viernes, 22 de mayo de 2009

Swine Influenza Symptoms A(H1N1)

swsw

Although uncomplicated influenza-like illness (fever, cough or sore throat) has been reported in many cases, mild respiratory illness (nasal congestion,  rhinorrhea) without fever and occasional severe disease also has been reported. Other symptoms reported with swine influenza A virus infection include vomiting, diarrhea, myalgia, headache, chills, fatigue, and dyspnea. Conjunctivitis is rare, but has been reported. Severe disease (pneumonia, respiratory failure) and fatal outcomes have been reported with swine influenza A virus infection. The potential for exacerbation of underlying chronic medical conditions or invasive bacterial infection with swine influenza A virus infection should be considered.

 

lunes, 18 de mayo de 2009

Advice on the use of masks in the community setting in Influenza A (H1N1) outbreaks

mask

Background
At present, evidence suggests that the main route of human-to-human transmission of the new Influenza A (H1N1) virus is via respiratory droplets, which are expelled by speaking, sneezing or
coughing.
Any person who is in close contact (approximately 1 metre) with someone who has influenza-like symptoms (fever, sneezing, coughing, running nose, chills, muscle ache etc) is at risk of being
exposed to potentially infective respiratory droplets.
In health-care settings, studies evaluating measures to reduce the spread of respiratory viruses suggest that the use of masks could reduce the transmission of influenza.2 Advice on the use of
masks in health-care settings is accompanied by information on additional measures that may have impact on its effectiveness, such as training on correct use, regular supplies and proper
disposal facilities. In the community, however, the benefits of wearing masks has not been established, especially in open areas, as opposed to enclosed spaces while in close contact with
a person with influenza-like symptoms.
Nonetheless, many individuals may wish to wear masks in the home or community setting, particularly if they are in close contact with a person with influenza-like symptoms, for example
while providing care to family members. Furthermore, using a mask can enable an individual with influenza-like symptoms to cover their mouth and nose to help contain respiratory droplets,
a measure that is part of cough etiquette.
Using a mask incorrectly however, may actually increase the risk of transmission, rather than reduce it. If masks are to be used, this measure should be combined with other general measures to help prevent the human-to-human transmission of influenza, training on the correct use of masks and consideration of cultural and personal values.

General advice
It is important to remember that in the community setting the following general measures may be more important than wearing a mask in preventing the spread of influenza.


For individuals who are well:
Maintain distance of at least 1 metre from any individual with influenza-like symptoms, and:
• refrain from touching mouth and nose;
• perform hand hygiene frequently, by washing with soap and water or using an alcoholbased
handrub 3 , especially if touching the mouth and nose and surfaces that are
potentially contaminated;
• reduce as much as possible the time spent in close contact with people who might be ill;
• reduce as much as possible the time spent in crowded settings;
• improve airflow in your living space by opening windows as much as possible.


For individuals with influenza-like symptoms:
• stay at home if you feel unwell and follow the local public health recommendations;
• keep distance from well individuals as much as possible (at least 1 metre);
• cover your mouth and nose when coughing or sneezing, with tissues or other suitable
materials, to contain respiratory secretions. Dispose of the material immediately after use
or wash it. Clean hands immediately after contact with respiratory secretions!
• improve airflow in your living space by opening windows as much as possible.
If masks are worn, proper use and disposal is essential to ensure they are potentially
effective and to avoid any increase in risk of transmission associated with the incorrect
use of masks. The following information on correct use of masks derives from the practices in
health-care settings4:
• place mask carefully to cover mouth and nose and tie securely to minimise any gaps
between the face and the mask
• while in use, avoid touching the mask
− whenever you touch a used mask, for example when removing or washing, clean
hands by washing with soap and water or using an alcohol-based handrub
• replace masks with a new clean, dry mask as soon as they become damp/humid
• do not re-use single-use masks
− discard single-use masks after each use and dispose of them immediately upon
removing.


Although some alternative barriers to standard medical masks are frequently used (e.g. cloth mask, scarf, paper masks, rags tied over the nose and mouth), there is insufficient information
available on their effectiveness. If such alternative barriers are used, they should only be used once or, in the case of cloth masks, should be cleaned thoroughly between each use (i.e. wash
with normal household detergent at normal temperature). They should be removed immediately after caring for the ill. Hands should be washed immediately after removal of the mask.

 

Clean hands protect against infection

hnd

Washington Man Is Third U.S. H1N1 Death

Swine flu

(CBS/AP) Washington state health officials say a man in his 30s is the first person in the state - and the third in the U.S. - to die from what appears to be complications of the H1N1 virus, also known as swine flu.
The state Department of Health says in a news release that, like the first two U.S. H1N1 victims, the Snohomish County man had underlying heart conditions and also viral pneumonia at the time of his death May 6, but that he also had swine flu and it is considered a factor in the death.
"This death is tragic. Our thoughts are with all those affected by this man's passing," said Governor Chris Gregoire. "It's a sobering reminder that influenza is serious, and can be fatal."
The man was not further identified.
He reportedly began showing symptoms on April 30, and was treated with medications.
Health officials cautioned that the number of cases of swine flu in Washington are expected to continue rising for some time to come, and urged people to continue to practice preventive measures, such as frequent hand washing.
"We're working with local and federal partners to track this outbreak," said Secretary of Health Mary Selecky, "and while most illnesses from this new flu strain have been fairly mild, we must remember that influenza claims about 36,000 lives every year nationwide. That's why we urge people to take this outbreak, and the seasonal flu we see every year, very seriously."
Health officials said earlier Saturday that an additional 18 cases of swine flu have been confirmed in Washington, bringing the state's total to 101.

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