Professional Documents
Culture Documents
PRESENTED BY
DR FIZZA MALIK
ROLL # 05
MSPH 2009-10
INTRODUCTION
INTRODUCTION
Definition
Confirmed case:
A confirmed case of influenza A(H1N1)
virus infection is defined as an individual
with laboratory confirmed new influenza
A(H1N1)virus infection by one or more of
the following tests:
* real time RT-PCR
* viral culture
* four fold rise in new influenza
A(H1N1) virus specific neutralizing
antibodies.
Case Definitions
• Probable case:
Is defined as an individual with a positive
influenza test for influenza A but is
unsubtypable by reagents used to detect
seasonal influenza virus infection
OR
• An individual with clinically compatible
illness who is considered to be
epidemiologically linked to a probable or
confirmed case.
SYMPTOMS
SYMPTOMS
Unusual tiredness
Headache
Runny nose
Sore throat
Shortness of breath or cough
Loss of appetite
Aching muscles
Diarrhea or vomiting
High-Risk
High-Risk Groups
Groups
Diabetes mellitus
Patients who have had drug treatment
For asthma within the past three years
Pregnant women
People aged 65 and older, and
ORIGIN
INCUBATION PERIOD:
• IN U.S.A
The new strain was first diagnosed in two children,
neither of whom had been in contact with pigs, by the
CDC, first on April 14, 2009 in San Diego County,
California.
• SITUATION IN UNITED KINGDOM:
The number of new swine flu cases has
almost doubled in the past seven days, with
an estimated 9,000 new cases this week.
Situation in Pakistan
• ISLAMABAD — The first swine flu case in
Pakistan was detected on August 10, 2009 .
• Two new Pakistani patients traveled from
Arab countries on 23rd and 24th of
September this year. Swine flu was detected
through lab investigation of blood samples in
two patients after they were admitted to
the (PIMS) and they had been kept in an
isolation ward.
• ‘The 4th suspected patient arrived at (PIMS)
Virus Pig
Environmental conditions
MAGNITUDE
AIM
TO MAKE PAKISTAN FREE OF SWINE FLU.
OBJECTIVES
To define strategies regarding control of swine flu in
Pakistan.
• Wash your hands with soap and water. Avoid touching mouth
and nose, close contact with ill people and crowded settings
• Improved ventilation in living places
• Practice good health habits including good sleep, nutritious
food with plenty of fluids and physical activity
• Encourage sufferer to cover their faces with the mask or
handkerchief while coughing and sneezing
• Annual winter vaccination (seasonal anti influenza vaccine) is
recommended for patients suffering from chronic pulmonary,
cardiac or renal disease
• Infected patients should not travel
• Isolation of suspected patients
• Stock pilling of required medicines and logistics
• Activation of district and provincial Influenza Committee /
Task forces
Travel Precautions
MANAGEMENT
• The goal of treatment to alleviate the symptoms.
Antibiotics are not effective against viruses. Bed
rest is advisable till the fever subsides.
• A mild analgesic such as Paracetamol (0.5-1g) every
4-6 hrs usually relieves the headache and
generalized pains and warm fluids help to relieve the
discomfort of the symptoms.
• Pholcodine 5-10mg 3-4 times daily may be used to
suppress nonproductive cough.
• Specific treatment of complications such as
Bronchitis and Pneumonia becomes necessary.
• Virus has been found sensitive to OSELATMIVIR
(TAMIFLU) and ZANAMIVIR but resistant to
Amantidine and Remantadine.
• No vaccine is yet available for H1N1 NOVEL virus
strain.
Adverse Reactions to
Tami flu
• Nausea
• Vomiting
• Diarrhea
EXISTING POLICIES
1. The CDC recommends that students and school
workers with flu symptoms should stay home
for either seven days, or until 24 hours after
symptoms subside—whichever is longer.
2. The new guidelines provided at schools,
colleges, workplaces has a list of strategies to
keep learning facilities open while reducing
exposure of students, faculty, and staff. They
state that the most important actions are to
encourage and facilitate good hand washing and
covering coughs and sneezes, flu vaccinations
for people at risk; and to separate sick people
from healthy people as soon as possible .
EXISTING POLICIES
3.QUARENTINES:
Countries have begun quarantining or
have threatened to quarantine foreign
visitors suspected of having or being in
contact with others who may have been
infected
MY PLAN
1. Reduction of the oppurtunities for
spread of infection with H1N1 from
human to human by: