The Menacing Intruder

September 5th, 2009 healthwiki Health Resources 0

The recent outbreak of H1N1 influenza epidemic which is better familiar as swine flu is a respiratory disease of pigs caused by type A influenza virus that causes regular outbreaks in pigs.

The human outbreak has created panic in the people due to some fatality. People are in a fix due to some reasons which include the disease is relatively new, healthcare setup is not completely equipped with adequate resources, medical professionals are not quite skilled handling the disease and so on.

When there was first outbreak of dengue haemorrhagic in Bangladesh, people were so worried similarly. But it is no longer a disease of panic.

To deal with the H1N1 influenza, we need keeping in mind several things. The best way to keep from spreading the virus through coughing or sneezing is to limit contact with other people as much as possible. Sick people should avoid work place and children should not go to schools. Concerned authority should be reluctant in this regard.

When coughing or sneezing, mouth and nose should be covered with tissue which should be discard immediately. If tissue is not available, hands are enough which must be washed afterwards. There is serious bad habit spitting and not covering mouth or nose while coughing or sneezing. Use of civic sense and simple courtesy can contribute a great deal here.

Most of the cases are self limiting and personal hygiene is of great value.

People with H1N1 influenza are potentially contagious as long as they are symptomatic with a ceiling of up to seven days following illness onset. Kids, especially younger children, might potentially be contagious for longer periods.

There is a dilemma about using the masks. Usually three types of masks are used — facemask, surgical mask and N95 mask. The N95 mask is effective in protection of H1N1 virus whereas surgical and facemask have almost no contribution for protection. But wearing facemask or surgical mask is of no harm. At least it protects others from spreading the disease. Sometimes, experts opt for double layered mask for resource poor settings.

Since the virus easily spread in crowded places, children are recommended to abstain from their schools where large outbreak occurs. Otherwise, only sick children are recommended to stay home to avoid spreading illness. Children also should not be brought to crowded places unnecessarily like shopping complexes, cinema halls etc.

Treatment is available in Bangladesh now and soon medical professionals will be used to hand H1N1 cases. Suspected cases should stay home and take home management. In case of developing warning signs or complications, individuals should seek emergency medical care in hospitals.

Antiviral drugs (Oseltamivir), which are available in the market can be stored at home for safety purpose, but it should not be readily taken without any clinical judgement or without prescription of physician, as it may develop resistance.

Fatality occurs due to misdiagnosis of the disease and accompanying other serious/chronic medical conditions — not as the disease is virulent too much. Early intervention with medication can cure the disease as usually.

Pay Attention to Pandemic Not Panic

September 5th, 2009 healthwiki Health Resources 0

The novel H1N1 influenza A virus spreads four times faster than other viruses and creates much panic all over the world. The rising number of cases every day and increase in death rate in some countries made it a serious concern. But experts in influenza and infectious disease are still saying the exact level of danger from the virus is still far from certain.

In most cases, the disease manifestation is just regular influenza. It is something that happens every year. It is self limiting and most people recover soon without any medication. H1N1 is a major concern for people with chronic diseases like diabetes, cancer and also for children and extreme aged.

The scientists who study outbreaks say that A(H1N1) is not the deadliest strain out there. The case-fatality (the percentage of people who got the disease and did not survive) is still very low. While case fatality for severe acute respiratory syndrome (SARS) reached more than 15 percent, bird flu reached higher to 60 percent, but it is only about 1 percent worldwide with a maximum fatality in Mexico is about 10 percent.

Moreover, we have drugs (Oseltamivir and Zanamivir) in our hand now to fight in the initial phase that we did not have in the previous large flu outbreaks.

Although there are positive reasons not to panic, we should be concern deeply with the risk and potential danger of H1N1 that may occur in near future. If we track back to Spanish influenza, we see that it began as a mild strain, and then turned horrifically virulent, killing 20 million to 100 million people in 1918-19.

The risk could be reduced or eliminated by exercising personal control like hygiene practice. It is worth remembering that worry itself is a risk, a stress that can undermine health and happiness. We need not to be panicked but always have to take these things seriously.

Keeping Safe From Swine Flu (H1N1) Virus

August 28th, 2009 healthwiki Health Resources 0

Swine flu, also called hog flu/pig flu is the scary names now a days. The recent outbreaks of swine flu or swine influenza A (H1N1) virus has created much panic in Bangladesh. It is heartrending but we have to be alert to contain the spread of the virus.

Simple influenza-like illness (fever, cough, sore throat) has been reported in many cases, mild respiratory illness (nasal congestion, rhinorrhea, shortness of breath) without fever and occasional severe disease also has been reported. Other symptoms reported with swine influenza A virus infection include vomiting, diarrhoea, myalgia (muscle ache), headache, chills, fatigue and shortness of breath. 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 flu virus should be considered. To confirm a positive case, a simple throat or nasal swab is examined in laboratory. Follow the dos and don’ts to reduce the risk of catching or spreading.

* Stay home and limit contact with others as much as possible
* Cover your cough/ sneeze
* Rest and eat nutritious food and take plenty of liquids
* Get plenty of sleep and rest
* Seek medical advice if you have the symptoms
* It is better to cover mouth and nose. When coughing and sneezing, using a tissue and do not forget to throw the tissue away quickly and carefull

* Wash your hands regularly with soap and water
* Hands/Fingers are very important — even some people prefer to use gloves and stop doing hand shakes
* Clean hard surfaces (like door handles and remote controls) frequently with a normal cleaning product

Don’t forget to use tissue paper when sneezing and coughing and wash your hands regularly. Do not forget to carry tissue paper; catching the germs in a tissue paper could help limit the spread of the virus.

If you do have swine flu, you should contact a qualified doctor who is aware of its management rather than visiting a practitioner and ignorant about this disease. Recently several medical college hospitals in Bangladesh has opened special ward to treat swine flu cases.

Swine flu can be treated by the drugs — Oseltamivir and Zanamivir, according to WHO guideline. In some cases, antiviral medicine may cause side effects like nausea, vomiting, diarrhoea, stomach ache, headache. Even if you do feel these symptoms it is important that those prescribed antiviral medicine complete the course, even if symptoms of swine flu clear and you start to feel better quickly.