Diagnosis
How are human infections withHow are human infections with
swine influenza diagnosed?swine influenza diagnosed?
To diagnose swine influenza ATo diagnose swine influenza A
infection, a respiratory specimeninfection, a respiratory specimen
would generally need to be collectedwould generally need to be collected
within the first 4 to 5 days of illnesswithin the first 4 to 5 days of illness
(when an infected person is most(when an infected person is most
likely to be shedding virus).likely to be shedding virus).
However, some persons, especiallyHowever, some persons, especially
children, may shed virus for 10 dayschildren, may shed virus for 10 days
or longer.or longer.
Identification as a swine flu influenzaIdentification as a swine flu influenza
A virus requires sending the specimenA virus requires sending the specimen
to a hospital laboratory for testing.to a hospital laboratory for testing.
How can someone with the fluHow can someone with the flu
infect someone else?infect someone else?
Infected people may be ableInfected people may be able
to infect others beginning 1to infect others beginning 1
day before symptomsday before symptoms
develop and up to 7 or moredevelop and up to 7 or more
days after becoming sick.days after becoming sick.
That means that you may beThat means that you may be
able to pass on the flu toable to pass on the flu to
someone else before yousomeone else before you
know you are sick, as well asknow you are sick, as well as
while you are sick.while you are sick.
CDC recommends theCDC recommends the
use of oseltamivir oruse of oseltamivir or
zanamivir for thezanamivir for the
treatment and/ortreatment and/or
prevention ofprevention of
infection with swineinfection with swine
influenza viruses.influenza viruses.
Are there medicines to treatAre there medicines to treat
swine flu?swine flu?
Yes. The US CDC recommends the useYes. The US CDC recommends the use
of oseltamivir (Tamifluof oseltamivir (Tamiflu®®) or zanamivir) or zanamivir
(Relenza(Relenza®®) for the treatment and/or) for the treatment and/or
prevention of infection with these swineprevention of infection with these swine
influenza viruses.influenza viruses.
Antiviral drugs are prescriptionAntiviral drugs are prescription
medicines (pills, liquid or an inhaler)medicines (pills, liquid or an inhaler)
that fight against the flu by keeping fluthat fight against the flu by keeping flu
viruses from reproducing in your body.viruses from reproducing in your body.
If you get sick, antiviral drugs can makeIf you get sick, antiviral drugs can make
your illness milder and make you feelyour illness milder and make you feel
better faster. They may also preventbetter faster. They may also prevent
serious flu complications.serious flu complications.
In children emergency warning signs thatIn children emergency warning signs that
need urgent medical attention includeneed urgent medical attention include::
Fast breathing or trouble breathingFast breathing or trouble breathing
Bluish skin colorBluish skin color
Not drinking enough fluidsNot drinking enough fluids
Not waking up or not interactingNot waking up or not interacting
Being so irritable that the child doesBeing so irritable that the child does
not want to be heldnot want to be held
FluFlu--like symptoms improve but thenlike symptoms improve but then
return with fever and worse coughreturn with fever and worse cough
Fever with a rashFever with a rash
In adults, emergency warningIn adults, emergency warning
signs that need urgent medicalsigns that need urgent medical
attention include:attention include:
Difficulty breathing orDifficulty breathing or
shortness of breathshortness of breath
Pain or pressure inPain or pressure in
the chest or abdomenthe chest or abdomen
Sudden dizzinessSudden dizziness
ConfusionConfusion
Severe or persistentSevere or persistent
vomitingvomiting
The Prevention
NonNon
essentialessential
visits tovisits to
thethe
affectedaffected
areasareas
should beshould be
avoidedavoided
Contact with people from the affectedContact with people from the affected
areas should be cautionaryareas should be cautionary
Regular and frequent handwashRegular and frequent handwash
What is the best technique for washingWhat is the best technique for washing
my hands to avoid getting the flu?my hands to avoid getting the flu?
Washing your hands often will help
protect you from germs. Wash with
soap and water or clean with alcohol-
based hand cleaner.
When you wash your hands -- with
soap and warm water -- that you wash
for 15 to 20 seconds. When soap and
water are not available, alcohol-based
disposable hand wipes or gel
sanitizers may be used. You can find
them in most supermarkets and
drugstores.
If using gel, rub your hands until the
gel is dry. The gel doesn't need water
to work; the alcohol in it kills the
germs on your hands.
Washing your hands often will helpWashing your hands often will help
protect you from germs. Wash withprotect you from germs. Wash with
soap and water or clean with alcoholsoap and water or clean with alcohol--
based hand cleaner.based hand cleaner.
When you wash your handsWhen you wash your hands ---- withwith
soap and warm watersoap and warm water ---- that you washthat you wash
for 15 to 20 seconds. When soap andfor 15 to 20 seconds. When soap and
water are not available, alcoholwater are not available, alcohol--basedbased
disposable hand wipes or geldisposable hand wipes or gel
sanitizers may be used. You can findsanitizers may be used. You can find
them in most supermarkets andthem in most supermarkets and
drugstores.drugstores.
If using gel, rub your hands until theIf using gel, rub your hands until the
gel is dry. The gel doesn't need watergel is dry. The gel doesn't need water
to work; the alcohol in it kills theto work; the alcohol in it kills the
germs on your hands.germs on your hands.
Covering sneezes and coughsCovering sneezes and coughs
What is the best way to keep fromWhat is the best way to keep from
spreading the virus through coughing orspreading the virus through coughing or
sneezing?sneezing?
If you are sick, limit your contactIf you are sick, limit your contact
with other people as much aswith other people as much as
possible. Do not go to work orpossible. Do not go to work or
school if ill.school if ill.
Cover your mouth and nose with aCover your mouth and nose with a
tissue when coughing or sneezing.tissue when coughing or sneezing.
It may prevent those around youIt may prevent those around you
from getting sick. Put your usedfrom getting sick. Put your used
tissue in the waste basket.tissue in the waste basket.
Cover your cough or sneeze if youCover your cough or sneeze if you
do not have a tissue. Then, cleando not have a tissue. Then, clean
your hands, and do so every timeyour hands, and do so every time
you cough or sneeze.you cough or sneeze.
Throw away tissues and other disposable items used by the sick pThrow away tissues and other disposable items used by the sick person in theerson in the
trash. Wash your hands after touching used tissues and similar wtrash. Wash your hands after touching used tissues and similar waste.aste.
Keep surfaces (esp bedside tables, surfaces in the bathroom, chiKeep surfaces (esp bedside tables, surfaces in the bathroom, childrenldren’’s toys,s toys,
phone handles, doorknobs) clean by wiping them down with a housephone handles, doorknobs) clean by wiping them down with a householdhold
disinfectant according to directions on the product label.disinfectant according to directions on the product label.
Linens, eating utensils, and dishes belonging to those who are sLinens, eating utensils, and dishes belonging to those who are sick do not needick do not need
to be cleaned separately, but importantly these items should notto be cleaned separately, but importantly these items should not be sharedbe shared
without washing thoroughly first.without washing thoroughly first.
Wash linens (such as bed sheets and towels) by using household lWash linens (such as bed sheets and towels) by using household laundry soapaundry soap
and tumble dry on a hot setting. Avoidand tumble dry on a hot setting. Avoid ““hugginghugging”” laundry prior to washing it tolaundry prior to washing it to
prevent contaminating yourself. Clean your hands with soap and wprevent contaminating yourself. Clean your hands with soap and water orater or
alcoholalcohol--based hand rub right after handling dirty laundry.based hand rub right after handling dirty laundry.
Eating utensils should be washed either in a dishwasher or by haEating utensils should be washed either in a dishwasher or by hand with waternd with water
and soap.and soap.
Household Cleaning, Laundry, andHousehold Cleaning, Laundry, and
Waste DisposalWaste Disposal
A.A. Wash your hands with soap or hand cleaners.Wash your hands with soap or hand cleaners.
B.B. Avoid touching your eyes, nose or mouth.Avoid touching your eyes, nose or mouth.
C.C. Drink plenty of fluids and eat nutritious food.Drink plenty of fluids and eat nutritious food.
D.D. Cover your nose and mouth with a tissue.Cover your nose and mouth with a tissue.
E.E. Try to stay in good general health.Try to stay in good general health.
F.F. Get plenty of sleep to be physically active.Get plenty of sleep to be physically active.
G.G. Manage your stress.Manage your stress.
H.H. Try not touch surfaces that may beTry not touch surfaces that may be
contaminated with the flu virus.contaminated with the flu virus.
I.I. Avoid close contact with people who are sick.Avoid close contact with people who are sick.
J.J. Get treatment and/or prevention of theGet treatment and/or prevention of the
infection with antiviral drugs.infection with antiviral drugs.
How to keep Away from Swine Flu
Last, but certainly not the leastLast, but certainly not the least
Sense,Sense,
not scarenot scare
is the key to stayis the key to stay
safesafe
As the bestAs the best
treatment oftreatment of
any diseaseany disease
isis
We hope that this informationWe hope that this information
will help you to understandwill help you to understand
““swine fluswine flu”” and to improve yourand to improve your
awareness of local responsesawareness of local responses
and activitiesand activities
Swine Flu Vaccine available at
Kalyan Hospital at discounted rate
Please contact us @ 8347840003
Kalyan Hospital
101-102, Shree Hari Corner, Anand Soc.,
B/h Express Hotel, Alkapuri, Vadodara, Gujarat
Phone: 0265 662 8899, 235 5210
Mo: 8347840003
E-mail: kalyanhospital3010@gmail.com
Website: www.kalyanchestcenter.com

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Swine flu

  • 3.
  • 4. Any strain of influenzaAny strain of influenza endemic inendemic in swines(pigs), causeswines(pigs), cause SWINE FLUESWINE FLUE..
  • 5. The 2009 flu outbreak inThe 2009 flu outbreak in humans is due to a newhumans is due to a new strain of influenza A virusstrain of influenza A virus subtype H1N1 thatsubtype H1N1 that derives in part fromderives in part from human influenza, avianhuman influenza, avian influenza, and twoinfluenza, and two separate strains of swineseparate strains of swine influenza.influenza. --WikipediaWikipedia
  • 6. As the swine fluAs the swine flu spread throughoutspread throughout the world, countriesthe world, countries and citizens movedand citizens moved quickly to protectquickly to protect themselves,themselves, donning facedonning face masks, cancellingmasks, cancelling trips, and stayingtrips, and staying out of crowdedout of crowded areas.areas. --FT.comFT.com
  • 7. This week, one storyThis week, one story has been prominent inhas been prominent in our output: Swine Fluour output: Swine Flu.. --BBC NewsBBC News
  • 8. The World Health Organization raisedThe World Health Organization raised the alert level of the fastthe alert level of the fast--spreadingspreading swine flu virus, indicating that aswine flu virus, indicating that a "pandemic is imminent.""pandemic is imminent." --NY TimesNY Times
  • 9.
  • 10.
  • 11.
  • 12. Swine fluSwine flu (also called(also called swine influenzaswine influenza) is) is aa respiratory disease of pigs caused by type Arespiratory disease of pigs caused by type A influenza viruses that causes regular outbreaks ininfluenza viruses that causes regular outbreaks in pigs.pigs. People do not normally get swine flu, but humanPeople do not normally get swine flu, but human infections can and do happen. Swine flu virusesinfections can and do happen. Swine flu viruses have been reported to spread from personhave been reported to spread from person--toto-- person, but in the past, this transmission wasperson, but in the past, this transmission was limited and not sustained beyond three people.limited and not sustained beyond three people. What is Swine Flu?
  • 13. The symptoms of swine flu in people are similar to the symptoms of regular human flu and include feverfever, coughcough, sore throatsore throat, body achesbody aches, headacheheadache, chillschills, diarrheadiarrhea, fatiguefatigue and vomitingvomiting. Symptoms of Swine Flu
  • 14. How does swine flu spread?
  • 15. Being in closeBeing in close proximity withproximity with infected pigsinfected pigs
  • 16. Person to person transmission throughPerson to person transmission through coughing or sneezingcoughing or sneezing
  • 17. Touching something withTouching something with swine flu influenza on itswine flu influenza on it
  • 18. If you have symptomsIf you have symptoms andand especiallyespecially if you have traveledif you have traveled to where there have beento where there have been human cases of swine fluhuman cases of swine flu ––Call your doctorCall your doctor ––Your doctor will know how toYour doctor will know how to test youtest you How do I know if I have it?
  • 19. If you recently traveled to an areaIf you recently traveled to an area affected by swine fluaffected by swine flu –– Watch for any flu like symptomsWatch for any flu like symptoms –– Call your doctorCall your doctor if you developif you develop flu like symptomsflu like symptoms –– Identification of swine flu requiresIdentification of swine flu requires special laboratory testingspecial laboratory testing What if I traveled recently?
  • 20. What is it?What is it? What can I do?What can I do? Don’t Panic…stay tuned
  • 21. Right now, there is vaccine forRight now, there is vaccine for swine fluswine flu You cannot get swine flu fromYou cannot get swine flu from eating pork or pork productseating pork or pork products
  • 22. RespiratoryRespiratory specimen should bespecimen should be collected within 4 tocollected within 4 to 5 days of illness.5 days of illness. The Diagnosis
  • 23. How are human infections withHow are human infections with swine influenza diagnosed?swine influenza diagnosed? To diagnose swine influenza ATo diagnose swine influenza A infection, a respiratory specimeninfection, a respiratory specimen would generally need to be collectedwould generally need to be collected within the first 4 to 5 days of illnesswithin the first 4 to 5 days of illness (when an infected person is most(when an infected person is most likely to be shedding virus).likely to be shedding virus). However, some persons, especiallyHowever, some persons, especially children, may shed virus for 10 dayschildren, may shed virus for 10 days or longer.or longer. Identification as a swine flu influenzaIdentification as a swine flu influenza A virus requires sending the specimenA virus requires sending the specimen to a hospital laboratory for testing.to a hospital laboratory for testing.
  • 24. How can someone with the fluHow can someone with the flu infect someone else?infect someone else? Infected people may be ableInfected people may be able to infect others beginning 1to infect others beginning 1 day before symptomsday before symptoms develop and up to 7 or moredevelop and up to 7 or more days after becoming sick.days after becoming sick. That means that you may beThat means that you may be able to pass on the flu toable to pass on the flu to someone else before yousomeone else before you know you are sick, as well asknow you are sick, as well as while you are sick.while you are sick.
  • 25. CDC recommends theCDC recommends the use of oseltamivir oruse of oseltamivir or zanamivir for thezanamivir for the treatment and/ortreatment and/or prevention ofprevention of infection with swineinfection with swine influenza viruses.influenza viruses.
  • 26. Are there medicines to treatAre there medicines to treat swine flu?swine flu? Yes. The US CDC recommends the useYes. The US CDC recommends the use of oseltamivir (Tamifluof oseltamivir (Tamiflu®®) or zanamivir) or zanamivir (Relenza(Relenza®®) for the treatment and/or) for the treatment and/or prevention of infection with these swineprevention of infection with these swine influenza viruses.influenza viruses. Antiviral drugs are prescriptionAntiviral drugs are prescription medicines (pills, liquid or an inhaler)medicines (pills, liquid or an inhaler) that fight against the flu by keeping fluthat fight against the flu by keeping flu viruses from reproducing in your body.viruses from reproducing in your body. If you get sick, antiviral drugs can makeIf you get sick, antiviral drugs can make your illness milder and make you feelyour illness milder and make you feel better faster. They may also preventbetter faster. They may also prevent serious flu complications.serious flu complications.
  • 27. In children emergency warning signs thatIn children emergency warning signs that need urgent medical attention includeneed urgent medical attention include:: Fast breathing or trouble breathingFast breathing or trouble breathing Bluish skin colorBluish skin color Not drinking enough fluidsNot drinking enough fluids Not waking up or not interactingNot waking up or not interacting Being so irritable that the child doesBeing so irritable that the child does not want to be heldnot want to be held FluFlu--like symptoms improve but thenlike symptoms improve but then return with fever and worse coughreturn with fever and worse cough Fever with a rashFever with a rash
  • 28. In adults, emergency warningIn adults, emergency warning signs that need urgent medicalsigns that need urgent medical attention include:attention include: Difficulty breathing orDifficulty breathing or shortness of breathshortness of breath Pain or pressure inPain or pressure in the chest or abdomenthe chest or abdomen Sudden dizzinessSudden dizziness ConfusionConfusion Severe or persistentSevere or persistent vomitingvomiting
  • 31. Contact with people from the affectedContact with people from the affected areas should be cautionaryareas should be cautionary
  • 32. Regular and frequent handwashRegular and frequent handwash
  • 33. What is the best technique for washingWhat is the best technique for washing my hands to avoid getting the flu?my hands to avoid getting the flu? Washing your hands often will help protect you from germs. Wash with soap and water or clean with alcohol- based hand cleaner. When you wash your hands -- with soap and warm water -- that you wash for 15 to 20 seconds. When soap and water are not available, alcohol-based disposable hand wipes or gel sanitizers may be used. You can find them in most supermarkets and drugstores. If using gel, rub your hands until the gel is dry. The gel doesn't need water to work; the alcohol in it kills the germs on your hands. Washing your hands often will helpWashing your hands often will help protect you from germs. Wash withprotect you from germs. Wash with soap and water or clean with alcoholsoap and water or clean with alcohol-- based hand cleaner.based hand cleaner. When you wash your handsWhen you wash your hands ---- withwith soap and warm watersoap and warm water ---- that you washthat you wash for 15 to 20 seconds. When soap andfor 15 to 20 seconds. When soap and water are not available, alcoholwater are not available, alcohol--basedbased disposable hand wipes or geldisposable hand wipes or gel sanitizers may be used. You can findsanitizers may be used. You can find them in most supermarkets andthem in most supermarkets and drugstores.drugstores. If using gel, rub your hands until theIf using gel, rub your hands until the gel is dry. The gel doesn't need watergel is dry. The gel doesn't need water to work; the alcohol in it kills theto work; the alcohol in it kills the germs on your hands.germs on your hands.
  • 34. Covering sneezes and coughsCovering sneezes and coughs
  • 35. What is the best way to keep fromWhat is the best way to keep from spreading the virus through coughing orspreading the virus through coughing or sneezing?sneezing? If you are sick, limit your contactIf you are sick, limit your contact with other people as much aswith other people as much as possible. Do not go to work orpossible. Do not go to work or school if ill.school if ill. Cover your mouth and nose with aCover your mouth and nose with a tissue when coughing or sneezing.tissue when coughing or sneezing. It may prevent those around youIt may prevent those around you from getting sick. Put your usedfrom getting sick. Put your used tissue in the waste basket.tissue in the waste basket. Cover your cough or sneeze if youCover your cough or sneeze if you do not have a tissue. Then, cleando not have a tissue. Then, clean your hands, and do so every timeyour hands, and do so every time you cough or sneeze.you cough or sneeze.
  • 36.
  • 37. Throw away tissues and other disposable items used by the sick pThrow away tissues and other disposable items used by the sick person in theerson in the trash. Wash your hands after touching used tissues and similar wtrash. Wash your hands after touching used tissues and similar waste.aste. Keep surfaces (esp bedside tables, surfaces in the bathroom, chiKeep surfaces (esp bedside tables, surfaces in the bathroom, childrenldren’’s toys,s toys, phone handles, doorknobs) clean by wiping them down with a housephone handles, doorknobs) clean by wiping them down with a householdhold disinfectant according to directions on the product label.disinfectant according to directions on the product label. Linens, eating utensils, and dishes belonging to those who are sLinens, eating utensils, and dishes belonging to those who are sick do not needick do not need to be cleaned separately, but importantly these items should notto be cleaned separately, but importantly these items should not be sharedbe shared without washing thoroughly first.without washing thoroughly first. Wash linens (such as bed sheets and towels) by using household lWash linens (such as bed sheets and towels) by using household laundry soapaundry soap and tumble dry on a hot setting. Avoidand tumble dry on a hot setting. Avoid ““hugginghugging”” laundry prior to washing it tolaundry prior to washing it to prevent contaminating yourself. Clean your hands with soap and wprevent contaminating yourself. Clean your hands with soap and water orater or alcoholalcohol--based hand rub right after handling dirty laundry.based hand rub right after handling dirty laundry. Eating utensils should be washed either in a dishwasher or by haEating utensils should be washed either in a dishwasher or by hand with waternd with water and soap.and soap. Household Cleaning, Laundry, andHousehold Cleaning, Laundry, and Waste DisposalWaste Disposal
  • 38. A.A. Wash your hands with soap or hand cleaners.Wash your hands with soap or hand cleaners. B.B. Avoid touching your eyes, nose or mouth.Avoid touching your eyes, nose or mouth. C.C. Drink plenty of fluids and eat nutritious food.Drink plenty of fluids and eat nutritious food. D.D. Cover your nose and mouth with a tissue.Cover your nose and mouth with a tissue. E.E. Try to stay in good general health.Try to stay in good general health. F.F. Get plenty of sleep to be physically active.Get plenty of sleep to be physically active. G.G. Manage your stress.Manage your stress. H.H. Try not touch surfaces that may beTry not touch surfaces that may be contaminated with the flu virus.contaminated with the flu virus. I.I. Avoid close contact with people who are sick.Avoid close contact with people who are sick. J.J. Get treatment and/or prevention of theGet treatment and/or prevention of the infection with antiviral drugs.infection with antiviral drugs. How to keep Away from Swine Flu
  • 39. Last, but certainly not the leastLast, but certainly not the least
  • 40. Sense,Sense, not scarenot scare is the key to stayis the key to stay safesafe
  • 41. As the bestAs the best treatment oftreatment of any diseaseany disease isis
  • 42.
  • 43. We hope that this informationWe hope that this information will help you to understandwill help you to understand ““swine fluswine flu”” and to improve yourand to improve your awareness of local responsesawareness of local responses and activitiesand activities
  • 44. Swine Flu Vaccine available at Kalyan Hospital at discounted rate Please contact us @ 8347840003 Kalyan Hospital 101-102, Shree Hari Corner, Anand Soc., B/h Express Hotel, Alkapuri, Vadodara, Gujarat Phone: 0265 662 8899, 235 5210 Mo: 8347840003 E-mail: kalyanhospital3010@gmail.com Website: www.kalyanchestcenter.com