Life and Love of a Filipina

Swine Flu Outbreak

By Blue Rose on Tuesday, 28 of April , 2009 at 4:04 pm

Swine influenza (also swine flu) refers to influenza caused by any strain of the influenza virus (family Orthomyxoviridae) that is endemic in pigs (swine). Strains endemic in swine are called swine influenza virus (SIV). Of the three genera of Orthomyxoviridae that are endemic in humans, two are endemic also in swine: Influenzavirus A (common) or Influenzavirus C (rare). Influenzavirus B has not been reported in swine. Within Influenzavirus A and Influenzavirus C, the strains endemic to swine and humans are largely distinct.

People who work with poultry and swine, especially people with intense exposures, are at risk of infection with influenza from these animals if the animals carry a strain that is also able to infect humans. SIV can mutate into a form that allows it to pass from human to human. The strain responsible for the 2009 swine flu outbreak is believed to have undergone such a mutation.

Signs and Symptoms

In humans, the symptoms of swine flu are similar to those of influenza and of influenza-like illness in general. In most cases, the strain responsible for the 2009 swine flu outbreak causes only mild symptoms.

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According to the Centers for Disease Control and Prevention (CDC), in humans the symptoms of swine flu are similar to those of influenza and of influenza-like illness in general. Symptoms include fever, cough, sore throat, body aches, headache, chills and fatigue. A few more patients than usual have also reported diarrhea and vomiting.

Because these symptoms are not specific to swine flu, a differential diagnosis of probable swine flu requires not only symptoms but also a high likelihood of swine flu due to the person’s recent history. For example, during the 2009 swine flu outbreak in the United States, CDC advised physicians to “consider swine influenza infection in the differential diagnosis of patients with acute febrile respiratory illness who have either been in contact with persons with confirmed swine flu, or who were in one of the five U.S. states that have reported swine flu cases or in Mexico during the 7 days preceding their illness onset.” A diagnosis of confirmed swine flu requires laboratory testing of a respiratory sample (a simple nose and throat swab).

Prevention

Recommendations to prevent infection by the virus consist of the standard personal precautions against influenza. This includes frequent washing of hands with soap and water or with alcohol-based hand sanitizers, especially after being out in public. People should avoid touching their mouth, nose or eyes with their hands unless they’ve washed their hands. If people do cough, they should cough into a tissue and throw it in the garbage immediately, cough into their elbow, or, if they cough in their hand, they should wash their hands immediately. Vaccines that are effective against the current strain are being developed.

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Safe Care Campaign reports that hand transmission is one way that germs are carried, not only from one area to another (for instance, a contaminated surface to your nose or mouth, but also from one person to another as when shaking hands). When attending to a patient, it is imperative to wash and/or sanitize hands, not only prior to touching them but afterwards as well.

Remember “prevention is better than cure.” Take care.

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