logging in or signing up SWINE FLU talkoncorners2 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Copy Does not support media & animations WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 162 Category: Education License: Some Rights Reserved Like it (0) Dislike it (0) Added: June 30, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript SWINE FLU : 1 SWINE FLU Flt Lt Aseem Sharma Medical Squadron 20 Jun 09 =[ : 2 =[ WHAT IS IT ?? : 3 Misnomer due to similarity to virus found in North American pigs renamed “NOVEL H1NI VIRUS” WHAT IS IT ?? AGENT SHEET : 4 AGENT SHEET GROUP: INFLUENZA VIRUSES TYPE: ‘A’ SUBTYPE: Hemagglutinin 1 Neuraminidase 1 (H1NI) AGENT SHEET (contd) : 5 AGENT SHEET (contd) ‘MUTATED’ VIRUS derived from 01 strain of Human Influenza virus 01 strain of Avian Influenza virus 02 strains of Swine Influenza virus (EURASIAN + N/AMERICAN) STRUCTURE : 6 STRUCTURE AGENT SHEET (contd) : 7 AGENT SHEET (contd) TRANSMISSIBILITY: VERY HIGH VIRULENCE: LOW FATALITY: RARE/ NOT CONFIRMED AVIAN INFLUENZA : 8 AVIAN INFLUENZA H5N1 (pure Bird Influenza strain mutation) LOW TRANSMISSIBILTY HIGH VIRULENCE COMMONLY FATAL THE BEGINNING : 9 THE BEGINNING Mar 1918 - first outbreak of ‘Spanish Flu’ 1% fatality (6,75,000 deaths in the US alone) extremely virulent & transmissible H1N1 DEATH due to overactive immune system Max casualities - young males Slide 10: 10 THE RENAISSANCE : 11 THE RENAISSANCE circa 1976 (Jan/Feb) - only in Fort Dix (USA) triggered off a nationwide vaccination fiasco 01 death by H1N1, 25 by the shots Slide 12: 12 CURRENT SCENARIO : 13 CURRENT SCENARIO April 2009 - H1N1 strikes back First case reporting: MEXICO Reportedly from Canadian pigs to a farmer who migrated to Mexico THE BOON : 14 THE BOON As on date, WHO confirms that this strain lacks the PROTEINS which caused FATAL IMMUNE SYS OVERACTIVITY in the 1918 pandemic THE BAIN : 15 THE BAIN There is a high likelihood of this strain MUTATING into a more virulent form, as predicted by CDC. WHO FACT FILE : 16 WHO FACT FILE A June 17, 2009 update by the U.N.'s World Health Organization (WHO) states that "76 countries have officially reported 46,709 cases of influenza A(H1N1) infection, including 242 deaths" Slide 17: 17 EN TOTO, 212,008/1833 CONFIRMED FATALITY DISTRIBUTION : 18 FATALITY DISTRIBUTION CASE DISTRIBUTION : 19 CASE DISTRIBUTION CHRONOLOGY - ’09 : 20 CHRONOLOGY - ’09 26 Apr 09 - WHO issued a PHASE 04 ALERT signifying verified human-human transmission 10 May 09 - PHASE 05 ALERT when 02 countries in the same WHO region 11 Jun 09 - PHASE 06 DECLARED (PANDEMIC) more than 01 WHO region Slide 21: 21 INDIA : 22 INDIA 16 May 09 : FIRST CASE reported of a 23 yr old male from HYDERRABAD returning from New York 07 Jun 09 : DELHI records its first confirmed case THE DISEASE : 23 THE DISEASE Mode of Transmission: AIRBORNE/ DROPLET via COUGHING/SNEEZING Source: PIGS -- HUMANS -- HUMANS/PIGS Occupational hazard to FARMERS and VETs Slide 24: 24 CLINICAL FEATURES : 25 CLINICAL FEATURES Incubation period: 02 - 05 days Symptoms/Signs similar to Viral Fever/URTI (akin to seasonal/normal flus) Slide 26: 26 Slide 27: 27 Slide 28: 28 DIAGNOSIS (contd) : 29 DIAGNOSIS (contd) 2. A Probable case of swine influenza A(H1N1) virus infection is defined as an individual with an influenza test that is positive for influenza A, but is unsubtypable by reagents used to detect seasonal influenza virus infection OR A individual with a clinically compatible illness or who died of an unexplained acute respiratory illness who is considered to be epidemiologically linked to a probable or confirmed case. TREATMENT : 30 TREATMENT FDA-approved anti-Viral drugs TREATMENT (contd) : 31 TREATMENT (contd) Tamiflu (Oseltamivir) 75mg BD X 05d (30/45/60 mg pediatric adjustments) Relenze (Zanamivir) 02 inhalations BD X 05d ADVERSE EFFECTS : 32 ADVERSE EFFECTS Generally tolerated well, isolated reports have shown significant CNS effects with Tamiflu in children, apart from nausea, vomiting, breathlessness, abdominal pain, bloating sens, dizziness etc. IMMUNIZATION : 33 IMMUNIZATION IMMUNIZATION (contd) : 34 IMMUNIZATION (contd) EUROPEAN Pharmaceutical giant NOVARTIS AG successfully completed production of their first batch of vaccines, announced on 15 Jun 09. WHO forsees actual usage only by September. “Prevention is better than cure” : 35 “Prevention is better than cure” Slide 36: 36 Slide 37: 37 Slide 38: 38 The current dictum for prevention is: CATCH IT BIN IT KILL IT MYTHS : 39 MYTHS Slide 40: 40 WHO Swine Influenza Update 30 April 2009 Is it safe to eat pork? Yes. Swine flu has not been shown to be transmissible to people through eating properly handled and prepared pork (pig meat) or other products derived from pigs. The swine influenza virus is killed by cooking temperatures of 160°F/70°C, corresponding to the general guidance for the preparation of pork and other meat. Slide 41: 41 Slide 42: 42 INTERJECTIONS/QUESTIONS (if any) You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
SWINE FLU talkoncorners2 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Copy Does not support media & animations WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 162 Category: Education License: Some Rights Reserved Like it (0) Dislike it (0) Added: June 30, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript SWINE FLU : 1 SWINE FLU Flt Lt Aseem Sharma Medical Squadron 20 Jun 09 =[ : 2 =[ WHAT IS IT ?? : 3 Misnomer due to similarity to virus found in North American pigs renamed “NOVEL H1NI VIRUS” WHAT IS IT ?? AGENT SHEET : 4 AGENT SHEET GROUP: INFLUENZA VIRUSES TYPE: ‘A’ SUBTYPE: Hemagglutinin 1 Neuraminidase 1 (H1NI) AGENT SHEET (contd) : 5 AGENT SHEET (contd) ‘MUTATED’ VIRUS derived from 01 strain of Human Influenza virus 01 strain of Avian Influenza virus 02 strains of Swine Influenza virus (EURASIAN + N/AMERICAN) STRUCTURE : 6 STRUCTURE AGENT SHEET (contd) : 7 AGENT SHEET (contd) TRANSMISSIBILITY: VERY HIGH VIRULENCE: LOW FATALITY: RARE/ NOT CONFIRMED AVIAN INFLUENZA : 8 AVIAN INFLUENZA H5N1 (pure Bird Influenza strain mutation) LOW TRANSMISSIBILTY HIGH VIRULENCE COMMONLY FATAL THE BEGINNING : 9 THE BEGINNING Mar 1918 - first outbreak of ‘Spanish Flu’ 1% fatality (6,75,000 deaths in the US alone) extremely virulent & transmissible H1N1 DEATH due to overactive immune system Max casualities - young males Slide 10: 10 THE RENAISSANCE : 11 THE RENAISSANCE circa 1976 (Jan/Feb) - only in Fort Dix (USA) triggered off a nationwide vaccination fiasco 01 death by H1N1, 25 by the shots Slide 12: 12 CURRENT SCENARIO : 13 CURRENT SCENARIO April 2009 - H1N1 strikes back First case reporting: MEXICO Reportedly from Canadian pigs to a farmer who migrated to Mexico THE BOON : 14 THE BOON As on date, WHO confirms that this strain lacks the PROTEINS which caused FATAL IMMUNE SYS OVERACTIVITY in the 1918 pandemic THE BAIN : 15 THE BAIN There is a high likelihood of this strain MUTATING into a more virulent form, as predicted by CDC. WHO FACT FILE : 16 WHO FACT FILE A June 17, 2009 update by the U.N.'s World Health Organization (WHO) states that "76 countries have officially reported 46,709 cases of influenza A(H1N1) infection, including 242 deaths" Slide 17: 17 EN TOTO, 212,008/1833 CONFIRMED FATALITY DISTRIBUTION : 18 FATALITY DISTRIBUTION CASE DISTRIBUTION : 19 CASE DISTRIBUTION CHRONOLOGY - ’09 : 20 CHRONOLOGY - ’09 26 Apr 09 - WHO issued a PHASE 04 ALERT signifying verified human-human transmission 10 May 09 - PHASE 05 ALERT when 02 countries in the same WHO region 11 Jun 09 - PHASE 06 DECLARED (PANDEMIC) more than 01 WHO region Slide 21: 21 INDIA : 22 INDIA 16 May 09 : FIRST CASE reported of a 23 yr old male from HYDERRABAD returning from New York 07 Jun 09 : DELHI records its first confirmed case THE DISEASE : 23 THE DISEASE Mode of Transmission: AIRBORNE/ DROPLET via COUGHING/SNEEZING Source: PIGS -- HUMANS -- HUMANS/PIGS Occupational hazard to FARMERS and VETs Slide 24: 24 CLINICAL FEATURES : 25 CLINICAL FEATURES Incubation period: 02 - 05 days Symptoms/Signs similar to Viral Fever/URTI (akin to seasonal/normal flus) Slide 26: 26 Slide 27: 27 Slide 28: 28 DIAGNOSIS (contd) : 29 DIAGNOSIS (contd) 2. A Probable case of swine influenza A(H1N1) virus infection is defined as an individual with an influenza test that is positive for influenza A, but is unsubtypable by reagents used to detect seasonal influenza virus infection OR A individual with a clinically compatible illness or who died of an unexplained acute respiratory illness who is considered to be epidemiologically linked to a probable or confirmed case. TREATMENT : 30 TREATMENT FDA-approved anti-Viral drugs TREATMENT (contd) : 31 TREATMENT (contd) Tamiflu (Oseltamivir) 75mg BD X 05d (30/45/60 mg pediatric adjustments) Relenze (Zanamivir) 02 inhalations BD X 05d ADVERSE EFFECTS : 32 ADVERSE EFFECTS Generally tolerated well, isolated reports have shown significant CNS effects with Tamiflu in children, apart from nausea, vomiting, breathlessness, abdominal pain, bloating sens, dizziness etc. IMMUNIZATION : 33 IMMUNIZATION IMMUNIZATION (contd) : 34 IMMUNIZATION (contd) EUROPEAN Pharmaceutical giant NOVARTIS AG successfully completed production of their first batch of vaccines, announced on 15 Jun 09. WHO forsees actual usage only by September. “Prevention is better than cure” : 35 “Prevention is better than cure” Slide 36: 36 Slide 37: 37 Slide 38: 38 The current dictum for prevention is: CATCH IT BIN IT KILL IT MYTHS : 39 MYTHS Slide 40: 40 WHO Swine Influenza Update 30 April 2009 Is it safe to eat pork? Yes. Swine flu has not been shown to be transmissible to people through eating properly handled and prepared pork (pig meat) or other products derived from pigs. The swine influenza virus is killed by cooking temperatures of 160°F/70°C, corresponding to the general guidance for the preparation of pork and other meat. Slide 41: 41 Slide 42: 42 INTERJECTIONS/QUESTIONS (if any)