The Things You Need to Know!

An ETSI Technologies Wellness Program Presentation of

Raymond A. Federe, M.D., O.H.

A Respiratory Disease that is causing pandemonium to

millions of people WORLDWIDE.

INTRODUCTIONINTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

3 Types of INFLUENZAType AType BType C

These are single stranded RNA viruses which are structurally & biologically similar but vary antigenically.

INTRODUCTIONINTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

SWINE FLU is a respiratory disease caused by influenza viruses A(H1N1)

INFLUENZA Type A with

Hemagglutinin Type 1 &

Neuraminidase Type 1 as surface antigens

INTRODUCTIONINTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

1st isolated in the U.S. (1930)

Infections have remained in local areas with people closely associated with pigs (farmers, pork processors)

Mexico Influenza A(H1N1) - 2009

INTRODUCTIONINTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

PIGS is a unique intermediary host because its respiratory cells can be infected directly with BIRD, HUMAN & other mammalian flu viruses.

Human Influenza

Avian Influenza

Swine Influenza

A (H1N1)

Mode of TransmissionINTRODUCTION

TRANSMISSION

SYMPTOMS

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TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

Respiratory Secretions Cough Sneeze

Has incubation period of 1-3 days

What are the Symptoms?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

Fever (> or = 37.8 Centigrade) Cough Colds Sore Throat Fatigue Headache Nausea Vomiting Diarrhea

How Is It Diagnosed?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

History (Travel to countries with cases of A(H1N1))

Diagnosed CLINICALLY

Nasopharyngeal Swab

NASOPHARYNGEAL SWAB(Done 3-7 days after exposure)

Distinguish between Type “A” and Type “B”

If test is Negative, no Swine Flu

If test is Positive for Type B, NOT Swine Flu

If test is Positive for Type A, COULD be conventional Flu or Swine Flu

NASOPHARYNGEAL SWAB(Done 3-7 days after exposure)

Preliminary results can be obtained in HOURS but the final results take 2 days

Is There a Treatment?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

No available Vaccine YET 2 Antivirals available in the market:

oseltamivir (Tamiflu), 75mg BID zanamivir (Relenza), 10mg BID

These drugs are NOT used indiscriminately or routinely used for prevention because of development of RESISTANCE to the Virus

Complications?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

Primary Influenza Pneumonia Secondary Bacterial Pneumonia

S. Aureus, S. Pneumonia & H. Influenza

Myocarditis and Pericarditis

How can we Prevent it?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

Regular Influenza Vaccination yearly (Effective 10-14 days after admin.)

"Influenza vaccination is the most effective method for preventing influenza virus infection and its potentially severe complications."

-USCDC

How can we Prevent it?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

Build your IMMUNE SYSTEM Have at least 8 hours of sleep Be physically active Manage your stress Drink plenty of fluids Eat nutritious food

How can we Prevent it?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

PRECAUTIONS: Cover your nose and mouth with a tissue when coughing or sneezing

How can we Prevent it?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

PRECAUTIONS: Wash hands regularly with soap & water, especially after you cough or sneeze. Alcohol-based hand cleaners may also be used

Since the virus can remain viable and infectious for about 48 hours on many surfaces

How can we Prevent it?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

PRECAUTIONS: Avoid close contact with sick people

How can we Prevent it?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

PRECAUTIONS: If sick, self-monitor and stay home from work or school and LIMIT contact with others

How can we Prevent it?INTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

PRECAUTIONS: Consult your doctor immediately should signs and symptoms of flu persist

The Latest World UpdateINTRODUCTION

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TREATMENT

COMPLICATIONS

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SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

08 June 2009: 73 countries have officially reported 25,288 cases of influenza A (H1N1) infection with 139 deaths.

U.S. has reported 13,217 laboratory confirmed human cases, including 27 deaths Mexico has reported 5717, including 106 deaths

The Latest World UpdateINTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

03 June 2009: 66 countries have officially reported 19,273 cases of influenza A (H1N1) infection with 117 deaths.

Canada has reported 2115 cases including 3 deaths Chile has 411 cases with 1 death. Costa Rica has reported 68, including 1 death

The Latest World UpdateINTRODUCTION

TRANSMISSION

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TREATMENT

COMPLICATIONS

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SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

Argentina Costa Rica Guatemala Mexico Slovakia

Australia Cuba Honduras Netherlands Spain

Austria Cyprus Hungary New Zealand Sweden

Bahamas Czech Republic Iceland Nicaragua Switzerland

Bahrain Denmark India Norway Thailand

Barbados Dominica Ireland PanamaTrinidad and

Tobago

BelgiumDominican Republic

Israel Paraguay Turkey

Bolivia Ecuador Italy PeruUnited Arab

Emirates

Brazil Egypt Jamaica Philippines United Kingdom

Bulgaria El Salvador Japan PolandUnited States of

America

Canada EstoniaKorea, Republic

ofPortugal Uruguay

Cayman Islands, UKOT

Finland Kuwait Romania Venezuela

Chile France Lebanon Russia Viet Nam

China Germany Luxembourg Saudi Arabia

Colombia Greece Malaysia Singapore

D.O.H. Preventive roleINTRODUCTION

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TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

International Airport Screening

Research Institute for Tropical Medicine (RITM) ALABANG, MUNTINLUPA

San Lazaro Hospital - MANILA

Lung Center of the Philippines - QUEZON CITY

Vicente Sotto Medical Center - CEBU CITY

Davao Medical Center - DAVAO CITY

Confirmed cases: 54

Since May 1, 2009, the DOH has monitored a total of 599 cases

There are 58 new Cases Under Observation (CUOs)

www.doh.gov.ph

AH1N1 Setting in the PhilippinesAs of JUNE 9, 2009

NOCommunityOutbreak

SummaryINTRODUCTION

TRANSMISSION

SYMPTOMS

DIAGNOSIS

TREATMENT

COMPLICATIONS

PREVENTION

SWINE FLU (WORLD)

SWINE FLU (PHILIPPINES)

SUMMARY

It is OK to eat PORK

Have your yearly FLU Shots Consult your doctor, DON’T Self Medicate! Prevention is better than cure

THANK YOU FOR LISTENING