Swine Flu Guide:
 

  • What is swine flu?

- Swine Influenza (swine flu) is a respiratory disease of pigs caused by Type A
   influenza viruses that causes regular outbreaks in pigs.
- The outbreak started in Mexico on 18th March, 2009 and spread to USA and
  Canada and then to other countries. With the quick spread of the infection
  worldwide, WHO heightened it to pandemic level phase-5, implying
  widespread human infection
- H1N1 viruses are not spread by food. You cannot get H1N1 virus from eating
  pork or pork products. Eating properly handled and cooked pork products is
  safe.
- By providing hygienic workplace environment, common places and
  washroom facilities, locations can help reduce the risk of transmission
  of swine flu and similar workplace illnesses.

 

  • Is the current swine flu virus contagious?

- Various international agencies (US Centers for Disease Control & Prevention,
  World Health Organization) have determined that this swine influenza A (H1N1)
   virus is contagious and is spreading from human to human.

  • What are the signs and symptoms of swine flu in people?

- The symptoms of swine flu in people are similar to the symptoms of regular
   human flu and include fever, cough, sore throat, body aches, headache,
   chills and fatigue.
- Some people have reported diarrhoea and vomiting associated with
  swine flu. In the past, severe illness (pneumonia and respiratory failure)
  and deaths have been reported with swine flu infection in people.
- Like seasonal flu, swine flu may cause a worsening of underlying chronic
  medical conditions.

  • How does swine flu spread?

- Spread of this swine influenza A (H1N1) virus is thought to be happening in
   the same way that seasonal flu spreads.
- Flu viruses are spread mainly from person to person through coughing or
  sneezing of people with influenza.
- Sometimes people may become infected by touching something with live flu
  viruses on it and then touching their mouth or nose.

  • How are human infections with swine influenza diagnosed?

- To diagnose swine influenza A infection, a respiratory specimen would
   generally need to be collected within the first 4 to 5 days of illness
  (when an infected person is most likely to be shedding virus).
- However, some persons, especially children, may shed virus for 10 days
  or longer.
- Identification as a swine flu influenza A virus requires sending the
  specimen to a hospital laboratory for testing

  • How can someone with the flu infect someone else?

- Infected people may be able to infect others beginning 1 day before
  symptoms develop and up to 7 or more days after becoming sick.
- That means that you may be able to pass on the flu to someone else
   before you know you are sick, as well as while you are sick.

  • How long can an infected person spread swine flu to others?

- People with swine influenza virus infection should be considered
  potentially contagious as long as they are symptomatic and possible for
  up to 7 days following illness onset.
- Children, especially younger children, might potentially be contagious for
  longer periods.

  • Are there medicines to treat swine flu?

- Yes. The US CDC recommends the use of oseltamivir (Tamiflu®) or
  zanamivir (Relenza®) for the treatment and/or prevention of infection
  with these swine influenza viruses.
- Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that
   fight against the flu by keeping flu viruses from reproducing in your body.
- If you get sick, antiviral drugs can make your illness milder and make you
  feel better faster. They may also prevent serious flu complications.
- For treatment, antiviral drugs work best if started soon after getting sick
  (within 2 days of symptoms).

  • What surfaces are most likely to be sources of contamination?

- The virus can be spread when a person touches something that is
  contaminated with the virus and then touches his or her eyes, nose,
  or mouth.
- Droplets from a cough or sneeze of an infected person move through the air.
  The virus can then be spread when a person touches respiratory droplets from
  another person on a surface like a desk, doorknob, child’s toy or phone handset
  and then touches their own eyes, mouth or nose before washing their hands.

  • What can I do to protect myself from getting sick?

- Cover your nose and mouth with a tissue when you cough or sneeze.
  Throw the tissue in the trash after you use it.
- Wash your hands often with soap and water, especially after you cough or
  sneeze. Alcohol-based hand cleaners are also effective.
- Avoid touching your eyes, nose or mouth. The virus can spread this way.
- Try to avoid close contact with sick people.
- If you get sick with influenza, stay home from work or school and limit contact
  with others to keep from infecting them.

  • What is the best technique for Personal Hygiene?

- Hand Hygiene
-- Washing your hands often will help protect you from germs. Wash with soap
   and water or clean with alcohol-based hand cleaner.
-- When you wash your hands -- with soap and warm water -- that you wash for
   15 to 20 seconds. When soap and water are not available, alcohol-based
   disposable hand wipes or gel sanitizers may be used. You can find them in
   most supermarkets and drugstores.
-- If using gel, rub your hands until the gel is dry. The gel doesn't need water to
   work; the alcohol in it kills the germs on your hands.

- Respiratory Hygiene / Cough Etiquette
-- Cover the nose/mouth with a handkerchief/tissue paper when coughing or
   sneezing
-- Use tissues to contain respiratory secretions and dispose of them in the
   nearest waste receptacle after use.
-- Perform hand hygiene (e.g., hand washing with non-antimicrobial soap and
   water, alcohol based hand-rub, or antiseptic hand wash) after having contact
   with respiratory secretions and contaminated objects / materials.
-- Masks are not recommended for individuals or community. As a matter of
  abundant precaution, it is recommended to use three layered surgical masks
  on suspicion of an affected person in the vicinity.

- Work Place Etiquettes
-- The employee who returns to the workplace after visit to affected areas
   should be placed under surveillance of a qualified Health Professional
   (personal or official), for a period of minimum of 10 days for appearance
   of any of the symptoms of swine flu stated above.

- Travel Advice to be given during these times to general public
 
The first and foremost question should be DO YOU REALLY NEED TO
  TRAVEL. In case the travel to possibly affected countries / geographical
   regions can be avoided, the same should be encouraged till the time
   WHO withdraws the pandemic alert.

Before any travel to affected area
-- Educate yourself and others travelling with you.
-- Take specific vaccinations as recommended by your health care
   provider / Occupational Health Physician
-- Assemble travel health kit
-- Check your health insurance plan

During travel to an affected area
-- Avoid all direct contact with pigs and visiting the farms
-- Practice careful and frequent hand washing
-- Consume thoroughly cooked food
-- Seek immediate medical attention if symptoms occur

After your return
-- Monitor your health for 10 days
-- If you become ill with high fever, consult a doctor immediately.

- In children emergency warning signs that need urgent medical
  attention include:

-- Fast breathing or trouble breathing
-- Bluish skin color
-- Not drinking enough fluids
-- Not waking up or not interacting
-- Being so irritable that the child does not want to be held
-- Flu-like symptoms improve but then return with fever and worse cough
-- Fever with a rash

- In adults, emergency warning signs that need urgent medical attention
  include

-- Difficulty breathing or shortness of breath
-- Pain or pressure in the chest or abdomen
-- Sudden dizziness
-- Confusion
-- Severe or persistent vomiting

- Household Cleaning, Laundry, and Waste Disposal
-- Throw away 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 (esp bedside tables, surfaces in the bathroom, children’s
    toys, phone handles, doorknobs) clean by wiping them down with a household
   disinfectant according to directions on the product label.
-- 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.
-- Eating utensils should be washed either in a dishwasher or by hand with water
   and soap.