The document summarizes information about swine flu, including what it is, how it spreads, symptoms, and ways to protect yourself. It explains that swine flu is a respiratory disease in pigs caused by influenza A viruses that can be transmitted between humans. Key facts provided include that it is a new strain of H1N1 virus not previously seen in humans; symptoms are similar to seasonal flu but it poses greater risks since humans have no immunity; protection methods include handwashing, coughing etiquette, and staying home when sick.

1. Swine Flu The Facts and How to Protect Yourself By DR AJAY KUMAR MS(std.) DARBHANGA a presentation to help you

6. Map of H1 N1 Swine Flu

8. Pigs can harbour influenza viruses can be adapted to Humans

12. What Can You Do to Protect Yourself and Others? Frequently wash your hands with soap and water for 15-20 seconds

16. What Can You Do to Protect Yourself and Others? Try to avoid close contact with people who appear sick, and have a fever and cough

26. For diagnosis of swine influenza A infection, 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. Sample Collection & Laboratory Diagnosis · Preferred respiratory samples Nasal, Nasopharyngeal & throat swab · Collection- on vaccine transport media · Availability- with area & regional coordinator · Storage of Samples : should be at 2-8⁰C until can be placed at -70⁰C. · Transportation of Samples : dry ice in triple packaging. All samples should be labeled clearly and include patient’s complete information · Laboratory biosafety measures should be followed for collections, storage, packaging and courier/ shipping of influenza samples. · Available Laboratory tests: - Rapid Antigen Tests: not as sensitive as other available tests. - RT-PCR, Virus isolation, Virus Genome Sequencing, Four-fold rise in swine influenza A (H1N1) virus specific neutralizing antibodies Diagnosis

27. Adults and children who are severely ill with H1N1 flu or at high risk of complications should be treated with antivirals like Tamiflu, the World Health Organization (WHO) said on Wednesday. But otherwise healthy people with mild flu-like symptoms need not be given the drugs to combat swine flu , it said. CDC Recommendation CDC recommends the use of oseltamivir or zanamivir for the treatment and/or prevention of infection with swine influenza viruses. Oseltamivir (brand name Tamiflu ®) is approved to both treat and prevent influenza A and B virus infection in people one year of age and older. Zanamivir (brand name Relenza ®) is approved to treat influenza A and B virus infection in people 7 years and older and to prevent influenza A and B virus infection in people 5 years and older. Treatment

28. “ Allow Your Own Inner Light to Guide You” THANK YOU