Hello friends i am BSc Nursing intern.This presentation of mine covers almost each and every aspect related to swine flu.Hope it will help you to increase your knowledge regarding the topic.Looking forward to your feedback.Thank you

1. By: Priyanka Randhir BSc.Nursing Intern

2. Introduction Swine flu (swine Influenza) is a respiratory disease of pigs caused by type A influenza that regularly cause outbreaks of influenza among pigs. Swine influenza (also called swine flu, hog flu, and pig flu) is an infection by any one of several types of swine influenza virus. It is pandemic flu. Its first case was detected in United states.

3. Swine flu in India According to mass media the first cases of swine [h1N1] flu in India was found in Maharashtra and the reality is this that it was carried by the persons staying in the infected countries. From then till now, many a peoples were infected by this hazardous disease and just because this virus frequently travels in air and affects through respiratory system, most of all India is now became infected by this virus….

5. In1918,its first case was detected. In 1918 pandemic received its nickname "Spanish flu“ .Recently, it has re-appeared in April,2009 in United States, and another countries like India, Mexico, Canada etc.

8. SWINE FLU VIRUS

12. They are dressed in such a way that their whole body is covered, therefore less chances of getting infection.

13. Arab's usually avoid travelling to other countries.

15. SIGN AND SYMPTOMS The symptoms of swine flu in people are similar to the symptoms of regular human flu and include shortness of breath,bodyaches,headache, chills and fatigue. Symptoms of swine flu are more severe than seasonal flu. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.

17. Sometimes people may become infected by touchingsomething with flu viruses on it and then touching their mouth or nose.

20. Chronic heart diseases such as heart failure.

21. Chronic Kidney diseases such as Kidney Failure.

22. Chronic liver diseases such as chronic hepatitis.

23. Chronic neurological disease such as Parkinson's disease.

24. Immunosuppression

25. Diabetes

26. Pregnant women

27. Older people 65 or above

29. In children emergency warning signs that need urgent medical attention include: Fast breathing or trouble breathing Bluish or grey 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

30. 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 Severe symptoms like high fever and worsening of cough.

31. IMMEDIATE ACTION WHEN PERSON FEELS SICK

32. COMPLICATIONS Respiratory failure Pneumonia High fever leading to neurological problems Dehydration and electrolyte imbalance Fatalities are common in young

33. PREVENTION OF SWINE FLU

34. WHAT SHOULD I DO TO KEEP FROM GETTING THE FLU ? Wash your hands. Try to stay in good general health. Get plenty of sleep, be physically active, manage your stress. Drink plenty of fluids. Eat nutritious food. Try not to touch surfaces that may be contaminated with the flu virus. Avoid close contact with people who are sick.

35. WHAT SHOULD I DO TO KEEP FROM GETTING THE FLU ? SAFETY PRECAUTIONS 9 Avoid live animal markets, poultry and pig farms in affected countries 9Always maintain high levels of personal hygiene, especially before and after food preparation and in-out of toilets. Regular wash your hands 9 Cook pork thoroughly 9 Do not consume half-cooked pork 9 While in an affected region, seek immediate medical attention if you develop influenza-like symptoms. (High Fever, body pain, coughing and red nose)

37. Covering coughs and sneezes

38. Avoidance of crowded settings when possible

39. Advising ill persons to stay home (except to seek medical care) and minimize contact with others in household

42. Do not go to work , stay at home or in your hotel room.

43. Coveryour mouth and nose with a mask when coughing or sneezing.

44. Put your used tissue in the wastebasket.

45. Cover your cough or sneeze if you do not have a mask.

47. IS IT SAFE TO EAT PORK ? XSwine influenza viruses does not spread by food. You cannot get swine influenza from eating pork or pork products. Eating properly handled and cooked pork products is safe.

48. TRAVEL HEALTH 9 WHO does not recommend any travel restrictions to areas experiencing outbreaks, including countries, which have reported, associated cases of human infection. 9 WHO does not, at present recommend the routine screening of travelers coming from affected areas.

49. Is there a vaccine for Pandemic Flu? Because the virus is new, there will be no vaccine ready to protect against pandemic flu. Vaccine against Swine Flu virus H1N1 needs at least 6-12 months to be produced. Seasonal flu vaccine or past flu immunization will not provide protection.

50. Vaccination Vaccine for human seasonal influenza does not protect against H1N1 swine flu viruses due to antigenic differences, but may provide partial protection against swine H3N2 virus A vaccine has been developed, tested, and now FDA approved and an increasing supply of doses are arriving at doctor's office and clinics to help prevent infections from the 2009 H1N1 strain of the flu.

51. Vaccination These vaccines either contain inactivated (killed) influenza virus, or weakened live virus that cannot cause influenza. The killed vaccine is injected, while the live vaccine is given as a nasal spray. Both these types of vaccine are usually produced by growing the virus in chicken eggs. Around three billion doses will be produced annually, with delivery from November 2009.

55. TREATMENT INDICATIONS * Household close contacts (of confirmed, probable, or suspected case) at high-risk for complications of influenza + chronic medical conditions + aged ≥ 65 years + aged ≤ 5 years + pregnant women * School children or children in daycare at high-risk for complications of influenza (certain chronic medical conditions) who had close contact (face-to-face) with confirmed, probable, or suspected case

56. INDICATIONS * Any healthcare worker at high-risk for complications of influenza (persons with certain chronic medical conditions, elderly) working in area with confirmed swine influenza A (H1N1) cases, or who is caring for patients with any acute febrile respiratory illness * Non-high risk travelers to Mexico, first responders, or border workers who are working in areas with confirmed cases of swine influenza A (H1N1) virus infection

58. DOSING OF ANTIVIRALS Zanamivir ( Relenza ) 10 mg (2 inhalations) once daily for adults and children ≥ 5 years old Oseltamivir( Tamiflu ) orally adults and children ≥ 13 years old - 75 mg once daily children aged 1-12 years - dose based on weight ≤ 15 kg 30 mg once daily 15-23 kg 45 mg once daily 23-40 kg 60 mg once daily > 40 kg 75 mg once daily

59. AYURVEDIC TREATMENT FOR SWINE FLU According to “baba ramdev” treatment for swine flu includes : INGREDIENTS : Take GILOY, one foot long branch and 7 leaves of TULSI. PROCEDURE : Mix it and collect juice of this mixture in a pot. Now boil the juice and drink it. This herbal juice increases our body’s resistance up to 3 times.

62. NURSING RESPONSIBILITIES Educating themselves and their communities about the disease and its prevention. Each nurse must have capability to develop comprehensive plans and interventions to tackle the disease. Nurses should update their knowledge from time to time. Nursing superintendent should motivate and facilitate their staff to get pertinent information, clinical guidance and recommendations to handle disease. Follow strict standard infection control measures while attending the confirmed and suspected cases of swine flu. Isolating the suspected and confirmed cases. Nurse should prepare themselves not only for patients with illness but also for questions and concerns from public.

63. NURSING RESPONSIBILITIES Keep practicing same precautions. Instruct the clients for who are coughing and sneezing to wear mask, wiping down surfaces and frequent hand washing. Nurses should collect detailed history. Attend the suspected or confirmed client in isolated rooms. Nurses should protect themselves by personal protective equipments (PPE) like mask, gloves , gown and eye protection goggles while attending clients. Collect the sample for examination of suspected cases with caution. Nurses who are not using PPE should take antiviral drugs as prophylaxis. Nurses should be aware of plans of their institutions. Nurses should have knowledge of microbiology.