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Home > Documents > Pandemic Flu and You. Topics of Discussion Seasonal Influenza Avian Flu Pandemic Flu Impact &...

Pandemic Flu and You. Topics of Discussion Seasonal Influenza Avian Flu Pandemic Flu Impact &...

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Pandemic Flu Pandemic Flu and You and You
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Pandemic Pandemic Flu and YouFlu and You

Topics of DiscussionTopics of Discussion

Seasonal Influenza (Flu)Seasonal Influenza (Flu)

Avian FluAvian Flu

Pandemic FluPandemic Flu

Your Role Your Role

ResourcesResources

Illness caused by the influenza virusIllness caused by the influenza virus

Extremely contagious and spreads quickly to others. Extremely contagious and spreads quickly to others.

Symptoms vary from person to person Symptoms vary from person to person

Occurs every year, usually in the fall and winter Occurs every year, usually in the fall and winter killing 36,000 people in U.S.killing 36,000 people in U.S.

What is Seasonal What is Seasonal influenza (flu)?influenza (flu)?

Symptoms of Seasonal Symptoms of Seasonal FluFlu

Sudden onset of:Sudden onset of:

Respiratory Respiratory symptomssymptoms= cough, = cough, sore throat, difficulty sore throat, difficulty breathingbreathing

Fever, headache, Fever, headache, aching muscles, aching muscles, weaknessweakness

The Flu Virus as a The Flu Virus as a ContagionContagion

IncubationIncubation Symptomatic (Sick)Symptomatic (Sick) RecoveringRecovering

Work, etc. Work/Home/Hospital Back to work, etcDay 0 Day 11Day 4 Day 15

DANGER OF INFECTION

Day 2

Infectious (Shedding Virus)Infectious (Shedding Virus)

Home Treatment of the Home Treatment of the FluFlu

Bed restBed rest

Hydration-with eight ounces of Hydration-with eight ounces of fluid every hourfluid every hour

Acetaminophen, ibuprofen, Acetaminophen, ibuprofen, naproxennaproxen

Avoid aspirin when dealing with Avoid aspirin when dealing with childrenchildren

Seeking Medical Seeking Medical Treatment for the FluTreatment for the Flu

Persistent feverPersistent fever

Productive coughProductive cough

Increasing difficulty breathingIncreasing difficulty breathing

Improvement, followed by relapseImprovement, followed by relapse

PreventionPreventionHere are Some Things You can DoHere are Some Things You can Do

Yearly vaccinationsYearly vaccinations

Wash your hands Wash your hands regularlyregularly

Avoid touching eyes, Avoid touching eyes, nose and mouthnose and mouth

Avoid close contact with Avoid close contact with sick peoplesick people

Stay at home when sickStay at home when sick

Cover your coughCover your cough

Protects Yourself

Protects

Others

Avian (Bird) FluAvian (Bird) Flu

What is it?What is it? An infection occurring naturally An infection occurring naturally

among birds (example: HSN1)among birds (example: HSN1)

Wild birds are natural carriers- Wild birds are natural carriers- Sometimes without illnessSometimes without illness Can infect domesticated birds- Can infect domesticated birds-

often resulting in illness, culling, often resulting in illness, culling, and death.and death.

Humans can become infected. Humans can become infected. Most cases due to close Most cases due to close contact.contact.

Will H5N1 become the next Will H5N1 become the next pandemic?pandemic?

Avian Flu not yet Pandemic FluAvian Flu not yet Pandemic Flu current outbreaks of H5N1 Avian Flu in current outbreaks of H5N1 Avian Flu in

poultry and birds are the largest ever poultry and birds are the largest ever documenteddocumented

Issue of concern- some cases of H5N1 Issue of concern- some cases of H5N1 virus in other kinds of animals, such as virus in other kinds of animals, such as pigs and tigerspigs and tigers

Some human cases of contractionSome human cases of contraction

Impossible to predict next pandemic Impossible to predict next pandemic flu eventflu event

If not H5N1,then If not H5N1,then anotheranother

Plan Plan nownow! !

Practice Prevention Practice Prevention NOWNOW!!

What is a Pandemic Flu?What is a Pandemic Flu?

Pandemic:Pandemic: an epidemic an epidemic spreading spreading around the around the world affecting world affecting hundreds of thousands hundreds of thousands of people, across many of people, across many countriescountries

Pandemic flu:Pandemic flu: a a pandemic that results pandemic that results from an influenza virus from an influenza virus strain that humans have strain that humans have not been previously not been previously exposed toexposed to

Putting Pandemic Flu into Putting Pandemic Flu into PerspectivePerspective

2001 terrorist attack with anthrax2001 terrorist attack with anthrax killed killed fivefive people people

2002 outbreak of West Nile Virus2002 outbreak of West Nile Virus killed killed 284284 people nationally in six months people nationally in six months

2003 SARS outbreak2003 SARS outbreak killed over killed over 800 800 people world widepeople world wide froze Asian economiesfroze Asian economies frightened millions of people into wearing frightened millions of people into wearing

masks on the streetsmasks on the streets

Pandemic

Spanish Flu- H1N1- The most devastatingflu pandemic in recentHistory, killing 40 to

80 million world wide

PandemicAsian Flu- H2N2-First identified in China- Caused roughly 70,000 deaths in the U.S.

PandemicHong Kong Flu- H3N2-

First detected in HongKong, this virus caused

roughly 34,000 deaths in the U.S.

Appearance of a new influenza strain in humans- Russian Flu-H1N1

Appearance of a new influenza strain in

humans-H5N1

Appearance of a new influenza

strain in humans- H9N2

Appearance ofa new influenza strain in humans-

H7N2- Evidence of infection in one person following a poultry outbreak in Virginia

H5N1- caused illness in 47 people in Thailand and Vietnam, 34 of whom died

H7N3- is reported for the first time in humans. The strain caused illness in two

poultry workers in Canada.

H10N7- is reported for the first time in humans. It caused illness in two infants in Egypt. One child’s father is a poultry merchant.

H7N1- 89 people in the Netherlands, most of whom were poultry workers, became infected with eye infections or flu-like symptoms. A veterinarian who visited one of the affected poultry farms died.

H9N2- Caused illness in one child in Hong Kong

**Seasonal Influenza results in 36,000 deaths in the U.S. every year

Three PandemicsThree Pandemics 1968-Hong Kong Flu1968-Hong Kong Flu

Caused 34,000 deaths in the Caused 34,000 deaths in the United StatesUnited States

1957-Asian Flu1957-Asian Flu 70,000 deaths in the United 70,000 deaths in the United

StatesStates

1918-Spanish Flu1918-Spanish Flu Over 600,000 deaths in the Over 600,000 deaths in the

United States. Up to 100 United States. Up to 100 million world widemillion world wide

Tent Hospitals-1918

More History about More History about Spanish Flu of 1918Spanish Flu of 1918

8-10% of all 8-10% of all young adultsyoung adults may may have been killed.have been killed.

From September 1918-December From September 1918-December 1918-Killed more people than the 1918-Killed more people than the Black Death in the Middle Ages Black Death in the Middle Ages killed in 100 yearskilled in 100 years

Killed more people in 24 weeks Killed more people in 24 weeks than AIDS has killed in 24 years than AIDS has killed in 24 years

Compare 2008 to 1918Compare 2008 to 1918

20082008 Modern travelModern travel Many areas more densely Many areas more densely

populatedpopulated Population exceeds 6 billionPopulation exceeds 6 billion

19181918 World War I (civilian and military World War I (civilian and military

overcrowding)overcrowding) Public information withheldPublic information withheld Population approximately 1.8 billionPopulation approximately 1.8 billion

Lessons from Past Lessons from Past PandemicsPandemics

Occurs unpredictably, not always in winter Occurs unpredictably, not always in winter

Variations in:Variations in: Case fatality rates (number of people diagnosed Case fatality rates (number of people diagnosed

with a disease that die from that disease)with a disease that die from that disease) Severity of illnessSeverity of illness Pattern of illness (ages most severely affected)Pattern of illness (ages most severely affected)

Rapid surge in number of cases over brief Rapid surge in number of cases over brief period of timeperiod of time

Tend to occur in waves- May only be one Tend to occur in waves- May only be one wavewave

Becoming a PandemicBecoming a Pandemic

For pandemic influenza to occur, three For pandemic influenza to occur, three conditions must be met: conditions must be met: A new virus which humans are not immune A new virus which humans are not immune

emergesemerges The virus causes severe human illness or death in The virus causes severe human illness or death in

humans humans The virus spreads easily from person to person The virus spreads easily from person to person

worldwideworldwide

H5N1 has H5N1 has twotwo of the three today. of the three today.

H5N1 Virus

Possibility versus Possibility versus ProbabilityProbability

World Health Organization World Health Organization assures us that there will be assures us that there will be another influenza pandemic.another influenza pandemic.

Unknown when it will occur/how Unknown when it will occur/how severe the next pandemic will besevere the next pandemic will be

Unknown what the organism will Unknown what the organism will bebe

World Health Organization

Interpandemic

Larger clusters, localized

Limited spread among humans

Pandemic

Current StatusCurrent Status

WHO Global Influenza Preparedness Plan, 2005. Available at: http://www.who.int/csr/resources/publications/influenza/GIP_2005_5Eweb.pdf

Pandemic alert

Phase 1 Phase 2 Phase 3 Phase 4 Phase 5 Phase 6

New virus in

humans

Little/no spread among humans

Small clusters, localized

Limited spread among humans

Increased and

sustained spread in general human

population

No new virus in humans

Animal viruses low risk

to humans

No new virus in humans

Animal viruses low risk

to humans

Current H5N1 status

Would there be a vaccine?Would there be a vaccine?

Because the virus will be Because the virus will be new, there will be no vaccine new, there will be no vaccine ready to protect against ready to protect against pandemic flupandemic flu

A specific vaccine cannot be A specific vaccine cannot be made until the virus has been made until the virus has been identifiedidentified

Seasonal flu vaccine or past Seasonal flu vaccine or past flu immunization will not flu immunization will not provide protectionprovide protection

Pandemic Influenza ImpactsPandemic Influenza Impacts

EstimatedEstimated Impact in Impact in LouisianaLouisiana 3 Million infected3 Million infected Between 600,000-1.4 Between 600,000-1.4

million clinically illmillion clinically ill Between 300K-700K Between 300K-700K

requiring outpatient carerequiring outpatient care Between 10,000 – Between 10,000 –

22,500 hospitalized22,500 hospitalized Between 3,000 – 6,000 Between 3,000 – 6,000

deathsdeaths

Health Care, Business, Health Care, Business, Communities, Government, Communities, Government, SchoolsSchools Significant disruption of infrastructureSignificant disruption of infrastructure

TransportationTransportation SchoolsSchools BusinessesBusinesses Medical care Medical care UtilitiesUtilities Police and fire protectionPolice and fire protection CommunicationsCommunications

Limited to no assistance from State and Federal Limited to no assistance from State and Federal Governments due to nation-wide impactGovernments due to nation-wide impact

Personal/Family PlanningPersonal/Family Planning

Stockpiling up to 30 days of water, food, Stockpiling up to 30 days of water, food, supplies, medicinessupplies, medicines

Social distancingSocial distancing

Practice all the same behaviors to prevent Practice all the same behaviors to prevent seasonal fluseasonal flu

Stay at Home Toolkits.Stay at Home Toolkits.

Public Health Role in Public Health Role in PandemicPandemic

Facilitate planningFacilitate planning Disease tracking & controlDisease tracking & control Communication about public Communication about public

health issueshealth issues Coordinate mass antiviral Coordinate mass antiviral

medication and vaccination medication and vaccination clinicsclinics

Issue isolation and quarantine Issue isolation and quarantine ordersorders

Please RememberPlease Remember

Even though local, state and federal Even though local, state and federal agencies have plans to protect the public, agencies have plans to protect the public, you are responsible for your own safety, you are responsible for your own safety,

even in an emergency!even in an emergency!

What Can You Do Now?What Can You Do Now?

BE:BE: Safe-Prepared-Healthy-Aware-A Safe-Prepared-Healthy-Aware-A VolunteerVolunteer

www.oph.dhh.louisiana.govwww.oph.dhh.louisiana.gov

Stay Informed. Be Stay Informed. Be Prepared.Prepared.

Family Readiness GuideFamily Readiness Guide http://www.dhh.louisiana.gov/offices/publicatio

ns/pubs-1/Family%20Readiness%20Guide.pdf

Official Pandemic Flu Web SiteOfficial Pandemic Flu Web Site http://www.pandemicflu.gov/

Centers for Disease Control and PreventionCenters for Disease Control and Prevention

http://www.cdc.gov/flu/pandemicfluhttp://www.cdc.gov/flu/pandemicflu//

Contact InformationContact Information


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