what the human race knows so far about the new invading virus
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Info gathered by Dr.MonaYoussef
Study has shown virus to be different from the normally circulating North American pig virus.It has two genes from flu viruses that normally circulate in pigs in Europe and Asia , avian genes and human genes.
How is it then that it made its first appearance in Mexico and the US?
Genomic mapping of the virus revealed that it has been present and circulating in pigs for the past 7.5 to ten years (obviously undetected due to laxity in surveillance of pigs).
*wipes or gels with alcohol in them should be rubbed into hands
until they are dry.
A person can sneeze on someone’s luggage in an airport, and start an outbreak in a country without even entering it!
H3 subtypes infect older population and tend to be more severe.
No completed research for novel H1N1 virus.
Research on H5N1 has shown:
for swimming pools :1–3 parts per million
(ppm or mg/L)
spas: 2–5 ppm
It is likely that other influenza viruses such as novel H1N1 would also be similarly inactivated by chlorination.
NO need for mass burials yet….
He says ice-cream made him feel better, and Thank God has now recovered full health.
But the rest of the planet has a quick –paced pandemic marching on….
'Patient Zero' in Swine Flu Outbreak Identified as 5-Year-Old Mexican Boy:
Timeline now recovered full health.
Mexico now recovered full health.MidMarch: La Gloria,Veracruz, 60% of the town's population is sickened by a respiratory illness of unknown provenance.
April 23 :S-OIV (swine origin influenza virus) confirmed,
same strain detected in two California children as in Mexico.
PAHO informed of Mexico cluster of S-OIV
April 16 : Mexico Authorities notify the PAHO (Pan American Health Organization)
of the atypical pneumonia.
“Public health emergency of international concern”
pandemic alert raised from phase 3 to phase 4.
During this time interim, the WHO was vastly criticized for not announcing phase 6
WHO Report 95 AFFECTED COUNTRIES now recovered full health.
Nothing’s holding this virus back…….!!!
A pandemic now recovered full health.means an epidemic of an infectious disease, that spreads throughout a large number of people and can spread worldwide.
A pandemic begins when: there is person-to-person sustained transmission on multiple continents.
The now recovered full health.World Health Organization uses a six stage phase for alerting the general public to an outbreak
Phase 1 – now recovered full health.animal to animal transmission.
Phase 2 – an animal influenza virus is capable of
Phase 3 - small outbreaks among close populations but
not through human to human contact.
Phase 4 -Human to human transmission
Phase 5 - spread across two countries or more in one
of the WHO regions (continents).
Phase 6 – spread across two countries or more in one of
the WHO regions plus spread to another WHO
W.H.O. identifies the following six epidemiological sub-regions.
- African Region
- Eastern Mediterranean Region
- European Region
- Region of the Americas
- South-East Asian Region
- Western Pacific Region
Graveness of the situation reach….
In one week, the United Nations agency raised the alert level twice, from phase 3 to phase 5, in response to the sustained transmission of H1N1 in Mexico and the United States.( 1976 swine flu Hsw1N1 outbreak never passed phase 3. The vaccine developed caused 10 per million Guillain Barre syndrome as compared to the 1-2 per million with the seasonal flu vaccine and was banned.)
Clippings from the past
Any half-brain would know that these three subgroups were the most imortant to keep an eye on...
Countries of origin.
Mixing of NH1N1 with seasonal flu virus could result in a strain resistant to tamiflu (NH1N1 is already resistant to other antivirals
Mixing with H5N1 could produce strains capable of human to human transmission (Death toll of H5N1 is app. 66%)
Surprise? Just when you think you know... You don’t! the most imortant to keep an eye on...
And then Fate has it that the first detected viral strains resistant to tamiflu would show up in China! NOT Australia, and Not Chilli
hospitals, schools or public events.
and medical staff
Previous Global Pandemics the most imortant to keep an eye on...
1918 - Spanish Flu (originated in birds). the most imortant to keep an eye on...
First hit soldiers in Europe during World War I, as their immune systems were weakened by war.
The mortality rate was highest between 20 to 50 year olds.
There was never any vaccine developed, after about 18 months, the virus seemed to just disappear.
The final death toll was written as 40 million people worldwide.
Many of the victims who have died in Mexico have been young and otherwise healthy.
1957 - Asian Flu the most imortant to keep an eye on...
This flu started in birds in Asia.
In September schools and public places started closing in an effort to contain the virus.
In December the virus started to subside, but reappeared in January.
over two million people died
1968 - The Hong Kong Flu the most imortant to keep an eye on...
This is the mildest pandemic
It was first found in the early months of 1968 in Hong Kong, and was declared a global pandemic by December.
Children were out of school and were therefore not able to spread it as much.
It made a mild reappearance in 1970 and 1972.
it claimed about a million lives
Seasonal influenza normally claims app. ¼ to ½ a million lives yearly.
What we do know the most imortant to keep an eye on...
Novel H1N1 spreads just as easily as regular winter flu; ranging from very mild self-limited disease to Death.
Novel H1N1 virus tends to affect younger people just like the seasonal H1N1. (Older adults were shown to possess serum neutralizing antibodies to the new virus, most likely due to cross‐immunity with human H1N1 viruses. )
Pandemic (H1N1) influenza virus continues to be the predominant
circulating virus of influenza, both in the northern and southern
hemisphere. All pandemic H1N1 2009 influenza viruses analysed
to date have been antigenically and genetically similar
to A/California/7/2009-like pandemic H1N1 2009 virus.
Seasonal H1N1 virus that we've had this past year is ranging from very mild self-limited disease to Death.resistant to Tamiflu.
Seasonal flu vaccine production is to continue as is, in an attempt to reduce the chances of the viruses mingling together in the same environment.
Influenza is unpredictable.
Of note , the prevailing clinical picture in other countries has been GIT related.
Reporting requirements influenza activity throughout the pandemic
• National health authorities from all countries should inform WHO on a
weekly basis of their qualitative assessment of the geogrphical spread,
trend of cases, intensity of disease, impact on the health‐care system,
• National health authorities from countries with established influenza
surveillance systems should report on a weekly basis data on ILI and/or
• National influenza centres or reporting laboratories are asked to report
weekly via FluNeton the number of specimens collected and processed
for influenza and the number of specimens tested that are positive for
influenza by subtype.
A lot of Ifs……..
After considering the following issues: seasonal vaccine indicates that:
(iv) Manufacturers are urged to immediate action:develop clinical trial batches and accelerate initiation of
clinical trials of influenza A (H1N1) vaccines and to start preparing for a potential
future recommendation to move to commercial‐scale production.
(v) The above activities should not interfere with the present production of the Northern
hemisphere seasonal vaccines
(vi) The number of needed doses of A (H1N1) vaccine will depend on the spread of
influenza A (H1N1) virus in the next few weeks and on a better definition of the
groups to be targeted
(vii) An evidence‐based recommendation for the groups to be targeted for vaccination
still requires more data
Medpage 7/24/2009 immediate action:
from an article written by Dr. Zalman S. Agus:
The FDA is likely to approve 2009 H1N1 (swine flu) vaccines before trial data can prove their safety and effectiveness against the virus.
Having a licensed vaccine doesn't mean that an immunization program will kick-off immediately -- that call has to come from the Secretary of Health and Human Services (HHS).
If the vaccine is ineffective at stimulating an immune response, the FDA might have to issue an "emergency use authorization" for an oil-in-water adjuvant that sparks a stronger reaction in the immune system, but causes more side effects.
Two companies, GlaxoSmithKline and Novartis, are applying for approval for vaccines that contain oil-in-water adjuvants. The NIH is also conducting a trial of an adjuvant-enhanced vaccine.
Adjuvanted flu vaccines have been used for a decade in Europe and have not been shown to harm vulnerable populations, such as children.(Theodore Eickhoff).
The government has already purchased a supply of 120 million adjuvant doses that it will add to its antigen supply if it there is a shortage of the vaccine, or if the standard versions are shown to be ineffective.
Human infection with 2009 H1N1virus: response, the FDA might have to issue an "emergency use authorization" for an oil-in-water adjuvant that sparks a stronger reaction in the immune system, but causes more side effects.
clinical observations from Mexico and
other affected countries, May 2009
Comorbidities associated with complications: response, the FDA might have to issue an "emergency use authorization" for an oil-in-water adjuvant that sparks a stronger reaction in the immune system, but causes more side effects.
(71% of the hospitalized patients have occurred in people who have an underlying condition )
WHO Guidance response, the FDA might have to issue an "emergency use authorization" for an oil-in-water adjuvant that sparks a stronger reaction in the immune system, but causes more side effects.
Antiviral medication dosing recommendations for treatment or chemoprophylaxis of 2009 H1N1 infection
Dosing recommendations for antiviral treatment or chemoprophylaxis of children younger than 1 year using oseltamivir
Role of flies?
Roooooar chemoprophylaxis of children younger than 1 year using oseltamivir!
Nobody’s scared of me nomore!
Round and round she goes, where it stops , nobody knows…
Hey, who said that? chemoprophylaxis of children younger than 1 year using oseltamivir
swine flu in humans can vary in severity from mild to severe. Severe disease with pneumonia, respiratory failure and even death
I wish everyone could have a home like this severe. Severe disease with pneumonia, respiratory failure and even deathPeople with 2009 NH1N1 who are cared for at home should:
to seek medical attention
When to Seek Emergency Medical Care they might need and about antivirals if they are pregnant or have a Emergency Warning Signs
Get medical care right away if the sick person at home they might need and about antivirals if they are pregnant or have a :
Aspirin anti-inflammatory drugs (NSAIDS).
cool-mist humidifier and a suction bulb
Stay home anti-inflammatory drugs (NSAIDS).for 7 days after your symptoms begin or until you have been symptom-free for 24 hours, whichever is longer.
Keep away from other household members as much as possible. This is to keep you from infecting others and spreading the virus further.
Provide each family member with their own hygienic necessaties eg towels…
Keep the sick person in a room anti-inflammatory drugs (NSAIDS).separate from the common areas of the house. For example, a spare bedroom with its own bathroom,to be cleaned daily with household disinfectant.
Keep the sickroom door closed.
Have the sick person wear a surgical mask if they need to be in a common area of the house near other persons.
Stay away from the alien virus invasion!
I didn’t believe them when they said that smoking was bad for my health… a risk factor for novel H1N1!
Get in, get out…
Clean your anti-inflammatory drugs (NSAIDS).hands with soap and water or use an alcohol-based hand rub after you touch the sick person or handle used tissues, or laundry.
Talk to your health care provider about taking antiviral medication to prevent the caregiver from getting the flu.
Monitor yourself and household members for flu symptoms and contact a telephone hotline or health care provider if symptoms occur.
Facemasks and respirators may be anti-inflammatory drugs (NSAIDS).purchased at a pharmacy, building supply or hardware store (not off the street).
Used facemasks and N95 respirators should be taken off and placed immediately in the regular trash so they don’t touch anything else.
Avoid re-using disposable facemasks and N95 respirators if possible. If a reusable fabric facemask is used, it should be laundered with normal laundry detergent and tumble-dried in a hot dryer.
After you take off a facemask or N95 respirator, clean your hands with soap and water or an alcohol-based hand sanitizer.
Throw away anti-inflammatory drugs (NSAIDS).tissues and other disposable items used by the sick person in the trash.
Wash your hands after touching used tissues and similar waste.
Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant according to directions on the product label.
Eating utensils should be washed either in a dishwasher or by hand with water and soap.
Linens, eating utensils, and dishes belonging to those who are sick do not need to be cleaned separately, but importantly these items should not be shared without washing thoroughly first.
Wash linens (such as bed sheets and towels) by using household laundry soap and tumble dry on a hot setting.
Avoid “hugging” laundry prior to washing it to prevent contaminating yourself.
Clean your hands with soap and water or alcohol-based hand rub right after handling dirty laundry.
Ready-to-eat are sick canned meats, fish, fruits, vegetables, beans, and soups
Fluids with electrolytes
Canned or jarred baby food and
Protein or fruit bars
Dry cereal or granola
Peanut butter or nuts
Examples of food and non-perishables Examples of medical, health, and emergency supplies:
Be prepared for Power failure, water shortage….
Looks to me like he’s conquered his matador , and has every right to fly……….